radiology information system (ris) presented by: safa fathi amini, md

Radiology Information System (RIS)

Presented by: Safa Fathi Amini, MD

21st Iranian Congress of Radiology

Tehran, 17-20 Jan, 2006

Rayavaran Co.CIS/HIS/RIS Solutions

“Selecting the right Radiology Information System (RIS) is one of the most important decisions that will ever be made regarding your

department.”Randall Swearingen, Swearingen Software, Inc., Houston, Tex.

Radiology Information System (RIS)Radiology Information System (RIS)

21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

•Introduction

•Components•Scheduling•Patient Man.•Tracking•Reporting•Integration•Department Man.•Research•Security•Database

•Purchase•Validity•Reliability•Hardware•Standards•Old Data•Implementation•Training/Acceptance•Maintenance•Finance•Future developments

•References and links

Recent Advancements in Computer Technology

• Computer network technologies

• Digital imaging

• Electronic Patient Record (EPR)

• DICOM and HL7 standards

• Picture Archiving and Communication System (PACS)



•Introduction




Functional Areas



•Introduction




Patient Management

Department Management

Procedure Management

RIS

PACS

HIS

Outcome

Efficiency

Expenses



•Introduction




Components



•Introduction




Tracking

Reporting

Integration

Security Database

Research

DepartmentMan.

PatientMan.

Scheduling

RIS

Scheduling

• Integrated• Admission

• Staff/stock management

• HIS scheduling

• Smart “Rules-based”• Automatic sequencing

• Alerts/conflicts/duplicate requests

• Appointment letters/prep instructions



•Introduction




Scheduling

• Customers:

• Referring physiciansANDtheir office staff

• Patients

Does your system say in effect:



•Introduction




“Use our competitors!”

Patient Management

• Admission / Billing

• HIS integration

• Images / Reports

• PACS integration

• EPR



•Introduction




The entire patient workflow

Tracking

• Patient

• Progress

• Location

• Report• Status

• Film



•Introduction




Reporting

• PACS integration

• Voice recognition/Transcription

• Word processing

• Free format text

• Pre-defined result text and codes

• MS Office integration



•Introduction




Integration/Interfacing• PACS

• HIS/EPR

• Others

• Primary care

• Remote requesting

• Pharmacy

• Equipment engineering

• Stock management



•Introduction



•References and linksBi-directional

Department Management



•Introduction




Equipment•maintenance schedule

•logging

•maintenance days

Stock•pharmacy integration

•warehouse integration

•re-ordering flags

•consumables decrease

Staff•worklists

•shifts

•leaves

•rooms

Reports•statistical

•billing

•payrolls

Research facilities

• Keyword search

• Custom reports

• Statistical software

• Data mining



•Introduction




Security• Access levels/Access lists

• Access logging

• Audit reports



•Introduction




Data Integrity

Database

• Scheduled backup

• Crash recovery measures

• Database maintenance



•Introduction




Data Integrity

Purchase Considerations• Validity

• Reliability

• Other considerations• Hardware

• Standards

• Old Data

• Implementation

• Training/Acceptance

• Maintenance

• Finance

• Future developments



•Introduction




Validity

• Are the necessary components there?

• Will this new software improve my workflow?



•Introduction




Do I really need this one and only this one?

Reliability

• Will this software ensure my data integrity?

• Will this software ensure my workflow integrity?



•Introduction




Can I trust it?

Hardware

• Network

• Workstations

• Peripherals (printer, scanner, barcode reader,…)

• Integration with existing PACS

• Other requirements (UPS/Air conditioning)



•Introduction




Standards

• HL7

• DICOM

• Other standards



•Introduction




Do I really need them?

Why?

Present/Old Data

• Old RIS

• Existing HIS



•Introduction




What will happen to my existing data?

Implementation

• Hardware/equipment

• Software

• Integration

• PACS/HIS/EPR

• Startup data

• Code tables



•Introduction




Training / Acceptance

• Training

• Strategy

• Package

• Acceptance

• Ease of use

• Switching from old systems



•Introduction




Maintenance

• System availability

• Support availability

• Response time

• Resolution of problems

• Unacceptable downtime



•Introduction




Will they be there for me

24 / 7 ?

Finance

• Capital purchase

• Operating lease

• Managed service



•Introduction




Future Developments

• Updates

• Upgrades



•Introduction






•Introduction

•Components•Patient Man.•Scheduling•Tracking•Reporting•Integration•Department Man.•Research•Security•Database



References and Links• Nogah Haramati, MD, PACS and RIS: Approaches to Integration,

Journal of Healthcare Information Management, vol. 14, no. 3, Fall 2000, HIMSS

• Rowe WM, Moffitt ME, Bunnell WJ, Scheduling: if your RIS cannot, perhaps your HIS can , Radiol Manage. 1995 Spring;17(2):35-41, [PMID: 10143135]

• Rowe WM, Radiology information systems help radiology departments operate more efficiently, Radiol Manage. 1993 Summer;15(3):38-41, [PMID: 10127657]

• Rowe WM, Upgrading a radiology information system, Radiol Manage. 1990 Spring;12(2):24-8, , [PMID: 10105540 ]

• Swearingen R, Demystifying radiology information systems, Radiol Manage. 2000 Sep-Oct;22(5):52-6, [PMID: 11151323]

• Nanni M, Carnassale R, Napoli M, Campioni P, Marano P, Information systems in the management of the radiology department,, Rays. 2003 Jan-Mar;28(1):63-72, [PMID: 14509180]

• Andrew Forrest, Electronic Records Development and Implementation Programme – Cornwall PEG Project, 31 December 2002

References and Links• Board of Faculty of Clinical Radiology, The Royal College of Radiologists,

Clinical Radiology and Electronic Records, 2002, ISBN 1 872599 78 8, RCR Ref No BFCR(02)3, http://www.rcr.ac.uk/docs/radiology/other/Clinical%20Radiology%20and%20Elecronic%20Records.html

• John S. Webster, Solving the Data Sharing Dilemma, April 2005, www.Healthimaging.com

_____________________________________________

• Link to this presentation: Radiology Information System (RIS), http://www.rayavaran.com/articles



•Introduction

•Components•Patient Man.•Scheduling•Tracking•Reporting•Integration•Department Man.•Research•Security•Database



http://www.rcr.ac.uk/docs/radiology/other/Clinical%20Radiology%20and%20Elecronic%20Records.html

http://www.rcr.ac.uk/docs/radiology/other/Clinical%20Radiology%20and%20Elecronic%20Records.html

http://www.healthimaging.com/

http://www.rayavaran.com/articles

www.Rayavaran.com

[email protected]

Radiology Information System (RIS)

21st Iranian Congress of Radiology

Tehran, 17-20 Jan, 2006

Rayavaran Co.CIS/HIS/RIS Solutions

radiology information system (ris) presented by: safa fathi amini, md

Documents

communication system

codesms office

office staffpatientsdoes

swearingen software

randall swearingen

safa fathi amini

cishisris solutionsselecting

important decisions