Rayavaran Co. Radiology Information System (RIS) CIS/HIS/RIS Solutions Presented by: Safa Fathi Amini, MD 21st Iranian Congress of Radiology Tehran, 17-20 Jan, 2006 Rayavaran Co. CIS/HIS/RIS Solutions

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links “Selecting the right Radiology Information System (RIS) is one of the most important decisions that will ever be made regarding your department.” Randall Swearingen, Swearingen Software, Inc., Houston, Tex. 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Recent Advancements in Computer Technology Computer network technologies Digital imaging Electronic Patient Record (EPR) DICOM and HL7 standards Picture Archiving and Communication System (PACS) 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Functional Areas PACS Patient Management Procedure Management Department Management HIS RIS 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Outcome Efficiency Expenses 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Components Scheduling Tracking Patient Man. Reporting Department Man. RIS Integration Research Security Database 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Scheduling Integrated Admission Staff/stock management HIS scheduling Smart “Rules-based” Automatic sequencing Alerts/conflicts/duplicate requests Appointment letters/prep instructions 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Scheduling Customers: Referring physicians AND their office staff Patients Does your system say in effect: “Use our competitors!” 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Patient Management Admission / Billing HIS integration Images / Reports PACS integration EPR The entire patient workflow 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Tracking Patient Progress Location Report Status Film 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Reporting PACS integration Voice recognition/Transcription Word processing Free format text Pre-defined result text and codes MS Office integration 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Integration/Interfacing PACS HIS/EPR Others Primary care Remote requesting Pharmacy Equipment engineering Stock management Bi-directional 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Department Management Equipment maintenance schedule logging maintenance days Stock pharmacy integration warehouse integration re-ordering flags consumables decrease Staff worklists shifts leaves rooms Reports statistical billing payrolls 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Research facilities Keyword search Custom reports Statistical software Data mining 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Security Access levels/Access lists Access logging Audit reports Data Integrity 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Database Scheduled backup Crash recovery measures Database maintenance Data Integrity 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Purchase Considerations Validity Reliability Other considerations Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Validity Are the necessary components there? Will this new software improve my workflow? Do I really need this one and only this one? 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Reliability Will this software ensure my data integrity? Will this software ensure my workflow integrity? Can I trust it? 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Hardware Network Workstations Peripherals (printer, scanner, barcode reader,…) Integration with existing PACS Other requirements (UPS/Air conditioning) 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Standards HL7 DICOM Other standards Do I really need them? Why? 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Present/Old Data Old RIS Existing HIS What will happen to my existing data? 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Implementation Hardware/equipment Software Integration PACS/HIS/EPR Startup data Code tables 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Training / Acceptance Training Strategy Package Acceptance Ease of use Switching from old systems 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Maintenance System availability Support availability Response time Resolution of problems Unacceptable downtime Will they be there for me 24 / 7 ? 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Finance Capital purchase Operating lease Managed service 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Scheduling Patient Man. Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links Future Developments Updates Upgrades 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Patient Man. Scheduling Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links References and Links Nogah Haramati, MD, PACS and RIS: Approaches to Integration, Journal of Healthcare Information Management, vol. 14, no. 3, Fall 2000, HIMSS Rowe WM, Moffitt ME, Bunnell WJ, Scheduling: if your RIS cannot, perhaps your HIS can , Radiol Manage. 1995 Spring;17(2):35-41, [PMID: 10143135] Rowe WM, Radiology information systems help radiology departments operate more efficiently, Radiol Manage. 1993 Summer;15(3):38-41, [PMID: 10127657] Rowe WM, Upgrading a radiology information system, Radiol Manage. 1990 Spring;12(2):24-8, , [PMID: 10105540 ] Swearingen R, Demystifying radiology information systems, Radiol Manage. 2000 Sep-Oct;22(5):52-6, [PMID: 11151323] Nanni M, Carnassale R, Napoli M, Campioni P, Marano P, Information systems in the management of the radiology department,, Rays. 2003 Jan-Mar;28(1):63-72, [PMID: 14509180] Andrew Forrest, Electronic Records Development and Implementation Programme – Cornwall PEG Project, 31 December 2002 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006 Radiology Information System (RIS) Introduction Components Patient Man. Scheduling Tracking Reporting Integration Department Man. Research Security Database Purchase Validity Reliability Hardware Standards Old Data Implementation Training/Acceptance Maintenance Finance Future developments References and links References and Links Board of Faculty of Clinical Radiology, The Royal College of Radiologists, Clinical Radiology and Electronic Records, 2002, ISBN 1 872599 78 8, RCR Ref No BFCR(02)3, http://www.rcr.ac.uk/docs/radiology/other/Clinical%20Radiology%20and%20Elecronic%20Records.html John S. Webster, Solving the Data Sharing Dilemma, April 2005, www.Healthimaging.com _____________________________________________ Link to this presentation: Radiology Information System (RIS), http://www.rayavaran.com/articles 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

Rayavaran Co. www.Rayavaran.com safa@Rayavaran.com Radiology Information System (RIS) 21st Iranian Congress of Radiology Tehran, 17-20 Jan, 2006 Rayavaran Co. CIS/HIS/RIS Solutions