an overview of pacs-ris procurement
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An Overview of PACS-RIS Procurement. Dave Plummer Department of Medical Physics and Bioengineering UCL Hospitals NHS Foundation Trust. Identify the need Survey the market Prepare a business case Obtain funding Write a specification Request tenders. Select supplier Finalize contract - PowerPoint PPT PresentationTRANSCRIPT
An Overview of PACS-RIS An Overview of PACS-RIS ProcurementProcurement
Dave PlummerDave PlummerDepartment of Medical Physics and BioengineeringDepartment of Medical Physics and Bioengineering
UCL Hospitals NHS Foundation TrustUCL Hospitals NHS Foundation Trust
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
Procuring IT SystemsProcuring IT Systems
1.1. Identify the needIdentify the need
2.2. Survey the marketSurvey the market
3.3. Prepare a business casePrepare a business case
4.4. Obtain fundingObtain funding
5.5. Write a specificationWrite a specification
6.6. Request tendersRequest tenders
7.7. Select supplierSelect supplier
8.8. Finalize contractFinalize contract
9.9. PurchasePurchase
10.10. ImplementImplement
11.11. ReviewReview
POISE POISE
Procurement of Information Systems EffectivelyProcurement of Information Systems Effectively
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
Project ManagementProject Management
Use a recognized methodologyUse a recognized methodology eg PRINCE2eg PRINCE2
Involve the full spectrum of usersInvolve the full spectrum of users Right from the startRight from the start
Meet RegularlyMeet Regularly Don’t allow issues to go awayDon’t allow issues to go away
Have a defined time frameHave a defined time frame Have a defined end pointHave a defined end point
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
The Affect of NPfITThe Affect of NPfIT(in England)(in England)
RIS is not a ‘core’ applicationRIS is not a ‘core’ application LSPs will provide RIS options but trusts are free to LSPs will provide RIS options but trusts are free to
make their own arrangements.make their own arrangements.
PACS is now a ‘core’ componentPACS is now a ‘core’ component NPfIT does not permit open PACS procurement. NPfIT does not permit open PACS procurement.
The range of ‘viable’ products may now be more The range of ‘viable’ products may now be more narrow. narrow.
Need to support integration to local clusters and Need to support integration to local clusters and the spine.the spine.
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
RIS and PACSRIS and PACS
RIS is a database of radiology RIS is a database of radiology examination detailsexamination details
PACS is a database of radiology PACS is a database of radiology examination detailsexamination details
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
RIS and PACSRIS and PACS RIS is a database of radiology examination RIS is a database of radiology examination
details including:details including: scheduling, film management, report capture….scheduling, film management, report capture….
PACS is a database of radiology examination PACS is a database of radiology examination details including:details including: ImagesImages Integration to modalitiesIntegration to modalities
In both cases the core data records are patients In both cases the core data records are patients and exams.and exams.
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
Key RIS FunctionalityKey RIS Functionality Integration to external systemsIntegration to external systems
HIS (CRS)HIS (CRS) Scheduling: Scheduling:
Rooms & resourcesRooms & resources Examination detailsExamination details
Request information, Exam details & ConfirmationRequest information, Exam details & Confirmation Film managementFilm management
TrackingTracking ReportReport
Capture and presentation, dictation, transcription etcCapture and presentation, dictation, transcription etc Dose recordsDose records
Support for IR(ME)R etcSupport for IR(ME)R etc Statistics: Statistics:
Examination numbers,Examination numbers, Equipment utilisationEquipment utilisation
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
Key PACS FunctionalityKey PACS Functionality Integration to HIS and RISIntegration to HIS and RIS
Modality worklists, Reporting lists, PrefetchingModality worklists, Reporting lists, Prefetching Capture image from modalityCapture image from modality Support radiographer QA/verificationSupport radiographer QA/verification Commit to secure storageCommit to secure storage Make available for reporting displayMake available for reporting display Make available for review displayMake available for review display Make available for future visitsMake available for future visits Support image sharing at cluster and national Support image sharing at cluster and national
level.level.
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
RIS PACS IntegrationRIS PACS Integration
HIS
RIS BROKER
MODALITY
PACS
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
Desktop IntegrationDesktop Integration
Close coupling of RIS and PACS Close coupling of RIS and PACS applicationsapplications
Ensures that RIS and PACS are in syncEnsures that RIS and PACS are in sync Generally by establishing communications Generally by establishing communications
between two applications on the same between two applications on the same computer.computer.
