Radiology Radiology OrdercommsOrdercomms

Musgrove Park Hospital, Musgrove Park Hospital, TauntonTaunton

Dr Paul BurnDr Paul Burn

700 beds

340,000 population served

15 radiologists

2 CT

2 MRI

5 Radiology sites

23 Pathology sites

20 years

35 employees

Sheffield based

Ordercomms BoardOrdercomms Board

Radiology Group

Ordercomms Team

Ordercomms TeamOrdercomms Team

Project Manager (25% of time)Project Manager (25% of time) PACS Manager (25% of time)PACS Manager (25% of time) Radiologist Lead (1PA – 4h/week)Radiologist Lead (1PA – 4h/week)

ProgressProgress

Started >3 years ago from scratchStarted >3 years ago from scratch

GP go live rollout - 2011GP go live rollout - 2011

Secondary Care go live - Summer Secondary Care go live - Summer 20112011

The PatientThe Patient

DEPARTMENT OF DIAGNOSTIC IMAGING

CLINICAL SUPPORT DIVISION MUSGROVE PARK HOSPITAL

TAUNTON SOMERSET TA1 5AD

PATIENT REFERRAL INFORMATION

Your doctor has referred you for an {EXAM CODE} TO BOOK AN APPOINTMENT, please call the bookings centre 24 hours after your GP appointment to allow us time to process this request, on: 01823 343509. Telephone booking opening times: 8:30 am to 4:30 pm Monday to Friday A trained appointments clerk will arrange a convenient date and time for your examination and may offer you a choice of hospital. For adult patients, please drink 1.5 pints of water one hour before your appointment and do not empty your bladder during this time, so that you attend with a full bladder. This is important to improve the quality of your scan. If you are under 16 years the booking clerk will give you appropriate alternative instructions. Please bring this information sheet with you to the X-ray department as this will enable the receptionist to book you in more efficiently. If we have not heard from you within 3 working days of receipt of your referral, we will either contact you by telephone or by post; however this may delay your examination. If you find you are unable to make the appointment that is given to you, please contact us as soon as possible on the above number to rearrange. What happens when I arrive? - The receptionist will check your personal details with you i.e., name, address, and date of birth. Once you have been booked in, you will be asked to take a seat in the waiting area. You will then be called by a radiographer or health care assistant either directly to the x-ray room or to a cubicle to change into a gown, which will be provided. Pregnancy – Please inform clerical staff and the radiographer if there is any chance you are pregnant, to avoid foetal exposure to radiation. What is an Ultrasound? – This is an imaging test obtained using ultrasound waves to help diagnose certain conditions, performed by either an ultrasonographer or a radiologist doctor. A probe lubricated with gel is passed over your skin. Don’t be a DNA! - A DNA is someone who “did not attend”. While we know that there are sometimes very good reasons why you cannot attend your appointment it is extremely important that you let us know. Patients who DNA will no longer be routinely given another appointment and your request will be returned to your referring doctor. Parking– is available at all sites on a Pay & Display basis. Patient Transport – for advice & bookings contact the Patient Transport Advice Centre on 01278 727444. Other Information: - unfortunately we are unable to supervise children who accompany adults having an examination. We therefore ask that unless it is absolutely necessary, accompanying children should not be brought to the department (unless they themselves are having an ultrasound).

Patient Name (details):

BARCODE

DEPARTMENT OF DIAGNOSTIC IMAGING

CLINICAL SUPPORT DIVISION MUSGROVE PARK HOSPITAL

TAUNTON SOMERSET TA1 5AD

PATIENT REFERRAL INFORMATION

Your doctor has referred you for an {EXAM CODE} TO BOOK AN APPOINTMENT, please call the bookings centre 24 hours after your GP appointment to allow us time to process this request, on: 01823 343509. Telephone booking opening times: 8:30 am to 4:30 pm Monday to Friday A trained appointments clerk will arrange a convenient date and time for your examination and may offer you a choice of hospital. For adult patients, please drink 1.5 pints of water one hour before your appointment and do not empty your bladder during this time, so that you attend with a full bladder. This is important to improve the quality of your scan. If you are under 16 years the booking clerk will give you appropriate alternative instructions. Please bring this information sheet with you to the X-ray department as this will enable the receptionist to book you in more efficiently. If we have not heard from you within 3 working days of receipt of your referral, we will either contact you by telephone or by post; however this may delay your examination. If you find you are unable to make the appointment that is given to you, please contact us as soon as possible on the above number to rearrange. What happens when I arrive? - The receptionist will check your personal details with you i.e., name, address, and date of birth. Once you have been booked in, you will be asked to take a seat in the waiting area. You will then be called by a radiographer or health care assistant either directly to the x-ray room or to a cubicle to change into a gown, which will be provided. Pregnancy – Please inform clerical staff and the radiographer if there is any chance you are pregnant, to avoid foetal exposure to radiation. What is an Ultrasound? – This is an imaging test obtained using ultrasound waves to help diagnose certain conditions, performed by either an ultrasonographer or a radiologist doctor. A probe lubricated with gel is passed over your skin. Don’t be a DNA! - A DNA is someone who “did not attend”. While we know that there are sometimes very good reasons why you cannot attend your appointment it is extremely important that you let us know. Patients who DNA will no longer be routinely given another appointment and your request will be returned to your referring doctor. Parking– is available at all sites on a Pay & Display basis. Patient Transport – for advice & bookings contact the Patient Transport Advice Centre on 01278 727444. Other Information: - unfortunately we are unable to supervise children who accompany adults having an examination. We therefore ask that unless it is absolutely necessary, accompanying children should not be brought to the department (unless they themselves are having an ultrasound).

