This case study documents the implementation outcomes of a state-of-the-art workload balancing and workflow orchestration solution by Hackensack Radiology Group (HRG), a high-performing radiology practice.
Background
Hackensack Radiology Group (HRG) is a high-performing radiology practice that interprets more than 700,000 exams annually. In response to growing challenges in radiology practice management and increasing clinical demands, HRG conducted an in-depth, long-term review of available workflow orchestration solutions.
Where They Were
Prior to implementation of their chosen solution, HRG faced critical pressures:
Desired Change
Their goals were ambitious, but clear:
External Market Driver
Recognizing a critical market reality—scarcity of radiologists, increasing burnout, and fierce competition—HRG recognized that they needed to look beyond conventional PACS functionality to achieve their goals. That advanced workflow orchestration and intelligent workload balancing were no longer optional; they had become mission-critical.
Conclusion
What began as a search to better support business operations has evolved into a strategic advantage. HRG has redefined what is possible for a modern radiology group.
Through their adoption of Fujifilm's Synapse® Worklist Orchestrator, HRG saw immediate improvements in clinical productivity, diagnostic quality, workload equity, staff retention and morale.

Given the challenges, groups face today—explosive volumes, rampant burnout, and severe staffing shortages—I genuinely cannot fathom how any practice survives without leveraging this type of solution.
Dr. Mohit Naik, MD
President, Hackensack Radiology Group
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