Lancaster General Health is a 550-bed system in Central Pennsylvania performing nearly 500,000 exams per year in its major acute-care hospital, rehabilitation hospital, stroke and trauma center, women’s center and 12 outpatient facilities. The 26 diagnostic radiologists and three radiation oncologists at Lancaster Radiology Associates, Ltd., handle all the radiology services for the health system, providing round-the-clock coverage. Leigh S. Shuman, M.D., a practicing radiologist at Lancaster Radiology Associates and the PACS medical director for the health system, and John Jones, radiology PACS administrator, recently spoke to us about the importance of communication and workflow.