Healthcare Projects & Programmes Glossary of terminology in relation to IT solutions for RIS PACS and Cardiac PACS

A Acceptance Testing Formal testing of a system which uses a defined script and is signed by the Supplier of the system and the receiving organisation / end-users.
B Baseline Report A report outline which is used in Projects to capture the starting point of the organisation / departments being affected by the Project.Information on current workflows, staffing and systems is captured. This is then used as a reference point for planning and communicating any changes which will be as a result of the Project.
B Benefits Realisation The achievement of benefits which have been planned or envisaged as a result of certain activities, e.g. it may be envisaged that automating a process will save time and create staff efficiencies.Measurement of the data and timings before the automation will be required in order to enable the measurement and assessment of whether the benefit has been realised after the process has been automated.
B BP Monitoring Blood pressure monitoring.
B Business Continuity Plan The Business Continuity Plan will detail the procedures, tasks and responsibilities to be undertaken in the event of a system failure or disaster preventing the use of the new solutions / systems. These procedures shall ensure Business Continuity for the Operational Organisation.Events expected fall into two categories:

  • Planned system downtime for maintenance work;
  • Corruption of database or lost records; and
  • Disaster, preventing the use of the primary system.
B Business Plan A document which specifies:

  • Where the organisation / department is now;
  • Where it wants to be: goals and objectives; and
  • How it plans to get there.
C Cath Lab A catheterisation laboratory or cath lab is an examination room in a hospital or clinic with diagnostic imaging equipment used to support the catheterisation procedure. A catheter is inserted into a large artery, and various wires and devices can be inserted through the body via the catheter which is inside the artery.1
C Contract Change Notice A formal document which updates the original content or terms and conditions of a contract.It is signed by all parties to the original contract.
C CT X-ray computed tomography (CT) is a medical imaging method employing tomography created by computer processing.Digital geometry processing is used to generate a three-dimensional image of the inside of an object from a large series of two-dimensional X-ray images taken around a single axis of rotation. 2
C Cutover plan The plan which documents the transition from the old to the new IT systems and the impact on operational procedures during the last days / hours prior to go-live.
D Data Migration Transferrring or copying data from one IT system to another.
D Disaster Recovery Plan In the event of a major disaster such as fire, flood etc. there should be a plan for how to get the IT systems back up and running, who does it, how long it will take and what the organisation does in terms of Business Continuity during this time.The document which captures this information is called the Disaster Recovery Plan.
D DSCNs Data Set Change Notices (DSCN) are the mechanism for introducing an information requirement or information standard to which the NHS, those with whom it commissions services and its IT system suppliers, must confirm. 3
E End-user Testing Users test the operational workflow of their job / role using and IT system.Multiple scenarios are tested to mimic the day-to-day operational procedures.
E EPR Electronic Patient Record
F Fixed Asset Register A listing of all capital assets or equipment.This will typically include detailed information on the equipment, e.g. date of purchase / installation, make, model, serial number, technical specification for IT equipment.
G Go / no-go review Prior to switching on new IT systems for live operational service, a review meeting should be held which reviews the readiness of the Project to handover to live service and the readiness of the Organisation to receive the new systems.
H Health Informatics Management of information which improves patient medical care.4
H HIS Health Information System.
I Interventional Radiology Interventional Radiology is the performance of (usually minimally invasive) medical procedures with the guidance of imaging technologies.The acquisition of medical imaging is usually carried out by the radiographer or radiologic technologist. 5
I Issues Log / Issues Register / Issues List Any issues or risks to a Project should be listed in a register which identifies owners, mitigation plans and contingency plans.The register is then used by the Project Manager and team to track and manage resolution.
I ITT Invitation to Tender.
K KPMG Consulting A global consulting organisation, separate from KPMG, which was sold by the partnership firms in 2002 in the UK and other countries. 6
L Lessons Learned Report A report which is prepared at the end of a Phase or the end of a Project, which identifies what was done well and what could have been improved.
L LSP / Non-LSP sites Local Service Provider and Non-Local Service Provider Sites refers to the Connecting for Health National Programme for IT.The Local Service Providers are the suppliers managing the contracts for delivery under the NPfIT contracts.
M MS Project Microsoft Project software to assist with the building of project plans which list tasks, dependencies, resources, start and end dates. 7
N NHS National Heatlh Service.
O OBS Outline Business Specification. 8
O OJEC Official Journal for the European Community. 8
O OJEU Official Journal for the European Union.This is the body which was formerly known as OJEC. 8
O Operational organisation The day-to-day workflow within an entity / organisation, including work practices, management structures and reporting hierarchies.
P Pacing Setting of the heart’s rhythm by the sinus node, by another site in the heart, or by an artificial electrical stimulator. 9
P PACS PACS stands for Picture Archiving and Communications System. It typically allows access to patient image data across a hospital and subject to transfer mechanisms being in-place, between hospital sites and other NHS organisations.
P PRINCE2 Meaning “Projects in Controlled Environments” PRINCE2 is a generic, tailorable, Project Management method.This was first developed by the UK government in 1989 as the standard approach to IT project management for central government.Note, PRINCE2 does not cover all aspects of project management.Certain aspects of project management (such as leadership and people management skills, detailed coverage of project management tools and techniques) are well covered by other existing and proven methods and are therefore excluded from PRINCE2. 10
P Programme Management Programme Management groups the components of the organisational Project objectives into groupings of Projects to ensure that strategic benefit and alignment to strategic and tactical goals is achieved cohesively, in the right order and using the right Project delivery structure.
P Project PRINCE2 defines a Project as “A management environment that is created for the purpose of delivering one or more business products according to a specified Business Case.”
P Project Board The Project Board is responsible to the corporate / Operational Organisation and / or Programme Management for the overall direction and management of the Project and has authority for the Project within the remit set.The Project Board is ultimately responsible for the assurance that the Project remains on course to deliver the desired outcome of the required quality to meet the Business Case defined in the Project Initiation Document. According to the size, complexity and the risk of the Project, the Project Board may decide to delegate some of this Project assurance responsibility.
P Project Initiation Document (PID) The PID forms the “contract” between the Project Manager and the Project Steering Group or Project Board. The information contained will include confirmation of:

