1. Dr Otto Schulze Project Leader DMIMTC

2. Communication between the Imaging modality – The machine PACS – The film RIS – The paper HIS – The reception computer Two components Digital medical imaging Digital image management

6. Specialized equipment (CT, MR) Already digital We choose to print it on film (laser camera) Cost: R 1 million per year (TBH) Projection radiography CR – Computed radiography Change cassettes & developer Cheaper, general applications DR – Digital Radiography Digital camera Expensive, specialized applications

7. Film performs a balancing act between: Capturing the image Displaying the image Storing the image Digitizing the process allows each step to be optimized Cost saving: No more film Chemicals for development Dark Room assistants Better capturing techniques Less exposure problems Better image manipulation techniques

8. Distribution is required: Physically: Laser camera: R20 per page Paper printing: R2 per page Digitally: Optical Disc (CD/DVD): R2 – R4 per disc Web-distribution: Free Digital management is required / advised / mandatory DMI without DIM can work, it is just DUMB

9. Electronic Ordering Scheduling Performing the examination Reporting Distribution Communication between different information systems to allow workflow Communication between different information systems to allow workflow Equipment – PACS – RIS – HIS Equipment – PACS – RIS – HIS

10. Improved display techniques Cell phones, PDA’s, Laptops, Multi-monitor displays, large screen displays and data projectors Improved storage techniques Large redundant data archives Improved management of resources Measurement possible Productivity of personnel, modalities and departments Equipment lifecycle according to usage Management possible Resources can be utilized across the province

11. The patient Quicker and Improved patient care The clinician Faster available, ubiquitous imaging Management Improved management capabilities The imaging department Improved workflow NOT a Radiology toy, but a clinical governance tool but a clinical governance tool

12. Change in approach to IT Necessary evil to Business solution

13. IT HIS RIS PACS Digital Imaging Modalities

14. IT HIS - EHR EMS RIS FPS EDMS NHLS ??? PACS Modalities

15. Change in approach to IT Necessary evil to Business solution Using the tool A sword is only as good as the swordsman Commitment to the project Resistance to change Financial support Large amount of capital Continued support & maintenance Benefits far exceed this project

16. Dramatic improvements in: Patient care Resource management Requires: Changes approach to IT Capital investment in IT Capital investment in an integrated PACS / RIS solution