Medical Imaging District Services (MIDS) Implementation Toolkit (business model)


To assist Local Health Districts implement a more business-like approach to the delivery of Medical Imaging clinical services for sustainability and better patient care.


  • Timely access to services and reporting to enable better patient care
  • Appropriate referrals, optimal use of imaging
  • Economies of scale across the LHD reducing costs for all sites


Medical Imaging is a core service in any facility as almost all departments refer patients for diagnostic, interventional or therapeutic imaging services. Such a high volume of patient flow requires a business-like approach to delivery of these services without compromising on quality, patient safety, training, research and increasingly, clinical consultation.

Clinical and business leads in each MIDS work side-by-side to ensure the correct balance under the LHD’s guidance.


Public hospital Medical Imaging (MI) departments are under increasing pressure due to a number of issues:

  • increase in the number and complexity of procedures requested – no longer only diagnostic procedures but also interventional and therapeutic
  • acuity of patients – in-patients, paediatric, and elderly patients in an acute setting where medical emergencies are becoming frequent
  • increased demand for clinical consultation with referrers – multidisciplinary team meetings, consultation, etc.
  • timely reporting – delayed reported images and backlogs are an issue in some NSW public hospitals. MI Departments in all hospitals will find this more difficult as National Emergency Access Targets (NEAT) are rolled out
  • training – the Royal Australian and New Zealand College of Radiologists (RANZCR) curriculum includes more demanding supervision and experiential requirements over 5 years
  • need for appropriate resourcing – workforce, older equipment
  • supporting research requirement to be efficient and cost effective

Therefore the goal of Medical Imaging departments is:

Timely access to quality care; building an appropriate workforce that can manage appropriate referrals with appropriate equipment across multiple aspects of patient care; sustainability into the future of public imaging services.

With increasing requests from patients, referrers, hospitals and LHDs the MIDS business model and Implementation Toolkit has been developed to achieve the necessary balance and sustainability in imaging service delivery.


  • NSW Ministry of Health: Business Assets and Services Branch
  • NSW Ministry of Health: Workforce Planning & Development Branch
  • NSW Health Pathology
  • Royal Australian and New Zealand College of Radiologists
  • Hunter New England LHD
  • Northern Sydney LHD
  • Nepean Blue Mountains LHD

Key Dates

Pilot Sites

Northern Sydney Local Health DistrictNorthern Sydney Local Health District

July 2014 - June 2015

Implementation Sites


Baseline KPIs to be agreed then monitored with implementation progress.

Related Initiatives

Ministry of Health BAS Category Management for Medical Imaging equipment procurement


Annie Hutton
Network Manager, Radiology and Nuclear Medicine
02 9464 4624

Daniel Comerford
Director, Acute Care
02 9464 4602

Page Top | Added: 27 August 2014 | Last modified: 25 February 2015

Annie Hutton
Network Manager, Radiology and Nuclear Medicine
02 9464 4624