1. Philips iSite 3.5 Administration

2. Learning Objectives
Identify the roles and responsibilities for implementing and managing Philips iSite
Identify and describe the five Image and Information Management Tasks of iSite Administration
Identify and describe the four Configuration Management Tasks of iSite Administration

3. Table of Contents Administration Roles and Responsibilities
Data Management Tasks
Configuration Management Tasks

4. Administration Roles and Responsibilities

5. iSite Administration Roles
Philips recommends that all customer contacts assigned to the project attend all training sessions to ensure an effective implementation

6. iSite Administration Roles
Management Lead (Operations Management)
Workflow Lead (Information Management)
Clinical Lead (Image Management)
Technical Lead (Systems Management)
Training Lead (Training Management)

7. Management Lead Responsibilities may include: Single Point-of-Contact
Project Leadership
Policy and Procedure Management
Risk Management
Quality Management
Resource Management
1. Single Point-of-Contact
a. Help Desk (On-site Support)
b. Issues Management (Issues Tracking and Reporting)
2. Policy and Procedure Management
a. Security Management Process
b. Assigned Security Responsibility
c. Workforce Security
d. Information Access Management
e. Security Awareness and Training
f. Security Incident Procedures
g. Contingency Plan
h. Evaluation
i. Business Associate Contracts and Other Agreements
3. Risk Management
a. AAPM (Quality Management Guidelines)
b. ACR (Medical Imaging Standards)
c. HHS CMS (HIPAA)
d. FDA (Digital Mammography)
e. JCAHO
f. OSHA
g. State Statutes
h. Local Statutes
4. Quality Management
a. CQI
b. TQM
c. Image Quality
d. Information Validation
e. Display Calibration
f. Printer Calibration
g. Data Integrity
5. Training - Functions-Based
a. Image Navigation and Manipulation 101 (Log-in, Worklist Failover, Workstation Location, About Philips, User Manual, Patient Directory, Filters, Patient History Timeline, Show Report/Show Exam Notes, Window/Level, Measurements, Annotations, Image Processing, Clone, Flip/Rotate/Sort/Split, Cine, User Preferences,)
b. Image Navigation and Manipulation 201 (Paper Print, Saving Presentation States, CD Manager, Plug-ins, Local Exam Cache, DICOM Print, Modality Worklist, iQuery, iExport, Public Folder, Personal Folder)
c. Image Navigation and Manipulation 301 (Hanging Protocols) (iSite Radiology Only)
d. Image Management 101 (Digital Image Management, Exceptions Handler, Dup UID Toolset)
e. Image Management 201 (Digital Image Management, Exceptions Handler, Dup UID Toolset)
f. Information Management 101 (Patient Record, Patient/Exam, Technologist Worklist)
g. Information Management 201 (Dictionaries/Patient Directory/Patient History Timeline, System Preferences)
h. Image and Information Management 101 (Introduction, Training Process, iSite Administrator Duties, Customer Expectations, Customer Decision Support and Deliverables, iVault versus iSite Enterprise, Product Line Overview, System Architecture, HL7 Integration, DICOM Modality Worklist,, Introduction User to Interfaces especially Technologist Worklist)
i. Image and Information Management 201 (HL7 Introduction, DICOM Introduction, DICOM Metadata, Exam Information, ConnectR Troubleshooting)
j. System Management 101 (Security Schema, Business Continuity Server, Worklist Failover, Domain Authentication, Access Groups, Security Codes, Statistics, Auto Logoff, Machine Logoff)
k. System Management 201 (System Preferences, Machine Preferences, Network Testing)
l. iSite Administration 101 (Review of Topics, Applications Management, Final Q&A)
m. iSite Administration 201 (optional) (Knowledge Validation)
6. Knowledge Resource
a. Applications
b. DICOM
c. HL7
d. Network
e. Systems
f. Image Quality
g. Policy and Procedure (PACS and Medical Imaging)
h. Risk Management (PACS and Medical Imaging)
i. Quality Management (PACS and Medical Imaging)

8. Workflow Lead Responsibilities may include: Workflow Knowledge Share
HL7 (HIS/RIS) Feed Activation
HL7 (Patient Demographics/Exam) Validation
Prepare Exam Code Dictionary
Patient Record/Exam Management
Data Engine Management

9. Clinical Lead Responsibilities may include:
DICOM (Modality) Configuration
DICOM Image Store
DICOM Modality Worklist
DICOM (Image) Validation
Exceptions Management
Duplicate Study Instance Unique Identifiers
Hanging Protocols Configuration
System Preferences Configuration

10. Technical Lead Responsibilities may include: Network Administration
IP Addressing
Routing and Switching Configuration
VPN Access
Network Configuration Validation
Domain Authentication

