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In addition to the aforementioned work groups, a PACS implementation team should be formed to oversee the implementation process Members should include at least one point person from each work group, and additional members should include the PACS implementation manager, the medical director of imaging, the administrative director of imaging, a IT representative, and an engineering/facilities representative This team should meet at least every two weeks and more often as the on-line live date is approaching The goals of this team are to update implementation progress, highlight potential stumbling blocks and potential solutions In addition this team meeting provides a forum for higher level administrators of the hospital to observe the progress of the implementation 1844 Implementation Management Developing a schedule and implementation a spreadsheet checklist can assist management of the implementation process.

10.4.3 Example 2: Interface the 3-D Dedicated Breast MRI Module with the PACS The second example is to interface the 3-D dedicated breast (DB) MRI module with the PACS through the gateway. The MRI module could have several DB MRI systems forming an enterprise level breast imaging center. The center performs 3-D MRI breast imaging of the patient and compares results with those from historical images of the patient obtained using other breast imaging modalities including US, mammography, and digital mammography. The center also performs breast biopsy and treats the patient. This example is different from the US images of example 1 in the sense that to integrate US exam results with the total PACS, the US images are reviewed with other exams from the PACS WS. In the breast imaging example, the purpose of integration is to retrieve the patient s other breast-related images from the PACS existing database where the patient has had past breast imaging examinations. The 3-D DB MRI breast images are then integrated with those historical breast images in an electronic patient record (ePR), and reviewed at any WS of the enterprise breast center before the treatment. This section describes the method of integration in the gateway level; the methods of storage of all breast related images, and the treatment process will be discussed in other chapters of the book. Figure 10.10 depicts the connection of breast imaging of the same patient.

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This template includes topics such as the task description, date scheduled for the task, owner of the task, and a checkmark box to indicate completion of the task Table 186 shows a sample heading of an implementation checklist and a sample task This template allows for ner granularity of the implementation process to protect against overlooked implementation tasks Input for the checklist can come from the PACS implementation team meetings Furthermore the checklist can be broken down into smaller subtask checklists for tracking of issues within each of the work groups 185 IMPLEMENTATION 1851 Site Preparation The rst step in PACS implementation is to plan and carry out space design and construction One challenge in many healthcare institutions is to utilize existing space to renovate and build around it to accommodate a new project.

Another way to acquire licensed les is by copying CDs with the Copy Protect Music check box selected in Windows Media Player settings. By using this option, all the tracks you copy are protected les, and licenses are issued at the same time. If you have not already selected this option in Windows Media Player and attempt to copy a CD in Media Center, you will be prompted to turn on or turn off this option at that time.

This process involves coordination and communication with a wide spectrum of personnel because there may be many areas in the hospital that may need renovation to accommodate special PACS hardware and communication equipment Among these is the design and construction of ergonomically conforming reading rooms for radiologists to read and referring physicians to visit and consult Careful attention should be paid in designing a work space environment so that a radiologist can read softcopy cases for a long period of time comfortably Figure 184 shows four transition stages of converting a clinical area into an ergonomic reading room In addition, during the transition from a lm to a lmless environment, the reading area should include the.

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