1. Regional Health Hospital PACS Implementation Plan

2. Introduction  Need a new upgraded PACS  Department in Radiology: CT, X-ray, MRI, Nuclear Medicine, Mammogram, and Ultrasound.  On-going issues: 1. Slow networking 2. Dysfunctional touch monitors 3. Outdated radiologist reading room 4. Unsatisfied experience with the current PACS vendor

3. PACS Project Team  A lead radiologist  A lead technologist  Project manager  One of the heads of IT staff  A financial expert

4. Return on Investment (ROI)  One-time costs: 1. Project manager 2. Implementation fee 3. Conversion 4. Training 5. Hardware 6. Software 7. Interfaces 8. Renovation fee 9. Network infrastructure  Recurrent costs

5. Return on Investment (ROI) One time$Year 2Year 3Year 4Year 5 All products Hardware/software80,000 Implementation130,000 Conversion100,000 Training50,000 Interfaces60,000 Maintenance80,000 Renovations100,000 Total600,000 Saving200,000300,000400,000500,000600,000 ROI-400,000-300,000-200,000-100,0000

6. Request for Proposal (RFP)  RHH serves a population of approximately 40,000 residents  Approximately 35% inpatients; 65% outpatients  RHH performed over 15,000 exams for the calendar year of 2014 ModalityExams of 2014 CT2,310 X-ray8,804 MRI316 Nuclear Med176 Mammography916 Ultrasound2,514

7. Request for Proposal (RFP)  Integration requirement: ability to integrate with RIS, HIS, speech recognition.  Support the image management: image import, compression, automated archiving, and DICOM functions.  Networking infrastructure: local area networks (LAN) and wide area networks (WAN) are required  Obtain a timeline  Obtain a detailed training setting  Renovation for radiologists’ reading room: Lighting Ergonomics Acoustics Connectivity

8. Site Visit- Anytime Hospital  Their overall experience with vendor is good.  The new system has increased the workflow.  They are satisfied with the vendor’s service- good customer services quick response professional supporting staff Training  Radiologists/Physicians: one-on-one training  Technologists/system administrators: train-the-trainer (superusers)

9. Conclusion  With a new PACS implementation:  Increase the satisfaction of the staff  Providing higher quality of patient care  More patients, increase soft-dollar and hard-dollar