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 Citations (Scopus)

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 2013

Fingerprint

Radiology Information Systems
Workflow
Cost Savings
Costs and Cost Analysis
Software
Radiology
Spine
Technology
Surgeons

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Implementation of a departmental picture archiving and communication system : A productivity and cost analysis. / MacYszyn, Luke; Lega, Brad; Bohman, Leif Erik; Latefi, Ahmad; Smith, Michelle J.; Malhotra, Neil R.; Welch, William; Grady, Sean M.

In: Neurosurgery, Vol. 73, No. 3, 09.2013, p. 528-533.

Research output: Contribution to journalArticle

MacYszyn, L, Lega, B, Bohman, LE, Latefi, A, Smith, MJ, Malhotra, NR, Welch, W & Grady, SM 2013, 'Implementation of a departmental picture archiving and communication system: A productivity and cost analysis', Neurosurgery, vol. 73, no. 3, pp. 528-533. https://doi.org/10.1227/01.neu.0000431474.49042.5b
MacYszyn, Luke ; Lega, Brad ; Bohman, Leif Erik ; Latefi, Ahmad ; Smith, Michelle J. ; Malhotra, Neil R. ; Welch, William ; Grady, Sean M. / Implementation of a departmental picture archiving and communication system : A productivity and cost analysis. In: Neurosurgery. 2013 ; Vol. 73, No. 3. pp. 528-533.
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