Ja. Carrino et al., Process reengineering: The role of a planning methodology and picture archiving and communications system team building, J DIGIT IM, 12(2), 1999, pp. 28-31
The acquisition of a picture archiving and communications system (PACS) is
an opportunity to reengineer business practices and should optimally consid
er the entire process from image acquisition to communication of results. T
he purpose of this presentation is to describe the PACS planning methodolog
y used by the Department of Defense (DOD) Joint Imaging Technology Project
Office (JITPO), outline the critical procedures for each phase, and review
the military experience using this model. The methodology is segmented into
four phases: strategic planning, clinical scenario planning, installation
planning, and implementation planning. Each is further subdivided based on
the specific tasks that need to be accomplished within that phase. By using
this method, an institution will have clearly defined program goals, objec
tives, and PACS requirements before vendors are contacted. The development
of an institution-specific PACS requirement should direct the process of pr
oposal comparisons to be based on functionality and exclude unnecessary equ
ipment. This PACS planning methodology is being used at more than eight DOD
medical treatment facilities. When properly executed, this methodology fac
ilitates a seamless transition to the electronic environment and contribute
s to the successful integration of the healthcare enterprise. A crucial com
ponent of this methodology is the development of a local PACS planning team
to manage all aspects of the process. A plan formulated by the local team
is based on input from each department that will be integrating with the PA
CS. Involving all users in the planning process is paramount for successful
implementation. Copyright (C) 1999 by W.B. Saunders Company.