THE PACS/IT CONTINUUM: PRESENT ACCESS AND FUTURE INTEGRATION STRATEGIES, Table of Contents

Transcription

1 1400 EAST TOUHY AVE, SUITE 250 DES PLAINES, IL Phone: Fax: THE PACS/IT CONTINUUM: PRESENT ACCESS AND FUTURE INTEGRATION STRATEGIES, Table of Contents I. Objectives... I-1 II. III. IV. Executive Summary... II-1 Methodology... III-1 Findings... IV-1 A. Current Implementation of Radiology PACS in Hospitals... IV-1 B. Current Access & Future Plans for Interfacing RIS with PACS & Other IT Systems... IV-24 C. Current and Planned Access to Advanced Visualization Tools on PACS... IV-55 D. Current and Planned PACS Image Archive Practices... IV-68 E. Overall Satisfaction with Current PACS Solution... IV-96 F. Planned Budgets for PACS Purchases and Upgrades... IV-102 G. Plans for Purchasing, Replacing or Upgrading PACS... IV-115 H. Current Access & Future Plans to Interface Cardiology PACS with Radiology PACS... IV-129 I. Current Access & Future Plans to Interface Other ologies with Radiology PACS... IV-148 J. Site Operations Characteristics... IV-158

2 THE PACS/IT CONTINUUM: PRESENT ACCESS AND FUTURE INTEGRATION STRATEGIES, Exhibits A. Current Implementation of Radiology PACS in Hospitals... IV-1 1. Current PACS Status, by Bed Size...IV-1 2. Scope of Current PACS Implementation, by Bed Size...IV-1 3. Scope of Current PACS Implementation, by Ownership Type...IV-2 4. Average Number of Hospitals Served by Multiple Hospital PACS, by Ownership Type...IV-2 5. Scope of Current PACS Implementation, by Location Type...IV-3 6. Whether a Single PACS Provider Integrates the PACS for the Multiple Hospitals/Locations, by Ownership Type...IV-3 7. Primary PACS Provider...IV-4 8. Primary PACS Provider, by Bed Size Category...IV-4 9. Primary PACS Provider, by Ownership Type...IV Primary PACS Provider, by Location Type...IV Whether Organization Has a Web-Based Image Distribution System as Part of its PACS Implementation...IV Vendor of Web-Based System if Different from PACS Vendor...IV Provider of Web-Based Image Distribution System...IV Types of Diagnostic Images Currently Accessible from PACS, All Sites...IV Types of Diagnostic Images Currently Accessible from PACS, by Bed Size...IV Types of Diagnostic Images to be Added to PACS, IV Modalities that are 100% Filmless for Primary Diagnosis Purposes... IV Modalities that are 100% Filmless for Primary Diagnosis Purposes, for those Who have the Modality... IV Hospital Departments with Access to PACS... IV Hospital Departments with Access to PACS, by Bed Size... IV Hospital Departments to be Added to PACS, IV Locations Outside of Hospital with Access to PACS... IV Locations Outside of Hospital with Access to PACS, by Ownership Type... IV Outside Locations Planned for Access to PACS, IV Year of Original PACS Implementations... IV Year of Original PACS Implementation, by Bed Size... IV Whether Current PACS Integrator/Provider is the Original PACS Vendor, by Bed Size... IV Whether Current PACS Integrator/Provider is the Original PACS Vendor... IV Prior PACS Vendor(s) Replaced... IV PACS Vendor Switched to for those who Replaced Prior Vendors...IV Switched to McKesson: Prior PACS Vendor(s) Replaced... IV Switched to Philips: Prior PACS Vendor(s) Replaced... IV Switched to GE: Prior PACS Vendor(s) Replaced... IV Year of Most Recent Change to Current PACS Integrator/Provider...IV Year of Original and Replacement PACS Implementations... IV Trend in First Buyer vs. Replacement PACS Systems... IV PACS Replacement Cycle, for Replacements Taking Place Prior to IV Reasons for Changing from Previous PACS Integrator/Provider to Current Vendor... IV-22 B. Current Access & Future Plans for Interfacing RIS with PACS & Other Information Systems... IV Presence of Radiology Information Systems, by Bed Size... IV Presence of Radiology Information Systems, by Ownership Type...IV Presence of Radiology Information Systems, by Location Type... IV Year of Original RIS Implementation... IV-25

