KLAS’ latest report on enterprise imaging (EI) captures a pivotal moment in the market. For years, the EI conversation revolved around building a strong foundation of a vendor neutral archive (VNA) and universal viewer (UV) to break down imaging silos. Now that many healthcare organizations have deployed these technologies, the conversation is shifting toward maximizing investments—how to strengthen vendor partnerships, extend imaging to more service lines, and set realistic expectations around cloud adoption. Enterprise Imaging 2025 dives into these topics, examining current vendor performance as well as customers’ current strategies and future plans.
The Quality of Vendor Partnerships Defines Customer Experiences
Vendor technology matters, but as KLAS data has repeatedly shown, partnership quality is what sustains long-term customer success. The 2025 EI report reinforces this idea, showing clear correlations between customer satisfaction and vendor engagement levels, as vendors with proactive account management and transparent communication consistently see higher overall performance scores.
In the EI market, support extends far beyond just resolving help-desk tickets—it includes adapting to customers’ unique needs and maintaining open dialogue as customers mature their imaging strategies. Healthcare organizations value vendors who act not only as software suppliers but also as strategic partners. Without that relationship depth, healthcare customers can struggle to fully realize the benefits of EI technology.
Healthcare Organizations Are Furthering Their EI Strategies, Expanding Service Line Adoption & Exploring the Cloud
As mentioned before, healthcare organizations are at a critical point in their EI adoption, moving beyond implementation to optimization. In recent years, adoption of EI technology for different service lines has steadily expanded. Outside of the common radiology and cardiology use cases, over half of surveyed organizations report storing point-of-care ultrasound studies, and many are also storing GI, ENT, or surgical scopes. This progress reflects provider-driven efforts to bring new service lines into their EI strategies.
Moving VNA technology to the cloud is also a growing focus for healthcare organizations. At the beginning of 2025, KLAS began asking organizations about their plans for moving their VNA to the cloud. Early data shows that cloud adoption is still relatively low; only about 12% of respondents in this study reported having their VNA live in the cloud, with another small percentage of respondents currently transitioning. However, nearly one-third of interviewed organizations plan to move their VNA to the cloud within the next two years. This slow but steady movement tells an important story. Many providers are taking a pragmatic approach to cloud adoption, choosing it not because it’s a trend but because it can solve specific problems (e.g., disaster recovery, access flexibility).
As organizations further develop their EI strategies, it is important that they also develop strong internal governance. Vendors can provide powerful tools, but it is largely up to customer organizations to define their priorities and success metrics and effectively roll out and coordinate EI technology across departments. EI progress depends as much on provider initiative as it does on vendor capabilities.
Looking Ahead—Partnering for the Next Chapter of EI
EI has moved from concept to critical infrastructure, but the next phase will depend on deeper alignment between vendors and healthcare organizations. Vendors must continue innovating, especially in expanding specialty support and simplifying integration, and customers must articulate clear strategies and hold vendors accountable as true collaborators. KLAS data shows encouraging signs on both sides. Healthcare organizations are asking smarter questions about how imaging technology can support broader clinical and operational goals, and many vendors are responding with improved road maps and a renewed focus on partnership quality.
Ultimately, further innovation in the EI market will stem from a shared effort across stakeholders. The organizations that succeed will be those who not only invest in the right tools but also cultivate the right relationships and governance to make imaging truly enterprise-wide.
To explore detailed vendor performance, adoption data, and customer perspectives, we invite readers to access the full Enterprise Imaging 2025 report.
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