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Industry Landscape: Picture Archiving and Communications Systems and the Electronic Patient Record Antonio F. Garcia Industry Analyst, Frost & Sullivan, USA The high rate of technical and organizational change in medical imaging requires healthcare facilities to re-think the way they manage patient data. Over the years, many healthcare facilities have accumulated a variety of systems to handle different types of patient data, including radiology information systems (RIS), cardiology information management systems (CIMS), laboratory information management systems (LIMS), and other types of hospital information systems (HIS). Radiology imaging data now adds a new layer of complexity in the form of picture archiving and communications systems (PACS). Traditionally, these systems have been managed as discrete information repositories, each the domain of a specific clinical or administrative department. However, in an era of increasing workloads, ballooning data sets, and tightening budgets, this model of data management is becoming less feasible, since clinicians require seamless, interactive access to a diverse set of imaging as well as non-imaging data in order to efficiently carry out their clinical tasks. Simultaneously, in the quest to provide greater efficiency and to rationalize deployment of valuable information management resources, facilities are seeking to decrease personnel and operational expenses without compromising the quality and volume of the services provided. This is to be accomplished through consolidating disparate data management infrastructures to the greatest extent possible, and by greatly simplifying workflow and administrative processes. This approach has the added benefit of facilitating the creation of a seamless single-point-of-interaction with the entire collection of medical images and data types. However, this process is not without its challenges and risks. This presentation discusses several issues and dynamics that are shaping the current generation of enterprise image and data management strategies that are aimed at consolidating medical data management from front to back. A discussion of the major competitors, technology offerings, and implementation case studies will be provided, with special emphasis on challenges to optimizing the implementation of the electronic patient record (EPR). Planning for the EPR provides a crucial mandate for streamlining workflow, optimizing productivity, and consolidating the data management infrastructure. Important issues in implementing the electronic patient record will be discussed, including communication between the various clinical and administrative databases, PACS and modalities, standards such as DICOM and HL7, and regional differences in standardization. The presentation will also include an interactive question-and-answer session.