************** Embedded Contact Object ************** McKesson's diagnostic imaging solutions are designed to help health care organizations of all sizes and complexity improve interoperability and ease the transition from volume-based to value-based care. We keep you one step ahead by going beyond simple VNA solutions and departmental systems with diagnostic imaging solutions that help you enhance your workflow and reduce costs. And, our solutions are agile enough to adapt to the additions of other care settings as you grow beyond traditional borders. If you are looking to complete your enterprise vision and expand the continuum of care, look no further than our enterprise diagnostic imaging solutions which can help ensure: • Images are easily accessible from the EHR by all users • Images are available even in a disaster • Personal health information is protected and compliant with HIPAA requirements • You achieve low total cost of ownership And, to help maximize your imaging investment, our Medical Imaging Professional Services™ helps to solve the challenges of health care IT by bridging the gap between people, process and technology. Our group of experienced consultants partner with imaging businesses to help ensure they are running optimally through the implementation of either packaged services or custom solutions. Hot Topics • • • • Imaging and Workflow Solutions for the Department of Veteran Affairs and Department of Defense McKesson offers diagnostic imaging solutions designed to help you realize workflow and system efficiencies, meeting the specific needs of military and veteran health care facilities.

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Was subreddit of the day for Feb 25th, 2013! • 'Skeleton alien' logo design by 2012. PACS Admin here. My view on Philips: I worked with a Philips iSite PACS on v3.5. We had integrations with Nuance PowerScribe 4.x for dictation and a system called Primordial to handle ER/STAT reading/QC/reservation workflows. Also MedImage integration for Nuc Med, and another viewer for PET/CT fusion that I don't recall the name of.

From a PACS Admin standpoint it was a great system; very easy to manage images and user security and rights. Our contract was a yearly per-click quota. If we had a server that was close to running out of space, they just shipped us another one. The Philips remote management support was exceptional. Uptime was also fantastic, and I think we had a whopping 30 minutes of downtime for the year or so that I was managing the system.

To answer your questions: What aspects of your installation impact your workflow in an unexpected way? I worked with an older version of Philips iSite PACS, and there wasn't much outside of a standard reading workflow that was done in the PACS. We used a system called Primordial to handle much of our section specific workflows, prelims, STAT reading, etc. Our rads would not have been nearly as productive without that integration. I'd wager that Philips have made a lot of improvements in that department since I've seen their PACS. Because Philips had released the API for our version, several other software vendors that we used were able to add integration to the PACS. This allowed us to use a single workstation to view PET/CT and Nuc Med, minimizing the workstation clutter in the reading room environment.

The one exception that we had to this was, you guessed it, mammography. Hologic dominates this market, and we simply cannot get the momentum to move our rads away from Hologic workstations and begin using the PACS.

This is another area that I'd hope iSite to have made some improvements in. Were there pitfalls you didn't see going in? Philips stores in a proprietary format and migrating from this format to our new PACS took considerable time. Again, we had an old version, and I was told that 4.x would have alleviated our issues had we been able to upgrade at the time. Did you happen upon any unanticipated benefits?

Access for all of our clinicians was simple, as iSite used a simple web browser plugin, rather than an installed application for enterprise access. The web page was easy to publish for remote access, and easy to manage throughout our hospitals. I do know a site that has had success with Agfa, as well as two sites who are enjoying their DR PACS. I'm familiar with McKesson Horizon Cardiology PACS and it's a decent system. I've never seen their radiology PACS, and I believe it to be significantly different than their cardiology system, so I don't want to muddy the water by commenting on it. Hope this helps. The Phillips uptime stat is very impressive.

I recently saw a demo of DR PACS and was very surprised to see the extensive reporting integration. Worklist management seemed fine. Some of the hanging protocol features were impressive, although I wondered how well they would function with our legacy data. Seeing the DR PACS demo, though, really opened my eyes to how far what we refer to simply as PACS may have come in recent years. FWIW, all the vendors included have some migration option. We hope to normalize our exam data to some extent when we migrate. Am not sure about the spectrum of business models each vendor offers, but I may or may not hear more on that front in the coming weeks.

We are a multi-hospital group that is shopping for a new PACS. We will review: • DR Systems • Agfa • Philips • Medical Insight • McKesson.

In the coming weeks. All these presenters put their product in its best light. Do you have firsthand experience with one of these vendors? • What aspects of your installation impact your workflow in an unexpected way? • Were there pitfalls you didn't see going in?

• Did you happen upon any unanticipated benefits? I'm most curious about impacts on radiologist efficiency, but would be interested to here about other unexpected consequences.