Modern Approaches & Technical Challenges in PACS, VNA & Enterprise Image Management

March 08-10, 2020 King Abdullah bin AbdulAziz University Hospital, Riyadh, Saudi Arabia

Training Objectives

  • This program will cover the knowledge areas required to architect an advanced enterprise imaging system
  • Lectures and whiteboard discussions will cover VNA, system architecture, current generation and next generation technologies required to meet the evolving needs of the physician community
  • Focused on enterprise imaging needs to prepare managers and administrators to transition from facility based to enterprise systems
  • Professionals will leave the course with actionable information that can be immediately used to design and implement VNA, multidepartmental PACS, encounters based workflows and non-DICOM integration
  • Use cases, real world issues and the problem solving techniques
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Instructor of this course

Kyle M. Henson

Founder VNA Heartbeat
Director of Operations, DataFirst Corp
Instructor: PACS, VNA and Enterprise
Imaging Architecture and Design
MBA in Healthcare Administration
Working on Doctorate of Management

More Detail

ASRT Approved 22.5 Category A CE Credits

As health systems continue to consolidate, imaging data has progressed from department-based systems to consolidation at the state level.  Imaging professionals are expected to provide access to any images anywhere at any time.  The term enterprise imaging has come about to reflect the shift from diagnostic radiology procedures to include departments as diverse as dermatology, pathology and surgery.  These departments and more are collecting images which need to be acquired and managed in a way that they can pe presented to the right physician at the right time.
This program will cover the transition from a local PACS to an advanced Enterprise Imaging system, as well as address emerging trends such as Artificial Intelligence (AI), FHIR and blockchain based applications.

You will leave this course with an advanced understanding of:

  • PACS/EMR/Viewers/VNA/Enterprise Worklist and the other components required to architect an enterprise imaging system
  • Understand the differences and uses of enterprise PACS and enterprise imaging systems
  • Preparations required to successfully transition to enterprise imaging and VNA
  • Design and architecture considerations when building a system to hold billions of images
  • When and how to use image routers or to put VNA before PACS
  • All components required to implement a fully functional deconstructed or PACS-less environment
  • Full comprehension of compression and where it should be applied in the environment
  • How AI and blockchain impact imaging z Monetization of image sets for AI training
  • Enterprise worklist layer implementation and considerations
  • How to manage and troubleshoot an advanced imaging program
  • Composition and skills required of an imaging team
  • Effective utilization of network and storage resources as systems scale


  • IT manager / director
  • IT systems analyst
  • IT systems architect
  • Integration specialists
  • PACS / VNA Administrator
  • Imaging architect
  • Imaging manager / director
  • Biomedical engineers
  • Clinical automation manager
  • Clinical informaticist
  • Health Information Management specialists
  • Presentations & lectures
  • Group discussion
  • Exercises & use cases
  • Certificate of achievement
  • Course material
  • Lunch with coffee/tea breaks

Course Fee $1,900/Participant

Register & pay on or before Feb. 4, 2020
& get 10% discount, USD 1,710/participant

Corporate (Group Discount)
10% discount on minimum of 3 participants from the same organization

Modern Approaches & Technical Challenges in PACS, VNA & Enterprise Image Management - Course Schedule

Day 1 - Sunday 08 March, 2020
Opening Session

Registration and Intro

Session One

Overview of Basic Technology

  • DICOM transactions
  • SOP Class, Transfer syntax
  • IAN integration with the EMR
  • Compression and impacts on systems, network and storage
  • Common workflows and issues


Morning Break & Networking
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
Lunch Break & Networking
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
Evening Break & Networking
Session Four

Data Management 

  • Data migrations to VNA, from VNA and data sharing between systems
  • Data cleansing (images – reports)
  • Normalizationof DICOM data and tag management
  • Private tags, non-standard data and support of SOP Classes
  • Migration planning and execution 
  • Storage planning and management

End of day whiteboard working session

  • Professionals present use cases or challenges at their facility
  • Individuals who remain work together to discuss and solve real world problems
Day 2 - Monday 09 March, 2020
Session One

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
Morning Break & Networking
Session Two

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
Lunch Break & Networking
Session Three

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)


Evening Break & Networking
Session Four

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

End of day whiteboard working session

  • Professionals present use cases or challenges at their facility
  • Individuals who remain work together to discuss and solve real world problems
Day 3 - Tuesday 10 March, 2020
Session One

Emerging Technologies and their Impact to Imaging

  • Artificial Intelligence (AI)
  • Blockchain
  • Monetization and selling of imaging data
  • Image Exchanges
  • Wearable devices
Morning Break & Networking
Session Two

Enterprise Work list Applications

  • Multiple EMR integrations
  • Multiple / competing reading groups 
  • Assignment of radiologist to interpret
  • Integration of images and priors
Lunch Break & Networking
Session Three

Architecture Exercise and Troubleshooting

  • Each professional will diagram their system end to end ƒ
    • HL7 ƒ
    • DICOM ƒ
    • PACS ƒ
    • Special Workflows ƒ
    • Non-DICOM ƒ
    • Architectures will be used to discuss troubleshooting and system maintenance
  • When to call vendor(S)
  • Proactive monitoring tools
Evening Break & Networking
Session Four

Fast Healthcare Interoperability Resources (FHIR)

  • Differences from previous HL7
  • Resources and data structures
  • Bi-directional nature
  • Use cases

End of day whiteboard working session

  • Professionals present use cases or challenges at their facility
  • Individuals who remain work together to discuss and solve real world problems
Course Program
Time Topic
Day 1
08:00 to 08:30Registration & Introduction
Day 1-3
08:30 to 10:00Session One
10:00 to 10:15Morning Break & Networking
10:15 to 12:15Session Two
12:15 to 13:15Lunch Break & Networking
13:15 to 14:45Session Three
14:45 to 15:00Evening Break & Networking
15:00 to 16:30Session Four