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Epiphany Healthcare Blog

Hospital Administrators – 3 Steps to Turn Your Workflow Woes into Wins

Posted by Shannon Richter on June 4, 2019 at 1:42 PM

Every hospital has a workflow with the goal to deliver the best patient care at appropriate cost.  Yet, did you know that 24.9% of tests are unnecessary partially due to difficulty accessing prior medical records?

Making a hospital’s workflow more efficient can improve the quality of patient care. Products such as Epiphany Healthcare's Cardio Server improve workflow processes.  Cardio Server is an ECG management system that connects test results directly with electronic medical records (EMRs), streamlines the reading of diagnostic studies, and ensures that previous results are always available.

Improve Your Clinical Workflow In Three Easy Steps

workflow-2

1. Identify Workflow Woes - Let Epiphany Analyze Your Workflow

Epiphany can look for ways to improve your current workflow.  Ask others who are a part of the workflow how they think it could improve.  Look for patterns in peoples’ answers to find holes in your process.  Follow different types of workflow users for parts of their day to see what their pain points are.  Then the following questions can be answered:

  • What steps are removable?
  • What steps are able to be automated?
  • What do physicians find most frustrating? 
  • How well do your software systems work with your EMR?
  • Do your physicians have to log in to several software programs?
  • What are the challenges of managing diagnostic test results?
  • What challenges do different departments have regarding workflow?
  • What parts of your current workflow are essential to keep?
  • What is the average time spent with patients?
  • What seems to be the overall satisfaction of the patients?

Start Your Workflow Analysis

2. Get Buy-In Early – Epiphany Can Help You Prepare for the Right Workflow Wins

Too often, key decision makers feel that technical changes are being imposed upon them.  Get the leading physicians and power users involved from the beginning.  Ask them what in the workflow can improve to save time in their day.  When you show physicians how you are trying to make these improvements happen; they will be supportive of the workflow changes.

When you put in place changes to end these daily problems, decision-makers will believe in the improvement method.  Physicians say they want it all, Epiphany can help you get it for them. 

Here is an example of how Epiphany Healthcare helped the physicians at Northeast Georgia Medical Center.

3. Implement Workflow Wins - Epiphany Can Create Strategies for Optimization

Now that you know the problem areas of your workflow and you have buy-in, let's find a solution for each pain points.  Here are ways that Epiphany Healthcare can turn your workflow woes into wins.

  • Use one software program to manage all cardio-pulmonary tests from many hospitals and facilities. Here are Epiphany’s ten requirements for a multi-modality ECG management system
  • Simplify your clinical workflow by working with your devices, EMRs, and unique challenges.
  • Epiphany Healthcare’s Cardio Server integrates with all EMRs.
  • Whether you are paper-based or are already using an ECG management program, Epiphany offers a migration path.
  • Use a mobile platform that enables providers to access and edit ECG data from anywhere with iOS devices. With Cardio Server Mobile, information is secure, responsive, and easy to use. 
  • Stop Revenue Loss by using graphical data and customized reports from Epiphany Analytica.
  • Cloud services simplifies data management by reducing server requirements, storage, and IT costs. Save your hospital time and resources to focus on delivering the best patient care.
  • Remove manual steps from your process with Rhythm Strip Management or Modality Worklist.

Your hospital's clinical workflow should run with the same finesse as an experienced surgeon.   It should run with software that helps keep your team's attention and focus on patient outcomes.  Deliver optimal patient care by letting Epiphany Healthcare turn your workflow woes into wins.

Learn More About Cardio Server

Sources:

https://www.epiphanyhealthdata.com/

https://www.imprivata.com/customer-success/best-practices/analyzing-clinical-workflows

https://www.modernhealthcare.com/article/20181103/NEWS/181039969/raising-the-stakes-it-s-getting-harder-to-be-a-top-tier-heart-hospital

https://www.imprivata.com/customer-success/best-practices/engage-care-providers

https://hbr.org/2016/11/4-steps-to-sustaining-improvement-in-health-care

https://getreferralmd.com/2016/08/30-healthcare-statistics-keep-hospital-executives-night/

 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5587107/

Topics: Healthcare Communication, Healthcare Technology, ecg management software, Healthcare IT professionals, clinical workflow improvement, Mobile ECGs

Cardio Server: Your IDN's Enterprise-Wide Solution!

