If you are part of a health system that has spent months building and designing a new picture archive and communications system (PACS), it is undoubtedly an exciting time. Reaching the point of PACS activation and getting staff up and running is a true milestone. Once your company reaches this point, it may feel like the hard work is over and that it is time to take a deep breath, but in reality there is still much more to do and questions that have to be answered in order to fully support your organization during and post PACS go-live.