University Hospitals of Leicester NHS Trust Leicestershire and

• Developments in PACS for Leicestershire • PACS Installation - Loughborough Hospital

Leicestershire CPACS Project • UHL – LRI – LGH – GH • L &

Leicestershire - Infrastructure • • Formal links UHL / Community hospitals Single HIS Single

Leicestershire • • • LGH PACS (Insignia) Loughborough PACS (Philips) UHL PACS server (Agfa)

Leicestershire – the future • CPACS Project Team • Radiology IT & PACS Oversight

Community PACS Project • • Archive Web-based distribution Tele-radiology Expansion of soft-copy reporting LGH

Loughborough - Radiology • • 2 x Plain radiography ( + Tomography) 1 x

Loughborough - Activity Plain Film Trauma Fluoroscopy Dental IVU Ultrasound 12, 500 5, 000

Loughborough Project • • • New build & move New radiography equipment CR PACS

Timescale - PACS • • • Advert SON to interested suppliers Shortlist interested suppliers

Timescale - RIS • Migrate Hilex Xero RIS to HSS CRIS 3 RIS –

Philips • • • Short term archive (RAID) (Easy. Access) Image distribution (web browser)

Philips…. • Film Scanner • Request Scanner • Image export – Dry laser –

Issues • Re-tendering • RIS time scale slipped • Minor Injuries Unit & Walk-In

Things we got right • • • Tight time scale Good project support Fully

Things we got wrong • Tight time scale • Move/RIS/CR/PACS change all on same

Thoughts for next time • • Avoid changing too much at once But keep

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University Hospitals of Leicester NHS Trust & Leicestershire and Rutland Healthcare NHS Trust Dr Kim Krarup Dr 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 - Radiology • • 2 x Plain radiography ( + Tomography) 1 x Dental, OPT, Ceph. 1 x Fluoroscopy 1 x Ultrasound

Loughborough - Activity Plain Film Trauma Fluoroscopy Dental IVU Ultrasound 12, 500 5, 000 1, 000 250 5, 000 Total 24, 750

Loughborough Project • • • New build & move New radiography equipment CR PACS New RIS

Timescale - PACS • • • Advert SON to interested suppliers Shortlist interested suppliers Tender responses by Award contract Go Live 28. 06. 02 27. 02 13. 09. 02 15. 11. 02 17. 01. 03 17. 03

Timescale - RIS • Migrate Hilex Xero RIS to HSS CRIS 3 RIS – By Dec ’ 02!

Philips • • • Short term archive (RAID) (Easy. Access) 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 • Reporting environment