Posted by Shannon Richter on May 8, 2019 at 1:23 PM

Imagine using one software program to manage all the different cardio-pulmonary diagnostic tests in your organization from multiple hospital facilities. Epiphany’s Cardio Server simplifies clinical workflow by working with your current devices, electronic medical records (EMRs), and unique challenges.

Are you thinking about implementing an enterprise-wide healthcare IT solution? Epiphany has helped many enterprise hospital systems consolidate multiple ECG management systems and migrate legacy ECG data into Cardio Server. For example, Hospital Sisters Health System is a multi-institutional health care system comprised of 13 hospitals in 12 communities that chose Epiphany for their Enterprise ECG Management System. Indeed, many IDNs use Cardio Server as their workflow solution.

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Maximize Your ECG Management System

Cardio Server is scalable and flexible. It can manage multi-modality, multi-vendor integrations within your enterprise. It has comprehensive HL7 messaging. Cardio Server supports multiple EMRs from different sites integrated through one single solution.  Epiphany communicates with all major EMRs, including:

Affinity

Clinview

HMS

NextGen

Vista

Allscripts

CPSI

Iatric

Opus

Siemens

Athena

eClinical

Keane

Prognosis

Meditech

Centricity

Eclipsys

McKesson

Pulse

Heartland

Cerner

Epic

Medhost

Quadramed

ChartMaxx

 

Easily Migrate To Cardio Server

For hospitals with an existing ECG management system, Epiphany can migrate your legacy data into Cardio Server.  Epiphany extracts ECGs from the source management system, processes the data, and then loads the processed ECGs into Cardio Server. After migration, you have full functionality on legacy data including serial comparison and calipers.

Beyond migration of legacy data, Cardio Server supports multiple time zones for enterprises that extend beyond a single region. It has flexible patient identification criteria for multi-sites lacking enterprise-wide, unique patient IDs. It can also be configured to link orders for inpatient procedures. Cardio Server can reside on your infrastructure and is compatible with your backup and virus protection plans. It is also completely nonproprietary when working with diagnostic devices.

Epiphany makes it easy to start using Cardio Server. When you pair that with Epiphany’s commitment to exceptional customer service, Cardio Server is an ideal enterprise solution for IDNs. Epiphany believes that interoperability in healthcare leads to better patient care.

 

 Learn More About Cardio Server as  Your Enterprise Solution

Topics: ECG management system, Workflow Problems, clinical workflow improvement, enterprise Cardio Server

Epiphany Observes National Nurses Week 2019

Posted by Allison Fawber on May 6, 2019 at 11:05 AM

nurses

 

During the week of May 6-12, Epiphany Healthcare would like to join the American Nurses Association (ANA) and many other organizations across the United States in observance of National Nurses Week 2019. Please join us in recognition of our 4 million registered nurses, as they dedicate themselves year round to the promotion and maintenance of our nation’s health.

Why Observe National Nurses Week?

  • Raise public awareness about the tremendous role that nurses play in the maintenance and improvement of American healthcare. We all know that nurses work diligently to provide us with superior care in hospitals, schools, and other healthcare facilities, but many may not see the important contributions nurses make as volunteers, researchers, educators, and advocates for a better healthcare system.
  • Nurses make up the largest of all healthcare professions and the profession is growing, in both number and in its capacity for leadership and responsibility as changes to the healthcare system allow nurses the opportunity to utilize more of their education and training than ever before.
  • Nurses are the most trusted professionals in America according to a national Gallup poll. The 2018 poll marks the seventeenth consecutive year that nurses have topped the list of trustworthy and ethical professionals.

How to Observe National Nurses Week

  • Know important dates associated with National Nurses Week to plan events accordingly, publish appropriate materials, or recognize individuals in a personal setting.
    • National Nurses Week begins on May 6th of every year and culminates on May 12th, coinciding with Florence Nightingale’s birthday.
    • May 8th of every year is recognized as National Student Nurses Day.
  • Plan an event in your community or workplace. Some possibilities include:
    • Host a celebration of current or retired nurses in your community.
    • Organize/sponsor a community wide contest that focuses on recognition of a nurse or nurses within the community.
    • Hold a fundraiser and donate the funds to a local charity in the name of a local nurse, group of nurses, or National Nurse Week.
    • Spread the word via press release, blog, advertisement, or any way that can make more people aware of National Nurse Week.
    • Show your appreciation by personally thanking nurses for all that they do. No matter who it may be, just let them know that you appreciate them. They will likely appreciate the recognition.
At Epiphany Healthcare, we understand the important role that nurses play in our nation’s healthcare system and we want to take this opportunity to thank them for their service. Our goal is to use our technology and service to help improve patient care just as nurses around the country and the world do every day.We thank you again, Happy National Nurses Week!

