High availability web-based image distribution

When a health system implements a picture archiving and communication system (PACS), film is no longer the preferred medium of image distribution from a radiology department's perspective. The goal is for the department to be 100% filmless sometime after the installation. However, implementing change can be difficult, and getting to that goal of 100% is sometimes never achieved. Sutter Health has come close, with 90% of studies being filmless. A primary reason lies with the distribution method of providing access to images.