Budget Variance Analysis of a Departmentwide Implementation of a PACS at a Major Academic Medical Center

Journal of Digital Imaging - Tập 19 - Trang 66-71 - 2006
Arra Suresh Reddy1, Shaun Loh1, Robert A. Kane1
1Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA

Tóm tắt

In this study, the costs and cost savings associated with departmentwide implementation of a picture archiving and communication system (PACS) as compared to the projected budget at the time of inception were evaluated. An average of $214,460 was saved each year with a total savings of $1,072,300 from 1999 to 2003, which is significantly less than the $2,943,750 projected savings. This discrepancy can be attributed to four different factors: (1) overexpenditures, (2) insufficient cost savings, (3) unanticipated costs, and (4) project management issues. Although the implementation of PACS leads to cost savings, actual savings will be much lower than expected unless extraordinary care is taken when devising the budget.

Tài liệu tham khảo

PN Cascade EW Webster EL Kazerooni (1998) ArticleTitleIneffective use of radiology: the hidden cost Am J Roentgenol 170 561–564 Occurrence Handle1:STN:280:DyaK1c7ltFKgsw%3D%3D EL Siegel JD Diaconis S Pomerantz et al. (1995) ArticleTitleMaking filmless radiology work J Digit Imaging 8 151–155 Occurrence Handle8573623 Occurrence Handle1:STN:280:DyaK287lvVCjtw%3D%3D Occurrence Handle10.1007/BF03168713 LF Rogers (2001) ArticleTitlePACS: Radiology in the digital world Am J Roentgenol 177 499 Occurrence Handle1:STN:280:DC%2BD3MvntFKktA%3D%3D MD Cohen (2001) ArticleTitleDetermining the costs of imaging services Radiology 220 563–565 Occurrence Handle11526248 Occurrence Handle1:STN:280:DC%2BD3Mvotlaisg%3D%3D JH Sunshine MR Mabry S Bansal (1991) ArticleTitleThe volume and cost of radiologic services in the United States in 1990 Am J Roentgenol 157 609–613 Occurrence Handle1:STN:280:DyaK3Mzjs1Wqtg%3D%3D