title: Planning and implementing image delivery to outpatient specialty clinical practices in a large medical center.
abstract: Softcopy image viewing using web-based technologies has been deployed to 3 specialty outpatient practices - Lung Center, Neurosurgery, Orthopedic Surgery - where films remain available. Physicians and staff use Philips Easyweb (a web-based image browser) and BJC HealthCare ClinDesk (a Java-based electronic patient record) clients in patient examination rooms and physician workrooms to retrieve images from a Mitra image server. Practice-specific planning and training preceded deployment; on-site training and support came with deployment; on-site and telephone support are available as needed. Softcopy viewing generally is accepted although a few physicians continue to use films. The unavailability of studies performed before the introduction of the image server remains an issue until the server builds a suitable archive. Softcopy-based clinical-image viewing can be supported with web-based technologies, but effective practice-specific planning, training, and technical support are crucial to successful deployment to those accepting softcopy image viewing.
authors.affiliation: Electronic Radiology Laboratory, Mallinckrodt Institute of Radiology, Washington University School of Medicine, Saint Louis, MO, USA.
authors.forename: Kenneth W
authors.initials: KW
authors.lastname: Clark
authors.forename: Sonia
authors.initials: S
authors.lastname: Francis
authors.forename: G James
authors.initials: GJ
authors.lastname: Blaine
authors.forename: Kevin
authors.initials: K
authors.lastname: Fritz
authors.forename: Sarbjit
authors.initials: S
authors.lastname: Sadhra
authors.forename: Hartwig
authors.initials: H
authors.lastname: Blume
mesh_terms: D003626:Data Display; D006801:Humans; D009493:Neurosurgery; D009985:Orthopedics; D010044:Outpatient Clinics, Hospital; D015272:Pulmonary Medicine; D011873:Radiology Information Systems; D013043:Specialties, Surgical