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PACS implementation at the Countess of Chester Dr R Etherington, Clinical Director, Radiology M Cosens, PACS Project Ma

PACS implementation at the Countess of Chester Dr R Etherington, Clinical Director, Radiology M Cosens, PACS Project Manager. 2 sites 110 Consultants 130,000 Rad exams p.a . Kodak CR Kodak RIS (mandatory) ComMedica PACS. Plan A 2004/5 . Plan B 2006/….

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PACS implementation at the Countess of Chester Dr R Etherington, Clinical Director, Radiology M Cosens, PACS Project Ma

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  1. PACS implementation at the Countess of Chester Dr R Etherington, Clinical Director, Radiology M Cosens, PACS Project Manager

  2. 2 sites • 110 Consultants • 130,000 Rad exams p.a.

  3. Kodak CR Kodak RIS (mandatory) ComMedica PACS Plan A 2004/5

  4. Plan B 2006/… • Kodak CR • HSS RIS (additional cost) • GE PACS • 100% deployment by end 2007

  5. Countess Plan B • Agreement for MEDITECH RISand GE PACS May 25, 2006 • Go Live July 24, 2006

  6. Why MEDITECH’s ‘legacy’ system? • Can deliver all 3 current CfH requirements for Radiology • PACS • Choose & Book • Electronic Reporting of Diagnostic Wait Times and Activity • Front End Integration for whole hospital • Trust control of RIS information and management • Future UK Govt strategy re chosen applications still unclear • No need to buy and implement another RIS

  7. Business Case Benefits • Lower radiation doses through no repeat exams. • Cleaner, safer working environment for Radiology staff. • 100 sq m x-ray file room in CoCH general wing freed up. (Worth £250k.) • Saving on purchase and printing of conventional film • Saving on future purchase and maintenance of film processors, including environmental surcharges • Saving on 7 whole time equivalent film filing clerk jobs • X-rays available as soon as they are taken: • simultaneous access enables swifter diagnosis, decision on appropriate care, and formal reporting • no more lost or mislaid films - significant saving on clinicians’ time and fewer phone calls

  8. Benefits Baselining • Diagnostics impact almost all clinical care • PACS – benefit needs extracting • Streamline patient flow and work processes • Opportunity to re-deploy space more effectively • IT enabled change • 3 + year programme

  9. PACS baselining audits - examples

  10. Benchmarking:Radiology turn around times

  11. Radiologist reporting • Paperless reporting from worklist on PACS • Speech recognition or • Stand alone digital dictation

  12. PACS Go Live

  13. Countess queries • Community links: electronic referral in / reporting out – demand for PACS?

  14. The way ahead? • Deliver integration to non-Radiology PACS • Pioneer Government-stated wish for interface with private sector • Deliver current government reporting and implementation requirements • Respond flexibly to changing scene in the government approach to delivery of the National Program for IT in England

  15. ?…Discussion

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