PACS and Imaging Informatics

Course Schedule

Day 1 - Monday 22 October, 2018
Opening Session

Registration and Intro.

Session One

Hospital Information Systems, Clinical Informatics & Hospital Integration

  • Ongoing relationship of PACS with HIS & EHR
  • Hospital Integration - CPOE
  • PACS and RIS Integration
  • Clinical Informatics Workflow simulation
Morning Break & Networking
Session Two

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
Lunch Break & Networking
Session Three

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
Evening Break & Networking
Session Four

Interactive Exercises for PACS/RIS

  • Using basic ws functionalities
  • Managing data in a PACS system
  • Integrating a WS, a PACS and a RIS
Day 2 - Tuesday 23 October, 2018
Session One

Standards and Interoperability

  • DICOM – Configuration, validation, services, modality
  • HL7 - purpose, standards    
Morning Break & Networking
Session Two

Standards and Interoperability

  • IHE radiology
  • IHE IT: XDS and XDS-I
  • Transactions details
  • Other IT profiles related to radiology
Lunch Break & Networking
Session Three

DICOM and IHE Interactive Exercises

  • Simulating a DICOM network
  • Connecting DICOM node and exchanging information
  • Basic troubleshooting
Evening Break & Networking
Session Four

HL7 and IHE Interactive Exercises

  • Simulating a HL7 network
  • Connecting HL7 node and exchanging information
  • Basic troubleshooting
Day 3 - Wednesday 24 October, 2018
Session One

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
Session Two

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.
Session Three

Modality Support

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

IT and PACS Interactive exercises

  • Importing data
  • Configure PACS network
  • Measuring Grayscale Standard Display Function
Day 4 - Thursday 25 October, 2018
Session One

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
Session Two

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
Session Three

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.
Session Four

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
Day 5 - Friday 26 October, 2018
Session One

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
Session Two

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
Session Three

Mock Examination: Simulation of CIIP examination under expected test conditions

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

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.
Course Program
Time Topic
08:00 to 08:30Registration & Introduction
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 14:00Session Three
14:45 to 15:00Evening Break & Networking
15:00 to 16:30Session Four