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)
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
Functional Areas
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
Patient Management
Department Management
Procedure Management
RIS
PACS
HIS
Outcome
Efficiency
Expenses
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
Components
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
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
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
Scheduling
• Customers:
• Referring physiciansANDtheir office staff
• Patients
Does your system say in effect:
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
“Use our competitors!”
Patient Management
• Admission / Billing
• HIS integration
• Images / Reports
• PACS integration
• EPR
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
The entire patient workflow
Tracking
• Patient
• Progress
• Location
• Report• Status
• Film
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
Reporting
• PACS integration
• Voice recognition/Transcription
• Word processing
• Free format text
• Pre-defined result text and codes
• MS Office integration
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
Integration/Interfacing• PACS
• HIS/EPR
• Others
• Primary care
• Remote requesting
• Pharmacy
• Equipment engineering
• Stock management
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 linksBi-directional
Department Management
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
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
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
Security• Access levels/Access lists
• Access logging
• Audit reports
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
Data Integrity
Database
• Scheduled backup
• Crash recovery measures
• Database maintenance
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
Data Integrity
Purchase Considerations• Validity
• Reliability
• Other considerations• Hardware
• Standards
• Old Data
• Implementation
• Training/Acceptance
• Maintenance
• Finance
• Future developments
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
Validity
• Are the necessary components there?
• Will this new software improve my workflow?
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
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?
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
Can I trust it?
Hardware
• Network
• Workstations
• Peripherals (printer, scanner, barcode reader,…)
• Integration with existing PACS
• Other requirements (UPS/Air conditioning)
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
Standards
• HL7
• DICOM
• Other standards
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
Do I really need them?
Why?
Present/Old Data
• Old RIS
• Existing HIS
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
What will happen to my existing data?
Implementation
• Hardware/equipment
• Software
• Integration
• PACS/HIS/EPR
• Startup data
• Code tables
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
Training / Acceptance
• Training
• Strategy
• Package
• Acceptance
• Ease of use
• Switching from old systems
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
Maintenance
• System availability
• Support availability
• Response time
• Resolution of problems
• Unacceptable downtime
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
Will they be there for me
24 / 7 ?
Finance
• Capital purchase
• Operating lease
• Managed service
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
Future Developments
• Updates
• Upgrades
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
Radiology Information System (RIS)Radiology Information System (RIS)
21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006
•Introduction
•Components•Patient Man.•Scheduling•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
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
Radiology Information System (RIS)Radiology Information System (RIS)
21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006
•Introduction
•Components•Patient Man.•Scheduling•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
www.Rayavaran.com
Radiology Information System (RIS)
21st Iranian Congress of Radiology
Tehran, 17-20 Jan, 2006
Rayavaran Co.CIS/HIS/RIS Solutions
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