Economics of PACS and Related Systems

  • George H. Bowers


In this chapter, we will deal with the challenges associated with getting a PACS project approved, paying for it, and then measuring its value to the organization after it is installed. From an economic perspective, PACS is just like any other investment in information technology in healthcare. Because capital dollars are always scarce in healthcare, capital tends to flow to the projects that have made the best business case for why they should be funded. Historically, the business case for investing in information technology in healthcare has been weak and has generally failed to meet the expectations of the organization. Much was promised but what was delivered was not what the organization necessarily valued. In some cases, IT projects were held up to a standard of return on investment that was unrealistic because of the very nature of


Compute Radiography Business Case Cash Inflow Cash Outflow Capital Lease 
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Suggested Reading

  1. Chan L, Trambert M, Kywi A, Hartzman S. PACS in Private practice—effect on profits and productivity. J Digit Imaging. 2002;15 Suppl 1:131–6.Google Scholar
  2. Nitrosi A, Borasi G, Nicoli F, et al. A filmless radiology department in a full digital regional hospital: quantitative evaluation of the increased quality and efficiency. J Digit Imaging. 2007 Jun;20(2):140–8.Google Scholar
  3. Return on Investment in Information Technology. Available at: Accessed September 6, 2008.
  4. Thompson D, Fleming N. Finding the ROI in EMRs. Available at: Accessed September 6, 2008.

Copyright information

© Society for Imaging Informatics in Medicine 2009

Authors and Affiliations

  • George H. Bowers
    • 1
  1. 1.Healthcare Information Consultants, LLCBaltimoreUSA

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