University Hospitals of Leicester NHS Trust

&Leicestershire and Rutland

Healthcare NHS Trust

Dr Kim KrarupDr Kevin Mulcahy

• Developments in PACS for Leicestershire

• PACS Installation - Loughborough Hospital

Leicestershire CPACS Project

• UHL– LRI

– LGH

– GH

• L & R HCT– Loughborough

– Coalville

– Hinkley

– Market Harborough

– Melton Mowbray

– Oakham

Leicestershire - Infrastructure

• Formal links UHL / Community hospitals

• Single HIS

• Single RIS

• Directorate of Imaging

Leicestershire

• LGH PACS (Insignia)

• Loughborough PACS (Philips)

• UHL PACS server (Agfa)

• SAN

• Single RIS

Leicestershire – the future

• CPACS Project Team

• Radiology IT & PACS Oversight Committee

Community PACS Project

• Archive• Web-based distribution• Tele-radiology• Expansion of soft-copy reporting• LGH PACS replacement• Modality Integration• GP Interfaces• Hard copy archive

Loughborough Hospital

Loughborough Hospital

Loughborough - Radiology

• 2 x Plain radiography ( + Tomography)

• 1 x Dental, OPT, Ceph.

• 1 x Fluoroscopy

• 1 x Ultrasound

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

Loughborough Project

• New build & move

• New radiography equipment

• CR

• PACS

• New RIS

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

Timescale - RIS

• Migrate Hilex Xero RIS toHSS CRIS3 RIS

– By Dec ’02!

Philips

• Short term archive (RAID) (EasyAccess)

• Image distribution (web browser)

• Long term archive to UHL SAN

• Broker to RIS

• Diagnostic workstation

• Radiographer workstations

Philips….

• Film Scanner

• Request Scanner

• Image export– Dry laser– CD– (Web based)

Issues

• Re-tendering

• RIS time scale slipped

• Minor Injuries Unit & Walk-In Centre

Walk In Centre

Things we got right

• Tight time scale• Good project support • Fully filmless• ‘Nearly’ paperless• It worked!• It still works!

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

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