[optimal] Re: Workload Demands
- From: "Thomas C. Monego" <Thomas.C.Monego@xxxxxxxxxxxxx>
- To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
- Date: Tue, 27 Mar 2012 20:32:36 -0400
Another look, if you are not using a system to aggregate you images you are not
using digital effectively. Before we went with the Epic EHR we installed Merge
(OIS) Symphony. Our IT managers thought it was a good buy for a near PACS
system. It hasn't been a perfect fit, yes we have had problems. But images are
stored on a server without having to manually put them there. Every 5 minutes
or so images are vacuumed into our main server. The images are there,
retrievable with minimal effort. There have been issues, but most interfaces
with visual field analyzers, IOL master and other instruments have worked well.
The photography component and OCT has been seamless. The Epic connection is not
100% but it can be accessed at anytime from the Epic program with no logon, the
one problem we are having is going directly to the patient, possibly because of
the interface between our scheduling program and Epic. But because there are
last 30 patient and today only filters in the program it hasn't been a big
issue for our 12 provider department (would like to figure it out though). This
has made the digital change from paper much easier.
Tom
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
Behalf Of Cynthia VandenHoven
Sent: Sunday, March 25, 2012 11:08 PM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: Workload Demands
I found before digital, photography was the last stop of the day and the
patient left. Now I find we are regularly imaging patients before, during and
post dilation and also before, during and after the clinician assessment. Some
clinicians require all fields, photos, OCTs and other imaging to be completed
BEFORE they see the patient and then are upset that their clinic is running
late. The physicians are not factoring in how instant images changes how they
work. Yes, we find we are also doing more procedures on patients.
Also with a master image management software we have more work ensuring all
imaging did get imported into the system we are using, along with all the data
entry that system requires within an appropriate timeline. In addition to this,
there is archiving of raw proprietary data to servers etc.
I wouldnt want to go back to pre digital days, but despite the promise of
"simpler" instant digital imaging, there is a lot of work in the background
that seems to go unnoticed and is misunderstood (until there is a major system
crash!)
Cynthia VandenHoven
Medical Imaging Specialist
Hospital for Sick Childrent, Toronto Canada
On Sun, Mar 25, 2012 at 10:33 PM, Lisa Breayley
<Lisa.Breayley@xxxxxxxxxxxxxxxx<mailto:Lisa.Breayley@xxxxxxxxxxxxxxxx>> wrote:
Quick question for those of you who went from a paper/print system for results
to a totally on-line system - i.e. Drs can see patient results "instantly" in
clinic.
Did your workload go up? Did having results straight away meant the clinicians
asked for more? More patients? More tests? More views?
We're looking at a system now and I'm curious...
Lisa
L.M.Breayley
Senior Photographer
MedPIC
The Royal Victorian Eye and Ear Hospital
32 Gisborne Street
East Melbourne, Victoria 3002
Ph 61-3-9929 8335
Fax 61-3-9929 8217
www.eyeandear.org.au<http://www.eyeandear.org.au>
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