All messages should be posted in plain text. HTML will be converted to
attachments. The meditech-l web site is MTUsers.com
======================================
We went live with AMICAS pacs in August of this year, and while I don't have
any figures we anticipate great savings by not having to print film. Just
because they CAN view via PCI, doesn't mean they should. Some of our
learnings are:
1. The browser that is launched to view images via PCI is greatly
reduced in size from what is available on the PACs device. So much so, that
the orthopods refuse to even bother with viewing the images (on their
tablets) because of image size and quality.
2. They despise having to log into Meditech PCI to view every image
as opposed to having a RTWL available. "Just send a CD along with every one
of my patients". But the problem is, the browser offers the same problem on
the CD. One of the orthopods said that his group has had to reduce seeing 5
patients a day just to make up for the time it takes to view images via PCI.
3. All of our in house PC's are not equal. We have a few reminants
of Win 95 and 98 and older devices. Users do not take this into
consideration when they try to view images via PCI..they get frustrated and
want to throw out the baby with the bathwater.
4. Have dedicated stations in each nursing area so larger 2 megapix
devices are available
5. Consider RTWL wherever feasible and cost effective
6. Be prepared to copy the images to CD in both a jpeg format and
dicom. Most of the providers want to import the image into their own PACs
system, but even if they don't, they say the jpeg is not a comparable image
to their dicom so they are at legal liablity.
7. Be prepared to answer why physicians cant have devices comparable
to that of the radiologist, in the nursing areas. At least ICU and ER. The
industry standard does not call for the same device, but the argument is
somewhat valid. They used to see the very same image on the xray film that
the reading radiologist saw. Now, we are offerring an image even though
compariable, it is not exactly the same. We tried to show that they were
comparable, but were totally disproved. We had an image up with a small
pneumo. Docs came in to view the devices that were being deployed to the
nursing areas, next to the radiologists device. Low and behold, most of the
docs missed the small pnemo on the lesser device. Therefore the argument was
that had that been a real situation and they went ahead and ventilated the
patient, disaster would have resulted. We are still in discussion phases on
this one. I as a clinician support having the 25000.00 device available in
the ICU but so far admin is not going for it because again, the industry
standard and practice does not support the practice.
I am sure there are more learnings, but this is the best I can do off the
cuff. I can't impress enough the need to test and retest and evaluate work
flow in every single area that touches film now. We did not do enough
preparation for the clinic in our town. Oh, we had notified and worked with
them, we even sent then the specs for the devices etc. But, they didn't move
forward and it simply doesn't matter to the clinicians. It was our PACS
problem and implementation so they hold us accountable. They are right. We
should have taken more ownership in seeing to it that things were ready for
them. Please feel free to contact me with any questions. I am the IS Systems
analyst for Radiology. If there are more technical questions, I would be
happy to forward them to one of the PAC's admins.
Cheryl Long, RN
Systems Analyst
Howard Young Health Care
PO Box 470
240 Maple Street
Woodruff, WI 54568
ph (715) 356-8728
fax (715) 356-8076
-----Original Message-----
From: Elizabeth Kirksey [mailto:[EMAIL PROTECTED]
Sent: Thursday, September 14, 2006 8:57 PM
To: 'Czarnecki, Frances'; [email protected]
Subject: RE: [MEDITECH-L] PACS Questions
All messages should be posted in plain text. HTML will be converted to
attachments. The meditech-l web site is MTUsers.com
======================================
Our site is implementing the function to view images via PCI. We purchased
the Meditech PACS Suite along with an interface to send signed reports from
our PACS system back to Meditech. At this point I cannot provide information
on whether these actions will reduce the expected time for ROI, but we are
trying to move in a direction that will provides the ROI before the
estimated time study indicates. Our though process is that the provider does
to one place to view lab results, radiology reports and view images if
necessary. Our PACS system also provides an option of a short voice clip
while viewing or in our case launching the Web browser from PCI. This was a
welcomed advantage for our providers.
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Czarnecki, Frances
Sent: Tuesday, September 12, 2006 12:32 PM
To: '[email protected]'
Subject: [MEDITECH-L] PACS Questions
All messages should be posted in plain text. HTML will be converted to
attachments. The meditech-l web site is MTUsers.com
======================================
We are just startng to evaluate PACS systems and how we feel our
facility could best benefit by this technology. One of our first questions
centered around whether or not most facilities go with the Meditech PACs
Integration Suite of products making the images available through PCI (or
clinical review) or if viewing occurs through the PACS system. The question
came up about how many physicians would care to see the image, versus
reading the reports. We would want to bring in the demographic information
but question whether or not returning the image to be viewed through
Meditech would be utilized fully. I would like to know what direction you
chose to go - and why. Also, what vendor are you using and why? Has the
product given you the benefits you felt it would - return on investment,
cost savings, improved process flow and so on. Any insight you are willing
to share will be appreciated. As usual, thanks to all for your responses.
Frances Czarnecki
Information Technology Applications Manager
North Adams Regional Hospital
71 Hospital Avenue
North Adams, Ma. 01247
413/664-5151
[EMAIL PROTECTED]
Confidentiality Notice: If you have received this e-mail in error, please
immediately notify the sender by e-mail at the address shown. This e-mail
transmission may contain confidential information. The information is
intended only for the use of the individual or entity to whom it is
addressed. Any disclosure, distribution, copying or use of the information
by others is strictly prohibited. Please delete it from your files if you
are not the intended recipient. Thank you for your compliance.
_______________________________________________
meditech-l mailing list
[email protected] http://mtusers.com/mailman/listinfo/meditech-l
_______________________________________________
meditech-l mailing list
[email protected] http://mtusers.com/mailman/listinfo/meditech-l
Cheryl Long, RN
Systems Analyst
Howard Young Health Care
PO Box 470
240 Maple Street
Woodruff, WI 54568
ph (715) 356-8728
fax (715) 356-8076
CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may
contain confidential and privileged information for the use of the designated
recipient(s) named above. If you are not the intended recipient, you are hereby
notified that you have received this communication in error and that any
review, disclosure, dissemination, distribution or copying of it or its
contents is prohibited. If you have received this communication in error,
please notify the sender at the electronic mail address noted above and destroy
all copies of this communication and any attachments. Thank you for your
cooperation.
_______________________________________________
meditech-l mailing list
[email protected]
http://mtusers.com/mailman/listinfo/meditech-l
