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University Hospitals of Leicester NHS Trust
&Leicestershire and Rutland
Healthcare NHS Trust
Dr Kim KrarupDr Kevin Mulcahy
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• Developments in PACS for Leicestershire
• PACS Installation - Loughborough Hospital
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Leicestershire CPACS Project
• UHL– LRI
– LGH
– GH
• L & R HCT– Loughborough
– Coalville
– Hinkley
– Market Harborough
– Melton Mowbray
– Oakham
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Leicestershire - Infrastructure
• Formal links UHL / Community hospitals
• Single HIS
• Single RIS
• Directorate of Imaging
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Leicestershire
• LGH PACS (Insignia)
• Loughborough PACS (Philips)
• UHL PACS server (Agfa)
• SAN
• Single RIS
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Leicestershire – the future
• CPACS Project Team
• Radiology IT & PACS Oversight Committee
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Community PACS Project
• Archive• Web-based distribution• Tele-radiology• Expansion of soft-copy reporting• LGH PACS replacement• Modality Integration• GP Interfaces• Hard copy archive
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Loughborough Hospital
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Loughborough Hospital
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Loughborough - Radiology
• 2 x Plain radiography ( + Tomography)
• 1 x Dental, OPT, Ceph.
• 1 x Fluoroscopy
• 1 x Ultrasound
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Loughborough - Activity
USDentalFluroIVUTraumaPlain Film
Plain Film 12,500
Trauma 5,000
Fluoroscopy 1,000
Dental 1,000
IVU 250
Ultrasound 5,000
Total 24,750
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Loughborough Project
• New build & move
• New radiography equipment
• CR
• PACS
• New RIS
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Timescale - PACS
• Advert 28.06.02
• SON to interested suppliers 27.07.02
• Shortlist interested suppliers 13.09.02
• Tender responses by 15.11.02
• Award contract 17.01.03
• Go Live 17.03.03
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Timescale - RIS
• Migrate Hilex Xero RIS toHSS CRIS3 RIS
– By Dec ’02!
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Philips
• Short term archive (RAID) (EasyAccess)
• Image distribution (web browser)
• Long term archive to UHL SAN
• Broker to RIS
• Diagnostic workstation
• Radiographer workstations
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Philips….
• Film Scanner
• Request Scanner
• Image export– Dry laser– CD– (Web based)
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Issues
• Re-tendering
• RIS time scale slipped
• Minor Injuries Unit & Walk-In Centre
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Walk In Centre
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Things we got right
• Tight time scale• Good project support • Fully filmless• ‘Nearly’ paperless• It worked!• It still works!
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Things we got wrong
• Tight time scale
• Move/RIS/CR/PACS change all on same day not ideal!
• Reporting environment
• Ongoing project management
• Communication with users outside radiology
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Thoughts for next time -
• Avoid changing too much at once
• But keep up momentum
• Project management, pre & post
• Workflow issues –
communicate, communicate, communicate
• Reporting environment