1) Understand workflow challenges for a radiologist operating a multi-enterprise environment. 2) Understanding requirements for environments with a single versus multiple medical record numbers a. PACS b. Dictation systems c. EHR. 3) Using a master patient index to link patient's across sites.
As a radiology department expands across multiple organizations there are several challenges that are created. Among these is the capability of the PACS, dictation systems and electronic medical record to operate in a single versus a multiple medical record number environment. These challenges are complicated further if there is no master patient index to link patient's across the multiple sites. All of these need to be taken into consideration prior to attempting to deploy a single workflow solution in multiple environments. Some possibilities that are discussed include using systems that function in a multiple medical record number environment, making changes to the demographic information in an interface engine or simply guaranteeing that each site uses unique identifiers. The benefits of having a single workflow solution across multiple environments is significant and helps to justify the cost of implementing in maintaining this type of environment.
Wendt, G,
PACS and Radiologist Workflow in a Multi-Enterprise Environment. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/13010684.html