1. Dr Otto Schulze Project Leader

2. Increasing demand for specialized imaging (>500 images/patient on MDCT/MRI) Repeat examinations (No post-processing) Lost films & packets (Repeat examinations & no comparison) Not all images are printed (Lost information 20 images/sheet) Plain film X-rays (Dark room personnel, Chemicals, Film) Storage is labour intensive, occupies space & problems (Lost reports, packets, films) Poor communication with referring doctor (Wait for examination, reports, films & dependent on physical transport) Radiology opinion limited (Staffing in peripheral hospitals) Long waiting periods

3. Enterprise wide A hospital solution, not a radiology solution Integrated Communication between the different information systems HIS (Hospital Information System) The reception clerk & the patient sticker RIS (Radiological Information System) The paper: Requests, Tick sheets, Reports PACS (Picture Archiving & Communication System) The X-ray packet & film Equipment Digital Imaging Modalities

6. IT HIS RIS PACS Digital Imaging Modalities

10. Mindmap Timeline

11. What will you get? Faster access to imaging Faster access to reports Legible reports Access to images & reports from home What will the patient get? Shorter waiting times Better medical opinion due to improved comparison Quicker decision-making due to improved communication Reduced exposure to radiation due to no unnecessary examinations Scheduling, preparation and examination information available to patient

12. What will you have to do? Electronic requests for examinations EMERGENCY cases handled telephonically Electronic Scheduling Electronic tracking of patient status Electronic viewing of images and reports

13. Educate yourselves www.sun.ac.za/pacs Organise departmental information sessions Indentify departmental champions Identify personnel requiring basic IT skills Participate in the implementation Placement of viewing stations Medico-legal issues

14. Q & A