Cardiology PACS & CVIS: Implementing Digital Strategies - November/December 2008 - (Page 11)

In 2004, the Cardiovascular Service Line initiated a threephase deployment of Ge Centricity DMS. Peggy Morehouse, bSN, MS, rN, system manager, invasive/vascular cardiology services, explains the rationale for the transition from manual to digital processes. “The logistics of operating a broad spectrum program had become increasingly complex. Since 2000, radiology was benefiting from a fully digital, enterprise-wide and highly successful Ge PACS installation. Cardiology was practicing in an environment that was campus segregated, viewing echo images on tapes, with a limited cath lab database. Cardiologists saw the advantages of going digital, and they wanted the same access to cardiac images and data.” Establishing the foundation equipment for all rooms. The benefits of digital workflow became increasingly apparent. Digital x-rays are stored in the enterprise PACS, and hemodynamic data are stored in the DMS CVIS. The integration of the Ge hemodynamic and CVIS with the hospital’s ADT and ordering systems improved data accuracy and American College of Cardiology (ACC) reporting data. During phase three slated for 2009, Scottsdale Healthcare plans to complete the integration of echo images into the enterprise PACS and roll out physician structured reporting for both echo and cardiac cath labs. The goal is to fully integrate the functionality of the DMS CVIS with the enterprise Centricity PACS and PACS web—providing a full enterprise view of cardiology images and data. CVIS does not function in a vacuum; it works in conjunction with Defining cardiology-specific multiple clinical and information workflow systems. During the CVIS deployAt Scottsdale Healthcare, the carThe pairing of clinical expertise from System Manment, Scottsdale Healthcare updatdiovascular digital imaging enager, Invasive/Vascular Cardiology Services Peggy ed key infrastructure to optimize vironment and Centricity DMS Morehouse (right), BSn, MS, Rn, with IT knowledge the project. project followed on the heels of a from Information Services, PACS Project Manager Victoria Myers (left), BS, RT(R), CIIP, merges the two The project started in 2004 with successful Centricity PACS deploycomponents necessary for day-to-day CVIS project an upgrade to digital echocardiogment in radiology. Although there management at Scottsdale Healthcare. raphy. Cardiologists slowly waded are some similarities between the into the digital environment, using workstations, rather than two projects, the CVIS team tailored the Centricity DMS inVCrs and monitors, to read digital echo studies. The gradual stallation to cardiology’s needs. “Cardiology is not radiology. transition helped cardiologists grow comfortable in the digiradiologists live at the workstation,” explains Victoria Myers, tal environment and set the stage for cardiovascular image bS, rT(r), CIIP, information services, PACS project manager. and data integration, says Morehouse. Installing digital echo Cardiologists, on the other hand, being private-practice cliniinfrastructure at the start of the project provided the foundacians, needing access to image data, CVIS data and reports in tion of a mini-PACS environment for storing image and meathe hospital’s eight cardiac cath labs, three echo departments surement data on a central server. The ability to digitally view and multiple hospital units, in addition to their private ofecho procedures from a central database expedited care as fices. Workflow is diffuse and complex. two of the system’s hospitals are located 30 minutes from each “We camped out in the echo and cath labs to understand other. emergent procedures performed at one campus could how cardiologists and cardiovascular staff perform their be viewed and reported immediately at the other campus. jobs,” says Myers. The IS and cardiovascular teams thoroughly Phase two took place in 2006 and 2007 and entailed renodiscussed workflow processes at the outset of the project and vation of six cardiac catherization labs, including replacecontinue to update workflow design and protocols to tailor ment of imaging systems, deployment of Centricity DMS and CVIS and digital imaging to meet the cardiovascular entera transition to Ge’s ComboLab hemodynamic monitoring prise vision and cardiologists’ needs. For example, when the CardiovascularBusiness.com Cardiology PACS & CVIS: Implementing Digital Strategies 11 http://www.CardiovascularBusiness.com

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Cardiology PACS & CVIS: Implementing Digital Strategies - November/December 2008 Contents North Shore-Long Island Jewish Health System South Shore Hospital The CIO Suite Scottsdale Healthcare

Cardiology PACS & CVIS: Implementing Digital Strategies - November/December 2008

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