3 5. Year of Original RIS Implementation, by Bed Size... IV Whether RIS Currently Integrated with Hospital s Radiology PACS System, by Bed Size... IV Whether RIS or PACS Drives the Worklist, by Bed Size... IV Whether RIS or PACS Drives the Worklist, by Ownership Type...IV Whether RIS or PACS Drives the Worklist, by Location Type... IV Whether RIS or PACS Drives the Worklist, by PACS Vendor... IV Current RIS Provider... IV Current RIS Provider, by Bed Size... IV Current RIS Provider, by Ownership Type... IV Current RIS Provider, by Location Type... IV Whether RIS Vendor is the Same as PACS Integrator/Provider, by Bed Size... IV Whether RIS Vendor is the Same as PACS Integrator/Provider, by Ownership Type... IV Whether RIS Vendor is the Same as PACS Integrator/Provider, by PACS Vendor... IV Whether RIS Vendor is the Same as PACS Integrator/Provider... IV Current Provider for PACS and RIS... IV Comparison of RIS Vendors, when the Same As and Different from their PACS Providers... IV Importance Rating that RIS Vendor is the Same as Current PACS Vendor, by Bed Size... IV Reasons for Importance Ratings... IV Whether RIS is Integrated with Hospital-Wide Information Systems...IV Hospital-Wide Information Systems RIS is Integrated With... IV Whether RIS is Integrated with a HIS, by Bed Size... IV Whether RIS is Integrated with an EMR/EHR, by Bed Size... IV Whether RIS is Integrated with a Dedicated Mammography RIS Module, by Bed Size... IV Whether RIS is Integrated with a Dedicated Mammography RIS Module, by Location Type... IV How RIS is Used in Radiology... IV Diagnostic Reading Worklist: How RIS is Used, by Bed Size... IV Procedure Order Entry: How RIS is Used, by Bed Size... IV Diagnostic Report Generation: How RIS is Used, by Bed Size... IV Automated Management Reports: How RIS is Used, by Bed Size... IV Film Management: How RIS is Used, by Bed Size... IV DICOM Structured Reporting Capabilities: How RIS is Used, by Bed Size... IV Patient Appointment Scheduling: How RIS is Used, by Bed Size... IV Mammography Tracking/Reporting: How RIS is Used, by Bed Size... IV Billing Capabilities: How RIS is Used, by Bed Size... IV Critical Results Reporting: How RIS is Used, by Bed Size... IV Digital Dictation to Transcriptionist: How RIS is Used, by Bed Size... IV Digital Speech/Voice Recognition: How RIS is Used, by Bed Size... IV Inventory Management: How RIS is Used, by Bed Size... IV Cumulative Radiation Dose Tracking: How RIS is Used, by Bed Size... IV RIS Plans, IV RIS Plans, by Bed Size... IV RIS Plans, by Ownership Type... IV RIS Plans, by Location Type... IV Reasons for Replacing RIS Vendor... IV Whether Future RIS Vendor will be the Same as PACS Vendor...IV Current PACS Provider, for Sites Planning RIS with PACS Vendor...IV Vendors being Considered for Future RIS, when Different from Current PACS Vendor... IV Vendors being Considered for Future RIS, All Sites... IV Capabilities Planning to Implement for First Time in RIS or RIS/PACS, 2010 to IV Year Decision Will be Made to Purchase, Replace, Expand or Upgrade RIS... IV-54

4 C. Current and Planned Access to Advanced Visualization Tools on PACS... IV Whether Organization has Advanced Visualization Software Tools for Use at Any Workstation, by Bed Size... IV Software Vendor Presence, as a Percent of Sites with Advanced Visualization Software Available for Use at Any Workstations... IV Advanced Visualization Software Vendors Available for Use at Any Workstations, by Bed Size... IV Advanced Visualization Software Vendors Available for Use at Any Workstations, by Ownership Type... IV Whether Advanced Visualization Vendor Software is Accessible on PACS Desktop, All Sites... IV Current Primary PACS Providers Used for Advanced Visualization...IV Planned Purchases of Advanced Visualization Software for Use at Any Workstation, , All Sites... IV Current Availability and Planned Purchases of Advanced Visualization Software for Use at Any Workstation, All Sites... IV Planned Purchases of Advanced