What does a PACS administrator need to know to do the job? What roles are the PACS administrator expected to play? What types of background and education are required or even useful in the implementation of a PACS? This is the first in a series exploring
What does a PACS administrator need to know to do the job? What roles are the PACS administrator expected to play? What types of background and education are required or even useful in the implementation of a PACS? This is the first in a series exploring the field of the PACS administrator.
PACS administrators have had to blaze their path without much guidance. People entering into PACS typically come from either a radiology technologist or a hospital information technology background. Radiology technologists have a great understanding of the workflow of the department and how applications are used, but they can get into trouble with project management and technical issues. Information systems analysts typically have project management training and are competent with infrastructure and systems administration, but they can have difficulty understanding just how the radiologists and staff use the system.
PACS administration requires a skill set that spans the domains of the radiology technologist, the information systems analyst, and the radiology administrator. Healthcare organizations implementing PACS have a difficult time defining what a PACS administrator should do and an even harder time finding someone qualified to do those tasks. No formal education structure is in place for PACS administration, and no clear standards on what a PACS administrator needs to know exist.
Today, all knowledge about PACS is experiential and can be highly vendor- and site-dependent. The adage about "not knowing what you don't know" being the biggest risk is very true in PACS administration.
PACS at its core is an information system, and staffing should reflect that. The Gartner group provided a framework in a report a couple of years ago on the best practices and structure of highly successful IT organizations. The Gartner model broke competencies into three areas -- behavioral, business, and technical:
This model implies that a site would need three people to successfully implement their PACS, and this is simply not realistic in smaller community sites. But sites can have other people within the department help fulfill those roles part-time. A department director could help with the business aspects, an analyst from information systems could handle some of the technical components, and a head technologist might be able to help out with the user or behavioral tasks.
In future reports, I will go over in detail each of the competencies and roles of PACS administration.
Dr. Nagy operates Club PACS, a Web-based source of PACS information. He can be reached by e-mail at PNagy@mcw.edu.
For more on PACS administration: