Sustainable excellence and availability of IT.pdf

Transcript

1. The  Evolu*on  of  RAD-­‐IT     SIIM  2011  –  Washington  DC   Hot  Topic  Session     Chris  Meenan   Director,  IS,  MIRTL-­‐OPS,  IKC     hHp://www.flickr.com/photos/wfryer/2564440831/ lightbox/  
2. Conflict  of  Interest  Disclosure   •  Grant  support:  NIBIB/RSNA  Image  Sharing   Ini*a*ve   •  Grant  support:  SAIC/NCI  Imaging  Knowledge   Center   •  Analy*cal  Informa*cs,  LLC.  principal  and   shareholder  
3. At  the  outset,  the  man  is  not  aware  of  the   prevailing  forces,  nor  does  he  perceive  them  as   connected  whole.    This  simplis*c  view  is     acceptable  for  the  common  man,  but  the   superior  man  should  know  beHer.         I  Ching,  1000  BC  
4. What  was  it  like  in  2003?   •  RIS  systems  were  mature  and  stable   – robust  user  communi*es   •  PACS  systems  rela*vely  new  technology   •  Topics  at  SCAR  2003   – IHE     – Digital  dicta*on   – Readiness  for  PACS   – Digital  Mammo  
5. hHp://www.flickr.com/photos/wfryer/2564440831/lightbox/   PACS  in  2003   RIS  in  2003   Rogers  Diffusion  of  Innova*on  Model   Labs  and   Inventors   Technology-­‐heavy   Vendors  enter  mkt   Features  added   Workflow  understood   Stability  and  vendor   consolida*on  
6. PACS  Team  Focus  in  2003  –  Stability   •  Integra*on   •  Reac*ve  break/fix.   •  Show  value  through      rapid  response.   •  IT  heavy  endeavor       hHp://www.flickr.com/photos/ breHarthur/2889644774/sizes/z/in/ photostream/  
7. What  does  the  PACS  market  look  like   now?   Source:  Picture  Archiving  and  Communica*on  Systems:  A  2000-­‐2008  Study   Dorenfest  Ins*tute  for  Health  Informa*on,  through  the  HIMSS  Founda*on,  2010       •  2000  –  8.5%  with  PACS   •  2008  –  76%  with  PACS   •  2008  98.5%  >500  beds   have  PACS  
8. What’s  else  has  happened  since  2003?   •  Stability  /  maturity    of  PACS  plagorms   •  Vendor  consolida*on   •  New  excitement    the  RIS  2.0  Revolu*on           hHp://www.computerworld.com/s/ar*cle/9101698/ Image_Gallery_Bill_Gates_Now_._._._and_Then? taxonomyId=125&pageNumber=4  
9.  Crossroads   Become  infrastructure   -­‐or-­‐     Re-­‐design  your  role   to  something  new   hHp://www.flickr.com/photos/geoffreygilson/
10. Goal:  Prepare  yourself  (and  your  team)   for  the  prevailing  forces  -­‐  get  ready  for   the  revolu*on!   Src.  Mark  Daly  hHp://upload.wikimedia.org/wikipedia/commons/0/07/ Douglas_Fairbanks_at_third_Liberty_Loan_rally_HD-­‐SN-­‐99-­‐02174.JPEG  
11. 2011  New  Challenges  /  Opportuni*es   •  New  departments  and  workflow   •  Radiology  IT  evolving  to  clinical  imaging?   •  Regional  and  pa*ent-­‐driven  imaging  ini*a*ves   •  Healthcare  reform   •  RIS  2.0   •  Evolu*on  of  technology   hHp://www.flickr.com/photos/clspeace/ 2143292403/sizes/l/in/photostream/  
12. Time  to  retool  RADIT       •  Is  your  IT  team  s*ll  running  like  its  2003?   •  Time  to  move  beyond  reac*ve  role  to  show   value.   •  How  to  future-­‐proof   hHp://www.flickr.com/photos/airgap/ 908241014/sizes/z/in/photostream/   hHp://www.flickr.com/photos/ 13420717@N05/2789464563/  
13. Follow  best  prac*ce  frameworks   •  Several  IT  best  prac*ce  frameworks  exist   •  ITIL  and  CMM   •  Checklist  of  services      should  be  providing.   •  Ranking  of  maturity      of  processes   hHp://www.flickr.com/photos/ portlandgeneralelectric/5180261648/sizes/l/ in/photostream/  
14. Assess  your  team’s  strengths   Clinical   Informa-on   technology   Business   *  Workflow   Server  Admin  *   *  Repor*ng   *  Analy*cs   *  Applica*ons   *  Billing  and  revenue  cycle   Change   Management  *   *  Tes*ng   *  DB   Backups   Architecture  *   Avail  monitoring  and   log  review*   *  Training   *  CIIP’s?  
15. Iden*fy  areas  where  you  add  no  value   •  Automated  system  monitoring   •  Use  modern  tools  and  prac*ces   – System  imaging   •  Outsource  non-­‐value  added  services   – Email,  networking,  firewalls   •  Focus  on  the  customer   – Survey  and  online  tools   hHp://www.flickr.com/photos/monkeyc/ 322654818/sizes/l/in/photostream/  
16. Measure  performance   •  Don’t  forget  about  break  fix!   •  Measure  and  perfect  response   •  Establish  KPI’s  for  Radiology  IT   – Issues  received   – Resolu*on  *me   – Up*me     – Produc*vity   – Customer  sa*sfac*on  
17. RIS  team  can  become  BI  and  Quality   Jedi’s   •  How  best  to  prepare  for  the  ABR’s  MOC  /  PQI   requirements?   •  Sitng  on  mountains  of  data   •  Usually  have  a  clinical  background   Image  Source:     hHp://www.flickr.com/photos/ 35895242@N07/4928640783/  
18. Communica*on  is  key   •  Consistently  men*oned  in  surveys.   •  Vital  to  providing  excellent  service  to   customers   “Ques*on:  How  could  we  improve?”      University  of  Maryland  –  Radiology  IT  2010  Survey    
19. Ensure  alignment  to  the  Enterprise   •  Understand  clinical          workflow.   •  Many  customers   for  imaging  outside   of  radiology.   hHp://www.flickr.com/photos/ 23065375@N05/2234743247/sizes/m/in/ photostream/  
20. Goal:  Prepare  RAD  IT  for  the     prevailing  forces   •  What  do  you  think  of  when  you      think  of  IT?   – PC  repair  or  Analy*cs?   •  Break  fix  support  is  important      but  not  enough.   •  Prepare  yourself  and  your  team  for  the  future.  
21. references   •  Rogers,  EvereH  M..  Diffusion  of  innova,ons  .   3rd  ed.  New  York:  Free  Press  ;,  1983.     •  Picture  Archiving  and  Communica-on   Systems:  A  2000-­‐2008  Study,  HIIMS/ Dorenfest  Ins*tute,  available:    hHp://www.himss.org/founda*on/.../ PACS_ResearchWhitePaperFinal.pdf  
22. Contact     •  Chris  Meenan  -­‐  cmeenan@umm.edu