Philips iSite 3.5 Administration

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Learning Objectives

• Identify the roles and responsibilities for implementing and managing Philips iSite

• Identify and describe the five Image and Information Management Tasks of iSite Administration

• Identify and describe the four Configuration Management Tasks of iSite Administration

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Table of Contents

• Administration Roles and Responsibilities

• Data Management Tasks

• Configuration Management Tasks

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Administration Roles and Responsibilities

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iSite Administration Roles

• Philips recommends that all customer contacts assigned to the project attend all training sessions to ensure an effective implementation

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iSite Administration Roles

• Management Lead (Operations Management)

• Workflow Lead (Information Management)

• Clinical Lead (Image Management)

• Technical Lead (Systems Management)

• Training Lead (Training Management)

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Management Lead

• Responsibilities may include:

– Single Point-of-Contact – Project Leadership– Policy and Procedure Management– Risk Management– Quality Management– Resource Management

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Workflow Lead

• Responsibilities may include:

– Workflow Knowledge Share– HL7 (HIS/RIS) Feed Activation– HL7 (Patient Demographics/Exam) Validation– Prepare Exam Code Dictionary– Patient Record/Exam Management– Data Engine Management

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Clinical Lead

• Responsibilities may include:

– DICOM (Modality) Configuration• DICOM Image Store• DICOM Modality Worklist

– DICOM (Image) Validation– Exceptions Management– Duplicate Study Instance Unique Identifiers– Hanging Protocols Configuration– System Preferences Configuration

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Technical Lead

• Responsibilities may include:

– Network Administration • IP Addressing• Routing and Switching Configuration• VPN Access

– Network Configuration Validation– Domain Authentication

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Training Lead

• Responsibilities may include:

– System and workstation preparation for training– Training for internal customers, including:

• Image Librarians • Radiologic Technologists• Referring Providers

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Data Management Tasks

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Data Management Tasks

• ConnectR Error Worklist

• Merge Worklist

• Exceptions Handler

• Exam Linking

• Duplicate Study Instance Unique Identifiers

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ConnectR Error Worklist

• The ConnectR data engine provides an Error Worklist to manage the removal or refiling of message processing errors

• The purpose of the Error Worklist is to allow the iSite Administration Team to monitor and resolve processing errors that may impact workflow and patient care

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Patient Merge List

• The Merge Worklist provides an automated list of patients who may have more than one patient record

• Patients identified on the Merge Worklist are potential candidates for merging such records into a single, comprehensive patient record within the iSite database

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Exceptions Handler

• The Exceptions Handler provides an automated Worklist of studies (images) which do not have a corresponding exam (order)

• The purpose of the Exceptions Handler is to match studies to orders, which provides advanced workflow functionality as well as a single, comprehensive patient record

• Digital Image Management provides the capability of disassociating studies (images) from exams (orders) for incorrectly identified studies

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Exam Linking

• Linking Exams provides the ability to associate multiple exams (orders) with a single study (image acquisition)

• Linking Exams is necessary in an environment wherein multiple orders and multiple dictation events are created for a single image acquisition sequence

• Linking Exams permits the association of a single image acquisition (ex. CT Chest, Abdomen, Pelvis) with multiple exams as demonstrated on the Patient Directory and Patient History Timeline

* Exam Linking is preferably performed prior to image acquisition by the performing

Radiologic technologist

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Duplicate Study Instance Unique Identifiers

• A Duplicate Study Instance Unique Identifier is an event wherein a single study (as identified by a single Study Instance Unique Identifier) has more than one set of associated patient demographics

• Upon detection of a Duplicate Study Instance Unique Identifier, an email notification is sent to the iSite Administration Team to provide immediate notice and allow for the rapid resolution of such events

• The Duplicate Study Instance Unique Identifiers Toolset provides several tools which may be utilized to resolve Duplicate Study Instance Unique Identifiers

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Configuration Management Tasks

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Configuration Management Tasks

• Dictionary Administration

• Security Administration

• Hanging Protocols Management

• Preferences Configuration Management

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Dictionary Administration

• Dictionaries permit the association of HL7 data (exam information) with iSite functionality (image workflow requirements)

• The Exam Code Dictionary entries enable iSite to associate specific exams

– Exam Code Description (as seen on the Patient Directory) – Modality Type (as seen on the Patient Directory and the Patient

History Timeline) – Body Parts (as seen on the Patient History Timeline) – Subspecialty (utilized for worklist Filters) – Hanging Protocol Groups (utilized for Hanging Protocols)

* Dictionary Administration is a primary iSite Administration responsibility and requires extensive planning and on-going maintenance for proper implementation

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Security Administration

• Security Administration is the management of role-based access control to manage user rights or privileges by associating users with a role which directly relates to their job function

• Philips iSite PACS offers more than 100 Security Codes (privileges or rights) to be assigned to various roles which relate directly to job functions of system users

• Typical roles may include Radiologists, Technologists, Referring Physicians and System Administrators

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Hanging Protocols Management

• Hanging Protocols offer a robust feature set to manage the display of studies (series and exam level settings) for iSite Radiology

• Hanging Protocols enable each iSite Radiology user to create a series of protocols that dictate the sequence in which each series is displayed

• Examples:– Dr. Smith desires to hang (display) T1 weighted Axials adjacent

to T2 weighted Axials, while he wishes to hang T1 Sagittals adjacent to T2 Sagittals for MR Brain studies

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Preferences Configuration Management

• User Preferences

• System Preferences

• Machine Level Preferences

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Preferences Configuration Management

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User Preferences

• General Preferences

• Window Width/Level

• Image Processing

• Filters

• Display Preferences

• Hanging Protocols (iSite Radiology only)

• Canvas Page (iSite Radiology only)

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System Preferences

• General Preferences

• Window Window/Center

• Image Processing

• Filters

• Annotations

• DICOM Sources

• Screen Overlay

• Paper Printing

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System Preferences

• iExport

• iQuery

• Organization Dictionary

• Location Dictionary

• Plug Ins

• DICOM Print

• Body Part Dictionary (iSite Radiology only)

• Hanging Protocols (iSite Radiology only)

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Machine Level Preferences

• General Machine Preferences

• Display Monitors

• Plug-Ins

• Local Exam Cache

• Scanner Preference (iSite Radiology only)

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For assistance, please call customer support at

1-877-328-2808 or 1-877-328-2809