Visualization Software from Primary PACS Providers, IV Clinical Applications Software Types Currently Accessible from PACS, All Sites... IV Clinical Applications Software Types Currently Accessible from PACS, by Bed Size... IV Clinical Applications Software Types Currently Accessible from PACS, by Ownership Type... IV Clinical Applications Software Types Currently Accessible from PACS, by Location Type... IV Clinical Applications Software Types Currently Accessible from PACS, by Teaching Status... IV Current and Planned PACS Access to Clinical Applications Software, All Sites... IV Whether Organization has a Dedicated 3D Lab, All Sites... IV Whether Organization has a Dedicated 3D Lab, by Bed Size... IV Whether Other Departments or Referring Physicians Use Image Processing Software to Process and Manipulate DICOM Images on their Own, by Bed Size...IV Hospital Departments or Referral Physicians that Use Image Processing Software on their Own... IV Hospital Departments or Referral Physicians that Organization would Consider Providing PACS Access to, for Image Processing, IV-67 D. Current and Planned PACS Image Archive Practices... IV How Long Patient Images are Kept Online for Immediate PACS Access... IV Management of PACS Long-Term Archive... IV Management of PACS Long-Term Archive, by Ownership Type... IV Management of PACS Long-Term Archive, by PACS Vendor... IV Management of PACS Disaster Recovery System... IV Management of PACS Disaster Recovery System, by Bed Size...IV Management of PACS Disaster Recovery System, by Ownership Type... IV Management of PACS Disaster Recovery System, by Location Type... IV Management of PACS Disaster Recovery System, by PACS Vendor... IV Overall Satisfaction Level With the Current Long-Term and Disaster Recovery Archive/Storage Solutions IV Reasons for Satisfaction Ratings... IV Whether Hospitals Plan to Change How Archive Strategy is Managed, by Bed Size... IV Whether Hospitals Plan to Change How Archive Strategy is Managed, by Ownership Type... IV Whether Hospitals Plan to Change How Archive Strategy is Managed, by Location Type... IV Reasons for Anticipated Changes to Current Archive Solutions... IV Potential Challenges to PACS Archive Solutions... IV The file sizes of certain modalities have become so large that our current archive capacity will no longer be adequate by the end of 2010 by Ownership Type... IV The file sizes of certain modalities have become so large that our current archive capacity will no longer be adequate by the end of 2010 by PACS Vendor... IV The demand from an increased number of users to access images has grown so much that our current PACS implementation will need to be improved to satisfy their needs by Location Type... IV-84

5 ` 20. The demand from an increased number of users to access images has grown so much that our current PACS implementation will need to be improved to satisfy their needs by PACS Vendor... IV The number of imaging procedures requiring long-term archiving has grown such that our current archive capacity will no longer be adequate by the end of 2010 by Ownership Type... IV The number of imaging procedures requiring long-term archiving has grown such that our current archive capacity will no longer be adequate by the end of 2010 by PACS Vendor... IV How Organization is Planning to Deal with Increased Demands for Capacity and Speed of Access... IV Whether Current Archive Solution Using PACS Provider is Vendor Neutral, by Bed Size... IV Whether Current Archive Solution Using PACS Provider is Vendor Neutral, by Ownership Type... IV Whether Current Archive Solution Using PACS Provider is Vendor Neutral, by Location Type... IV Whether Current Archive Solution Using PACS Provider is Vendor Neutral, by PACS Vendor... IV Whether Current Archive Solution Using PACS Provider is Vendor Neutral... IV Whether Hospital is Considering Vendor Neutral Archive, IV Whether Hospital is Considering Vendor Neutral Archive, by Bed Size...IV Whether