Registration and Intro

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

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

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

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

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

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

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)

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

Emerging Technologies and their Impact to Imaging {

• Artificial Intelligence (AI)
• Blockchain
• Monetization and selling of imaging data
• Image Exchanges
• Wearable devices

Enterprise Work list Applications

• Multiple EMR integrations
• Multiple / competing reading groups 
• Assignment of radiologist to interpret
• Integration of images and priors

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

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

Closing Remarks/Certificate Distribution