1. University Hospitals of Leicester NHS Trust & Leicestershire and Rutland Healthcare NHS Trust Dr Kim Krarup Dr Kevin Mulcahy

2. Developments in PACS for Leicestershire PACS Installation - Loughborough Hospital

3. Leicestershire CPACS Project UHL –LRI –LGH –GH L & R HCT –Loughborough –Coalville –Hinkley –Market Harborough –Melton Mowbray –Oakham

5. Leicestershire - Infrastructure Formal links UHL / Community hospitals Single HIS Single RIS Directorate of Imaging

6. Leicestershire LGH PACS (Insignia) Loughborough PACS (Philips) UHL PACS server (Agfa) SAN Single RIS

7. Leicestershire – the future CPACS Project Team Radiology IT & PACS Oversight Committee

8. Community PACS Project Archive Web-based distribution Tele-radiology Expansion of soft-copy reporting LGH PACS replacement Modality Integration GP Interfaces Hard copy archive

9. Loughborough Hospital

11. Loughborough - Radiology 2 x Plain radiography ( + Tomography) 1 x Dental, OPT, Ceph. 1 x Fluoroscopy 1 x Ultrasound

12. Loughborough - Activity Plain Film12,500 Trauma5,000 Fluoroscopy1,000 Dental1,000 IVU250 Ultrasound5,000 Total24,750

13. Loughborough Project New build & move New radiography equipment CR PACS New RIS

14. Timescale - PACS Advert28.06.02 SON to interested suppliers27.07.02 Shortlist interested suppliers13.09.02 Tender responses by15.11.02 Award contract17.01.03 Go Live17.03.03

15. Timescale - RIS Migrate Hilex Xero RIS to HSS CRIS3 RIS –By Dec ’02!

16. Philips Short term archive (RAID) (EasyAccess) Image distribution (web browser) Long term archive to UHL SAN Broker to RIS Diagnostic workstation Radiographer workstations

17. Philips…. Film Scanner Request Scanner Image export –Dry laser –CD –(Web based)

18. Issues Re-tendering RIS time scale slipped Minor Injuries Unit & Walk-In Centre

19. Walk In Centre

20. Things we got right Tight time scale Good project support Fully filmless ‘Nearly’ paperless It worked! It still works!

21. 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

22. 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