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
RIS PACS IntegrationRIS PACS IntegrationDesktop IntegrationDesktop Integration
HIS
RIS BROKER
MODALITY
Reporting Station
PACS
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
Integrated RIS-PACSIntegrated RIS-PACS
Common patient and exam databaseCommon patient and exam database No confusion about status No confusion about status
eg dictated/reportedeg dictated/reported Desktop integration should be inherent in Desktop integration should be inherent in
the design.the design.
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
RIS PACS IntegrationRIS PACS Integration
HIS
RIS BROKER
MODALITY
PACS
RIS-PACS
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
Integrated RIS-PACSIntegrated RIS-PACS
May be appropriate solution if current RIS May be appropriate solution if current RIS needs replacement.needs replacement.
Beware of potential gaps in functionality:Beware of potential gaps in functionality: Integration to external schedulingIntegration to external scheduling Film management !!Film management !! IR(ME)R requirementsIR(ME)R requirements FlexibilityFlexibility
Some apparently ‘fused’ products are Some apparently ‘fused’ products are rather loosely gluedrather loosely glued
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
Beyond RadiologyBeyond Radiology Other Types of Images:Other Types of Images:
Vascular AngiographyVascular Angiography Cardiac AngiographyCardiac Angiography EchocardiographyEchocardiography Obstetric UltrasoundObstetric Ultrasound Medical PhotographyMedical Photography Retinal ImagingRetinal Imaging Colposcopy / Cytology…..Colposcopy / Cytology…..
May be more of a RIS Issue than PACS May be more of a RIS Issue than PACS
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
How IHE fits inHow IHE fits in
IHE specifies HIS/RIS/PACS integration.IHE specifies HIS/RIS/PACS integration. And has the potential to do much more!And has the potential to do much more!
No need to identify individual integration No need to identify individual integration requirementsrequirements
No need to provide an exhaustive list of No need to provide an exhaustive list of functional requirementsfunctional requirements
List the integration profiles that you expect List the integration profiles that you expect to be using and the actors that you want to be using and the actors that you want provided for them.provided for them.
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
IHE DefinesIHE Defines
ActorsActors Abstract entities that are part (or all) of IT Abstract entities that are part (or all) of IT
systems.systems. TransactionsTransactions
Functional exchanges of information between Functional exchanges of information between ActorsActors
Integration ProfilesIntegration Profiles Constraints on actors and transactions for Constraints on actors and transactions for
performing specific functions.performing specific functions.
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
How to Use IHEHow to Use IHE Be clear about the functionality neededBe clear about the functionality needed State in the requirement (and the contract)State in the requirement (and the contract)
The Integration Profiles requiredThe Integration Profiles required The Actors that will be in existing systemsThe Actors that will be in existing systems Any specific requirements beyond the IHE profilesAny specific requirements beyond the IHE profiles
Obtain a specific statement of:Obtain a specific statement of: A commitment to deliver all aspects of the required A commitment to deliver all aspects of the required
functionality. functionality. The integration profiles that each device supplied will The integration profiles that each device supplied will
be involved in. be involved in. The devices (existing and supplied) that will be The devices (existing and supplied) that will be
involved for each profile involved for each profile
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
Key issues in ProcurementKey issues in Procurement
FunctionalityFunctionality TrainingTraining IntegrationIntegration Data MigrationData Migration ImplementationImplementation Make them all explicit in the contract.Make them all explicit in the contract.
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
Further Key Issues for PACSFurther Key Issues for PACS
Integration againIntegration again Desktop, modality worklists, brokerDesktop, modality worklists, broker
Capacity and PerformanceCapacity and Performance Reporting functionalityReporting functionality
Screens, tools, workflowScreens, tools, workflow
Review functionalityReview functionality Web, user requirementsWeb, user requirements
Specialist ViewingSpecialist Viewing Orthopaedics, Theatres …Orthopaedics, Theatres …
IHE 20 October 2004IHE 20 October 2004 Dave Plummer, UCL HospitalsDave Plummer, UCL Hospitals
SummarySummary
Understand Activity and UsageUnderstand Activity and Usage Get a good team togetherGet a good team together Analyze in IHE terms Analyze in IHE terms Decide how you want RIS and PACS to Decide how you want RIS and PACS to
relate to one anotherrelate to one another Be aware of future changesBe aware of future changes Use IHE in the specifications and the Use IHE in the specifications and the
contractcontract