Kirk Ising, Research Operations Imaging Director, KLAS, Orem, UT, examines recent developments in the PACS and RIS markets. Although PACS has been mostly a replacement market due to saturation and hospitals focusing on Stage 1 Meaningful Use, many providers are now looking at PACS and RIS solutions as part of their long-term strategy. Functionality, integration, reporting tools, cost, vendor-neutral archives, and enterprise imaging weigh in on selections. Kirk shares KLAS research about market trends, how providers are approaching imaging solutions, the impact of pending Stage 2 and Stage 3 Meaningful Use requirements on PACS and RIS decisions, and how well vendors are stepping up to meet provider needs.