1. Having PACS with no administrator is like having a fileroom with no file
clerk, no environmental services, no maintenance, no security, and no other
staff who can tell you little more than where it is.
2. There are many large scale surveys that indicate the reporting role is
split pretty evenly. It seems to be tied pretty tightly to how your 3rd
question is answered by any given facility.
3. Having both backgrounds is ideal, particularly if you have only one
person. I had years of IT experience, though not much of it applicable to
PACS. DICOM, HL7, IHE, etc, are all specifically healthcare IT. You are
unlikely to find a general computer science curriculum that covers these. It
is also unlikely to find these in a clinical program, even radiology. I also
have several years experience as an RT and never had any exposure to that,
in spite of doing my clinical at a PACS hospital. That being said, I went to
school several years ago and now, in my PACS Admin role, I work with
students that are at least being given the opportunity the get a glimpse of
this career path. I feel I would have been much better prepared, had there
been some formal, mandatory rotation with the PACS staff, much like CT, MR,
and the rest of the modalities I circulated through.
4. Pure and simple administration of PACS alone requires at least one
full-time position. If they do more, like RIS analysis, you have to have
more help somewhere.
5. I find it constantly challenging (for me, a good thing) to discover how
many things are involved with the IT needs of the Medical Imaging part of
patient care. If there were one thing I could offer above anything else to
consider, it is that in my life before becoming a healthcare worker, I was
many times a patient, even during my IT life. Perhaps through my own
shortcomings, or maybe just like many people out there, I never considered
why or how, my treatment was affected by IT. As a HCW, I was aware of the
benefits available from IT/PACS but still never really pulled it all
together. Now, as a PACS Admin/RIS Analyst, I find myself frequently saying
to people with only IT training, "We need it this way for patient care. This
is a digital replacement for a formerly analog process." and to people with
only clinical training, "Don't romanticize how 'simple' it was with films,
folders, chemicals, stickers, view boxes, etc".

Michael V. Spencer RT(R)
R.I.S. Administrator
Franklin Community Health Network
Franklin Memorial Hospital
111 Franklin Health Commons
Farmington, ME 04938
207-779-2637
[EMAIL PROTECTED]


-----Original Message-----
From: Czarnecki, Frances [mailto:[EMAIL PROTECTED]
Sent: Thursday, May 10, 2007 9:21 AM
To: '[email protected]'
Subject: [MEDITECH-L] Looking for info on PACS Administrator position


To Facilities with PACS :

        We are looking for feedback from other Meditech hospitals who have
PACS.
1. Do you have a PACS administrator? 
2. Does the position report to Medical Imaging or IT? 
3. Do you feel it is more important to have a clinical background with some
IT knowledge or a strong IT background with some clinical knowledge?
4. Is the position full time or part time?
5. Any other information, do-s or don'ts you would like to share would be
appreciated.

        Thanking all who reply in advance.

Frances Czarnecki
Information Technology Applications Manager
North Adams Regional Hospital
71 Hospital Avenue
North Adams, Ma. 01247
413/664-5151
[EMAIL PROTECTED]
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