Planning and cost analysis of digital radiography services for a network of hospitals the Veterans Integrated Service Network

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Abstract
This study analysed the design and cost of a picture archiving and communications system PACS , computerized radiography CR and a wide-area network for teleradiology. The Desert Pacific Healthcare Network comprises 10 facilities, including four tertiary medical centres and one small hospital. Data were collected on radiologists' workloads, and patient and image flow within and between these medical centres. These were used to estimate the size and cash flows associated with a system-wide implementation of PACS, CR and teleradiology services. A cost analysis model was used to estimate the potential cost savings in a filmless radiology environment. ATM technology was selected as the communications medium between the medical centres. A strategic plan and business plan were successfully developed. The cost model predicted the cost-effectiveness of the proposed PACS CR configuration within four to six years, if the base costs were kept low. The experience gained in design and cost analysis of a PACS teleradiology network will serve as a model for similar projects.

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