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Needs Assessment Using a Structured Prioritization Schema: An Open Letter to PACS Vendors
Molly E Roseland1, Ella A Kazerooni2, Janet E Bailey1
1Department of Radiology, Michigan Medicine, Ann Arbor, Michigan.
Journal of the American College of Radiology : JACR
|September 17, 2018
Summary
Radiologists prioritized a stable, interoperable Picture Archiving and Communication System (PACS) that minimizes repetitive tasks. The focus is on a reliable system over less critical features for academic medical centers.
Area of Science:
- Medical Imaging Informatics
- Health IT Systems
Background:
- Academic medical centers require robust Picture Archiving and Communication Systems (PACS) to support clinical, research, and educational missions.
- Prioritizing PACS replacement elements is crucial for optimizing workflow and user satisfaction.
Purpose of the Study:
- To identify and prioritize essential elements for a replacement PACS within a quaternary academic environment.
- To guide PACS vendors in developing systems that meet the core needs of academic radiology departments.
Main Methods:
- A quality improvement project involving three workgroups (radiologists, IT specialists, leaders) representing clinical, research, and education missions.
- Prioritization of 18 key elements through surveys distributed to all department faculty, residents, and fellows using a 5-point Likert scale.
Main Results:
- The highest-priority elements were a stable system with predictable behavior, minimization of repetitive non-value-added work, interoperability, and near-instantaneous load times.
- Clinical-specific priorities for these elements were even higher.
- Lower priorities included mobile device compatibility, connectivity to nonaffiliated sites, and integrated instant messaging.
Conclusions:
- Academic radiology departments prioritize a stable, interoperable PACS that enhances efficiency by minimizing non-value-added work.
- PACS vendors should focus on core system reliability and performance rather than peripheral features.
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