Winter 2009

H E A L T H    T E C H N O L O G Y
PACS program having positive impact


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The provincial Picture Archiving and Communications Systems enables health care providers across the province to view, manage, distribute and electronically store images and related medical reports on a secure computer system from any location.

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The provincial Picture Archiving and Communications Systems (PACS) enables health care providers across the province to view, manage, distribute and electronically store images and related medical reports on a secure computer system from any location, regardless of where the test was performed. This has replaced the use of film for diagnostic services such as x-rays, ultrasounds, computed tomography (CT) and mammography.

The PACS program has resulted in increased productivity and improved efficiency within our healthcare system with a significant reduction in repeated exams and patient transfers. This program has improved patient care by providing remote sites more timely access to radiologists and specialists, ensuring improved access regardless of geography.

For example, PACS allows diagnostic images administered by a radiology technologist to be viewed and analyzed on a computer screen by a radiologist anywhere. This benefit of enhanced patient care in rural areas of the province was acknowledged by three professional groups (physicians, radiologists, and radiology technologists) in a post-PACS survey as part of a benefits evaluation of the PACS program undertaken by the Centre for Health Information’s Research and Evaluation Department.

“From a radiologist view point, PACS and the Teleradiology network have made a tremendous improvement in patient care and the ability of radiologists to work more efficiently and accurately,” says Dr. Benvon Cramer, Professor and Chair Janeway Child Health Centre Radiology Department. “Previous examinations are now instantly available for comparison and only a minimal number of examinations are lost. Clinicians now ask for opinions on DI exams from across the province and "on" services are provided to areas that do not have on-site radiology coverage. There are several examples where Teleradiology has had significant impact on patient care. Teleradiology is not just for radiologists, but has the potential to benefit all clinicians and patients.”

The provincial PACS program became a vision for the future when the former Central East Health Care Institutions Board implemented the first regional PACS system in 1998. The vision for the future simply stated was A5 - Any Patent, Any Image, Any Report, Any Where and Any Time. This vision was realized in October 2007 when the last regional PACS system was linked to the provincial system. This project was an initiative of the Department of Health and Community Services, in collaboration with the Regional Health Authorities, and Canada Health Infoway.

For more information about PACS or the Newfoundland and Labrador Centre for Health Information, please visit the NLCHI website.

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