A picture archiving and communications system (PACS) is defined as a means of computerizing radiological images. Conventional images are acquired, stored, transmitted, and displayed digitally using a PACS system. (Strickland, 2000) The author decided to do an analysis of the PACS needs at Vidant Health. Vidant Health is a health system spanning 29 counties in eastern North Carolina that serves 1.4 million people. (We are Vidant Health, 2017) The author works in the radiology department at Vidant Medical Center and is directly involved with the use of PACS and the positives and negatives of the current system.
Needs Analysis The author conducted a need analysis based on interviews with PACS administrators, staff with the PACS IT
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The current system also has extended monthly downtimes for maintenance. These downtimes have increased as the system has become older.
Finally, the Phillips system requires multiple other applications for post-processing of images. Add-on systems from Vitrea and General Electric are needed for radiologists and technologists to build 3-D images, blood vessel reconstruction, and brain and heart function analysis.
Future State
The future state of the PACS system at Vidant Health is very similar to the needs analysis presented in the prior pages. The IT team interviewed have a vision of one PACS system that can be one system that does all functions of a PACS system and be used for post-processing of images. The system must be reliable with minimal downtime due to the nature of the healthcare business.
Recommendations and Integrations
The team surveyed recommended that hospital management find a way to get out of the Phillips contract and shop for a new PACS system. The feeling among those surveyed was that the health system could not afford to fall further behind with PACS as technology continues to advance in the imaging field.
The new PACS system would have to be integrated into many of Vidant’s current systems. The most important of these integrations would be to make certain the PACS system could interface with Vidant’s electronic health
The medical staff has been using “best of breed” systems and has concerns of loss of key functions. However, they agreed to adopt EPIC, an enterprise-wide system designed for maximal integration and continuity of care throughout the continuum. This agreement was reached without any understanding of a potential loss of functionality in the new system, and an assumption the new system will be acceptable to the physicians once installed.
The second system within PFCH is the OsiriX (OsiriX, 2010) imaging software. OsiriX is the primary application employed for the Modality Viewing Stations in the Radiology department for PFCH. OsiriX is application, which processes the imagery and is ultimately designed to capture, manage, maintain, view and print the imagery. OsiriX as well transmits Digital Imaging and Communications in Medicine or DICOM images produced by various other medical imagery equipment. This equipment includes Magnetic Resonance Imaging, Computed Tomography, Positron Emission Tomography, and the other various medical imagery technologies. Ultimately DICOM has a unique file format definition and leverages a network communications protocol that uses TCP/IP
In 1988, an information system called the Composite Health Care System (CHCS) was formulated by a company called Science Applications International Corporations (SAIC). Science Application International Corporations won the contract worth $1.02 billion from the Military Health System to design, develop and implement CHCS. Although CHCS information system was designed in 1988, it wasn’t until 1993 that the system was introduced. Since 1993, CHCS has become the biggest medical information system for the military medial facilities. CHCS is the most essential part for the Department of Defense (DoD) for inpatient and outpatient. The system supports 143 military installation worldwide, 1,100 military clinics, and produce thousands of daily
Patients should be given an opportunity to shop quality healthcare providers, prices and services. We provide competitive prices and services at our radiology practices, patients are able to find this information with their local insurance company or online. The organization takes all measures not to violated HIPPA guidelines, by implement technology that will share patient information across the web without fear of violation of HIPPA. Patients seem to be very satisfied with this system; it saves them a trip to the office and provides immediate results of their exam. They’re able to follow-up or make decisions with their doctors to expedite the needed care. Transparency also has an competitive advantage. Organizations that list their services and prices, prompts other similar entities to match or beat prices, making it affordable for the
Hospitals seeking to outsource their diagnostic imaging services: they demand service reliability, access to the diagnostic equipment 24 hours per day, seven days per week and reasonable cost
Several advancements have been made in healthcare technology, from the highly-awaited ICD-10 coding to HIE and general interoperability projects. California has been a pioneer in leading efforts in this space, and is home to some of the best hospitals in the nation. As a consultant, I had the opportunity to work with one such innovative organization, Sutter Health, that serves over 100 Northern California communities.
Cerner integrates patient information throughout all of the departments within a hospital setting. This program also has the ability to expand into other health care facilities within a community, such as long term care, hospice, and home health (Cerner, 2015). Cerner offers community hospitals solutions in their “Software as a Service” model. Cerner will host the software program, provide upgrades, and monitor performance to ensure stability. This will allow community hospitals to have a predictable cost for the software (Cerner, 2015). Another advantage of this system is the “Smart Room”. Wireless devices such as infusion pumps, and vital sign monitoring devices can access the system. This allows for instant documentation of this information into a patient chart and will alert if abnormalities are noted. Bar code scanners and carts are available as well. These items improve patient safety (Cerner, 2015). Cerner is capable of CPOE, electronic prescription transmitting, and has the ability to capture data and immunization statuses to meet reporting regulations.
System is very easy to use and covers many Radiology and Pharmacy procedures and treatments across United states
c. To set guidelines to be followed for checking radiology systems performance and maintaining optimum image quality and equipment safety for the technologist who operate these systems and the patients as well.
The implementation of a CAC system must be able to integrate into with an EHR, clinical documentation improvement system, as well as financial systems. In addition to the integration of the CAC system, the costs can be high and the technical expertise required may include extensive training and
You are invited to respond to this request for proposal for our hospice to initiate a comprehensive health information technology system that is able to gather data, track trends, interact with pharmacy and provide staff education. We are looking for an open system that can grow with our company and evolve with advances in technology.
With minimal funding for imaging studies, the medical team faced barriers in diagnosis and treatment. When I learned of the budget constraints, I reached out to local medical imaging facilities and successfully negotiated a contract with one that would bill VVIM at an affordable rate. When approved, the medical team was able to order imaging studies at no cost to their patients. I agreed to oversee this project and took on the responsibility of submitting the imaging orders, overseeing the billing charges, and following up with patients once their results are returned.
However, the “remote monitoring” that enables health professionals to monitor a pa-tient remotely using various technological devices (i.e., from AAL(Ambient Assisted Living ), telenursing, telephar-macy, etc.) is basically opening a new channel of services. These services were inexistent several years ago, but with the ageing of the population and the increasing in chronic patients this sort of services will grow and it will require more professionals to respond to the demand. Moreover, new sort of professionals, from specific medical informatics, health data analysts, AAL maintenance technicians to nurse specialists will emerge (Lapão
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The IT PACS representatives are in charge of the technical support aspects in the imaging departments operations. These representatives work toward ensuring and facilitating the integrated PACS, Radiology Information System (RIS) system. They control the network, and technical interface from when the images are taken via the CT scanner until it’s viewed by the radiologist. In this role they will be redesigning guidelines to meet standardization to compliance by the ACR. Their goals cover the competence of the PACS, RIS, and interface to sustain the traffic leaving the scanner to the ancillary applications.