Systems Spec Radiology Info - Radiology Admin Support
- Boston, MA, USA
- Work Address: 800 Washington St, Boston, MA 02111
- Shift: Rotating
- Job Category (for posting purposes): Imaging Services
- Employment Type: Full Time
It takes a lot of very smart, hard-working and talented people to provide the level of care that we give to our patients. Tufts Medical Center is an internationally respected academic medical center and we pride ourselves not only on the sophistication of the care we deliver, but the compassionate way in which we provide it. And that starts with our employees.
The System Specialist, Radiology Information, reports to the Manager, Radiology Services and is responsible for technical and applications support of the TMC GE Centricity RIS/PACS System. Technical support of the PACS System includes but is not limited to maintaining the DICOM connectivity of all current Radiological modalities, working with the department of Radiology Physicist to assure the diagnostic quality of workstation monitors, working with department supervisors to insure the integrity of the database of exams and images, supporting on going training activities for Radiologists, Fellows, Residents and Technologists. In addition, the position requires the ability to support the administration of PACS database, including, operational and network management of PACS core and ancillary components, across all PACS-enabled locations, to include servers, applicable network devices, workstations (interpretive and viewing), PCs, laser, printers and modality interfaces. The Assistant PACS Admin works in tandem with key resources in Information Systems to provide both hardware/software supports for all department of Radiology applications to ensure mission critical clinical activities are successfully being accomplished. The Assistant PACS Administrator supports the PACS Administrator providing proactive technical administration, coordination of technical resources and documentation of policies and procedures and overall management of the PACS.
PRINCIPAL DUTIES AND ESSENTIAL FUNCTIONS:
- Daily PACS (core and ancillary systems) oversight and monitoring
- Monitoring of scheduled system jobs
- Monitoring of scheduled system back-ups and archival tasks
- Monitoring of storage level “high water marks”, assuring that storage levels of all Redundant Array of Independent Disks (RAID) and other storage media are controlled appropriately
- Monitoring and resolution of events discovered through system log review
- Vendor notification of any problems and working collaboratively through internal and external sources for timely resolution
- System Management of:
- Daily operations, including data integrity across integrated/interfaced systems (HIS, RIS, scheduling, transcription, voice recognition, etc)
- Monitoring of unmatched studies (e.g. HIS/RIS exam validation)
- Exam correlation on the PACS, for example when:
- Images are placed in the wrong study
- A study is associated with the wrong patient
- A patient/exam merge is required
- Patient information is incorrect and subsequent edits are required or for creating new patients, or exams
- Images have not been received by PACS and need to be resent from the modality
- Restoring data from backup
- End-user administration
- Administration of PACS end-users to include adding, editing or deleting users and user profiles, including user placement into clinically and operationally appropriate user groups, and granting of appropriate system permissions and privileges [Note: In addition to the PACS, end user administration may also need to occur on enterprise information systems for network access, network logon, etc.]
- Local and Wide Area Network (LAN/WAN) devices
- “First call” network trouble-shooting, including network connection (drop availability), data transfer performance between system devices and modalities, etc.
- Coordination and collaboration with IS for:
- Detailed network investigation and resolution
- Name resolution, including IP address management, DHCP Server WINS and/or DNS server management
- Cabling maintenance, certification and port level access
- Network hardware/software access and configuration for switches, routers, firewalls, and WAN connections
- Appropriate PC access for clinicians (that meet minimum hardware/software requirements)
- Domain Management, including Primary and Backup Domain Controllers (PDC/BDC)
- Business Issues
- Continuously promote the sound, logical expansion and adoption of the PACS through an enterprise-wide driven PACS strategy
- Assure the proper network, modality, staffing, and physical/environmental infrastructures are in place (or planned for future implementation) to support the optimal utilization of the PACS
- Develop and nurture relationships with enterprise PACS stakeholders, as well as with vendors to provide optimal system support and maintenance
- Work with Radiology Administration to appropriate plan and prioritize the PACS budget, and rollout of technology/physical infrastructure(s)
- Work with Radiology Administration and Marketing to leverage the PACS investment across the existing organization, referral base, as well as to exploit potential new business initiatives outside of the organization
- Work with Radiology Administration and departmental Super-Users (and other stakeholders as required) to periodically analyze and modify workflow to support optimal PACS utilization
- Work to establish and oversee a “PACS User Group”, to allow for the communication of issues, recommendations and general end user feedback thereby effecting an operational control system to promote continuous system improvement – all end-user driven
Quality Control (QC):
- Participation in vendor QC training
- Development of policies and procedures ensuring PACS QC consistent with QC procedures throughout the organization
- Implementation and oversight of periodic workstation QC consistent with manufacturer recommendations
- Development of reporting documentation for QC, performance indicators and system utilization to be supplied to Radiology Management, IS, Administration, and others as required
