The Society for Imaging Informatics in Medicine Imaging Informatics Professional Education Advisory Network Learning Objectives

Transcription

1 The Sciety fr Imaging Infrmatics in Medicine Imaging Infrmatics Prfessinal Educatin Advisry Netwrk Learning Objectives Frm the SIIM Educatin Advisry Netwrk f the SIIM Educatin Cmmittee: Gerge H. Bwers, MBA, Chair Lenard S. Avecilla, MS David E. Brwn, BSCS, CNMT, CIIP Nicle M. Hardin, MS, RT(R)(M) David A. Kff, MD David A. Lahman, MA, RT(R) Herman J. Osterwijk, MS, MBA Ann L. Scherzinger, PhD Alan L. Schweitzer, MEE Mark A. Struthers, BSRT, CIIP MaryAnn Tatesian, RT(R), CIIP January 2008

2 The SIIM Imaging Infrmatics Prfessinal (IIP) Educatin Advisry Netwrk Learning Objectives A cmpetent imaging infrmatics prfessinal shuld be able t: I. Prcurement A. Determine rganizatin readiness fr the electrnic envirnment. Synthesize the financial aspects f purchasing a PACS. Identify key stakehlders within and utside the rganizatin and their expectatins. Discuss the bjectives and elements f a frmal PACS Strategic Plan dcument. Identify the functinal requirements assciated with PACS fr factrs affecting the rganizatins business practices. Appraise the relevance f existing equipment and systems inventry in purchasing a PACS. Differentiate amng the cmmn needs analysis strategies. Understand the need fr life cycle analysis. Identify the members needed fr a PACS Steering Cmmittee. List key elements that must be cnsidered (planned fr) in site preparatin that are nt included in the vendr s PACS purchase price. Learn hw t develp a PACS Migratin Strategy. Identify the impact f PACS implementatin n current and future wrkflw. B. Establish and implement a prcess fr vendr selectin. Discuss the bjectives and elements f a frmal RFP dcument. Cmpare and cntrast vendr respnse analysis tls. Interpret, evaluate, and cmpare vendr prpsals. Develp infrmatin cllectin tls designed t assist with PACS selectin, including site visits, reference checks, etc. Relate the difference between a Request fr Prpsal (RFP), a Request fr Slutins, and a Request fr Infrmatin. Discuss the cmmn standards cmpliance issues. The SIIM IIP Educatin Advisry Netwrk 1

3 C. Negtiate cntracts with vendrs. List the standard cmpnents f a cntract, such as pricing, implementatin supprt, training, service, functinality, acceptance criteria, financing ptins (ASP, capital, leasing), penalties, etc. Describe negtiatin strategies as they relate t the cntract cmpnents. Recgnize the need t cmply with federal regulatins. Understand hw t research federal standards fr prtected healthcare infrmatin. Describe different data migratin strategies and highlight pssible pitfalls. II. Prject Management A. Identify the gals, scpe, risks, and key members f prject team. Use prject clarificatin techniques such as scatter diagrams and fish diagrams. Define the rles f the Prject Manager, Prject Spnsr, and ther key individuals n a prject. Create a Prject Charter. Identify and manage the mst cmmn prject risks. B. Evaluate the feasibility f a prject. Perfrm wrkflw analysis t gauge time and resurce allcatin fr new and existing systems. Describe hw t use qualitative assessment methds (i.e., fcus grups) and quantitative analysis (i.e., cmparisn studies) t zer in n system issues. Assess current perating csts f the existing system. Assess ttal investment f a new system t include all pertinent factrs such as hardware, sftware, training, etc. Evaluate different return n investment (ROI) mdels. Determine the ROI by assessing reductin in perating cst that ffsets investment in new system. Identify significant barriers and bstacles that may halt prject implementatin such as funding limitatins, plitical cnsideratins, management cncerns, and rganizatinal resistance t change. The SIIM IIP Educatin Advisry Netwrk 2

