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2023-01-23.md

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2022-01-23

Agenda

  • RVU - what are they?

  • How does billing work in the NHS and how does it compare to Canada?

    • Candaa has some similartiies?
    • NHS moving to snomed
  • PACS Migrations Guidance

    • https://siim.org/news/615974/DICOM-Supplement-223-is-Incorporated-into-the-DICOM-Standard.htm
    • What are the root causes of migration problems?
      • Variety/Range of goals
        • "DataBrokers" - create longitudinal records + make it de-identified
          • Don't know much about DICOM data so run into problems (e.g. SCO tomos dont work with viewer)
        • "Clinical World"
          • Hospital Acquisition - want to normalize patient information
            • Study/Series Descriptions (for hanging protocols)
            • Patient matching
            • Prior/Relevant Prior
        • MGH Migration from one pacs to another (example)
          • DICOM data is dirty - unique identifiers not always unique - what do you do?
            • Not always easy rules
          • Need Process/Tools/etc
      • Expectation Management
        • Start With "Migrate ALL files"
          • some are too hard to migrate?
        • End with "Migration of some files"
        • "data liquidity" ?
      • Mike Toland from University of Maryalnd had a talk at SIIM 2022 on ILM (data retention)
        • Legal department wanted to get rid of as much data as they legally could
        • Clinical people wanted to keep as much as possible
          • 99.9% of studies > 10y won't ever be looked at it, but for that .1% case, it can hugely useful
      • performance/capacity
        • Hardware speced just for clinical workloads
        • Architecture - stores updates in DB only
      • Aviram / DICOMatics *
    • Does cloud fix it all?
      • Some things are easier - storage, speed, scale
    • Summary
      • Scoping is critical!
      • Data cleanup is key!