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PACS: An Overview Healthcare Technology Network George H. Bowers Health Care Information Consultants, LLC PACS: An Overview Healthcare Technology Network George H. Bowers Health Care Information Consultants, LLC © Copyright 2004 Healthcare Information Consultants, LLC

Picture Archiving and Communication System Picture Archiving and Communication System

PACS n n n System that collects, stores, and distributes electronic images through the PACS n n n System that collects, stores, and distributes electronic images through the enterprise. Presents digital images to the clinician with tools to manipulate the images. One component of the Electronic Patient Record.

Digital Imaging Device High Speed Network Storage Media/ Archive Elements of PACS Database/ Workflow Digital Imaging Device High Speed Network Storage Media/ Archive Elements of PACS Database/ Workflow Mgmt. System Review Workstation Diagnostic Workstation

Digital Imaging Device High Speed Network Storage Media Elements of PACS Database/ Workflow Mgmt. Digital Imaging Device High Speed Network Storage Media Elements of PACS Database/ Workflow Mgmt. System Review Workstation Diagnostic Workstation

Digital Imaging Device High Speed Network Storage Media Elements of PACS Database/ Workflow Mgmt. Digital Imaging Device High Speed Network Storage Media Elements of PACS Database/ Workflow Mgmt. System Review Workstation Diagnostic Workstation

DICOM Digital Imaging and Communications in Medicine DICOM Digital Imaging and Communications in Medicine

PACS Issues n n RIS or no RIS Partial (mini) PACS? Interfaced or integrated? PACS Issues n n RIS or no RIS Partial (mini) PACS? Interfaced or integrated? Separate archive or integrated archive?

Why is PACS hot? n Benefits – Eliminate film handling. – Improves productivity. Why is PACS hot? n Benefits – Eliminate film handling. – Improves productivity.

Traditional Traditional

Fully Automated and Integrated Fully Automated and Integrated

PACS Benefits n n Reduces likelihood of errors Faster turnaround Reduces costs associated with PACS Benefits n n Reduces likelihood of errors Faster turnaround Reduces costs associated with handling film and paper Eliminates lost film

Why is PACS hot? n n Response to powerful new imaging equipment: Multi-detector CT Why is PACS hot? n n Response to powerful new imaging equipment: Multi-detector CT n n n Up to 16 images on a single rotation No increase in radiation New MRIs n n Faster=more images Quieter

Why is PACS hot? n SHORTAGES! – Radiologists – Radiologic Technologists n No solutions Why is PACS hot? n SHORTAGES! – Radiologists – Radiologic Technologists n No solutions on the short term horizon.

The Challenge 1994 1, 500 images per day 2002 16, 000 images per day The Challenge 1994 1, 500 images per day 2002 16, 000 images per day 2006 80, 000 images per day

Who sells PACS? Imaging equipment manufacturers • Siemens • GE • Philips Who sells PACS? Imaging equipment manufacturers • Siemens • GE • Philips

Who sells PACS? HIS Vendors n Cerner n Mc. Kesson n Eclipsys n IDX Who sells PACS? HIS Vendors n Cerner n Mc. Kesson n Eclipsys n IDX n Misys n Siemens n GE

Who sells PACS? Film Vendors n AGFA n KODAK n Fuji Who sells PACS? Film Vendors n AGFA n KODAK n Fuji

Who sells PACS? PACS (as a primary product) vendors n Amicas n Brit Systems Who sells PACS? PACS (as a primary product) vendors n Amicas n Brit Systems n De. Jarnette n DR Systems n Dynamic Imaging n Emageon n Stentor

PACS Trends n n n Single-tier architecture Broker-less integration. Greater workstation capabilities. Moving out PACS Trends n n n Single-tier architecture Broker-less integration. Greater workstation capabilities. Moving out of radiology. Getting cheaper. Greater CIO involvement in the selection process.

PACS Resources n n n http: //www. diagnosticimaging. com/ http: //www. imagingeconomics. com/ http: PACS Resources n n n http: //www. diagnosticimaging. com/ http: //www. imagingeconomics. com/ http: //www. scarnet. org http: //radtutor. mcw. edu/clubpacs/index. php http: //www. auntminnie. com http: //www. ahra. com