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2013 PACS Replacement--Costs PreviousNext
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 Link to this message Neelam Dugar  posted on Monday, August 29, 2011 - 08:01 pm Edit Post Delete Post Print Post
For those Trusts considering replacing your PACS in the future it maybe worth breaking down the cost of PACS into components so that it becomes easier to compare suppliers

A. DEPLOYMENT CHARGES
1. Migration from old PACS (cost of migration vendor & also cost of LSP)
2. Modality integration--(based on number of modalities)
3. Back end integration with RIS
4. Desk-top Integration with RIS
5. ADT integration with PAS
6. Workstation hardware (if you need to replace them starightaway)--do you need to buy them from PACS vendor
7. Server & Storage hardware--which may need refreshing--do you need to buy from PACS vendors?
8. Integration with plug-ins--Advanced visualization plug-in, Ortho-templating plug-in, CAD plug-in
9. Training--System Admin, Training of the trainers, etc

B. REVENUE CHARGES
1. Support charges for PACS--may differ on the type of support provided.
2. Revenue for PACS display software--there are various types of licensing provided by different PACS vendors--some are based on total number of users, some total number of concurrent users, others based on number of images stored, some based on number of images retrieved for display, others the total volume of data stored etc---it is useful to get clarity of the software revenue charges as they will differ with each vendor
3. Software upgrade charges when it is available--some charge others include it in overall revenue
4. Revenue on the plug-ins if provided by the PACS vendor--
5. Support for integration with PAS, RIS, modalities & plug-ins etc

Comments please. This is just a start trying to break down PACS charges so as to try and compare PACS suppliers--like for like.
 Link to this message John Parker  posted on Tuesday, August 30, 2011 - 01:21 pm Edit Post Delete Post Print Post
Hi Neelam,

to add to the list...

C. SERVICE LEVELS (which should be defined!!)

D. CONTRACT EXIT COSTS

There are lots of numbers floating around just now, which, on the face of it may look appealing, but as we all now know (if ever there was any doubt!), you find out the true value of a PACS supplier when it goes wrong.....


In addition, Boards now also seem to be asking for some Risk Analysis as well as a Financial appraisal.


John
 Link to this message Neelam Dugar  posted on Tuesday, August 30, 2011 - 02:10 pm Edit Post Delete Post Print Post
Thanks John.Comparing PACS suppliers costs for like for like clinical functionality & service levels as defined in an OBS.

A. DEPLOYMENT CHARGES
1. Migration from old PACS (cost of migration vendor--if to be sub-contracted by the PACS vendor)
2. Modality integration--as per DMWL---(based on number of modalities)
3. Back end HL7 data fields integration with RIS (list of RIS fields to be provided by customer)
4. Desk-top Integration with RIS
5. ADT integration with PAS (HL& messages)
6. Workstation hardware (if you need to replace them straightaway)--do you need to buy them from PACS vendor
7. Server & Storage hardware--which may need refreshing--do we need to buy from PACS vendors?
8. Integration with existing or new plug-ins from 3rd party--Advanced visualization plug-in, Ortho-templating plug-in, CAD plug-in etc
9. Training--System Admin, Training of the trainers, etc
10. Supplier end Project Management

B. REVENUE CHARGES for defined Service Level Agreement:
1. Support & Maintenance charges for PACS for delivering an agreed SLA (24/7 support. Immmediate response to phone call from PACS Manager, if PACS goes down for the whole enterprise. Resolve issue within 4 hours of high severity call.)
a. PACS Software support & maintenance
b. Integration support to RIS, PAS, 3rd party Plug-ins, etc
c. Workstation Hardware support per workstation (if the supplier will supply workstations)
d. Storage Area Network Support---(If PACS supplier provides the SAN)
e. Application Server Support
f. Any other support changes that may have been omitted. PACS supplier to clarify.
2. PACS Licensing--there are various types of licensing provided by different PACS vendors--some are based on total number of users, some total number of concurrent users, others based on number of images stored, some based on number of images retrieved for display, others the total volume of data stored etc---it is useful to get clarity of the software revenue charges as they will differ with each vendor
3. Software upgrade charges when it is available--some charge others include it in overall revenue
4. Licensing for plug-ins if provided by the PACS vendor-- (Ortho-templating, 3D, CT colon etc)
C. Pre-Term CONTRACT EXIT COSTS:
D. ANY OTHER CHARGES---not covered above.

When you look at the deployment charges, the big issue is around integration with various systems (which could be avoided if you stayed with LSPs forvever)
1. Integration with modalities
2. Integration with RIS
3. DTI with RIS
4. Integration with Plug-ins
5. Integration with PAS
6. Migration costs
This is why plug-and-play integration between systems using global standards is so vital. We have an opportinty in 2013 to specify standards to prevent future lock-in by a PACS vendor. If we could get migration standardised, we could avaoid this as well.
 Link to this message Neelam Dugar  posted on Wednesday, August 31, 2011 - 09:25 pm Edit Post Delete Post Print Post
Comparing PACS suppliers can be difficult due to the complexity of the solution

I hope this breakdown of charges will help Trusts compare PACS supplier including LSP charges.

A. DEPLOYMENT CHARGES
a.. Migration from old PACS
b. Modality integration--as per DMWL---(based on number of modalities provided in appendix 1)
3. Back end HL7 data fields integration with RIS (list of RIS fields in Question 4)
4. Desk-top Integration with RIS (spec provided in OBS)
5. ADT HL7 integration with PAS (as per Question 2)
6. 3 MP colour monitor workstation hardware costs
7. Server & Storage hardware costs
8. Integration with existing or new plug-ins from 3rd party--Advanced visualization plug-in, Ortho-templating plug-in, CAD plug-in etc
9. Training--System Admin, Training of the trainers, etc
10. Supplier end Project Management
11. Software Deployment Charge
12. Optional Plug-ins provided by the PACS vendor
13. Any other deployment costs not included in the above breakdown

B. REVENUE CHARGES for a defined Service Level Agreement:
Please define the SLA and the associated service charges:
1. Support & Maintenance charges for PACS for different types of SLAs if supplier provides different types of SLAs to customers:
a. PACS Software support & maintenance
b. Integration support to RIS, PAS, 3rd party Plug-ins, etc
c. Workstation Hardware support per workstation (if provided & supported by PACS vendor)
d. Storage Area Network Support---(If provided & supported by PACS vendor)
e. Application Server Support
f. Any other support changes that may have been omitted. PACS supplier to clarify.
2. PACS Licensing--there are various types of licensing provided by different PACS vendors--some are based on total number of users, some total number of concurrent users, others based on number of images stored, some based on number of images retrieved for display, others the total volume of data stored etc---it is useful to get clarity of the software revenue charges as they will differ with each vendor
3. Licensing for plug-ins if provided by the PACS vendor-- (Ortho-templating, 3D, CT colon etc)
4. Any other revenue charges

C. ADDITIONAL OPTIONAL COSTS
1. Software upgrade charges when it is available--some charge others include it in overall revenue
2. Plug-in software upgrade costs
3. Pre-Term contract exit costs:
4. End of contract handover of data in DICOM part10 format charge
5. ANY OTHER CHARGES---not covered above.

Comments please. Some suppliers may not charge for upgrades, project management etc but having them in the list helps compare suppliers better.
 
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