PACS implementation at the Countess of Chester Dr R Etherington, Clinical Director, Radiology M Cosens, PACS Project Manager

2 sites 110 Consultants 130,000 Rad exams p.a.

Plan A 2004/5 Kodak CR Kodak RIS (mandatory) ComMedica PACS

Plan B 2006/… Kodak CR HSS RIS (additional cost) GE PACS 100% deployment by end 2007

Countess Plan B Agreement for MEDITECH RIS and GE PACS May 25, 2006 Go Live July 24, 2006

Why MEDITECH’s ‘legacy’ system? Can deliver all 3 current CfH requirements for Radiology –PACS –Choose & Book –Electronic Reporting of Diagnostic Wait Times and Activity Front End Integration for whole hospital Trust control of RIS information and management Future UK Govt strategy re chosen applications still unclear No need to buy and implement another RIS

Business Case Benefits  Lower radiation doses through no repeat exams.  Cleaner, safer working environment for Radiology staff.  100 sq m x-ray file room in CoCH general wing freed up. (Worth £250k.)  Saving on purchase and printing of conventional film  Saving on future purchase and maintenance of film processors, including environmental surcharges  Saving on 7 whole time equivalent film filing clerk jobs  X-rays available as soon as they are taken:  simultaneous access enables swifter diagnosis, decision on appropriate care, and formal reporting  no more lost or mislaid films - significant saving on clinicians’ time and fewer phone calls

Benefits Baselining Diagnostics impact almost all clinical care PACS – benefit needs extracting  Streamline patient flow and work processes  Opportunity to re-deploy space more effectively IT enabled change 3 + year programme

PACS baselining audits - examples

Benchmarking: Radiology turn around times

Paperless reporting from worklist on PACS Speech recognition or Stand alone digital dictation Radiologist reporting

PACS Go Live

Countess queries Community links: electronic referral in / reporting out – demand for PACS?

The way ahead? Deliver integration to non-Radiology PACS Pioneer Government-stated wish for interface with private sector Deliver current government reporting and implementation requirements Respond flexibly to changing scene in the government approach to delivery of the National Program for IT in England

? … Discussion