Seven years ago, Crystal Run Healthcare in Middletown, N.Y., implemented an integrated radiology information system/picture archiving and communication system.

Encompassing more than 170 physicians and some 30 mid-level practitioners, the 11-site group practice interfaced the RIS/PACS to its electronic health records system for simple data exchange, such as demographics and results reporting. But by last year, the imaging software "was getting long in the tooth" says Hal Teitelbaum, M.D., managing partner. Necessary upgrades would have essentially amounted to a replacement anyway, so the practice looked at all of its options.

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