Systems based on the Archium Digital Cardiac System architecture are providing filmless operation for cardiac catheterization departments in over 80 institutions today. Filmless operation provides direct cost savings from the elimination of cine film as well as its development and management. In addition to these savings, benefits are being realized from productivity associated with changes in the workflow in the department. Image quality and processing capability consistent with the image quality and processing available in the cath lab have proven to be key components in changing workflow and improving efficiency. Solutions are now available which can deliver this level of performance for most departments including multiple lab departments with cath labs from different manufacturers. With Archium, physician productivity can be enhanced with the immediate availability of studies outside the lab and the ability to consult online. Cath lab turnover can be improved significantly. Staff productivity is realized from improved image management as well. The Archium's modular architecture has already accommodated system evolution without obsolescence of existing systems.