Topics: Epiphany Healthcare, Nation's Health, Epiphany, Nurses, National Nurses Week

Epiphany Analytica™ Saves Hospitals Money

Posted by Shannon Richter on March 26, 2019 at 10:04 AM

Analytica_logo

 

 

 

 

Epiphany Healthcare created a way to use the clinical data from Cardio Server to give hospitals the advantage of improving their workflow and saving money with its new Epiphany Analytica™.  Analytica™ is a graphical, data-analysis tool that allows hospitals to identify trends and determine how departments and staff are performing.  With Analytica™, hospitals evaluate staffing requirements, workload distribution, and potential training needs by comparing metrics over time.  Analytica™ allows hospitals to identify the cause of delayed billing and stop revenue loss.

Pat White, Product Manager at Epiphany Healthcare, had this to say about Analytica™, "Analytica™ gives the customer quantifiable data to identify strengths, weaknesses, and opportunities foAnalytica_reportsr workflow and billing improvements.  By objectively measuring data, management can create a strategy to improve performance and eliminate lost revenue.  Analytica™ establishes a baseline and then identifies trends with subsequent, scheduled reporting.”

 

Epiphany Analytica™ shows the average time an ECG waits for an order, shows if the order was auto-reconciled, and shows the time taken to confirm the study.  Data can be broken down by site, technician, and reading physician.  Reports are scheduled to run as often as needed, per the hospital’s specific requirements, and then delivered automatically by fax, email link, file drop, or printing. 

A hospital that recently enhanced their Cardio Server with Epiphany Analytica™ described it this way; “It makes operational tasks, administrative tasks, and follow-up much easier for the end user by having the data represented in a graphical easy to understand format.”

*Epiphany Analytica™ is a product-enhancement of Epiphany’s Cardio Server.

 

Learn more about Epiphany Analytica

Topics: upgrade, analytica

Epiphany Healthcare Supports Customers with New Learning Center

Posted by Shannon Richter on March 18, 2019 at 1:56 PM

At Epiphany Healthcare our goal is to provide technology that doctors can use to help them deliver the best patient care. Epiphany Healthcare’s Cardio Server has so many beneficial features. We don’t want our customers to miss using any of them. This is why Epiphany Healthcare has created its new Learning Center. This new online Learning Center has a modern design and easy navigation; it was built with healthcare professionals in mind. The Epiphany Learning Center is:

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Conveniently Self-Paced

Epiphany Healthcare created an optimized online training tool for today’s busy medical professional. Learning should be convenient for the fast-paced environment of today’s hospitals and clinics. Epiphany Learning Center students learn at their own pace, in their own time, with guided start and stop videos, and downloadable documents.

Exceptionally Knowledgeable

Epiphany Healthcare wants its customers to succeed in getting the most out of Cardio Server. Epiphany Healthcare’s new Learning Center provides the knowledge that will give doctors power to utilize all the features of Cardio Server. Whether a new user or a seasoned user, who wants to learn more tips and stay current with Cardio Server upgrades, Epiphany's Learning Center will provide the knowledge you need to take full advantage of the software.

Overall Effective

The Learning Center was designed to create a profound learning experience. Each learner has their own custom page with courses that apply directly to them. Here are five reasons why online learning can be more effective than enrolling in a face-to-face training course.

Along with customized courses, the homepage of the Learning Center provides access to Epiphany Healthcare's blog, information on upgrades, and easy access to Epiphany’s renowned customer service.

Have questions about the new Learning Center?

 Contact Us

 

ECG Management Systems Running on End of Life Operating Systems

Posted by Russ DeRemer on March 11, 2019 at 1:10 PM

From the desk of the President:

Most hospitals consider ECG management systems to be mission critical. If your system is running on a Microsoft Server 2008 operating system, that operating system will be at the end of life (EOL) on 14 January 2020. What happens when a Microsoft operating system goes end of life?

