1. PACS Project Overview December 5, 2006 CIS Ops

2. What Is PACS? PACS stands for Picture Archiving and Communication System. This new system will allow users to acquire, transmit, store, retrieve and modify digital images taken from modalities in Radiology Departments throughout Group Health Cooperative.

3. Who Will Be Affected? PACS Patients Primary Care Physicians Specialty Physicians Network Providers Radiology

4. Anticipated Benefits of PACS Real-time availability of images and reports. Concurrent access to images by multiple users. Reduction in number of lost films. Improved and expedited communication between Providers and Radiologists. Direct access to PACS stored images via EpicCare Chart Review.

5. Enterprise-Wide Imaging Strategy Step 1: PACS Project Digital radiology available throughout all of GHC Includes all modalities except Mammography Includes medical equipment costs for CR (Computed Radiography) to acquire images digitally. Excludes any other radiology equipment upgrades that will take place during the PACS project implementation timeframe.

6. Enterprise-Wide Imaging Strategy, cont. Step 2: Digital Mammography Project Planning in progress. Step 3: Other Uses For PACS Project Analyze needs of other “ologies” such as Dermatology, GI, Ophthalmology

7. General X-Ray Today Processed Film Film Cassette Processed Film 2. Image Taken3. Film Processed1. Cassette Loaded4 Film Collected Processed Film 5. Patient Carries Film 12. Film Stored 9. Film Read 6. Physician Reviews 7. Film Collected Processed Film 8. Film Delivered 11. Film Collected Processed Film 10. Report Dictated

8. Future General X-Ray Digital Plate 2. Image Taken3. Plate into CR Unit1. Plate Loaded 4. Sent to PACS ALL USERS CAN NOW VIEW THE IMAGE 5. Film is Read & Reported On5. Physician Reviews

9. PACS Implementation Timeline

10. More Info On PACS? PACS Website on InContext Listed as a business plan initiative http://incontext.ghc.org/quality_informatics/pmo/pacs pacs@ghc.org PACS Sponsors Group Jody Bauder Matt Handley, MD Ernie Hood Bob Karl, MD Marc Mora, MD Erin Leff