Registration and Intro.

Hospital Information Systems, Clinical Informatics & Hospital Integration

• HIS, RIS, PACS, EMR/HER
• Ongoing relationship of PACS with HIS &HER
• 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

Communication for PACS/RIS

• Roles and Relationships in Healthcare
• Medical Terminology, anatomic planes and positions, modalities
• Organization and Medical Specialization
• Availability Issues, Upgrades and Notification
• PACS Policy and Procedures

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/HL7 and IHE Exercises

• Radiology Workflow simulation

Assessment & Group Discussion

• Assessment and group discussions are primarily aimed to see how much the participants have assimilated on the covered topics thus far

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 an 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

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

Best Sourcing Techniques to Increase the Procurement Efficiencies (Imaging Informatics (II) which includes
PACS and VNA)

• PACS/RIS Procurement: Analysis, Cost-Benefit/ROI, RFI/RFP preparation,Implementation of VNA Procurement
• Considerations: When Specifying a Vendor Neutral Archive (VNA)
• VNA Procurement: Analysis: Cost-Benefit/ROI, RFP preparation, Implementation of VNA Procurement
• Request for Information: Understanding andAnalysis of RFI
• Request for Proposal: Understanding andAnalysis of RF
• Procurement in the Imaging Department: The need for understanding technical specifications for Software & Hardware
• Procurement in the Healthcare Facility: The need for understanding long term strategic importance for using to meet healthcare and financial goals

Project Management and Imaging Informatics Systems

• Considerations: PM is part of the Informatics Professional 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 viabilitywith 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.)

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

Assessment & Group Discussion

• Assessment and group discussions are primarily aimed to see how much the participants have assimilated on the covered topics thus far

CIIP Review Session

• Purpose and Value of Certification: The need for understanding why there is value in certification (CIIP) and a survey of professional opportunities awaiting 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 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

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