David,
We have had radiologists reading from home for a number of years. Since the radiologists own the company, I can only strongly recommend what they do. I also inform them of the consequences of not following my recommendations.
1. Password protect the workstation
2. Do not allow family members to use the workstation
3. No personal internet use
4. Do not store patient information on the home reading station
5. If possible, segregate the network for the home reading station out from the personal workstations and devices in the home (VLAN or physical separation). This one can cause nightmares for support, so only if you have a reliable setup for this.
6. Current Anti-virus and Anti-malware.
7. I would recommend something that can take a mirror backup of the workstation so it can be quickly restored in a failure. We use Acronis and a USB hard drive for this. If your systems are already deployed with an image, then don't worry about this.
8. Have a remote support system like Go to Assist or LogMeIn.
9. They must connect using a secure VPN technology.
The radiologists that read at home have been very happy with the setup. We read for two different systems, so they have to make a secure connection to our office, and then they use our secure point-to-point connections to reach the hospitals.
We are transitioning to a single system, and some of our radiologists were going to upgrade their home internet speed to download studies faster. I let then know that the hospital has a 500 Mbit connection that is shared between the entire enterprise, so they shouldn't bother with more than a 500 Mbit connection since that is the fastest that they hospital can send the study to them.
Let me know if you have any other questions,
Brian