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Published byTheodore Franklin Modified over 8 years ago
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PACS in Scotland Dr Andrew Downie Consultant Radiologist Victoria Infirmary, Glasgow
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Scotland is different Devolution 1999 Abolition of NHS Trusts Run by 14 Health Boards CfH does not apply
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The PACS Contract Main Contract –Kodak & NHS National Services Scotland – Nov 2005 Archive Storage –ATOS Origin Change Control Note – Dec 2005 Health Board Access Agreements –Kodak & NHS Greater Glasgow – April 2006
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“A major project” –“A multi-dollar project…” –“Kodak will roll out PACS to all hospitals in Scotland over the next 25 years…” RAD Magazine announced the contract to the world:
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What is included? 39 main acute hospitals 67 satellite centres 3.2 million exams annually 2 central data archives 308 dual 3mp workstations, RIS integrated Web browser access Orthopaedic templating on web
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And what isn’t? The Network The RIS Ward & Clinic PCs Theatre & specialist workstations Mammography VR (separate procurement)
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Who pays?
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Central funding All capital elements –Workstations, hardware, training –Central archive –Software licences –Implementation charges –Software support & upgrades for 10 years –One hardware refresh in 10 years
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Local funding –Hardware support charges –Capital charges –Additional catalogue items –Local PACS System Manager(s) –Project Management costs
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Storage Policy 1 year on site “Store everything for ever” Until death plus 3 years Use of lossy compression after 3 years Review after 6 years Funded for baseline plus 5% growth pa
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Patient ID DICOM ID = RIS ID locally DICOM ID = CHI number nationally CHI = Scottish NHS number, 10 digit “No CHI, you’re not getting in” Dirty store Kodak / RIS / PAS / SCI Store interface
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Problems CHI availability SCI Store problems Multiple RIS Image & report viewing Legacy PACS
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Differences: England & Scotland Based on English OBS, but No LSP Direct relationship with Kodak Clinical engagement No single RIS Integration with RIS included Spine supplied by Scottish Exec – SCI Store
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RIS Procurement Varied RIS in Scotland Many new RIS for Y2K compliance No standard RIS for this project but National RIS procurement now in progress for future RIS needs
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EPR Procurement Scottish Executive committed to EPR No actual progress to date
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CR Procurement National contract Central funding for pre agreed needs Additional hardware at favourable prices Awarded to Fuji Installations timed to match PACS
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The future is bright? April 2006 –PACS –Voice Recognition –and…
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