Abstract: As PACS implementations increase during the new millennium, the need to plan and execute the movement of a live PACS from an existing facility into a replacement hospital increases. Such an undertaking should support not only the physical movement of the existing PACS but also the continuous support of clinical radiology operations throughout the transition period. This paper will describe two successful transitions of live PACS into newly constructed replacement hospitals. In 1994 the Brooke Army Medical Center transitioned into a newly constructed 450-bed facility in San Antonio Texas. In 1999 a similar movement of the Elmendorf Air Force Medical Center was successful accomplished in Anchorage Alaska. Both moves provided continuous operations of the Radiology Department and full clinical services in the old facilities in a near filmless mode while fully supporting the simultaneous installation and testing of new PACS components and PACS-to- modality interfaces in the new facilities. The process also included the migration of the image archives and acceptance testing of the final installation. While the exact migration process must differ, depending on the PACS architecture and the facility transition plans, these two examples provide a general framework for the issues and strategies for such a move. !5
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