  • Microsoft will not provide patches or updates
  • There will be no technical assistance available
  • Newly identified vulnerabilities will not be addressed
  • Microsoft will not offer any types of support for EOL systems

Possibly worse than the problems outlined above, after an operating system goes EOL, those systems are often targeted and exploited by cyberattacks. Anyone facing this EOL should begin planning the upgrade of their ECG management system.

iStock-914785080

A few warnings from the internet regarding EOL software:

Staying on EOL Software Renders Your System Vulnerable, “Hackers exist to prey on vulnerabilities, and end of life software provides them with ample opportunities.”  Read more >

Can I still use my current system?

Yes, you will be able to continue using your computer with Windows 7 or Server 2008, but they will have a major security vulnerability and may not meet required standards for governing entities like HIPAA, FINRA, etc.  
Read more >

Depending on the circumstances, one recommendation is to move the on-premise Microsoft SQL 2008 and Microsoft Windows Server 2008 workloads into the Microsoft Azure cloud.  Read more >

Note: Epiphany Cloud Services offers ECG Management in the Microsoft Azure cloud. 

I write this message to strongly encourage you to begin planning an upgrade as soon as possible. Please share this communication with people in your organization who can accelerate a system upgrade. 
More Information on Epiphany Cloud Services

Russ DeRemer
President & CEO, Epiphany Healthcare

Topics: managing diagnostic test results, Epiphany Cloud Services, Microsoft end of life

Epiphany Healthcare Acknowledges American Heart Month

Posted by Shannon Richter on February 7, 2019 at 11:19 AM

healthy_heart

Reduce Your Risk of Heart Disease

When you think of red hearts this month, please don’t think only of Valentine’s Day. Please think of a healthy heart life for America, and a healthy heart life for you. February has been named American Heart Month for a good reason. The reason is because heart disease is the leading cause in American deaths. Here’s some knowledge to give you the power to reduce your risk.

WHAT

Heart disease, also known as cardiovascular disease, is generally known as blocked blood vessels that can lead to a heart attack or stroke. However, other heart conditions that hurt your heart’s muscles, rhythm, or other functions are also considered a form of heart disease. There are many heart disease symptoms.

WHO

Now that you know what it is, it’s important to know the heart disease facts, and who is at risk.

  • Heart disease in the United States represents 1 in every 4 deaths.
  • It is the number one cause of death in both men and women.
  • 1 in 3 deaths in women are from cardiovascular disease and stroke.
  • Heart disease and the conditions that lead to it can happen at any age.

Who is at risk? Everyone. Everyone is at risk, however some people have a much higher risk of having heart disease than others.

WHY

There are many conditions and lifestyle behaviors that can increase your risk of heart disease. Half of all Americans have at least one of the top three risk factors for heart disease (high blood pressure, high cholesterol, and smoking). Knowing which risk factors apply to you and if you can do something to lower your risk is the first step in prevention. Other conditions and lifestyle choices that can put you at a higher risk for heart disease include:

  • Diabetes
  • Overweight and obesity
  • Poor diet
  • Physically inactive
  • Excessive alcohol use
  • Genetics

REDUCE YOUR RISK

Understanding heart disease and knowing which risk factors pertain to you are two integral steps towards cardiovascular health, but they are useless if they don’t lead you to action. Taking appropriate action against any of the risk factors above can reduce your risk of heart disease or even reverse damage to the heart. Even in cases where the factors are beyond your control, like those concerning age, gender, and heredity, taking any of the following actions can help minimize your risk.

  • Quit Smoking: The Surgeon General has called smoking "the leading preventable cause of disease and deaths in the United States." Quit now and start decreasing your risk of heart disease immediately.
  • Maintain a Healthy Weight: Don’t just lose weight, keep it off and greatly reduce your risk of heart disease.
  • Exercise on a Regular Basis: 20 to 60 minutes per day regularly, three to five times per week.
  • Eat Healthy: Lean meats, low-fat dairy products, and foods that are low in cholesterol, added salts, fats or sugars.

Epiphany Healthcare wants you to be heart healthy. Begin your life-long path to cardiovascular health by utilizing the tips above. Help someone else by sharing these tips with your friends and family.

