pacs in scotland dr andrew downie consultant radiologist victoria infirmary, glasgow
TRANSCRIPT
PACS in Scotland
Dr Andrew DownieConsultant Radiologist
Victoria Infirmary, Glasgow
Scotland is different• Devolution 1999• Abolition of NHS
Trusts• Run by 14 Health
Boards• CfH does not apply
The PACS Contract
• Main Contract
– Kodak & NHS National Services Scotland – Nov
2005
• Archive Storage
– ATOS Origin Change Control Note – Dec 2005
• Health Board Access Agreements
– Kodak & NHS Greater Glasgow – April 2006
“A major project”
– “A multi-dollar project…”
– “Kodak will roll out PACS to all hospitals in Scotland over the next 25 years…”
• RAD Magazine announced the contract to the world:
What is included?
• 39 main acute hospitals• 67 satellite centres• 3.2 million exams annually• 2 central data archives• 308 dual 3mp workstations, RIS integrated• Web browser access• Orthopaedic templating on web
And what isn’t?• The Network• The RIS• Ward & Clinic PCs• Theatre & specialist workstations• Mammography• VR (separate procurement)
Who pays?
Central funding• All capital elements
– Workstations, hardware, training– Central archive– Software licences– Implementation charges– Software support & upgrades for 10
years– One hardware refresh in 10 years
Local funding– Hardware support charges– Capital charges– Additional catalogue items– Local PACS System Manager(s)– Project Management costs
Storage Policy• 1 year on site• “Store everything for ever”• Until death plus 3 years• Use of lossy compression after 3 years• Review after 6 years• Funded for baseline plus 5% growth pa
Patient ID• DICOM ID = RIS ID locally• DICOM ID = CHI number nationally• CHI = Scottish NHS number, 10 digit• “No CHI, you’re not getting in”• Dirty store• Kodak / RIS / PAS / SCI Store interface
Problems• CHI availability• SCI Store problems• Multiple RIS• Image & report viewing• Legacy PACS
Differences: England & Scotland• Based on English OBS, but• No LSP• Direct relationship with Kodak• Clinical engagement• No single RIS• Integration with RIS included• Spine supplied by Scottish Exec – SCI
Store
RIS Procurement• Varied RIS in Scotland• Many new RIS for Y2K compliance• No standard RIS for this project
but• National RIS procurement now in progress
for future RIS needs
EPR Procurement• Scottish Executive committed to EPR• No actual progress to date
CR Procurement• National contract• Central funding for pre agreed needs• Additional hardware at favourable prices• Awarded to Fuji• Installations timed to match PACS
The future is bright?• April 2006
– PACS– Voice Recognition– and…