1. Presented by: Charlene Wright, RT(R) PACS Administrator Part 3: Major Project Mercy College IMG 305 FA 2015

2. Mission: RHH is committed to providing affordable, efficient, quality healthcare. Image retrieved from http://www.pcpci.org/blog/oregon%E2%80%99s-coordinated-care-model-inspiring-health- system-innovation

3. Needs Assessment  Improve workflow inefficiencies  film based vs. digital imaging  Upgrade outdated equipment  Mammography – film based  Replace worn equipment  Monitors and workstations  Improve networking issues  Increased department growth  Increase image storage capabilities  Improve inter-operability within facility and referring physician  Radiologists’ reading room

4. PACS PROJECT TEAM IT Director Radiologists Imaging Director Mammography Tech CT Tech General Diagnostic Imaging Tech Finance Director Governing Board Representative Patient Representative PACS Administrator Image retrieved from https://www.thenationalcouncil.org/capitol-connector/category/integrated-care/

5. Year 1Year 2Year 3Year 4Year 5 Expenditures$ 200,000$20,000 PACS Implementation & Training50,000 Mammography DR Equipment Purchase (one time purchase) 80,000 Service Contract5000 Rad Reading Room Construction & Equipment (one time purchase) 50,000 PACS Cloud based Lease15,000 Savings100,00025,50026,05026,65527, 320 Film Cost Savings10,000 Improved Radiologist & Technologist Productivity 10,000 Increased Volume50005500605066557320 One time Grant Money recipient Award75,000 ROI($100,000)($74,500)($48,450)($21,795)$ 5,525 Return on Investment

6. Request for Proposal –Silver Lining Imaging Solutions (3) General diagnostic CR/DR imaging rooms ( 2) CT Scanners (1 is newer) (1) MRI Machine Purchase plans for (2) New DR Mammography machines Multiple DICOM interfaces are needed to improve interoperability, remote image viewing capabilities Purchase plans for (3) New computer equipment/monitors for CR/DR general diagnostic workstations Vendor facility training for (4) RHH staff members On-Site training sessions for Radiologists, non-Radiology physicians and staff education Radiologists reading room equipment and construction

7. Silver Lining Imaging Solutions Improved efficiency of workflow through quicker report/result turn around time Communicate results and images to referring physicians in the local community and regional facilities Allows remote access for trouble- shooting

8. Site Visit- Anytime Hospital Summary Close proximity Similar size Initial meeting One-on-one Suggest extra personnel staffing for system conversion Allow for multiple staff training sessions with vendor Improved efficiency of workflow through quicker report/result turnaround times Vendor was supportive and readily available for troubleshooting In the event of system downtime, vendor was able to remote access system to assist in troubleshooting and resolving issues. Upgrades to systems were done in stages to allow for continued patient flow and to minimize patient inconvenience. Added extra staffing during peak volume times to assist each other with patient flow. Allowed extra time for outpatient scheduled appointments during initial conversion. Overall impression was favorable and successful implementation.

9. Training Vendor Training Site – Three Days PACS Administrator IT Director (2) Superusers from Radiology On-sight Training Various training sessions for all shifts to accommodate staff schedules and decrease scheduling conflicts Utilize hospital conference room Test systems Mammography training sessions One-on-one training for Radiologists Non-essential physicians- remote viewing access training Image retrieved from http://www.123rf.com/photo_14800035_3d-people--human-character-person-and-cubes-with-idea--3d- render.html

10. Conclusion Image retrieved from http://www.carestream.com/blog/ris/

11. References: Branstetter, B. F. (Ed.). (2009). Practical imaging informatics: foundations and applications for PACS professionals. Springer Science & Business Media. Cloud Attributes image retrieved from http://arstechnica.com/business/2012/04/a-sysadmins- view-of-microsofts-private-cloud-promise/ Health, care, cost image retrieved from retrieved from http://www.pcpci.org/blog/oregon%E2%80%99s-coordinated-care-model-inspiring-health- system-innovation Meenan, C., Weiss, D., & Knight, N. (2013). Diverse perspectives on imaging workflow & business analytics. Retrieved from http://siim.org. PACS integration image retrieved from http://www.carestream.com/blog/ris/ PACS project team image retrieved from https://www.thenationalcouncil.org/capitol- connector/category/integrated-care/ Project management image retrieved from http://www.123rf.com/photo_14800035_3d- people--human-character-person-and-cubes-with-idea--3d-render.html Socia, C (2014). Developing the imaging informatics profession. Retrieved from http://siim.org.