How IMC Works With Clients
The most important
part of the PACS planning process actually has very little to do with
detailed vendor technical assessment, but rather an assessment of the
entire hospital's integrated imaging requirements and how PACS can
help meet those needs. Those requirements vary based on the size of
the facility- IMC has worked with and implemented PACS at facilities
as small as 50 beds and as large over 1,500 beds, as well many
multi-site networked solutions. We understand the challenges each
facility offers, including differences in reimbursement mix,
competitive issues, and even making the most out of the investments
made in PACS technology at the facility. These issues are all
discussed before an agreement is signed..
Before we engage in
any contract IMC generally requests that we spend at least one, and
with larger facilities two (2) days with the client to determine the
suitability of the account for engagement in PACS consulting contract.
This protects your interest as well as ours. The majority of the first
day will be spent in basic information gathering, with the balance of
the day spent discussing key issues with the CTO, CIO, CFO and others.
The second morning would be spent touring additional sitese. All
involved parties from all sites would then gather in the early
afternoon of the second day to discuss options and your specific
requirements and answer general questions the team might have about
PACS. The cost for this service is deducted from the first invoice
should IMC be awarded an engagement. A report summarizing the day’s
findings can also be generated if/as desired.
The reason for this
day-log walkthrough is to determine the account’s suitability for
PACS. Even though it seems you have spent an extensive amount of time
in evaluating PACS, this gives you the “sanity check” you need before
engaging a consultant. IMC has defined what it calls the one-third
(1/3) rule based on its extensive experience in PACS planning and
implementations. Simply defined 1/3 of the hospitals who need PACS are
prepared to insure a successful PACS implementation; 1/3 need PACS but
require shoring up of network infrastructure or other areas before
PACS can be successfully implemented as well as embarking on projects
which may clash with your projected PACS timetable (example: planned
upgrades or clinical systems integration surrounding you’re his/RIS);
and the last 1/3 want PACS to solve problems that PACS simply can not
solve. While we are confident that you feel site is ready for PACS
this also assures the chemistry between the PACS project coordinator
and the staff members who will make up the evaluation team at is
positive, allowing your decision to be made on a more personal level
than one based on an RFP response only.
Virtually of IMC's engagements are long term, even though the
contract may have expired. We feel once you are an IMC client, you
remain an IMC client for life. The "long term client" approach is one
that does not impede on current contracts (most simply ask a question
or two on the phone periodically or, at worse, request a day's time)
and is another benefit that IMC provides as a value added for engaging
our services. Several clients have also re-engaged IMC for follow-on
PACS or related projects like cardiology PACS or even RIS assistance.
A few select hospitals have also elected to keep us on an ongoing
retainer for use as needed. Although not necessary, this is an option
you may wish to explore as well.
Other Important
Components
How Long Does An Engagement with IMC Typically
Last?
Time line varies however globally planning services (including cost
modeling) take between 6 and 12 weeks, and implementation from 4 to 10
months. IMC has elected to employ a small yet concise group to insure
that we stay as close to the projected time frame a possible. It must
be noted that in IMC's experience time lines will slip by anywhere
from two (2) weeks to two (2) months regardless of how tight the
implementation plan is. No project has ever come in on time regardless
of how many people were involved or how tight the time line, so be
advised of anyone who indicates otherwise- it just doesn't happen that
way.
How we work:
IMC typically works with our
clients on a per project "soup to nuts" basis, beginning with needs
assessment and finishing with project management through
implementation. These services can and often are tailored to
specifically meet the clients needs and budgets and include use of
IMC's services until the defined tasks are completed. This "whatever
it takes" approach allows us to insure that the needs of our clients
are adequately met without the constraints found with a billable hours
approach. This also allows you to precisely budget costs for our
involvement in the project.
Project Costs:
How Much
Does It Cost to Use IMC?
The cost of the
project is typically determined after a one-day walkthrough and varies
from a single day assessment to a multi-phase, multi-year engagement.
Most of our engagements are “soup to nuts” include both the project
planning and implementation phases (project plan, cost modeling, RFP
development, assessment and contract negotiations). These project fees
are divided roughly as 60% for planning and 40% for implementation
services. All services can be tailored to meet the individual client
needs. Detailed process reengineering planning services that we feel
is required for a successful PACS implementation are optional and
additional, although highly recommended.
All IMC's services
are billed based on the achievement of defined benchmarks and
typically invoiced in arrears of achievement of these benchmarks. The
only "up front" monies provided is the initial down payment on the
contract services to get started, as much of the work performed is
done prior to invoicing. We have never had a client walk away, and try
to be fair from fee structure wise if the project cannot be completed
for reasons outside the control of the client, including the loss of
budgeted funds. In these instances, we invoice only for the services
rendered to date.
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