Large-scale PACS implementation

A framework for a seamless transition from a traditional radiology department and file room to a picture archiving and communication system (PACS) for a large institution without substantially diminishing services during a period is presented. This is derived from the experience in implementing one of the largest PACS in the world. The methodology for transition to a PACS is considered in a strategical and tactical framework. The strategic plan is the broad blueprint for overall success. The tactical plan addresses the immediate objectives. The framework of the PACS implementation based on tactical plan is discussed. However, the implementation plan derives its success from a sound strategic plan.