title: Clinical services assessment and reengineering: lessons learned.
abstract: Healthcare enterprises often "acquire and install" picture archiving and communications systems (PACS) without examining many of the care delivery processes and information flows that will be affected. Many times these unexamined factors can delay or be the cause of failure of the PACS project. This article presents issues that were worked through as part of a PACS clinical services assessment and reengineering analysis for several US military medical treatment facilities.
authors.affiliation: InformaTech, Inc, Frederick, MD 21703, USA.
authors.forename: D K
authors.initials: DK
authors.lastname: Lyche
authors.forename: R R
authors.initials: RR
authors.lastname: Richardson
authors.forename: R P
authors.initials: RP
authors.lastname: Maliff
authors.forename: J
authors.initials: J
authors.lastname: Romlein
authors.forename: G S
authors.initials: GS
authors.lastname: Norton
mesh_terms: D000413:Alaska; D003695:Delivery of Health Care; D006254:Hawaii; D006751:Hospital Information Systems / Q000458:organization & administration; D006772:Hospitals, Military / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D016134:Organizational Policy; D010561:Personnel Staffing and Scheduling; D011785:Quality Assurance, Health Care; D011873:Radiology Information Systems / Q000145:classification / Q000191:economics / Q000458:organization & administration*; D013673:Technology Assessment, Biomedical; D013679:Technology, Radiologic; D013685:Telecommunications; D000078329:Workforce