Hospital is Considering Vendor Neutral Archive, by Ownership Type... IV Whether Hospital is Considering Vendor Neutral Archive, by Location Type... IV Whether Hospital is Considering Vendor Neutral Archive Strategy, by PACS Vendor... IV Non-Networked Storage Media Used to Distribute Images to Patients and/or Referring Physicians... IV Current and Planned Use of PDAs or Other Mobile Devices to View Images... IV Current and Planned Use of PDAs or Other Mobile Devices to View Images, by Teaching Status... IV-95 E. Overall Satisfaction with Current PACS Solution... IV Overall Satisfaction Level with Current PACS Solution... IV Overall Satisfaction with Current PACS Solution, by PACS Vendor...IV Reasons for Satisfaction Ratings, by PACS Vendor... IV-97 F. Planned Budgets for PACS Purchases and Upgrades... IV Potential PACS Budgeting Issues... IV The uncertainty in today s environment is causing some PACS expenditures planned for 2010 to be delayed or slowed - by Ownership Type... IV Other IT projects are taking priority over PACS projects - by Ownership Type... IV Other Ways the Current Economy or Healthcare Climate has Affected PACS Projects... IV Anticipated PACS Expenditures, 2010 to 2012, by Bed Size... IV Anticipated PACS Expenditures, 2010 to 2012, by Ownership Type... IV Anticipated PACS Expenditures, 2010 to 2012, by Location Type... IV Anticipated PACS Expenditures, 2010 to 2012, by Future PACS Purchase Mode... IV Total Projected PACS Expenditures, , by Bed Size... IV Anticipated Distribution of PACS Expenditures, 2010 to 2012, by Bed Size... IV Anticipated Annual Mix of PACS Expenditures, 2010 to 2012, by Bed Size... IV Anticipated Distribution of PACS Expenditures, 2010 to 2012, by Ownership Type... IV Anticipated Annual Mix of PACS Expenditures, 2010 to 2012, by Ownership Type... IV Anticipated Distribution of PACS Expenditures, 2010 to 2012, by Location Type... IV Anticipated Annual Mix of PACS Expenditures, 2010 to 2012, by Location Type... IV Department Managing PACS Budgets, by Bed Size... IV Department Managing PACS Budgets, by Ownership Type... IV Department Managing PACS Budgets, by Location Type... IV Use of Capital vs. Operating Budgets, by Bed Size... IV Use of Capital vs. Operating Budgets, by Ownership Type... IV Preferred Payment Structure for PACS Software Licenses... IV Preferred Payment Structure for PACS Software Licenses, by Bed Size... IV-114

6 G. Plans for Purchasing, Replacing or Upgrading PACS... IV Future PACS Plans, IV Future PACS Plans, , by Bed Size... IV Future PACS Plans, , by Ownership Type... IV Proportion of Planned Expenditures, by Future PACS Purchase Mode... IV Vendors Being Considered for Replacement PACS... IV PACS Vendor Being Replaced... IV Reasons for Replacing Current PACS Vendor... IV Decision Year for Replacing PACS... IV Net Impact of PACS Replacements on PACS Installed Base Market Share, 2010 to IV Planned Purchases of First PACS Implementation, IV Planned Investments in PACS Components, 2010 to IV Planned Investments in Expanded Image Storage Capacity, , by Bed Size... IV Planned Investments in PACS Workstations, , by Ownership Type... IV Planned Investments in Flat Screen Monitors, , by Bed Size... IV Planned Investments in Network/Bandwidth Infrastructure, , by Bed Size... IV Planned Investments in Advanced Visualization Software, , by Location Type... IV Planned Investments in Wireless Networking, , by Bed Size... IV Planned Investments in Digital Dashboards, , by Bed Size... IV Planned Investments in Film Digitizers, , by Location Type...IV Planned Investments in 3 rd Party Archive Management Services, , by Ownership Type... IV Planned Investments in Hard Copy Film or Paper Printers, , by Bed Size... IV Plans for Implementing IHE XDS-I Capability, , by Bed Size... IV Decision Makers Involved in PACS Decision Process... IV Decision Makers Involved in PACS Decision Process, by Bed Size... IV Decision Makers Involved in PACS Decision Process, by Ownership