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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

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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

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.

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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

How a Healthy Clinical Workflow Reduces Revenue Loss - Introducing Epiphany Analytica™

Posted by Shannon Richter on October 17, 2018 at 11:14 AM

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Does your hospital have any of these problems: delayed billing resulting in lost revenue, workflow noncompliance, understaffing/overstaffing, and/or training issues?

What if you could use clinical data from Epiphany Healthcare’s Cardio Server to help you improve your workflow and save money by identifying clinical inefficiencies for remediation?  Wouldn’t you want to?

By helping you pinpoint problem areas in your hospital’s operations, Epiphany Healthcare enables you to forecast staffing needs, evaluate performance metrics for staff, clinics and organizations, and schedule reports with automatic delivery.  How can we do all of that?

Leverage Data to Drive Quality Improvements.
Request More Information.
Introducing Epiphany Analytica™!

Your Reporting Source for Improved Workflow

  • Capture the right metrics across your organization. Epiphany Analytica™ identifies costly trends and opportunities for improvement.
  • Identify the cause of lost ECG revenue. Epiphany Analytica™ delivers the data needed to inspire change.
  • Leverage easy-to-read graphs to provide insight to those who own the process. Precisely measure and display data-driven reports.
  • Utilize data to encourage quality improvements. Equip your organization with the right tools at the right time.

Analytica™ allows hospitals to examine historical data to identify trends and get a sense of how departments and staff are performing.  With Analytica™, hospitals evaluate staffing needs, workload distribution, and potential training needs by comparing metrics week-to-week, month-to-month, or year-to-year.  The automated reporting schedule is customizable based on the hospital’s needs.  Automated report delivery eliminates delays and the risk of human error.  Analytica™ graphs measure progress toward meeting goals and performance targets.

Leverage data to drive quality improvements.  If you can’t measure the process, you can’t improve the process. Analytica™’s operational monitoring provides a snapshot of the health of your workflow.

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Determine at a glance the efficiency of reading physicians and sites.  The unconfirmed-to-confirm time report from Analytica™ presents data on how long an ECG waits in the unconfirmed status to be read by the physician.  In some states insurance companies will deny the claim if it is not processed within a specific time frame?  This report allows evaluation of the readers’ efficiency in confirming a study, which is tied to how quickly the bill can go out. Delayed readings cause revenue loss due to late billing.  With this report see:

  • Average time studies spend in the unconfirmed status
  • Average time in unconfirmed by site
  • Confirmations by site
  • Average time by provider to confirm studies
  • Number of studies confirmed by provider
Evaluate Technicians that Perform ECGs before Receiving Order Studies Missing Orders

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Hold your staff accountable by finding trends and quickly identifying the day of the week and the time of day when there is an increase in studies without orders.  This report will shed light on the following:

  • Number of studies missing orders by weekday and time of day
  • Number of studies missing orders by each technician
  • Number of studies missing orders by site
  • The technician who performed each study
Evaluate the Effectiveness of Training and Tech Performance Create to Promote Time

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Find out the average time from creation-to-promote by each technician with this report.  Determine the sites and technicians who are following protocol.  This report provides data on the time required for ECGs to reconcile to an order and be made available to the reading physician and the following:

  • Shows percentage of studies that auto reconcile in 10 seconds or less
  • How long it takes to get the study to the provider’s box to be read
  • Shows percentage of studies that have delayed reconciliation and the average delay
  • Average time each site took to promote a study to the unconfirmed status where the provider can read it

Capture the right metrics across your hospital and use them to make your clinical workflow as efficient as possible. Equip your organization with the right tools at the right time to communicate the full picture.  Identify the cause of lost ECG revenue by using clear graphical data. Analytica™ can identify costly trends in the clinical environment. Let it help you.

Learn more about Epiphany Analytica

 

Topics: ECG data, Workflow Problems, Healthcare IT professionals, clinical workflow improvement

#1 Rated Orthopedic Hospital in the US Goes Live with Epiphany's Cardio Server and Improves their ECG Workflow

Posted by Kevin Sekula on August 7, 2018 at 11:35 AM

When asked why Epiphany’s Cardio Server appealed to him, Carl Navarro, Chief of Cardiopulmonary Services at the Hospital for Special Surgery (HSS), responded, “They put all of the diagnostic test results from all of the modalities on one screen. It is a huge advantage to now have a dedicated cardiopulmonary database whereas before, the hospital was using three different systems. Now, ECG, PFT, and Holter studies are all in the same place on the same screen.” 