4 C. Utilize the cmmn prject management tls. Build a Prject Wrk Plan, including schedules, resurce allcatins, and budgets. Create activity netwrks (i.e., PERT, Gantt, and CPM) and ther tls fr cmmunicating prject scpe and activities. Create criteria fr mnitring and reprting prgress, including milestne charts, prject activity, and cst reprts. Use cmmn financial calculatin tls fr prject measurement. Explain hw a prject is dcumented. Manage external PACS/RIS vendrs and cnsultants effectively. Determine and anticipate changes that ccur during prject executin. III. Operatins A. Design and implement quality imprvement (QI) prcedures. Explain the philsphical basis f QI (i.e., ppular methds and backgrund). Identify and use tls fr prblem identificatin and analysis. Determine target areas fr imprvement based upn analysis. Evaluate issues thrugh gap analysis mdel. Recmmend a prpsed curse f actin. Create prcess mapping f redesigned QI prcedures. Dcument, frmalize, administer, execute, evaluate, and mnitr QI prcedures and establish QI accuntability. Establish cmpetency-based applicatins training fr all end user grups. Develp prtcls fr granting user privileges and user training. B. Develp and implement plicies and prcedures. Reference and verify existing plicies and prcedures. Evaluate existing prcesses. Identify wrkflw pints f failure. Recmmend prcess imprvements. Cnstruct plicies and prcedures. Administer plicies and prcedures. Develp and implement cntingency plans. Cmmunicate plicies and prcedures within and utside f the imaging department. The SIIM IIP Educatin Advisry Netwrk 3

5 Develp, implement, mnitr, and regulate plicies and prcedures, and establish accuntability. C. Ensure cmpliance with Federal regulatins. Define criterin fr cmpliance with federal regulatins such as FDA, JCAHO, HIPAA and MQSA. Assemble tls fr cmpliance prcesses. Design cmpliance prcedures and prcesses. Present cmpliance prcedures. Regulate cmpliance. IV. Cmmunicatins A. Recgnize rles and relatinships in healthcare settings. Cmprehend rganizatinal thery and hw it applies t typical hspital rganizatinal structures, including affiliates, management, departments and staff, and their individual rles. Cmprehend rles and relatinships in the patient care prcess, especially the rle and functin f medical specialties. Analyze PACS service metrics with respect t basic custmer service tenets. Integrate cmmunicatin strategies int service prcedures. Appraise the rle f Infrmatin Technlgy (IT) in relatin t the rganizatinal structure. Determine the needs fr a PACS/RIS team. B. Cmmunicate with healthcare prfessinals using apprpriate medical terminlgy. Explain apprpriate medical terminlgy (i.e., anatmy, physilgy, and pathlgy) as it relates t medical images. Use apprpriate psitining terminlgy as it relates t imaging in medical infrmatics. Relate the terminlgy t its use in the standards, such as DICOM and IHE, and the impact n display parameters, such as determining the hanging prtcls. Recgnize the rles and uses f ICD and CPT cding in relatin t PACS wrkflw and billing. Recgnize prcedure names and clinical findings assciated with specific mdalities. The SIIM IIP Educatin Advisry Netwrk 4

6 C. Alert clinical staff abut issues regarding system availability r changes. Define the audience affected by dwntimes, upgrades, and changes in wrkflw. Define the prcesses fr suitable cmmunicatin strategies t reach medical, allied health, and technical prfessinals. Create dcumentatin describing the cmmunicatin f dwntime prcedures. D. Prvide decisin-makers (business units, CIO, etc.) with infrmatin abut system changes. Prvide an assessment f change enhancement that is cnsistent with rganizatinal bjective. Prvide an evidence-based assessment f PACS ROI fr strategic planning. E. Develp user feedback mechanisms. Evaluate existing assessment and feedback tls and techniques, bth peratinal and technical. Develp respnse strategies. V. Training and Educatin A. Perfrm a needs assessment t determine training needs. Distinguish the different learning typlgies t apply in a healthcare envirnment. Create needs assessment based n cmpsitin f staff and wrkflw. Determine the staff needed t supprt and apprve f training plans. Create utcmes r evidence-based bjectives. B. Evaluate and select training prgrams accrding t user needs. Incrprate the characteristics f adult learners and adult training methds int teaching strategies. Develp r select-frm-available instructinal resurces that are cnsistent with the instructinal needs assessment results. The SIIM IIP Educatin Advisry Netwrk 5