Type... IV-128 H. Current Access & Future Plans to Interface Cardiology PACS with Radiology PACs... IV Cardiology PACS Status of PACS Sites, by Bed Size... IV Cardiology PACS Status of PACS Sites, by Location Type... IV Year of Original CPACS Implementations, as of 2010 Study... IV Year of Original CPACS Implementation, by Bed Size... IV Current CPACS Provider... IV Current CPACS Provider, by Bed Size... IV Current CPACS Provider, by Ownership Type... IV Current CPACS Provider, by Location Type... IV CPACS Vendor Installed Base Share, by Current PACS Vendor... IV Whether CPACS Vendor is the Same as Current Radiology PACS Vendor... IV Current Provider for PACS and CPACS... IV Comparison of CPACS Vendors, when the Same As and Different from their PACS Providers... IV CPACS Vendor Installed Base Share, when CPACS and PACS Vendors are Different, by Current PACS Vendor... IV Importance Rating for Having the Same Vendor for CPACS and PACS, by Bed Size... IV Reasons for Importance Ratings... IV Cardiology PACS Plans, IV Cardiology PACS Plans, by Bed Size... IV Cardiology PACS Plans, by Ownership Type... IV Cardiology PACS Plans, by Location Type... IV Reasons for Replacing CPACS Vendor... IV Whether Future CPACS Vendor will be the Same as PACS Vendor... IV Whether Future CPACS Vendor will be the Same as PACS Vendor, by Bed Size... IV Whether Future CPACS Vendor will be the Same as PACS Vendor, by Location Type... IV-141

7 24. Current PACS Provider, for Sites Planning CPACS with PACS Vendor... IV Vendors being Considered for Future CPACS, when Different from Current PACS Vendor... IV Vendors being Considered for Future CPACS, All Sites... IV Year Decision Will be Made to Purchase, Replace, or Upgrade CPACS... IV Common Components Currently Integrated and Planned for Integration Between CPACS and PACS, for Current CPACS Sites... IV Importance Rating for CPACS and PACS Sharing Common Components, by Location Type... IV Reasons for Importance Ratings... IV Key Barriers to Implementing an Integrated CPACS & PACS Solution... IV Department Owning CPACS Budget... IV Department Owning CPACS Budget, by Bed Size... IV-147 I. Current Access & Future Plans to Interface Other ologies with Radiology PACS... IV Importance Rating for PACS-Type Workflow Solutions Being Developed for Other Departments in Organization, by Bed Size... IV Reasons for Importance Ratings... IV Whether Organization Has, or is Planning a PACS-Type Workflow Solution for Pathology, by Bed Size.. IV Whether Organization Has, or is Planning a PACS-Type Workflow Solution for Dermatology, by Bed Size... IV Systems/Capabilities Currently Accessible from PACS Desktop... IV Systems/Capabilities Currently Accessible from PACS Desktop, by Bed Size... IV Systems/Capabilities to be Accessible from PACS Desktop, IV Key Obstacles to Implementing PACS-Type Workflow Solutions for Other Departments... IV Key Obstacles to Implementing PACS-Type Workflow Solutions for Other Departments, by Bed Size... IV Other Product Capabilities or Services Desired from PACS Vendors... IV-156 J. Site Operations Characteristics... IV Distribution of Hospitals with 100+ Beds and 2009 Diagnostic Imaging Procedures, by Bed Size... IV Total 2009 Diagnostic Imaging Procedures, by Bed Size... IV When Outside Reading Services are Used... IV When Outside Reading Services are Used, by Bed Size... IV When Outside Reading Services are Used, by Ownership Type... IV When Outside Reading Services are Used, by Location Type... IV When Outside Reading Services are Used, by Teaching Status... IV Hospital Ownership Type, by Bed Size... IV Hospital Ownership Type, by Location Type... IV Hospital Ownership Type, by Teaching Status... IV Location Type, by Bed Size... IV Location Type, by Ownership Type... IV Location Type, by Teaching Status... IV Academic/Teaching Hospital Status, by Bed Size... IV Academic/Teaching Hospital Status, by Ownership Type... IV Academic/Teaching Hospital Status, by Location Type... IV-165