1. Radiology www.shreveportradiology.com Upgrading to the Integrated Statewide RIS-PACS System Bill Gregg PACS Administrator

2. Radiology www.shreveportradiology.com Considerations PACS will be evolutionary (upgrade) PACS will be evolutionary (upgrade) Still some major changes with PACS Still some major changes with PACS RIS more revolutionary (new system) RIS more revolutionary (new system) Speech Recognition Speech Recognition Significant retraining Significant retraining

3. Radiology www.shreveportradiology.com Overview All 10 state hospitals in single view All 10 state hospitals in single view Data Centers in SHV and BR Data Centers in SHV and BR LONI network connections LONI network connections Building block for the statewide EHR Building block for the statewide EHR Getting many things we didn’t have before Getting many things we didn’t have before Not perfect, always a work in progress! Not perfect, always a work in progress!

4. Radiology www.shreveportradiology.com LSUHSC Imaging Informatics Governance Structure Executive Steering Committee – –Dr. Wayne Wilbright – CIO LSUHSC-HCSD – –Dr. Leonard Bok- Rad. Dept. Chairman ILH – –Dr. Lee Bairnsfather – Assistant Vice President for Information Technology – –Dr. Horacio D’Agostino – Rad. Dept. Chairman

5. Radiology www.shreveportradiology.com LSUHSC Imaging Informatics Governance Structure Project Manager – Mickey Kees Functional Team: – –Ed Mason – –Jackie Guidry – –Mary Sehon – –Bill Gregg (part time) Technical Team: – –Shreveport – –Baton Rouge

6. Radiology www.shreveportradiology.com Getting Started Kick Off meeting 8/18-20 in Lafayette Kick Off meeting 8/18-20 in Lafayette Training schedules (before go-live) Training schedules (before go-live) Implementation (scheduled to be done in one year) Implementation (scheduled to be done in one year)

7. Radiology www.shreveportradiology.com Time Line 07/09 Data Center hardware install 07/09 Data Center hardware install 08/09 Kick Off Meeting in Lafayette 08/09 Kick Off Meeting in Lafayette 08/09 Start RIS build (9 mos) 08/09 Start RIS build (9 mos) 10/09 Upgrade to Centricity 3.x (S2L) 10/09 Upgrade to Centricity 3.x (S2L) 08/10 Upgrade to statewide integrated RIS-PACS system 08/10 Upgrade to statewide integrated RIS-PACS system

8. Radiology www.shreveportradiology.com TENTATIVE IMPLEMENTATION SCHEDULE EACE.A. CONWAY - MONROE UMCUNIVERSITY MEDICAL CENTER - LAFAYETTE EKLEARL K. LONG – BATON ROUGE LJCL.J. CHABERT - HOUMA HPLHUEY P. LONG - PINEVILLE LAKLALLIE KEMP - INDEPENDENCE BMCBOGALUSA MEDICAL CENTER - BOGALUSA WOMW.O. MOSS – LAKE CHARLES SHVLSUHSC - SHREVEPORT ILHINTERIM LSU HOSPITAL – NEW ORLEANS

9. Radiology www.shreveportradiology.com PACS S2L Upgrade 10/09 We are already installing clinical wks We are already installing clinical wks –Security configuration –Color panels (US, 3D recons etc.) Data center here installed (mostly) Data center here installed (mostly) Upgrade over weekend of 10/9-12 Upgrade over weekend of 10/9-12

10. Radiology www.shreveportradiology.com PACS Upgrade Oct 9-12 5pm 10/9 – 7am 10/13 5pm 10/9 – 7am 10/13 5-7 2 hour downtime, then back up 5-7 2 hour downtime, then back up Current workstations will still work Current workstations will still work Exams will be Unspecified (no procedure name). Exams will be Unspecified (no procedure name). 10/12 half wks on old, half on new 10/12 half wks on old, half on new Another 2 hour downtime to new system Another 2 hour downtime to new system Upgrade software on rest of workstations Upgrade software on rest of workstations

11. Radiology www.shreveportradiology.com Important Changes Cleanup Cleanup –Unspecifieds (HUGE kudos to our Radiographer staff) –Special characters Procedure and series names Procedure and series names Body Parts Body Parts

12. Radiology www.shreveportradiology.com Important Changes Hanging Protocols Hanging Protocols –Affected by body parts, procedures, series –Existing DDPs will go away –Need to rebuild using new data Departments (NR, MS, AB etc.) Departments (NR, MS, AB etc.) New WebViewer – will have to reinstall plug-in, changes are evolutionary New WebViewer – will have to reinstall plug-in, changes are evolutionary

13. Radiology www.shreveportradiology.com Summary The upgrade process has started The upgrade process has started Hanging protocols (DDPs) will go away (twice) Hanging protocols (DDPs) will go away (twice) There will be on site GE trainers Oct 13 and 14 if you have questions There will be on site GE trainers Oct 13 and 14 if you have questions PACS change is evolutionary PACS change is evolutionary

14. Radiology www.shreveportradiology.com Documentation Will post documentation on Announcements page of the Radiology web site Will post documentation on Announcements page of the Radiology web site www.shreveportradiology.com www.shreveportradiology.com www.shreveportradiology.com

15. Radiology www.shreveportradiology.com We Can Maximize the Power of the new Centricity Integrated RIS-PACS

16. Radiology www.shreveportradiology.com Thank you for joining this presentation today. Any Questions?