7 C. Implement training r educatinal prgrams. Define a delivery prcess fr thse resurces that accmmdate the rganizatin s staffing, schedules, special needs, and available resurces. Analyze and suggest wrkflw mdificatins that are required during training. D. Evaluate effectiveness f training. Develp methds fr learner and training prgram perfrmance assessment and reprting. Create prcesses fr fllw-up training if needed. Create prcesses fr peridic re-training f staff. VI. Image Management A. Manage the design f the envirnment fr viewing and interpreting images. Apply the recmmendatins f the Human Factrs and Ergnmics Sciety t wrkstatins. Identify key cnsideratins fr designing the sft cpy reading envirnment. Assess the rm layut design, incrprating bth physical and wrkflw cnsideratins. List the ergnmic cnsideratins necessary fr an ptimal reading envirnment. Develp plicies and prcedures surrunding imaging infrmatin access requests. B. Evaluate the human-cmputer interface. Evaluate, implement, supprt, and manage the applicatins and/r interfaces necessary fr interpretatins. Evaluate the requirements fr seamless interfacing f EMR/RIS/PACS/ther health infrmatics systems, and identify what IHE prfiles must be available. Develp the prcesses and plicies fr mnitr calibratin and recycling f imaging devices. Develp the cmmunicatins prtcls fr exceptins reslutin. Establish the relatinship between DICOM and media exchange. Use the sftware t demnstrate hw the PACS system viewer perates. The SIIM IIP Educatin Advisry Netwrk 6

8 Explain hw t use the web brwser. Explre the functins available with the sftware. Understand the functin and standard implementatin f Key Images and Anntatins. Explain what functins PACS administratrs might use. Describe the functins that the technlgists and radilgists wuld use. C. Determine ptimal image flw and implement prcesses that ensure data integrity. Recgnize and develp prtcls and prcedures fr data and wrkflw integrity. Classify and dcument all actins directly related t manual interventins with data integrity. Analyze data t identify trends in prblem slving issues surrunding equipment, training, and wrkflw pints f failure. Classify and dcument all actins related t wrkflw integrity. Develp prtcls and prcedures fr activating supprt f imaging infrmatin systems. Identify technlgical challenges with image viewing and large data sets in relatin t image accessibility acrss the enterprise. Develp wrkflw cntingencies fr single pints f failure and systems failures. Explre the purpse f teaching files. Identify image strage, acquisitin prtcls, and standards implementatin (DICOM) fr teaching files and clinical trials. Determine cmpressin requirements apprpriate fr specific mdality images sets. Determine cmpressin requirements fr apprpriate image display fr radilgists, technlgists, and referring physicians. Evaluate IHE in relatin t image integrity and teaching files. Explain the relatinship between sftcpy/hardcpy imaging pipeline and a PACS envirnment. Evaluate the issues assciated with image cmpressin and PACS. D. Imprt and exprt utside studies int a PACS. Implement and priritize imaging infrmatin management plicies and prcedures fr clinical, research, nighthawk, and teleradilgy services. Facilitate and dcument wrkflw prcesses, plicies, and prcedures assciated with image integratin. The SIIM IIP Educatin Advisry Netwrk 7

9 Determine viewing privileges and strage rules fr imprting studies int the PACS. Establish wrkflw prcesses and prtcls fr exprting studies frm the PACS. Understand the plicy and implementatin, as described by the IHE, specifically PDI and IR. Understand the standards f file exchange. Recgnize the recrding and digitizing technlgy used fr image integratin. VII. Infrmatin Technlgy A. Assess strage and archive needs and determine apprpriate architecture. Examine strage and archive needs assciated with medical imaging. Review current archive architectures and slutins, such as DAS, SAN, NAS and grid strage. Understand strage prtcls, such as file based, blck based, and meta file header. Distinguish amng the different archive media (tape, MOD, spinning disk) and identify when and hw they are used. Establish strage management and retentin plicies. Calculate perfrmance and capacity needs. B. Design and specify netwrk architecture. Examine netwrking needs generated by imaging. Review netwrk architecture and slutins. Include LAN, WLAN, MAN, and WAN. Understand fault tlerance and lad balancing implementatin. Understand netwrk and transmissin prtcls with crrespnding perfrmance parameters. Cmprehend the OSI reference mdel. Distinguish netwrk hardware and sftware cmpnents. Understand basic netwrking cnfiguratin parameters. Distinguish interpretatin netwrk metrics such as bps, service level, cllisins, etc. C. Implement and maintain apprpriate server hardware and sftware. Examine hardware and sftware requirements fr imaging servers. Differentiate amng different server architectures. The SIIM IIP Educatin Advisry Netwrk 8

