Accession Number:

ADA371995

Title:

Cost Identification and Benefits of the Picture Archiving and Communication System at Walter Reed Army Medical Center.

Descriptive Note:

Final rept.,

Corporate Author:

WALTER REED ARMY MEDICAL CENTER WASHINGTON DC

Personal Author(s):

Report Date:

1998-04-17

Pagination or Media Count:

72.0

Abstract:

A proposed plan for complete implementation of the Picture Archiving and Communication System PACS at Walter Reed Army Medical Center WRAMC was assessed by cost identification and provider satisfaction. The annual oprating cost for year 1 amounts to 2,485,924.80 and ranges from 2,774,724.80 to 1,812,861.80 for years 2 throught 8. In contrast, the annual cost of film-based radiology is 913,665.97. Stepwise multiple regression analysis revealed that the most significant factors associated with overall satisfaction are 1 user friendliness, 2 the effect on efficiency of clinical practice, 3 reliability, and 4 confidence in diagnosis using the PACS, which resulted in a shared variance of .55 with F 4,114 35.847, p .0001. Recommendations are presented for expansion of the PACS at WRAMC. The PACS offers distinct advantages when compared to conventional film-based radiology. However, hardware, software, information system, and maintenance costs of the PACS are high. Clinicians and hospital administrators must determine if PACS is the best method, consistent with their budget, to solve problems with storage and distribution of medical image information.

Subject Categories:

  • Optics

Distribution Statement:

APPROVED FOR PUBLIC RELEASE