PACS and Enterprise Imaging Challenge: A Modern Approach to VNA Integration

Course Schedule

Day 1 - Thursday 13 June, 2019
Session One
  • Overview of basic technology
    • DICOM transactions
    • SOP Class, Transfer syntax
    • ADT, ORM ORU
    • IAN integration with the EMR
    • Compression and impacts on systems, network and storage
    • Common workflows and issues
 Break
Session Two
  • Facility based PACS and  Archives 
    • End to end data flow and storage implications
    • Non-standard data flows and impacts
    • VNA as PACS archive
    • CPACS and specialty imaging
Session Three
  • Enterprise Imaging basics
    • Composition and required skillsets of EI team
    • Reconciliation, synchronization and data quality
    • Multiple PACS considerations and issues
    • Offsite – multi site archival considerations
    • Image Routers and advanced workflows
       
  Lunch
Session Four
  • Data Management
    • Data migrations to VNA, from VNA and data sharing between systems
    • Data cleansing (images – reports)
    • Normalization of DICOM data and tag management
    • Private tags, non-standard data and support of SOP Classes
    • Migration planning and execution 
    • Storage planning and management
       
Session Five
  • EMR integration and zero footprint viewers
    • Pros and cons of zero footprint viewers
    • Who are the users of zero footprint and what are the requirements
    • Image workflow and impacts
    • URL integration methods and populating EMR
       
 Break
Session Six
  • Group Discussions, Question and Answers, Diagram and Troubleshooting
    • Application of concepts from the course to solve local challenges
    • Whiteboard, system diagraming and architecture based on student provided requirements, the end to end system processes of systems covered
    • Professional discussion and group responses to real world home facility needs and situations
    • Opportunity to present real life issues for troubleshooting

[Students/professionals come up with problems and real-world design questions based on challenges that they face at their facilities and the group works together to brainstorm solutions based on the best practices]
 

Day 2 - Friday 14 June, 2019
Session One
  • Non-DICOM imaging workflows
    • Dermatology, pathology, surgery, Emergency
    • Encounters based workflow considerations and tools
    • Use cases and integration points
    • Pros and cons of DICOM encapsulation
       
Break
Session Two
  • Advanced VNA Architecture and design
    • Data segmentation and segregation considerations
    • Queue management processing rules
    • Multiple AE titles and many to one relationships
    • Disaster recovery and failover
    • Storage of report data
    • Patient ID management (PIX / PDQ)
       
Session Three
  • Enterprise Imaging Architecture
    • PACS first or VNA first
    • Local, regional or national level VNA
    • Integration with EMR, other applications 
    • XDS, XDS-I integration
    • Specialty viewers and department workflows
       
Lunch
Session Four
  • Trouble shooting EI applications and Integrations
    • Integration points
    • Chain of events
    • When to call vendor(S)
    • Proactive monitoring tools
       
Session Five
  • Emerging technologies and their impact to imaging
    • Fast Healthcare Interoperability Resources (FHIR)
    • Artificial Intelligence (AI)
    • Blockchain
    • Monetization and selling of imaging data
    • Image Exchanges
    • Wearable devices
       
Break
Session Six
  • Group Discussions, Question and Answers, Diagram and Troubleshooting
    • Application of concepts from the course to solve local challenges
    • Whiteboard, system diagraming and architecture based on student provided requirements, the end to end system processes of systems covered
    • Professional discussion and group responses to real world home facility needs and situations
    • Opportunity to present real life issues for troubleshooting

[Students/professionals come up with problems and real-world design questions based on challenges that they face at their facilities and the group works together to brainstorm solutions based on the best practice]

Day 3 - Saturday 15 June, 2019
Session One

Content Review I

  • Imaging Informatics Procurement
    • Needs Assessment – PACS vs. Enterprise
    • Cost Benefit Analysis and ROI
    • Vendor Selection (RFI, RFA, RFP)
    • Total Cost of Ownership (TCO) and Value
    • Contract Management
  • Implementation and Project Management
    • Project Feasibility Analysis
    • Goals, Scope, and Risk
    • Project Management Process and Tools
    • Closing Strategy and Completion
Break
Session Two

Content Review II

  • PACS / Enterprise Imaging Operations
    • Quality Improvement – QA/QC
    • Regulatory Compliance
    • Policies, Staffing and Budgeting
  • Communications in Healthcare
    • Healthcare Organization and Relationships
    • Medical Terminology in Imaging
    • System Availability and Change Management
    • Planning and Reporting
  • Training, Support, and Help Desk
    • Learning Types (Visual, Auditory, Kinesthetic)
    • Training Programs – Computer Based vs Live Instruction
Session Three

Content Review III

  • Review of Image Management
    • Workflow
    • Reading Room
    • Import /Export/ Image Exchange
  • Review of Information Technology
    • Storage and Archiving
    • Networking
    • Hardware and Software
    • IT Standards
  • Review of Systems Management
    • Data Management
    • Problem Solving
    • Security and HIPAA
Lunch
Session Four

Content Review IV

  • Review of Clinical Engineering
    • Modality Support
    • Modality Integration/ DICOM
    • Display QC
    • Clinical Hazards
  • Review of Medical Imaging Informatics 
    • Imaging Workflow
    • Systems Integration – HIS, RIS, EHR, VNA
    • Imaging Standards – DICOM, HL7, etc.
    • IHE Profiles and Connectivity
    • Image Architecture – Enterprise vs PACS
  • Review of Systems Management
    • Data Management
    • Problem Solving
    • Security and HIPAA
       
Session Five
  • Imaging Informatics Interactive Review
    • Review of Acronyms in Imaging Informatics
    • Review of Testing Process
    • Review of Sample Testing Elements
Break
Session Six
  • Simulated Certification Exam and Review
    • Simulation of certification examination under expected test conditions
    • Evaluation of Simulated Responses and scoring
    • Discuss Exam element rationale in Group Review
Course Program
Time Topic
Day 1
07:00 to 09:00Registration & Introduction
09:00 to 09:10 Break
09:10 to 10:40Session One
10:40 to 12:10Session Two
12:10 to 12:50  Lunch
12:50 to 14:20Session Three
14:20 to 15:50Session Four
14:50 to 15:00 Break
15:00 to 16:30Session Five