Implementation of a departmental picture archiving and communication system: A productivity and cost analysis

Luke MacYszyn, Brad Lega, Leif Erik Bohman, Ahmad Latefi, Michelle J. Smith, Neil R. Malhotra, William Welch, Sean M. Grady

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Background: Digital radiology enhances productivity and Results in long-term cost savings. However, the viewing, storage, and sharing of outside imaging studies on compact discs at ambulatory offices and hospitals pose a number of unique challenges to a surgeon's efficiency and clinical workflow. Objective: To improve the efficiency and clinical workflow of an academic neurosurgical practice when evaluating patients with outside radiological studies. Methods: Open-source software and commercial hardware were used to design and implement a departmental picture archiving and communications system (PACS). Results: The implementation of a departmental PACS system significantly improved productivity and enhanced collaboration in a variety of clinical settings. Using published data on the rate of information technology problems associated with outside studies on compact discs, this system produced a cost savings ranging from $6250 to $33 600 and from $43 200 to $72 000 for 2 cohorts, urgent transfer and spine clinic patients, respectively, therefore justifying the costs of the system in less than a year. Conclusion: The implementation of a departmental PACS system using open-source software is straightforward and cost-effective and Results in significant gains in surgeon productivity when evaluating patients with outside imaging studies.

Original languageEnglish (US)
Pages (from-to)528-533
Number of pages6
JournalNeurosurgery
Volume73
Issue number3
DOIs
StatePublished - Sep 1 2013

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    MacYszyn, L., Lega, B., Bohman, L. E., Latefi, A., Smith, M. J., Malhotra, N. R., Welch, W., & Grady, S. M. (2013). Implementation of a departmental picture archiving and communication system: A productivity and cost analysis. Neurosurgery, 73(3), 528-533. https://doi.org/10.1227/01.neu.0000431474.49042.5b