PACS, VNA and Enterprise Image Management

Course Schedule

Day 1 - Sunday 21 April, 2019
Opening Session

Registration and Intro

Session One

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
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 22 April, 2019
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 23 April, 2019
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

 

Evening 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

Closing Remarks/Certificate Distribution

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 13:15 Lunch Break & Networking
13:15 to 14:45Session Three
14:45 to 15:00Evening Break & Networking
15:00 to 16:30Session Four