Radiology Upgrading to the Integrated Statewide RIS-PACS System Bill Gregg PACS Administrator

Radiologywww.shreveportradiology.com

Upgrading to the Upgrading to the Integrated Statewide RIS-Integrated Statewide RIS-

PACS SystemPACS System

Bill GreggBill GreggPACS AdministratorPACS Administrator


ConsiderationsConsiderations

• PACS will be evolutionary (upgrade)PACS will be evolutionary (upgrade)

• Still some major changes with PACSStill some major changes with PACS

• RIS more revolutionary (new system)RIS more revolutionary (new system)

• Speech RecognitionSpeech Recognition

• Significant retrainingSignificant retraining


OverviewOverview

• All 10 state hospitals in single viewAll 10 state hospitals in single view

• Data Centers in SHV and BRData Centers in SHV and BR

• LONI network connectionsLONI network connections

• Building block for the statewide EHRBuilding block for the statewide EHR

• Getting many things we didn’t have Getting many things we didn’t have beforebefore

• Not perfect, always a work in progress!Not perfect, always a work in progress!


LSUHSC Imaging Informatics Governance Structure

•Executive Steering Committee– Dr. Wayne Wilbright – CIO LSUHSC-HCSD– Dr. Leonard Bok- Rad. Dept. Chairman ILH– Dr. Lee Bairnsfather – Assistant Vice

President for Information Technology– Dr. Horacio D’Agostino – Rad. Dept.

Chairman


LSUHSC Imaging Informatics Governance Structure

• Project Manager – Mickey Kees• Functional Team:

– Ed Mason– Jackie Guidry– Mary Sehon– Bill Gregg (part time)

• Technical Team:– Shreveport– Baton Rouge


Getting StartedGetting Started

• Kick Off meeting 8/18-20 in Kick Off meeting 8/18-20 in LafayetteLafayette

• Training schedules (before go-Training schedules (before go-live)live)

• Implementation (scheduled to Implementation (scheduled to be done in one year)be done in one year)


Time LineTime Line

• 07/09 07/09 Data Center hardware installData Center hardware install

• 08/09 08/09 Kick Off Meeting in LafayetteKick Off Meeting in Lafayette

• 08/0908/09 Start RIS build (9 mos) Start RIS build (9 mos)

• 10/0910/09 Upgrade to Centricity 3.x (S2L) Upgrade to Centricity 3.x (S2L)

• 08/1008/10 Upgrade to statewide Upgrade to statewide integrated RIS-PACS systemintegrated RIS-PACS system


TENTATIVE IMPLEMENTATION SCHEDULE

• EAC E.A. CONWAY - MONROE• UMC UNIVERSITY MEDICAL CENTER - LAFAYETTE• EKL EARL K. LONG – BATON ROUGE• LJC L.J. CHABERT - HOUMA• HPL HUEY P. LONG - PINEVILLE• LAK LALLIE KEMP - INDEPENDENCE• BMC BOGALUSA MEDICAL CENTER - BOGALUSA• WOM W.O. MOSS – LAKE CHARLES• SHV LSUHSC - SHREVEPORT• ILH INTERIM LSU HOSPITAL – NEW ORLEANS


PACS S2L Upgrade 10/09PACS S2L Upgrade 10/09

• We are already installing clinical wksWe are already installing clinical wks– Security configurationSecurity configuration– Color panels (US, 3D recons etc.)Color panels (US, 3D recons etc.)

• Data center here installed (mostly)Data center here installed (mostly)

• Upgrade over weekend of 10/9-12Upgrade over weekend of 10/9-12


PACS Upgrade Oct 9-12PACS Upgrade Oct 9-12

• 5pm 10/9 – 7am 10/13 5pm 10/9 – 7am 10/13

• 5-7 2 hour 5-7 2 hour downtimedowntime, then back up, then back up

• Current workstations will still work Current workstations will still work

• Exams will be Unspecified (no procedure Exams will be Unspecified (no procedure name).name).

• 10/12 half wks on old, half on new10/12 half wks on old, half on new

• Another 2 hour Another 2 hour downtimedowntime to new system to new system

• Upgrade software on rest of workstationsUpgrade software on rest of workstations


Important ChangesImportant Changes

• Cleanup Cleanup – Unspecifieds (Unspecifieds (HUGEHUGE kudos to our kudos to our

Radiographer staff)Radiographer staff)– Special charactersSpecial characters

• Procedure and series namesProcedure and series names

• Body PartsBody Parts


Important ChangesImportant Changes

• Hanging ProtocolsHanging Protocols– Affected by body parts, procedures, seriesAffected by body parts, procedures, series– Existing DDPs will go awayExisting DDPs will go away– Need to rebuild using new dataNeed to rebuild using new data

• Departments (NR, MS, AB etc.)Departments (NR, MS, AB etc.)

• New WebViewer – will have to reinstall New WebViewer – will have to reinstall plug-in, changes are evolutionaryplug-in, changes are evolutionary


SummarySummary

•The upgrade process has startedThe upgrade process has started

•Hanging protocols (DDPs) will go Hanging protocols (DDPs) will go away (twice)away (twice)

•There will be on site GE trainers There will be on site GE trainers Oct 13 and 14 if you have Oct 13 and 14 if you have questionsquestions

•PACS change is evolutionaryPACS change is evolutionary


DocumentationDocumentation

• Will post documentation on Will post documentation on Announcements page of the Announcements page of the Radiology web siteRadiology web site

•www.shreveportradiology.com


We Can Maximize the We Can Maximize the Power of the new Power of the new

Centricity Integrated RIS-Centricity Integrated RIS-PACSPACS


Thank you for joining this presentation Thank you for joining this presentation today.today.

Any Questions?Any Questions?

Documents

Radiology Upgrading to the Integrated Statewide RIS-PACS System Bill Gregg PACS Administrator