The semiconductor industry has been booming for a decade in Saratoga County, N.Y., driving a population surge that may be the fastest on the East Coast. In Saratoga Springs, just 35 miles north of the state capital of Albany and up to now best known for horse racing and mineral springs, the 190-bed Saratoga Hospital has grown from a community hospital to a regional, integrated, 130-provider delivery network. Growth seeded the need for a dedicated PCI program that went live in January along with a complete technology overhaul: cath lab, hemodynamic monitoring, echocardiography and a fully integrated cardiovascular information system. The PCI program, close to 100 interventions later, is now considered a jewel of the county and a model for other facilities considering a technology refresh.