|From the Institution to the
Providers and Patients: Everyone Benefits from PACS at Merle West Medical Center
Merle West Medical Center
|About Merle West Medical
Located at the base of the beautiful Cascade Mountains in Klamath Falls, Oregon, Merle West Medical Center is a 176-bed nationally accredited hospital. The more than 100 physicians who practice in the hospital comprise an innovative group of patient-oriented professionals who are dedicated to the highest ideals of medicine. With a nationally recognized medical staff, leading edge technology and compassionate caregivers, Merle West Medical Center continually strives to reduce the burden of illness, injury and disability, and to improve the health, self-reliance and well-being of the people it serves.
|Four years ago, David Chabner, IS Director at Merle West
Medical Center (Klamath Falls, OR), traveled to Portland for a conference on Picture
Archiving Communications Systems (PACS), and it was there that his opinion of the
technology dramatically changed.
"I wasn't always a proponent of the technology," recalls Chabner. "I knew that our Radiology department could be improved and that we were losing film and misplacing originals, but I also associated PACS with a high price tag."
While at the conference, Chabner listened to the success stories of other hospitals utilizing PACS and was impressed by the unanimous return-on-investment (ROI) that those hospitals were experiencing. Upon his return to Klamath Falls, he pushed his hospital board to invest in an imaging solution. "Although cost was an issue, PACS was essential to the further development of our EMR," says Chabner. "Initially, we had slated PACS for deployment at a later date, but due to the hard evidence of immediate ROI, we pushed it up to the front burner."
Merle West found the PACS solution provided by DR Systems and MEDITECH's PACS Interface Suite to be a perfect fit, and since going LIVE in 2002, Chabner says they've never looked back. Merle West's PACS has benefited the hospital, its providers, and its patients--as it allows the site to save money on film purchase and processing, while giving providers easy access to detailed on-line exam results so they can give their patients accurate diagnoses in less time.
"Physicians are able to launch images directly from the electronic medical record application (PCI) with the simple click of a button," says Chabner. "It's very important for our referring physicians to be able to view images on-line, and furthermore we have entirely eliminated the problem of lost film and misplaced originals."
With the DR Systems/MEDITECH PACS solution, providers have a number of additional benefits, such as the ability for a referring physician or radiologist to actually view the exam before it's finalized. This saves a great deal of time for both the physician and the radiologist, as the physician can make sure that the image is clear and correct before it is finished. "This feature is great in trauma situations and while doing ultrasounds," says Chabner. "A physician can easily look at an image while the radiology technician is performing the test and then instruct the radiologist to go deeper with the ultrasound. This capability makes both the physician's and the radiologist's jobs much easier."
Physicians at Merle West also benefit from using a voice clip, which is a recording of the radiologist's report, attached to the image. "Our physicians love this technology, as reports used to lag behind the image and often were not ready as quickly as they were needed," says Chabner. The voice clip provides a way for the radiologist to immediately comment on an exam as it is being interpreted, which adds both value and efficiency to the exam, providing physicians with reports even more quickly.
The PACS system also benefits care providers at other facilities, working in conjunction with Merle West. This includes trauma reference facilities that provide Merle West with immediate neurosurgery access when needed. Through the PACS, the neurosurgeons are able to look at images taken at Merle West and determine whether or not a specific patient needs to be relocated for care. Merle West is also a campus for the Oregon Health Science Medical School in Portland, which conducts rural family practice residencies at Cascades East Family Practice Center. The Center is wired in every exam room with PACS and MEDITECH for seamless viewing of exams and patient information.
Even when working at home or travelling, physicians can have access to imaging technology, as remote access capabilities are available via CITRIX to keep physicians connected to the system at all times. Merle West is also in the process of acquiring the DR Systems PACS technology that will burn reports, voice clips, and images onto a CD, which will be beneficial for times when a patient needs to be transported out of the enterprise or when a physician doesn't have remote access.
A reliable system not only saves a hospital wasted time and frustration, but also affects the quality of care. Because images are often used during critical situations and are so vital to the care process, the PACS is designed to reside on its own Virtual LAN (VLAN), and is designed with sufficient redundancies as to create a high level of reliability. "PACS is a technology that absolutely cannot experience any downtime," says Chabner. "We built a new computer room last year, and our PACS was the only system that didn't go down."
"Initiating any kind of change can be a challenge, but now, our staff wouldn't do without it." Chabner recommends, above all else, that organizations looking to implement PACS get their radiologists on board with the entire process, from vendor selection through implementation.
In view of their success, there is a very real chance that David Chabner could be on the other side of the podium at the next PACS conference he attends. "With the backing of a strong PACS solution provided by two reliable vendors, and the determination of our dedicated hospital staff, Merle West is no longer listening to success stories, but is one," he says.
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