From Trust to Use and Beyond Chapter Eight | Page 10

gramming, and maintenance than it would cost to replace them with a single system. 3 DEPARTMENTAL PACS Inland Imaging, a Technology Services Company based in Seattle, contracts with many hospitals. Inland Imaging replaces legacy RIS/PACS at the sites it ac- quires or manages, because it would be more expensive to operate and support To rip and replace the departmental PACS legacy systems in acquired organizations provides a high multiple systems. to Inland executives, when hospitals the level finan- of productivity level of interoperability among According the merged organizations, leading to a do high cial comparison between two strategies, they should factor in the cost of ongo- and collaboration. ing IT support, annual maintenance fees, the cost of offsite storage, network . and data center costs, and the replacement of servers every four or five years. 4 DEPARTMENTAl PACS STRATEGIES SITE 1 SITE 2 Enterprise Viewer RIS Worklist Diagnostic Viewer Reporting Archive 5 INSTITUTE FOR HEALTH TECHNOLOGY TRANSFORMATION SITE 3