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HSS in New York City went live with their Cardio Server system the week of June 18-21st. They are managing multi-modality diagnostic test results with Epiphany. Ranked #1 for Orthopedics by US News & World Report, the hospital’s mission is to lead the world as the most innovative source of medical care, the premier research institution, and the most trusted educator in the field of orthopedics, rheumatology, and their related disciplines.

Carl Navarro continued to share other great results about their new workflow after implementation. “Cardio Server is going to be a huge time saver for the staff. In the past, the staff had to credit all the ECGs that were read without an order,” he claimed. “Now, all of the studies have a matching order, making it easier for the staff to capture revenue that was formerly lost.” In addition to this labor/cost savings, Carl sang other praises about working with Epiphany. He chose Epiphany’s Cardio Server because he could tell that Epiphany makes customer satisfaction a big priority. In fact, feature requests and feedback from the customer go to Epiphany’s engineering team to be included in the next software release.

besthospitals HSS

In summary, Carl Stated that Epiphany:

  • Improved their order workflow by making sure every ECG is linked to an order, thus saving the technician valuable time and reducing the chances for clerical errors resulting in possible revenue loss.
  • Provided a better workflow to assign studies to the correct MD so that we no longer have to worry about the wrong provider reading a study.
  • Made all of the pertinent departments’ studies viewable in one system.
  • Assigned a strong implementations team with excellent onsite training for an overall great implementation. Epiphany’s team members felt like an extension of our own team and the Epiphany project team really drove us to set up the right kind of workflows for our facility. 

Darlene Rowman, the lead Cardiopulmonary Tech at HSS, stated she has used two other widely known systems before Cardio Server. She said Epiphany’s Cardio Server is by far the most user-friendly system. “The software is very intuitive, easy to use, and it didn’t take long at all to train their staff.”

One of Epiphany’s Clinical Training Specialists, Tammy Smith, received wonderful feedback on Epiphany’s report tool. The technician she worked with mentioned that what could take her a week on their previous system would now only take a few minutes.

Now that the hospital staff has been using the system for a little over a month, our Customer Advocacy Specialist reached out to see how they were doing. She was told that the doctors are doing “phenomenally well” using the new system.

Epiphany wants to partner with you throughout all stages of your project. After your decision to adopt our system, we make sure it will work the right way for your organization and that it will maximize your efficiency. If you are wondering how our project implementations work, or how we handle post go-live support to maintain a continued partnership with you, sign up for a free consultation below.

Get Your Free Consultation with Epiphany's Implementations Director! 

Topics: Improved Efficiency, solving workflow problems, workflow improvement, clinical workflow improvement, match order to study, managing diagnostic test results

Tedious Manual ECG Order Reconciliation? Cardio Server has a HUGE Present for You

Posted by Kevin Sekula on November 15, 2017 at 2:09 PM

What is it? Auto-reconciliation. You spend a lot of time manually reconciling studies to orders for tests performed before an order has been placed. We know that. It is a time-consuming, laborious process. We know that too.

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With Epiphany’s Cardio Server, your studies automatically reconcile even if an order is sent after the test has been performed. This is a big deal as other ECG management systems can only offer a manual reconciliation process. A manual process involves many tedious steps to link a study to an order, these are extra steps that waste your valuable time.

Cardio Server can reconcile on patient ID, patient name, and date of study. If these fields do not suit your needs, different fields can be used for reconciliation—the settings are configurable based on your preference.

Emergency Department Benefits

Cardio Server enables a workflow where an emergency department physician makes a full interpretation of the study before an order is placed. When the order comes in and matches to the study, it is automatically confirmed. The reading physician does not have to take another look at the study. This is extremely important as most ECGs in the emergency department are initially completed before an order is placed. This process also helps with the hospital’s door-to-balloon time protocols because the ECGs are confirmed by a physician immediately upon receipt.

No add-on is required for this type of workflow; auto-reconciliation is something our application has been able to do for years. Auto-reconciliation is included with Cardio Server’s default configuration and the settings can be tailored to your needs. Cardio Server’s order reconciliation process greatly reduces manual workflow steps saving clinicians valuable time.

Sign Up for a Demonstration

Topics: automatic reconciliation, clinical workflow improvement, match order to study

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