11. Training Lead Responsibilities may include:
System and workstation preparation for training
Training for internal customers, including:
Image Librarians
Radiologic Technologists
Referring Providers

12. Data Management Tasks

13. Data Management Tasks ConnectR Error Worklist Merge Worklist
Exceptions Handler
Exam Linking
Duplicate Study Instance Unique Identifiers

14. ConnectR Error Worklist
The ConnectR data engine provides an Error Worklist to manage the removal or refiling of message processing errors
The purpose of the Error Worklist is to allow the iSite Administration Team to monitor and resolve processing errors that may impact workflow and patient care

15. Patient Merge List
The Merge Worklist provides an automated list of patients who may have more than one patient record
Patients identified on the Merge Worklist are potential candidates for merging such records into a single, comprehensive patient record within the iSite database

16. Exceptions Handler
The Exceptions Handler provides an automated Worklist of studies (images) which do not have a corresponding exam (order)
The purpose of the Exceptions Handler is to match studies to orders, which provides advanced workflow functionality as well as a single, comprehensive patient record
Digital Image Management provides the capability of disassociating studies (images) from exams (orders) for incorrectly identified studies

17. Exam Linking
Linking Exams provides the ability to associate multiple exams (orders) with a single study (image acquisition)
Linking Exams is necessary in an environment wherein multiple orders and multiple dictation events are created for a single image acquisition sequence
Linking Exams permits the association of a single image acquisition (ex. CT Chest, Abdomen, Pelvis) with multiple exams as demonstrated on the Patient Directory and Patient History Timeline
* Exam Linking is preferably performed prior to image acquisition by the performing Radiologic technologist

18. Duplicate Study Instance Unique Identifiers
A Duplicate Study Instance Unique Identifier is an event wherein a single study (as identified by a single Study Instance Unique Identifier) has more than one set of associated patient demographics
Upon detection of a Duplicate Study Instance Unique Identifier, an notification is sent to the iSite Administration Team to provide immediate notice and allow for the rapid resolution of such events
The Duplicate Study Instance Unique Identifiers Toolset provides several tools which may be utilized to resolve Duplicate Study Instance Unique Identifiers

19. Configuration Management Tasks

20. Configuration Management Tasks
Dictionary Administration
Security Administration
Hanging Protocols Management
Preferences Configuration Management

21. Dictionary Administration
Dictionaries permit the association of HL7 data (exam information) with iSite functionality (image workflow requirements)
The Exam Code Dictionary entries enable iSite to associate specific exams
Exam Code Description (as seen on the Patient Directory)
Modality Type (as seen on the Patient Directory and the Patient History Timeline)
Body Parts (as seen on the Patient History Timeline)
Subspecialty (utilized for worklist Filters)
Hanging Protocol Groups (utilized for Hanging Protocols)
* Dictionary Administration is a primary iSite Administration responsibility and requires extensive planning and on-going maintenance for proper implementation

22. Security Administration
Security Administration is the management of role-based access control to manage user rights or privileges by associating users with a role which directly relates to their job function
Philips iSite PACS offers more than 100 Security Codes (privileges or rights) to be assigned to various roles which relate directly to job functions of system users
Typical roles may include Radiologists, Technologists, Referring Physicians and System Administrators

23. Hanging Protocols Management
Hanging Protocols offer a robust feature set to manage the display of studies (series and exam level settings) for iSite Radiology
Hanging Protocols enable each iSite Radiology user to create a series of protocols that dictate the sequence in which each series is displayed
Examples:
Dr. Smith desires to hang (display) T1 weighted Axials adjacent to T2 weighted Axials, while he wishes to hang T1 Sagittals adjacent to T2 Sagittals for MR Brain studies

24. Preferences Configuration Management
User Preferences
System Preferences
Machine Level Preferences

25. Preferences Configuration Management

26. User Preferences General Preferences Window Width/Level
Image Processing
Filters
Display Preferences
Hanging Protocols (iSite Radiology only)
Canvas Page (iSite Radiology only)

27. System Preferences General Preferences Window Window/Center
Image Processing
Filters
Annotations
DICOM Sources
Screen Overlay
Paper Printing

28. System Preferences iExport iQuery Organization Dictionary
Location Dictionary
Plug Ins
DICOM Print
Body Part Dictionary (iSite Radiology only)
Hanging Protocols (iSite Radiology only)

29. Machine Level Preferences
General Machine Preferences
Display Monitors
Plug-Ins
Local Exam Cache
Scanner Preference (iSite Radiology only)

30. For assistance, please call customer support at 1-877-328-2808 or 1-877-328-2809