  1. the strategy and objectives of the Project;
  2. the scope of the Project, inclusions and exclusions;
  3. the Project budget;
  4. the Priorities for delivery e.g. the order of Stages / Phases;
  5. the Project governance structure and escalation routes;
  6. the Project Board and Project Team members, roles and responsibilities;
  7. the Dependencies and constraints;
  8. the main / key Risks and issues;
  9. the Key Milestone dates for deliverables;
  10. Quality standards;
  11. Change control.
P Project Methodologies Defined standards and methods within an overall recognised framework which will ensure that each Project will apply consistent quality methods to deliver the Project Tasks and Activities. Examples of these include:-

  • PRINCE2 Managing Successful Programmes;
  • Project Management Institute: The Standard for Program Management;
  • Many proprietary methodologies created by Consulting companies and major organisations based on “best practice” principles tailored to the organisational context.
P Project Plan A management tool to assist with scheduling and tracking a Project.It will typically include the following:

  • The main Stages within the Delivery Phase;
  • Tasks to be completed within each Stage;
  • The resource responsible for the task;
  • Estimated timings for completion of each task, including start, end dates and any float / slack ( the amount of time which a task could be delayed before it becomes critical to the overall timeline for the stage delivery);
  • Milestones – tasks of zero duration, which mark moments in time or particular events in the overall schedule;
  • Dependencies between tasks, for example, where a task is dependent on another task completing first before it can start, or where two tasks need to start and /or end at the same time.
R Radiology Radiology is a medical specialty that employs the use of imaging to both diagnose and treat disease visualised within the human body.Radiologists utilise an array of imaging technologies (such as x-ray, radiography, ultrasound, computed tomography (CT), nuclear medicine, positron emission tomography (PET) and magnetic resonance imaging (MRI) to diagnose or treat diseases. 5
R Regression Plan / roll-back plan A Regression Plan is prepared to identify what the steps will be carried out to un-do any changes which have been made to a system, which will then revert the system to its original state before the changes were made.This is used if the changes which are made do not pass testing.
R RIS RIS stands for Radiology Information System.It typically is used to provide:

  1. patient demographic data for PACS;
  2. Radiology examination bookings;
  3. scheduling functionality Radiology appointments;
  4. storing copies of the request form and information on the requesting clinician and referring clinician, e.g. doctors’ names, GPs’ addresses;
  5. generation of DICOM modality worklists;
  6. storage of diagnostic reports.
R Risk assessment Identifying:

  1. what the risks are to a Project or activity
  2. the probability of the risk happening; and
  3. the likely impact and severity rating, including clinical, patient and financial impacts.
S SHA Strategic Health Authority, which is a type of organisation within the NHS in England.
S Stakeholders A Stakeholder is a person on whom the Project will have a major impact and / or will have a major influence on the Project and the success of the Project.Stakeholders actively support the Project at all stages, whilst recognising that the Project Manager is the person running the Project.
S Supplier / (s) The organisation/ (s) which provide the IT hardware and software.
S System Upgrade Updating an IT solution, which may include:

  1. hardware replacements of the entire solution for later technology / replacing end-of-life components and parts within the overall solution;
  2. software updates to a later version; or
  3. both 1 and 2 above.
T Teleradiology Teleradiology is the transmission of radiographic images from one location to another for interpretation by a radiologist.It is most often used to allow rapid interpretation of emergency room, Intensive Care Unit and other emergent examinations after hours of usual operation, at night and on weekends.Teleradiology can also be utilised to obtain consultation with an expert or sub-specialist about a complicated or puzzling case. 5
T Tender / Out-to-tender A term used during the procurement process which means that many potential Suppliers are invited to bid for supplying the new systems.
T Training Needs Analysis A study analysis of the following, by listing:

  1. people who need to be trained in the new systems and work practices following a Project;
  2. which system workflows and functions each person/ system user needs to be trained in as a standard practice;
  3. if any system users need additional training e.g. if their role has changed;
  4. if new users on the IT systems have not used a computer before they may need basic computer skills training prior to specific systems training.
U Ultrasound Ultrasound is cyclic sound pressure with a frequency greater than the upper limit of human hearing. Although this limit varies from person to person, it is approximately 20 kilohertz (20,000 hertz) in healthy, young adults. The production of ultrasound is used in many different fields, typically to penetrate a medium and measure the reflection signature or supply focused energy. The reflection signature can reveal details about the inner structure of the medium, a property also used by animals such as bats for hunting. The most well known application of ultrasound is its use in sonography to produce pictures of fetuses in the human womb. There are a vast number of other applications as well. 11
U User A person who uses an IT system to peform their job as part of the department / organisational workflow.
1 Cath Lab – Wikipedia
2 CT – Wikipedia
3 DSCNs / NHS Connecting for Health
4 Health Informatics at City University London
5 Interventional Radiology / Radiology / Teleradiology – Wikipedia
6 KPMG Consulting – Article in Information Age
7 Microsoft Project
9 Pacing / Mosby’s Medical Dictionary
11 Ultrasound – Wikipedia
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