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Digital Imaging 2016: Radiology Information Systems and PACS: News & Updates

Chaired by Dr Rhidian Bramely, Chief Clinical Information Officer, Consultant Radiologist and Clinical Director of Radiology at the Christie Hospital NHS Foundation Trust, this one day conference examines how to work with digital imaging, radiology information systems and PACS to deliver the national ambition of a paperless and filmless NHS.

The conference addresses national developments, new models of radiology care including an update from the radiology vanguard site which emphasizes a move towards a collaborative clinical network approach, getting the most out of RIS and PACs through effective workflow and systems design, and how to integrate them with other Trust systems and Electronic Patient Records. There is a focus on improving the clinical end user experience, interoperability standards, sharing radiology images across organisations, information governance, the role of specialty systems, and the role of information systems in moving towards a 7 day service and delivering real time bedside imaging to improve patient care.

The day features a supplier showcase including 10 minute presentations from the key Radiology Information Systems & PACS suppliers - 4 Ways Healthcare, Healthcare Software Solutions, TMC - TELEMEDICINE CLINIC and GE Healthcare IT.

Following the chairman’s introduction Dr Stephen Fenn Consultant Radiologist Hampshire Hospitals NHS Foundation Trust opens the day with a presentation on Delivering the Paperless and Filmless Hospital discussing:

  • the role of RIS and PACS in delivering the goal of a paperless NHS: integration with Electronic Patient Record Systems
  • supporting a 7 day health service
  • further opportunities for redesigning radiology services: including extending services to weekends and out of hours, and home reporting
  • what the future holds: new generations of PACS and imaging informatics

Dr Stephen Fenn Full Presentation

In his presentation Dr Stephen Fenn discussed: 

The role of RIS and PACS, What challenges?

All central data stores decommissioned in 30 June 2016

Challenges- patient context is the biggest problem- NHS number, mrn, name, DOB, address

Is it the right solution for everyone?

55% utilization of eRes last week for outpatient referrals

Some success with downstream- most gp practices receive electronic reports

Huge challenges!!!

  • Political mandates
  • Financial  pressures
  • Staff shortages
  • Improved patient care
  • Better work: life balance

By 2020 we expect that people will be diagnosed with cancer, or that cancer will be excluded, within 28 days of them being referred by their gp

Royal college looking to improve training from 2016-2026

Benefits- reports turnaround times

Challenges- ig agreements, secure access

Quality assurance of hardware/software

Conclusions- papers day are numbered

Dr Stephen Fenn Biography:

Dr Stephen Fenn has been a Consultant Radiologist at Hampshire Hospitals NHS Foundation Trust since 2010, specialising in Urological imaging and non-vascular intervention. He is a regular speaker at national IT conferences and was a contributing author on the RCR’s recent guidance document ‘Sustainable future for diagnostic radiology’. Following his clinical lead role in the recent RIS/PACS procurement, he is now the Trust’s IT Lead for Radiology. He is an active member of numerous suppliers’ User Groups, in addition to the UK Imaging Informatics Group.

He has a long held interest in medical imaging and informatics, originating from the early days of consumer programming using Sinclair BASIC in the 1980s. With evolving technology he moved on first to Delphi applications and then web development, including several website designs for his Medical School and other Medical Education sites. He created the first patient handover web-application for Torbay Hospital and is now concentrating on the creation of 3rd-party tools to improve the administration and integration of clinical software within the radiology department.

Dr Nicola Strickland Consultant Radiologist Imperial College Healthcare NHS Trust, London continues the morning with a presentation on Speciality Radiology and PACS: Cardiology and Oncology discussing:

  • what is the role for speciality radiology and pacs?
  • key issues in cardiology
  • key issues in oncology
  • what does this mean for remote working and workflow?

In her presentation Nicola Strickland discussed: 

What is the role for specialty radiology and pacs?

What is the solution for cardiology imaging studies on PACS?

The problem for other digital imaging data

Data management- getting the digital imaging studies onto the VNA

Key issues in cardiology- single cardiology electronic scheduling system- different systems and needs to become more efficient

Dr Nicola Strickland Full Presentation

Dr Nicola Strickland Biography:

Dr Strickland trained in Natural Sciences and Medicine at the University of Oxford. She trained in Radiology at Hammersmith Hospital, and is now a Consultant Radiologist at Imperial College Healthcare NHS Trust, with a particular interest in imaging informatics. She has held a number of national and international leadership roles, including being President of MIR, Management in Radiology of the European Society of Radiology, and President of EuroPACS (a European imaging informatics society). She set up and was the first chairman of the Imaging Informatics Special Interest Group of the UK.

Future events of interest:

Digital Imaging 2016: Radiology Information Systems and PACS
Wednesday 2 November 2016, Asia House Conference Centre, London

5 July 2016


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