Enterprise Imaging Resource Hub | Mach7

Governing Point-of-Care Ultrasound: A POCUS Governance Guide

Written by Mach7 Team | Oct 31, 2026, 1:30:16 PM

Where do your POCUS images actually live? A practical guide to keeping point-of-care ultrasound findable, retained, and accessible in your enterprise imaging archive and viewer.

Why POCUS is a data problem, not just a device decision

Point-of-care ultrasound is one of the fastest-growing sources of medical images in the hospital. The problem is not the scanner. It is that the images those scanners produce routinely escape the systems meant to hold them.

This guide reframes POCUS from a device decision into a data-governance decision. It draws on the consensus governance framework published by the HIMSS-SIIM Enterprise Imaging Community in collaboration with AIUM, and it sets out what a durable archive and a universal viewer need to deliver so that every POCUS study is captured, retained, and available across the patient record.

Inside the guide

  • The one-page POCUS governance checklist
  • Who owns what: an honest map
  • Four ways POCUS breaks the traditional PACS assumption
  • What a phantom scan actually costs
  • What good governance looks like
  • The archive and viewer requirements checklist
  • Getting started