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Justifying the Need for a Replacement PACS —Advanced Technology with a Powerful ROI  By Joe Biegel Vice President, Product Management and Product Marketing Medical Imaging Group McKesson Provider Technologies Most hospitals already have a picture archiving and communication system (PACS). And most hospital leaders are satisfied with the results they've reaped from implementing these systems and transitioning from analog to digital imaging workflow. After all, replacing film imaging with digital imaging leads to considerable cost savings, which are relatively easy to measure. But effective leaders are always looking for improvements beyond the first "quick wins" of an initial transition from analog to digital. And, as a result, many are asking: Is there more? The answer is a resounding "yes." Although the first round of benefits from PACS deployment are easy to realize and typically result just from the transition from film to digital imaging, healthcare organizations can still reap substantial benefits by upgrading to an advanced PACS. Simply consider how these systems go beyond first-generation PACS and offer the advanced features that make it possible to:  Conform to the industry's new standards Handle large volume data sets Accommodate images from multi-modalities — CT, mammography, PET/CT Interact with other information systems such as hospital information systems (HIS),radiology information systems (RIS) and electronic health records (EHRs) Integrate with third-party applications, including nuclear medicine and orthopedics Increase physician satisfaction by providing radiologists and referring clinicians withquicker access to more comprehensive images Visualize data from "thin slice" scanners with interactive control of slice thickness andother parameters Streamline the interaction with complex clinical workflowsAlthough these features are nice to have, healthcare leaders need to make sure that replacement PACS pass the ultimate litmus test: Will the additional benefits justify the investment? The good news is that this powerful technology can provide the return on investment by making it possible to: Improve physician and technologist productivity without adding staff or relying on overtime Enhance diagnostic capabilities due to better access to more complete information, includinginformation from mammography, 3D, nuclear medicine, PET/CT fusion and orthopedics Reduce costs by sharing images and thereby reduce the need to produce duplicate imagingstudies to diagnose the same condition The key to achieving these more elusive benefits, however, is partnering with a vendor that not only provides the right feature-rich technology but also the ability to re-engineer customer processes during the implementation stage. When going from film to an initial PACS, organizations have the luxury of turning on systems (and removing film) department by department. But organizations that are already using a PACS need to maintain "business as usual" while improving their departmental workflow. Physicians expect continuous access to patient image history so the switch to the new system must be quick and painless. If there is a lag in the transition to the new PACS, the organization will be left supporting two systems — a costly and cumbersome proposition. As such, healthcare providers should look for vendors that will work with them to: Identify where potential improvements can be made Conduct a workflow evaluation Develop a structured implementation plan Train staff members using a "train the trainer" model Provide around-the-clock support to ease the transition Keep up with rapidly evolving trends, both in the clinical fields of diagnostic imagingand in the yet to fully evolve aspects of government funding and requirements The right partner can help reduce the "time to value" for a replacement PACS. As a result, organizations can leverage the power of an advanced PACS to more immediately improve communications, streamline workflow and ultimately improve patient care. The key is to make the "transition" once. Organizations can do that by selecting a vendor that is both a viable long-term player in the industry and a partner that will provide continued improvement as diagnostic workflow continues to evolve. Joseph Biegel is vice president of product management for the Medical Imaging Group of McKesson Provider Technologies. He is responsible for developing product plans and strategies for its growing family of digital diagnostic imaging solutions. His career in digital imaging has spanned more than 25 years, including 15 years in diagnostic imaging. During his career, he has served in numerous key positions with healthcare technology firms. Before entering private industry, Biegel was on the faculty of the Rochester Institute of Technology's Center for Imaging Science, where he taught courses in imaging and computing and was involved in contract research programs for NASA and other U.S. government organizations.
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