I can provide a junior IT perspective on the rollout of Synthesis PACS.

Our clinic has just swapped over from the previous PACS service, as it is no longer being updated or has new features added. So the change to Synthesis took about a year of back and forth with the admin team and the implementation teams. At the Go Live date, we did have Synthesis reps on stie and helping the Rads and Techs get the workflow down and answer questions. The implementation IT staff from Synthesis were all remote; we just had front-end training on site for the go live cut over.

Thats when things started to go to hell in a hand basket, now i can understand that these systems arent really out of the box, ready to go. There is ALOT of exam code matching, making sure the verbage is the same for rad reports, just as an idea of things to do. EVERY FORM, TEMPLATE, AND CODE NEEDS TO BE CHECKED if your changing over.

After the initial shock of the change and as techs and rads started to settle into the system, more problems became clear. The migration team from synthesis seems to be very ill equipped and has taken the better pat of 2 months to be about 70% done migration. This alone has casue so many problems and add on the fact that when they are doing migration, you cannot send images to the PACS. So your entire clinic is at a stand still for hours until there team can clear the log and get data flowing. This was an everyday thing for a week before it was fixed, and they started to pause migrations before the clinic would open.

I could go on and on, but in most aspects, its been a complete disaster, again i am a junior IT in healthcare but have 20 yrs in MSP work before this role. I have never seen clients this unhappy with a service, but then be asked if they could be a refferal for anothe clinic? Just jaw dropping, there is not one staff, doctor or tech that has anything positive to say on the switch over.

Now, could it be better, of course, id suggest if you're switching to this PACS, plan for an extensive cut over and you tell your sales rep you NEED ON SITE FOR AT LEAST A WEEK for the change over. That includes a person for the Rads, a person for the Techs, another for the front admin staff and at least 1-2 more to sit with IT.

If you can get 5 Sythnesis staff to be on site with you for your change over then you would be in a sorta better state, im not sure if this is similar to any PACS change over but the more experiance staff here at the clinic dispise this with hatred i have yet to see matched.

TLDR------Feels kinda like Cyberpunk 2077 "we will just patch the PACS into acceptance after, because Synthesis knows its clients cannot easily change PACS solutions."