1. Implementation of New PACS system For Regional Health Hospital Brought to you by: Jackie Hensel RT(R)- PACS Administrator

2. Importance of the Upgrade  Effect people  Radiology Personnel  Radiologists  Technologists  Film Librarians  Other Hospital Staff  Surgeons  Hospitalists  ER Physicians  IT Staff  Positives of current system  Staff is acclimated  Simple to use  Negatives of current system  Unable to handle work load  Unavailable options to allow for simple workflow

3. PACS Project Team Head Radiologist Radiology Department Manager Lead Technologists from each modality Hospital CEO Hospital CFO Lead IT Support IT Manager RIS Application Specialist HIS Application Specialist Orthopedic Surgeon Hospitalist ER Physician Myself

4. Return on Investment CostSavingsROI Year 1 $1,500,000$425,000($1,075,000) Hardware/Software$600,000 Interface$250,000 Equipment$100,000 Training$175,000 Maintenance$50,000 Renovations$250,000 Service Contract (annual)$75,000 Year 2 $75,000$775,000($300,000) Year 3 $75,000$1,274,925$199,925 Year 4 $75,000$1,625,000$550,000

5. Request for Proposal  Regional Health Hospital  400 bed  Medium-large in size  Inpatient  Outpatient  Radiology Department  CR  DR  Film-Screen Mammography  How can this transition help our current situation?

6. Site Visit Amytime Hospital Evaluation of Workflow Support Personnel 24/7 helpdesk Exposure to System Who they have worked with Opinions on value of Service Amount of downtime compared Was their upgrade successful

7. Training for System  Who will need trained?  Everyone  How long will the training be?  Ongoing  Radiologist a full day of one on one  Lead techs a full day of group training to become super users  IT 3 hour meeting  Other non-essential personnel Online assessment training

8. References  Branstetter, B.F., Rubin, D.L., Griffin, S., & Weiss, D.L. (Eds.). (2009). Practical Imaging  Informatics (pp. 1-420). New York, NY: Springer Science+Business Media, LLC.  Fang, Y. C., Yang, M. C., & Hsueh, Y. S. (2006). Financial assessment of a picture archiving  and communication system implemented all at once. Journal of digital imaging, 19(1),  44-51.  Goldszal, A. F., Bleshman, M. H., & Bryan, R. N. (2004). Financing a large-scale picture  archival and communication system 1. Academic radiology, 11(1), 96-102.  Modrák, M., & Modrák, V. (2013). The Effect of a PACS on Patient Radiation Doses and  Operating Costs in a Radiology Department: A Practical Study.Procedia Technology, 9,  1282-1287.  Nagy, P., Siegel, E., Hanson, T., Kreiner, L., Johnson, K., & Reiner, B. (2003, July). PACS  reading room design. In Seminars in roentgenology (Vol. 38, No. 3, pp. 244-255). WB  Saunders.  Siegel, E. L., & Reiner, B. (2003). Work flow redesign: the key to success when using  PACS. Journal of digital imaging, 16(1), 164-168.