Patient Name (details):

BARCODE

DEPARTMENT OF DIAGNOSTIC IMAGING

CLINICAL SUPPORT DIVISION MUSGROVE PARK HOSPITAL

TAUNTON SOMERSET TA1 5AD

PATIENT REFERRAL INFORMATION

Your doctor has referred you for an {EXAM CODE} TO BOOK AN APPOINTMENT, please call the bookings centre 24 hours after your GP appointment to allow us time to process this request, on: 01823 343509. Telephone booking opening times: 8:30 am to 4:30 pm Monday to Friday A trained appointments clerk will arrange a convenient date and time for your examination and may offer you a choice of hospital. For adult patients, please drink 1.5 pints of water one hour before your appointment and do not empty your bladder during this time, so that you attend with a full bladder. This is important to improve the quality of your scan. If you are under 16 years the booking clerk will give you appropriate alternative instructions. Please bring this information sheet with you to the X-ray department as this will enable the receptionist to book you in more efficiently. If we have not heard from you within 3 working days of receipt of your referral, we will either contact you by telephone or by post; however this may delay your examination. If you find you are unable to make the appointment that is given to you, please contact us as soon as possible on the above number to rearrange. What happens when I arrive? - The receptionist will check your personal details with you i.e., name, address, and date of birth. Once you have been booked in, you will be asked to take a seat in the waiting area. You will then be called by a radiographer or health care assistant either directly to the x-ray room or to a cubicle to change into a gown, which will be provided. Pregnancy – Please inform clerical staff and the radiographer if there is any chance you are pregnant, to avoid foetal exposure to radiation. What is an Ultrasound? – This is an imaging test obtained using ultrasound waves to help diagnose certain conditions, performed by either an ultrasonographer or a radiologist doctor. A probe lubricated with gel is passed over your skin. Don’t be a DNA! - A DNA is someone who “did not attend”. While we know that there are sometimes very good reasons why you cannot attend your appointment it is extremely important that you let us know. Patients who DNA will no longer be routinely given another appointment and your request will be returned to your referring doctor. Parking– is available at all sites on a Pay & Display basis. Patient Transport – for advice & bookings contact the Patient Transport Advice Centre on 01278 727444. Other Information: - unfortunately we are unable to supervise children who accompany adults having an examination. We therefore ask that unless it is absolutely necessary, accompanying children should not be brought to the department (unless they themselves are having an ultrasound).

Patient Name (details):

BARCODE

The ReferrerThe Referrer

The VetterThe Vetter

Vetting ModuleVetting Module

CriteriaCriteria

ExaminationExaminationPatient Type: GP, IP, OPPatient Type: GP, IP, OP

AgeAge

SexSex

Avoid vetting – XR, most US, some oncology Avoid vetting – XR, most US, some oncology CTCT

The Imaging DepartmentThe Imaging Department

CLERICAL CLERICAL QUESTIONSQUESTIONS

urgency/future urgency/future bookingsbookings

special needsspecial needs

transporttransport

nhs, private pt etcnhs, private pt etc

CLINICAL QUESTIONS

history

pregnancy

allergy

creatinine

MRI safety

CLERICAL CLERICAL QUESTIONSQUESTIONS

urgency/future urgency/future bookingsbookings

special needsspecial needs

transporttransport

nhs, private pt etcnhs, private pt etc

CLINICAL QUESTIONS

history

pregnancy

allergy

creatinine

MRI safety

CLERICAL CLERICAL QUESTIONSQUESTIONS

urgency/future urgency/future bookingsbookings

special needsspecial needs

transporttransport

nhs, private pt etcnhs, private pt etc

CLINICAL QUESTIONS

history

pregnancy

allergy

creatinine

MRI safety

TEST SPECIFIC

INFORMATION

Booking Information: MR2. 60 min. Gd. Booking Information: MR2. 60 min. Gd. Buscopan. Buscopan.

Radiographer Information: L1 Protocol.Radiographer Information: L1 Protocol.

‘‘MRI Liver MRI Liver Cirrhosis’Cirrhosis’

Clinical Information

Clerical Information

Unexpected ProblemUnexpected Problem

Demographic mismatchesDemographic mismatches25% of patients from GP to our RIS25% of patients from GP to our RIS

Solution: Solution: email alertemail alertadditional staff member for additional staff member for

‘housekeeping’‘housekeeping’

CriticismsCriticisms

Style of User Interface – could be Style of User Interface – could be improvedimproved

No ‘My Favourite Items’ functionalityNo ‘My Favourite Items’ functionality

No Vetting triage for No Vetting triage for pregnancy/allergy/creatininepregnancy/allergy/creatinine

Summary – Summary – Indigo4 OrdercommsIndigo4 Ordercomms

Excellent product and companyExcellent product and company