10 D. Retrieve infrmatin frm databases fr peratins, quality assurance, and planning purpses. Differentiate amng the different database designs and understand the implementatin basics. Execute simple database queries. Understand basic database management and perfrmance measurement tls. E. Identify and implement IT standards. Identify IT cmmunicatins standards. Identify IT netwrk management standards. Demnstrate knwledge f IT security aspects. F. Develp apprpriate replacement schedules. Define the lifecycle f each sftware and hardware cmpnent, including Mre s Law. Explain technlgy bslescence and bslescence planning. Describe the prcess f data migratin. G. PACS architecture. Identify key cmpnents f PACS architecture, including servers, diagnstic wrkstatins, and sftware applicatin architectures. Explain hw cmpnents are cnnected, including any relevant interfaces and appraches t integrated HIS/RIS/PACS/VR. Differentiate amng cmmn PACS architectures, such as web-based viewing, integrated webservers, multiple tier archives, the rle f specialty wrkstatins, and mdalities. Distinguish PACS architecture frm ther IT architectures (i.e., similarities and differences). VIII. Systems Management A. Determine the requirements fr ptimal, cst-effective system capacity and thrughput. Develp a mdel fr calculating archive capacity requirements. Describe varius methds that vendrs use fr licensing sftware. Use tls t mnitr system perfrmance. The SIIM IIP Educatin Advisry Netwrk 9

11 Describe the metrics used t measure system perfrmance, such as nline respnse time. Evaluate alternative strategies fr enterprise-wide perfrmance imprvement and cst-effectiveness. Evaluate impact f new technlgies n PACS infrastructure. B. Plan disaster recvery (DR) and business cntinuity (BC) strategies. Differentiate between BC planning and DR planning. Create plicies and prcedures fr DR. Describe the HIPAA requirements fr systems management with respect t DR. Test DR and BC plans. Evaluate DR and BC plans and mdificatins peridically, as required. C. Use prblem management and system availability tls and strategies. Create plicies and prcedures fr systems perfrmance mnitring and trubleshting. Define prblem escalatin prtcls. Analyze prblems and slutins fr perfrmance imprvement. Identify and use apprpriate mnitring and trubleshting tls. Create shrt-term dwntime strategies. D. Plan and evaluate data migratin prcedures. Develp and execute a data migratin prcedure fr current, as well as future, migratins. Identify issues with data migratin strategies and describe the implicatins: Accuracy Data integrity Efficiency Wrk prduct (KON, anntatins, PS) migratin Determine csts f data migratin strategies. Develp a cutver strategy that minimizes impact n the users. E. Maintain data security and individual privacy. Create, mnitr, and enfrce data security and privacy plices. Describe the HIPAA requirements fr systems management with respect t privacy. The SIIM IIP Educatin Advisry Netwrk 10

12 Describe strategies fr prviding data security. Identify tls and techniques fr prviding data security. IX. Clinical Engineering A. Assess imaging mdality capabilities. Describe and differentiate amng all imaging mdalities: Basic perating principles Typical clinical applicatins Image frmats and appearances Data vlumes and file sizes Interpretive cnsideratins Typical exam prtcls B. Supervise mdality integratin. Manage and crdinate integratin activities. Cmprehend applicable technical dcumentatin, such as netwrk diagrams, cnfrmance statements, and integratin prfiles. Use the technical skills needed fr integratin such as: Netwrking Apprpriate DICOM Transfer Syntaxes Standards Tls C. Establish a prgram fr image display quality cntrl. Explain what is meant by cmpliance with the Grayscale Standard Display Functin (GSDF). Discuss the impact f GSDF n display and hard cpy cnsistency. Describe the use f recmmended tls, prcedures, and test patterns fr image display cnsistency. List and describe all influences in the imaging chain that shuld be evaluated and mnitred fr ptimal image display. D. Recgnize hazards specific t the healthcare envirnment. Recgnize the ccupatinal safety hazards assciated with each mdality, such as infectin and bihazards. Recgnize the patient safety hazards assciated with each mdality, such as electrical safety, inizing radiatin, and magnetic fields. The SIIM IIP Educatin Advisry Netwrk 11

13 X. Medical Infrmatics A. Identify and implement medical imaging standards. Understand the cmmunicatin prtcls and data frmats f imaging infrmatics standards, such as DICOM and HL7. Understand the image quality standards, recmmendatins, and regulatins. Understand cding and nmenclature standards which impact image interpretatin and wrkflw. B. Apply apprpriate IHE guidelines. Specify and interpret applicable IHE integratin prfiles. Interpret an IHE integratin statement and cnnectathn results. C. Integrate image architecture int rganizatin's lng-range plan. Understand hw multiple imaging disciplines can use a cmmn enterprise archive. Appreciate the challenges f using multiple patient identifiers (MPI) and hw MPI can help. Understand infrmatin sharing cncepts and the requirements assciated with reginal and natinal healthcare delivery systems. Appreciate the unique wrkflws and requirements assciated with all imaging specialties. The SIIM IIP Educatin Advisry Netwrk 12