This RIS includes Toshiba digital desktop telephones, plus 24 SpectraLink wireless telephones; these wireless phones were programmed to extend the features and capabilities of the users' desktop telephones to anywhere they roam at the 22-bed hospital; however, other wireless technologies such as cellular, could not be used due to the interference with sensitive medical equipment (Just the right prescription 24). The hospital's chief operating officer, Darryl Thornton, reported, "Being able to be mobile, yet still receive all our telephone calls, has greatly improved our efficiency and productivity. Toshiba's SpectraLink solution was the only one we found that would extend our desktop telephones to the palms of our hands" (Just the right prescription 24). The RIS also accommodated the needs of the hospital's remote users: "The system is so flexible that we were able to connect our remote users and still have it look like they are located at our corporate offices," Thornton added. "Both incoming and outgoing calls are routed via the remote users' extensions through our main system at the hospital, so it's totally transparent that they aren't here at the hospital" (Just the right prescription 24).
The hospital also had unique requirements for the Strata CTX670, including paging that could be restricted by area and the ability to restrict long distance on specific telephones, such as those in the lobby and in patient rooms, which required special programming. To deliver the hospital's integrated voice and data communication, Great Plains partnered with TelCove, a provider of business-critical telecommunications services to enterprise customers and carriers, and NetVision Technologies, a provider of data networking services and technology consulting, all with offices in Wichita. TelCove delivered the external network, while NetVision handled the internal network. TelCove installed a fiber connection at the hospital connecting it to TelCove's synchronous fiber-optic network (SONET), to provide both local network services and long distance. The SONET topography design enables all elements on the SONET ring to continuously communicate with each other, with information being routed in both directions, so if an element is inactive for any reason, the network stays active. At the hospital, the optical network terminates the voice services on ISDN, using a primary rate interface (PRI) that runs through the Toshiba switch via PRI cards; the system also delivers a full T-1 of Internet service (Just the right prescription 24).
The reliability of the optical network was, of course, a high priority for the hospital; the system's reliability was tested in the school of hard knocks when a tornado destroyed two miles of the network cabling; however, in spite of the damage, the network did not experience any downtime. NetVision installed the hospital's internal voice and data network, including setting up the wireless local area network, multitiered security and a high-capacity, fully gigabit infrastructure. "The key to the success of both the data networking and voice applications is having a wireless network that is free of interference and fully compatible with both applications" reported Brent Burdick, NetVision president (Just the right prescription 24). NetVision was heavily involved in the overall design of the network, from placements of cabling and wireless access points to infrastructure issues such as heating and cooling. Planning the system before the hospital was built was a critical element to the system's deployment, Thornton says, as was having a battery backup in place as the system was deployed (Just the right prescription 24).
Finally, the hospital's new wireless telephones have proven to be more useful than the planners first imagined: "The ability to be mobile and receive your telephone calls at the same time is one of the biggest benefits I've ever seen in a hospital telephone system. Our telephones have given us a huge advantage in communicating with patients, families, doctors, other medical facilities and each other" (Just the right prescription 24). "Being an open system, this system will let us add voice over IP or other capabilities as our needs change and as we grow," Knocke concluded (Just the right prescription 24).
Benefits of Picture Archive Communication Systems (PACS). According to Creighton (1999), picture archiving and communication systems (PACS) were originally developed to combine viewing of modality images, archiving, and distribution of images (138). "When PACS is integrated/interfaced with radiology information systems (RIS) or hospital information systems (HIS)," he says, "it can merge patient demographics, medical records, and images" (Creighton 139). In their essay, "Computers in imaging and health care: now and in the future," Arenson Andriole, Avrin and Gould (2000) report that, "Early picture archiving and communication systems (PACS) were characterized by the use of very expensive hardware devices, cumbersome display stations, duplication of database content, lack of interfaces to other clinical...
picture archiving and communication system (PACS), a filmless radiology system that stores, retrieves, manages, distributes and display digital images. PACS replaces conventional radiological film and allows simultaneous computerized access by medical professionals and automation systems throughout the hospital and clinical environment. The market for PACS has grown since its introduction in the 1980s, expanding from $1 billion in 2008 to a projected $2.5 billion in 2015 (SearchHealthIT.com, 2010). PACS consists
Estimates of cost savings from the reduction in film costs as well as through reduced work hours needed for the creation of images and the reading of images by physicians will lead to an average annual cost savings of between five hundred- and seven hundred and fifty-thousand dollars a year, leading to an overall cost benefit of one hundred- to three hundred and fifty-thousand dollars a year compared to traditional
PACS Synthesizing health care and technology can be a very advantageous endeavor when the proper planning and understanding are applied to this technique. Physician practices is one area of health care where this is quite evident. The benefits of incorporating technology and information systems are both great for the patient and the organization that decides to employ these measures. Ball, Weaver & Kiel (2004) agreed with this argument throughout the text and
Advances in Digital Medical Imaging Origin In the past few decades advances in healthcare have emerged, as new forms of technological integration are implemented as part of the overall healthcare management system. Healthcare providers, doctors and patients require more technological integration into the system providing real time data analysis and the possibility of enhancing medical knowledge. Sharing that knowledge can lead to what many describe as "digital medicine" where stored clinical data
Personal Healthcare Technology Sunrise Hospital and Medical Center and the Sunrise Children's Hospital The Sunrise Hospital and Medical Center, which includes the Sunrise Children's Hospital, is an approximately 55-year-old facility located in Southern Nevada; it serves the greater Las Vegas area and the surrounding communities. The Sunrise Health and Medical Center is proud of its quality initiatives to ensure patient safety and comfort, including direct approaches to pharmaceutical safety such as safe
They each get on the phone, pull up the image on computer and discuss the image and the results and what the results indicate. One recent study measured the productivity benefits of using PACS and the participants, all radiologists estimated there was a 100% increase in productivity for CT scans, MRIs and ultrasounds (Kywi, 2005). Overall PACS has provided a new and innovative method for physicians to utilize medical imaging to
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