Strategies for deployment of picture archiving and communications systems (
PACS) in new hospitals often involve the establishment of initial PACS oper
ations. Such a strategy is flawed in the sense that the clinical and radiol
ogical users must adapt to PACS operations, while being faced with several
other new facility learning curves. This increases the complexity and risk
of the radiological services. A strategy of implementing PACS operations in
the old facility and performing a zero-downtime transition into the new fa
cility offers several advantages to this method. The successful undertaking
of such a project will support not only the physical movement of the exist
ing PACS, but the accomplishment of other re-engineering goals associated w
ith the new hospital. This report will describe the strategy used in two su
ccessful transitions of PACS into newly constructed hospitals. Copyright (C
) 2000 by W.B. Saunders Company.