Abstract. This paper describes the development of the software package
PACER as it evolved from a cost model to a software package for PACS
decision making. PACER was developed as part of the TEASS topic from t
he EurIPACS project. EurIPACS is an EU subsidized project covering a w
ide area of PACS related research. The TEASS topic concerns the evalua
tion of prototype PACSystems in three European hospitals. PACER allows
the user to evaluate costs of various PACS implementation scenarios a
nd compare them to the costs of the current film based situation. Its
cost calculation is based on a straight forward description of costs o
f a film based radiology department and of PACS. The PACER cost analys
is can consider stepwise introduction of PACS and a corresponding step
wise disappearance of the film environment. This analysis includes eff
ects of price developments. PACER calculates costs and expenses for a
number of years in succession. The calculated results can be analysed
using graphs, tables and sensitivity analysis tools. Preliminary tests
in three hospitals indicate that PACER can indeed be a useful tool in
the decision process concerning PACS.