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Canada PACS 2024
Market Volatility Heightens as Organizations Look to Improve Their Experience
Many healthcare organizations in Canada have been using their PACS for years. Since the outbreak of the COVID-19 pandemic, KLAS has seen potential-replacement rates for Canada PACS solutions increase to a historic high, where more than one-third of interviewed organizations are actively looking to replace their PACS. This report examines vendors’ performance and the customer experience in Canada to help organizations understand the strengths and weaknesses of available options in the market.
Note: Data for this report comes from organizations that process more than 20,000 studies annually (the market actively tracked by KLAS).
Sectra’s High Customer Satisfaction Driven by Strong Training & Ease of Use; GE HealthCare’s Service & Support Stand Out
Sectra—with a small but growing PACS customer base in Canada—is the 2024 Best in KLAS winner and the top-performing vendor in this report. Respondents say the product has robust functionality, smooth upgrades, and strong usability, and they also highlight Sectra’s proactive support and accessible training. Though cost is mentioned as a concern, respondents feel they get their money’s worth from the PACS. GE HealthCare respondents are also satisfied with their experience. Interviewed GE HealthCare customers in Canada report higher satisfaction than customers in other regions KLAS measures thanks to strong regional service and support. Most respondents have been using Centricity PACS for more than 10 years and say it is dependable and solid, though they also wish it had newer functionality such as AI, cloud compatibility, or a revamped UI. KLAS interviewed a small sample of Change Healthcare* customers. All four respondents report being satisfied, and none mention significant concerns.
*Limited data
Fujifilm, Philips & Intelerad Respondents Report Dissatisfaction, Pointing to Weak or Inconsistent Support
On average, interviewed customers of Fujifilm, Philips, and Intelerad are less satisfied than other vendors’ respondents. Interviewed Fujifilm customers tend to be smaller (<100K studies annually). Two respondents report high satisfaction. In contrast, other respondents mention the challenges of working with Fujifilm’s reseller and third-party support (e.g., delayed fixes); this poor experience has caused satisfaction to be lower in Canada than in other regions where Synapse is used. One interviewed customer has definitive plans to replace the product, and multiple are actively considering other options. Philips offers two products in Canada: Image Management Vue PACS and IntelliSpace PACS (this report shares insights about only the former). Image Management Vue PACS is highlighted for its ease of use, and many respondents originally purchased the product for this reason. Philips’ support team is perceived as genuinely committed to helping resolve issues, yet respondents would like to see improvements, as they have had to extend timelines and escalate issues to executives when support has fallen short. Some customers attribute the decline in support to Philips’ Carestream acquisition; others say that because the product’s back-end coding frequently breaks in unique ways—especially during upgrades—it is difficult for the support team to quickly resolve issues. Since 2017, Intelerad’s overall performance score has dropped 21 points (on a 100–point scale); this is due to myriad product acquisitions that have weakened the support and caused significant staff turnover.
AGFA Respondents Largely Optimistic about Go-Forward Product
AGFA HealthCare has a long history in Canada, with a number of large, multi-site customers (>1 million studies annually) that span entire provinces. Customers use either IMPAX (the legacy product) or Enterprise Imaging for Radiology (the go-forward product). IMPAX is nearing the end of its life, and at least half of IMPAX users are interested in moving to the go-forward product. Respondents using Enterprise Imaging for Radiology are significantly more satisfied than respondents using IMPAX, though there are still opportunities for the go-forward product to be improved. Bumpy implementations, unhelpful support, and poor communication are all mentioned as concerns. Additionally, while respondents say Enterprise Imaging for Radiology is solid and that the back end is noticeably better than IMPAX’s, the product is missing some functionality that is available in IMPAX (e.g., personalization options, shortcuts). Still, users on the go-forward product are largely optimistic about its road map, saying versions 8.2 and beyond will likely boost their satisfaction with functionality.
AGFA, Sectra & Change Healthcare Part of Long-Term Plans; Intelerad, GE HealthCare* & Philips* Most Vulnerable
KLAS data shows that the number of organizations in Canada planning to replace their PACS has reached an all-time high, with over one-third of interviewed organizations currently evaluating other options. Intelerad, GE HealthCare*, and Philips* are potentially most vulnerable to losing customers. Additionally, most AGFA HealthCare IMPAX customers are actively planning to move, and as stated above, at least half have expressed an interest in moving to the vendor’s go-forward platform. All AGFA HealthCare Enterprise Imaging for Radiology, Sectra, and Change Healthcare respondents plan to stay with their solution for the next three to five years.
*Limited data
About This Report
Each year, KLAS interviews thousands of healthcare professionals about the IT solutions and services their organizations use. For this report, interviews were conducted over the last 12 months using KLAS’ standard quantitative evaluation for healthcare software, which is composed of 16 numeric ratings questions and 4 yes/no questions, all weighted equally. Combined, the ratings for these questions make up the overall performance score, which is measured on a 100-point scale. The questions are organized into six customer experience pillars—culture, loyalty, operations, product, relationship, and value.
Sample Sizes
Unless otherwise noted, sample sizes displayed throughout this report (e.g., n=16) represent the total number of unique customer organizations interviewed for a given vendor or solution. However, it should be noted that to allow for the representation of differing perspectives within any one customer organization, samples may include surveys from different individuals at the same organization. The table below shows the total number of unique organizations interviewed for each vendor or solution as well as the total number of individual respondents.
Some respondents choose not to answer particular questions, meaning the sample size for any given vendor or solution can change from question to question. When the number of unique organization responses for a particular question is less than 6, the score for that question is marked with an asterisk (*) or otherwise designated as “limited data.” If the sample size is less than 3, no score is shown. Where textual content relies on limited data, the vendor name is marked with an asterisk. Note that when a vendor has a low number of reporting sites, the possibility exists for KLAS scores to change significantly as new surveys are collected.
Product Designations Used in This Report
- Superseded [S]: Legacy solutions or other solutions that are not generally marketed or whose marketing is superseded by another solution in the same category.
Writer
Sarah Brown
Designer
Jess Wallace-Simpson
Project Manager
Sydney Toomer
This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2026 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.