The traditional, film-based radiology system presents serious limitations for patient care. These include forcing clinicians to make decisions based on information that is often less than optimal and making transfers of films and prior studies to other facilities more complicated than they need to be. Picture Archiving and Communication Systems (PACS) address these issues by allowing for acquisition, storage, display, and communication (e.g., transportation) of images in a digital format. Although PACS has been shown to improve patient care, many rural health care organizations have found obtaining these systems cost-prohibitive. The Consolidating Imaging Initiative (CI-PACS) in Maine provides an alternative way to offer this technology to rural hospitals. Through CI-PACS, a tertiary care hospital and its health care system have implemented a shared, standards-based, interoperable PACS in two rural hospitals (one belonging to the larger health system and one not). In this article, we discuss how the regional system works, and how it will be sustained. We also highlight the unique challenges associated with implementing a regional system.
Cutler Institute for Health and Social Policy
Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine
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Hartley Retires as Director of the Maine Rural Health Research Center
David Hartley, PhD, the Director of the Maine Rural Health Research Center (MRHRC) and a Research Professor of Public Health has announced that he will be retiring from the University of Southern Maine August 31st, 2014. David came to the University in 1994 and has directed the MRHRC since 2004. Andy Coburn, PhD, Research Professor of Public Health, will take over as the new MRHRC Director. Erika Ziller, PhD continues in her role as Deputy Director. David has had a distinguished career in rural health and rural health research, and has made lasting contributions to the field with his work on rural behavioral health, rural disparities and health, and rural active living.
A celebration will be scheduled in early fall to honor David and his many contributions to the field and the University.