- System Monitoring and Configuration
- Review of system monitoring and reporting tools on a recommended periodic basis to promote consistent system operations and performance
- Investigation and collaboration with vendor and local stakeholders (end-users, IS) to resolve major system (e.g. HIS, RIS, transcription, scheduling, voice recognition, modalities, etc.) data communication problems
- Coordination with multi-vendor personnel to support major system database conversions across the PACS lifecycle
- Timely coordination of installations/deinstallations/moves with multi-vendor personnel when adding/removing/moving devices (workstations, PCs, servers, archives, modalities, laser printers, DICOM devices), which may also include vendor coordination of appropriate hardware dongles or software licenses
- Installation, configuration and setup workstation of PCs for clinical or web viewing
- Communication, planning and coordination of hardware/software upgrades with the vendor
- Communication, planning and coordination of major system (e.g. HIS, RIS, transcription, scheduling, voice recognition, modalities, etc) upgrades or changes proactively with the vendor so as to not negatively impact PACS clinical operations
- Jointly develop, manage and implement (e.g. personnel, location, equipment, materials) end user training with the vendor
- Train Super-Users to allow lifecycle training after vendor training has ceased
- Develop policies and procedures for providing training to new users, as well as for refresher training for all users (as needed)
- Participate in PACS Administrator and QC training provided by vendor
- Help Desk Support
- Development of policies and procedures to augment or initiate Help Desk operations to support PACS
- Coordination and collaboration with Help Desk personnel to provide the following services:
- Troubleshooting system operation with end users who may be experiencing difficulties finding exams, sending exams, viewing exams, or may be reporting data integrity issues requiring resolution and invasive system actions, etc.
- Issue resolution to include logging of end user calls and follow-up with the appropriate stakeholders (vendor or internal) until the trouble-ticket has been closed
- Application support for end users who require general guidance on system operation, clarification on use of the workstation/viewer GUI, using image manipulation tools, etc.
- Hardware/software support for end-users that may be experiencing difficulties accessing the application or system features due to hardware or software failures. Help desk personnel shall provide issue oversight until the trouble-ticket has been closed or delegated to an organizational stakeholder.
- Collaboratively develop and implement PACS security policies and procedures consistent with organizational security policy and procedures, as well as with PACS requirements, to support secure PACS operations
- Work with IS to continually assess hardware and software means of securing access to the PACS without negatively impacting clinical requirements or the security of other organizational information system
- Initiate end user authentication procedures to provide secure system access for local and remote access
- Develop and implement auditing procedures to ensure that patient confidential data is not being inappropriately access, misused or manipulated
- Lifecycle Support
JOB KNOWLEDGE AND SKILLS:
- Solid business aptitude, to sustain change management, overall project management and development of strategic plans and sound business recommendations/decisions in the PACS rollout
- Extensive interpersonal skills for problem resolution, action delegation, vendor interactions and management, stakeholder support and action, consensus building and overall system “cheerleading” across the organization
- High level understanding of radiology workflow, modalities, clinical practice and interdepartmental relationships
- High level, technical understanding of networking, hospital information systems, data communication and database administration
- Bachelor of Science in Computer Science or equivalent required.
- Minimum 5-7 years I.S. experience, including at least 2-3 years in a hospital environment with clinical system applications. Radiology Department experience preferred.
- Working level, technical experience in database and operating systems administration
- Working level, technical experience in network administration
- Working level, clinical experience in the delivery of radiology services
- Working level experience in systems planning, implementation, and sustainment from an IT project management perspective
- Management experience directing activities of a multi-disciplinary team
- Management experience of a multi-million dollar, enterprise wide information system
- An equivalent combination of education and experience, which provides proficiency in the areas of responsibility listed above, may be substituted for the above education and experience requirements.
WORKING CONDITIONS/PHYSICAL DEMANDS:
- Works in a normal office environment with little exposure to unpleasant or hazardous conditions.
- Regular interaction with medical students, residents, visiting fellows, and staff physicians.
- Regular interaction with staff of the department of Radiology.
- Contact with personnel at a variety of levels both within and outside of NEMC.
- Contact with patient and their families.
All your information will be kept confidential according to EEO guidelines.
AMERICANS WITH DISABILITIES STATEMENT:
Must be able to perform all essential functions of this position with reasonable accommodation if disabled.
The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed, as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Tufts Medical Center reserves the right to modify position duties at any time, to reflect process improvements and business necessity.
Please note that effective October 1, 2021, as a condition of employment at Tufts Medical Center, all employees and new hires must have received their complete dose of the COVID-19 vaccine, unless they have been granted an exemption.