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PACER: a software tool for PACS decision makers

C J Enning1, E M van Gennip, R van den Broeck

  • 1BAZIS Central Development and Support Group Hospital Information System, Leiden, The Netherlands.

Medical Informatics = Medecine Et Informatique
|April 1, 1994
PubMed
Summary
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The PACER software aids in Picture Archiving and Communication Systems (PACS) decision-making by comparing PACS implementation costs to traditional film-based systems. Preliminary tests show PACER is a valuable tool for evaluating PACS financial viability.

Area of Science:

  • Health Informatics
  • Medical Imaging Technology
  • Radiology Management

Background:

  • The transition from film-based radiology to digital Picture Archiving and Communication Systems (PACS) involves significant financial considerations.
  • Evaluating the cost-effectiveness of various PACS implementation strategies is crucial for healthcare institutions.
  • Existing cost models may not fully capture the dynamic nature of PACS adoption and film environment phase-out.

Purpose of the Study:

  • To describe the development of the PACER software package, evolving from a cost model to a comprehensive tool for PACS decision-making.
  • To present PACER's capability in evaluating and comparing the costs of different PACS implementation scenarios against film-based radiology.
  • To validate PACER's utility through preliminary testing in European hospitals.

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Main Methods:

  • Development of the PACER software package within the EurIPACS project's TEASS topic.
  • Incorporation of detailed cost descriptions for both film-based departments and PACS environments.
  • Modeling of stepwise PACS introduction and film environment phase-out, including price development effects.
  • Longitudinal cost calculation over successive years with analysis via graphs, tables, and sensitivity tools.

Main Results:

  • PACER provides a straightforward method for calculating costs associated with PACS implementation scenarios.
  • The software can model phased transitions, accounting for evolving prices and the diminishing use of film.
  • Preliminary evaluations in three hospitals suggest PACER is effective in supporting PACS financial decision-making.

Conclusions:

  • The PACER software package offers a robust solution for analyzing the financial implications of PACS adoption.
  • Its ability to model dynamic cost scenarios and provide detailed analysis tools makes it valuable for healthcare administrators.
  • PACER can significantly aid in the decision-making process regarding the implementation of PACS in radiology departments.