University Hospitals of Leicester NHS Trust & Leicestershire and Rutland Healthcare NHS Trust Dr Kim Krarup Dr Kevin Mulcahy
Developments in PACS for Leicestershire PACS Installation - Loughborough Hospital
Leicestershire CPACS Project UHL –LRI –LGH –GH L & R HCT –Loughborough –Coalville –Hinkley –Market Harborough –Melton Mowbray –Oakham
Leicestershire - Infrastructure Formal links UHL / Community hospitals Single HIS Single RIS Directorate of Imaging
Leicestershire LGH PACS (Insignia) Loughborough PACS (Philips) UHL PACS server (Agfa) SAN Single RIS
Leicestershire – the future CPACS Project Team Radiology IT & PACS Oversight Committee
Community PACS Project Archive Web-based distribution Tele-radiology Expansion of soft-copy reporting LGH PACS replacement Modality Integration GP Interfaces Hard copy archive
Loughborough Hospital
Loughborough - Radiology 2 x Plain radiography ( + Tomography) 1 x Dental, OPT, Ceph. 1 x Fluoroscopy 1 x Ultrasound
Loughborough - Activity Plain Film12,500 Trauma5,000 Fluoroscopy1,000 Dental1,000 IVU250 Ultrasound5,000 Total24,750
Loughborough Project New build & move New radiography equipment CR PACS New RIS
Timescale - PACS Advert SON to interested suppliers Shortlist interested suppliers Tender responses by Award contract Go Live
Timescale - RIS Migrate Hilex Xero RIS to HSS CRIS3 RIS –By Dec ’02!
Philips Short term archive (RAID) (EasyAccess) Image distribution (web browser) Long term archive to UHL SAN Broker to RIS Diagnostic workstation Radiographer workstations
Philips…. Film Scanner Request Scanner Image export –Dry laser –CD –(Web based)
Issues Re-tendering RIS time scale slipped Minor Injuries Unit & Walk-In Centre
Walk In Centre
Things we got right Tight time scale Good project support Fully filmless ‘Nearly’ paperless It worked! It still works!
Things we got wrong Tight time scale Move/RIS/CR/PACS change all on same day not ideal! Reporting environment Ongoing project management Communication with users outside radiology
Thoughts for next time - Avoid changing too much at once But keep up momentum Project management, pre & post Workflow issues – communicate, communicate, communicate Reporting environment