Registration and Intro.

Hospital Information Systems, Clinical Informatics & Hospital Integration

• HIS, RIS, PACS, EMR/EHR
• Ongoing relationship of PACS with HIS & EHR
• Hospital Integration - CPOE
• PACS and RIS Integration
• Clinical Informatics Workflow simulation
   

PACS/RIS- Technical Needs, System Requirements, Scalability, Database, Sizing

• Network Technology – Protocols(TCP/IP), LAN/WAN, Wireless
• Storage Technologies- NAS, SAN, DaaS
• Hardware and Software Components – CPU, Memory, OS, VM, Web
• Planning and Management – Load balancing, DR, Obsolescence
• Monitors
   

Systems Management for Imaging Modalities and Data

• Management of IT systems – Balancing a cost-effective system while maintaining optimal performance
• Scalability – Database, storage, servers, network
• Change management – new modalities, services, software, security upgrades
• Disaster recovery and business continuity
• Problem management and troubleshooting
• Data migration process, strategy, and retention

Interactive Exercises for PACS/RIS

• Using basic ws functionalities
• Managing data in a PACS system
• Integrating a WS, a PACS and a RIS

Standards and Interoperability

• DICOM – Configuration, validation, services, modality
• HL7 - purpose, standards    
   

Standards and Interoperability

• IHE radiology
• IHE IT: XDS and XDS-I
• Transactions details
• Other IT profiles related to radiology
   

DICOM and IHE Interactive Exercises

• Simulating a DICOM network
• Connecting DICOM node and exchanging information
• Basic troubleshooting

HL7 and IHE Interactive Exercises

• Simulating a HL7 network
• Connecting HL7 node and exchanging information
• Basic troubleshooting

Emerging trends in Healthcare Imaging Technology in context with Integration and Interoperability. Workflow: Dataflow
and Workflow

• EHR/RIS/PACS/DICTATION/VNA interface – The human component to workflow; optimizing the end user experience
• Optimizing workflow and automation – The image acquisition and management step to ensure availability of tools, context sharing between applications such as advanced visualization, PET/CT fusion, CAD, mammography tracking, etc
• Analytics methods and reports
• Transforming image management and exchange strategy with cloud based integrated solutions
• Streaming technology as opposed to client-server
• Image-enabled EHRs - standardization and normalization onto the single platform in a heterogeneous system environment(different PACS systems) with Universal viewer
• Taking information and turning it into meaningful outcome and workflow with technology-driven tools, i.e., mobile, big data, analytics, etc
   

Advancement in VNA and Enterprise Imaging

• VNA: Vendor Neutral Archiving
• Future image and information exchange - Enterprise-wide VNA
• Building VNAs encompassing all "ologies", i.e. radiology, cardiology, pathology, etc.,not just radiology. Impact of VNA on traditional PACS vendors. Will the game and strategy be changing?
• Developing a strategy: VNA, MAPS, RIS, PACS, and clinical viewers
• How VNAs can help to achieve interoperability goals
• Why should consider a VNA?
• Requirements of VNA
• Challenges to set up a VNA, including migration challenges
• How a VNA can integrate the EMR, DICOM, HL7, MWL, Non DICOM, etc.
• The future of the VNA: From centralized storage to an information exchange
• The business case for cloud infrastructure and VNA Software as-a-Service (SaaS)
• Open source VNA and zero footprint viewer integration framework based on IHE, FHIR and HTML5.

Modality Support

• Display standards and compliance testing – DICOM GSDF
• Environmental safety -  Electrical, radiation, magnetic, biological
   

IT and PACS Interactive exercises

• Importing data
• Configure PACS network
• Measuring Grayscale Standard Display Function

An Overview of Diagnostic Imaging and Management Operations

• Quality improvement
• Compliance with regulatory agencies (HIPAA, MQSA, HITECH)
• Policy and procedures – Understand the purpose and format
• User management – Creating and assigning roles and access
• Management of staffing and ethics
• An Interactive Management Operations Exercise

Project Management and Imaging Informatics Systems

• Considerations: PM is part of the Informatics Professionals function to properly represent the facilities interests in the many implementation projects.  To do so, one must understand the PM process and the Project Manager
• Identifying goals: Scope formation and identifying risks to project success 
• Feasibility identification: Analysis of facility needs and forming a needs assessment document.  Determination of financial viability with ROI, budget formation, and other tools
• Project management assessment tools: How to measure if the project is proceeding as planned and evaluate challenges and obstructions. Understanding of monitoring tools and charts  (PERT, GANTT, milestones, critical path, tasks, and schedules.)
• An Interactive Project Management Exercise

Procurement for Imaging Informatics (II) (which includes PACS and VNA)

• Needs Assessment for Imaging Informatics and how it meets strategic goals.
• Elements of a feasibility study such as Cost-Benefit analysis and ROI.
• Technical specifications for software, hardware, and service and how they impact selection criteria
• Considerations for specifying a Vendor Neutral Archive (VNA)
• The purpose and differences are for RFI, RFP, and RFQ and contract structure.

Training and Education

• Considerations: End users and key operators must learn how to use the system to realize the full benefit and operational gains
• Types of learners and evaluation: Users learn in different ways such visual vs. hands-on, and how to assess that they have understood the training
• Education programs: Training program design and use of tools, methods, and useful resources
• An Interactive PACS Training Exercise

CIIP Review Session

• Purpose and value of certification: The need for understanding why there is value in certification (CIIP) and professional opportunities seeking certified individuals
• Certification: The need for understanding all sub-categories the Certified Imaging Informatics Professional (CIIP)
• Testing strategy: How to understand the test items and how to formulate your response
• Review of CIIP testing guide and content through an interactive session covering highlights of content covered throughout the course thus far and how it would apply to a certification examination

Review of Testing Elements: Exam preparation of estimated test content

• This will include an interactive session where elements covering throughout the week are re-visited to evaluate retention of content prior to taking a practice, or mock certification exam
• Interactive Review of PACS and Informatics acronyms and terminology
• Interactive Practice Review of sample test elements

Mock Examination: Simulation of CIIP examination under expected test conditions

• Examination review: Will present proper exam responses and answer questions about them

Assessment & Group Discussion

• Assessment and group discussions are primarily aimed to see how much the participants have assimilated on the covered topics thus far
• Evaluation of simulated examination responses
• Discuss the rationale behind the appropriate answers during a group review.