Topics: Nation's Health, Healthcare Communication

Your Hospital Needs a New ECG Management System! Now to Persuade Your Team...

Posted by Allison Fawber on January 31, 2019 at 10:45 AM

Congratulations! You’ve realized that implementing a Healthcare IT software program such as Cardio Server will help your organization become more efficient, save money, and eliminate manual steps, thus saving time. You’ve done a lot of research to get to this point. However, now you’ve reached a new challenge, which is getting your department and supervisors to agree that implementing this particular software, in fact, is the right decision for your organization. Below are a few recommendations that can help you with the next steps.

Persuade-your-team

1. Leverage testimonials and reference accounts

If you know of another hospital that has been successful with the software you’re recommending, promote their success story to your team. If you need a reference account to contact for more specific feedback regarding their opinions on Cardio Server, just ask an Epiphany Representative and we can provide references that had similar requirements.

2. Get buy-in from your physicians

If you’re making a recommendation that your physicians adopt a new software program, it’s a good idea to make sure they’re on board, or better yet excited, to use the application. Epiphany’s Physician Overview Video is a helpful tool because it’s a tour of our software from their perspective. They can also sign up for a live webinar, customized for a physician’s workflow needs.

3. Put your vendor team to work

Epiphany representatives have the tools needed to provide you with a free workflow analysis to help you position our software to your departments. The end product of this discussion is a visual overview of what manual steps our software eliminates, an estimate of potential cost-savings, and labor costs that can be reduced. Seeing the results is an eye-opener for decision-makers, as it helps determine overall ROI.

4. Reduce uncertainty

Once you make a decision on an application, let your team know what will happen next. Feel free to schedule a consultation with our Implementations Director to talk about the Epiphany process going forward. Having all of these details up front will drastically help your team and supervisors to get the big picture before a final decision is made.


We want to empower you to improve patient care at your organization, and often improving the technology behind your daily workflow is a giant step in the right direction. Consider the steps above to help get your team and/or supervisors on board. Your Epiphany team is here to help you make an informed decision that you’re happy with.

10 Requirements for a Multi-Modality ECG Management System

Topics: Cardio Server, Healthcare Technology, clinical workflow improvement, managing diagnostic test results

Same Great System Now Conveniently in the Cloud!

Posted by Russ DeRemer on January 23, 2019 at 4:38 PM

Epiphany has been heavily vested in cloud computing for many years. Research and development, customer support, HR, payroll, employee benefits, document control, and our Quality System all reside in the cloud. Most businesses, outside of medicine, routinely maintain the majority of their infrastructure in the Cloud.

From Help Net Security, 07.16.2018: “86% of enterprises have adopted a multi-cloud strategy.”

Epiphany is confident that the time has come to take advantage of the cloud to manage your ECG and other clinical data.

Cloud

Recent articles discussing hospitals moving to the cloud include:

Cloud Decision Center, 07.26.2018: Exploring the Strategic Benefits of Moving to the Cloud

HIMSS Learning Center, 08.14.2018: Leveraging Cloud to Revolutionize Health IT…

HIMSS Learning Center, 06.21.2018: HIPAA Cloud Services: Run Healthcare Workloads in the Oracle Cloud

Cloud Decision Center, 06.14.2018: EHRs in the Cloud: why smaller healthcare providers are making the leap

HIMSS Learning Center, 04.28.2018: Enabling Innovation in Healthcare Through Technology…

Cloud Decision Center, 04.10.2018: Healthcare specialties find efficiencies and more in the Cloud


The cloud allows us to think about a new way to solve version-control issues. Instead of waiting for major upgrades, we will frequently patch systems with smaller security and feature updates. With the hospital’s agreement, Epiphany will commit to maintaining all of our interfaces and exports without modifications. Each patch will include documentation on the improvements. This commitment will allow hospitals to keep their system current without expensive upgrade projects.


Take advantage of the following financial benefits by moving to Epiphany Cloud Services:

• Operating budget vs. capital budget

• Reduced implementation and start-up costs

• Lower five-year lifecycle costs


Reduce your IT footprint and its responsibilities by moving the following to the cloud:

• Single-tenancy servers and data storage

• High-availability virtual environment to minimize down time

• Epiphany production and test environments

• Secure business-to-business encrypted virtual private network (VPN)

• Cyber security, malware, and virus protection

• Third-party operating systems, patches, and upgrades

• Backup and disaster recovery


Additional significant value-added capabilities from Epiphany Cloud Services:

Cardio Server Mobile included

• Proactive system monitoring to catch failures before they happen

• Frequent Epiphany software and security updates and patches

• Annual backup and disaster recovery technology testing

• Annual software version penetration testing

Contact Epiphany at (804) 744-8931 to learn more about   Epiphany Cloud Services.

 

Topics: ECG management, ECG management system, EKG management, managing diagnostic test results, Epiphany Cloud Services

Document Scanning is Not ECG Management

Posted by Andrea Allen on January 14, 2019 at 1:50 PM

Document scanning ECGs is an unfortunate reality for many hospitals. It does not manage ECGs, one of the most prolific diagnostic tests performed in a hospital, or other cardiopulmonary test results. While document scanning roughly satisfies the meaningful-use standard, it fails clinicians with its inherent delays, low-quality resolution, and lack of physician tools. It is, essentially, an expensive junk drawer where clinicians become frustrated and lose their patience.

ECG management solves all the problems of document scanning.

Delayed Access

While document scanning roughly satisfies the meaningful–use standard (diagnostic test results posted in the electronic health record (EHR) to give to the patient or for interoperability), document scanning comes with inherent delays. Most hospitals, because of a chronic backlog of patient records, scan documents into the EHR days after the patient is discharged. These delays lead to the question: How meaningful are scanned diagnostic test results if they cannot be used to manage a patient while the patient is still in the hospital?

ECG management, by contrast, transfers the ECG from the cardiograph to the management system in seconds.  Clinicians read in the management system from anywhere they access the hospital network, including their iPhones and iPads. Clinicians use electronic tools to enter interpretations, including pick-list favorites; they send confirmed results to the EHR with a single click. Those confirmed ECGs are immediately available to manage their patients while still in the hospital.

Low Quality

Beyond the delays, we often hear that the scanned ECGs look ‘bent’ or ‘crooked’ or ‘wrinkled.’ They are low quality. Additionally, scanned ECGs lose their diagnostic aspect. ECGs calibrate at 25 mm/second, 10 mm/mV.  Document scanning corrupts calibration as it is a picture of the ECG, one cannot use calipers on a scanned ECG.  Furthermore, the standard of care in ECG interpretation is to compare the current ECG to the previous ECG and comment on what has changed. This is only possible manually with document scanning. 

ECG management, on the other hand, paints the ECG on the screen from a raw-data file feed. The quality is the same as the printout from the cardiograph. Because the ECG contains raw data, electronic calipers for measurement corrections are available. All the patient’s previous ECGs are stored in the ECG management system, serial comparison of ECG results is automatic, thus easily satisfying the standard of care.

Expensive

Document scanning is labor intensive. Multiple workflow analyses demonstrate an average savings of $7 per ECG with an ECG management system in place. Automating ECG management allows skilled staff to focus on patient care.

Junk Drawer

Imagine a junk drawer in a kitchen. It contains pens and scissors and take-out menus and birthday candles and tape and a little bit of everything. To find any particular item often requires taking everything out of the junk drawer, which is always frustrating. By analogy, the media folder or image folder in the EHR is a junk drawer. All the otherwise orphaned diagnostic test results get jumbled together in one repository (ECGs mixed with stress tests mixed with cardiac rehab results, etc.). Finding a particular test result means opening many of them until the one in question is found. Clinicians are busy. They express frustration to us about how long it takes to find a particular test result in their EHR junk drawers; sometimes they give up.

Junk drawer

ECG management, on the other hand, identifies all the cardiopulmonary modalities that apply to the patient in their own ‘buckets.’ Finding a particular ECG from a given date is simple. Clinicians use it; patient care is improved by it.

Document scanning thousands of ECGs every year into the EHR is an unfortunate reality for many hospitals.  Document scanning is an inefficient use of hospital resources and impedes the clinician workflow by its delays, lack of tools for study interpretation, and easy accessibility for study retrieval. ECG management is the real solution for achieving patient, physician, and staff satisfaction.

Contact Us for a Demonstration or More Information

 

Topics: scanning test results, ecg management software, managing diagnostic test results

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