Epiphany Healthcare Blog

10 Requirements for a Multi-Modality ECG Management System

Posted by Russ DeRemer on March 23, 2016 at 3:30 PM

As you seek to achieve interoperability, the many diagnostic test results performed in a Cardiology or Cardiopulmonary Department need to find their way into the hospital’s EHR. Simply importing a PDF test result to an ECG Management System fails to take advantage of the many benefits available when managing 12-lead ECG data and other diagnostic test results. If you are looking for a multi-modality ECG management system, please consider these factors:

  1. modality_circle_toEHR.pngSupport 12-lead ECG data from cardiographs, defibrillators, and bedside patient monitoring coming from multiple vendors.
  2. Manage the following modalities: Holter, stress test, PFT, event monitoring, patient-monitoring, pacemaker follow-up, ICD management, cardiac rehab, sleep studies, ambulatory blood pressure, EEG, and more
  3. With network access, allow physicians to view, edit, confirm, and digitally sign all diagnostic tests results using a standard web browser.
  4. Management and research reporting available for all modalities. 
  5. Accept diagnostic test results from any vendor that shares its data and formats.  
  6. Receive waveforms and additional digital data such as XML or HL7 exports from devices to support editable reports and structured reporting, i.e., support interoperability. 
  7. Connect to the EHR with HL7 interfaces including ADT, Orders, Results, and Billing messaging.
  8. Provide enhanced bi-directional communication including modality worklists via DICOM, XML, and other worklist formats.
  9. Workflow requirements, including email notification, faxing, network printing, and generating billing messages are supported for all modalities. 
  10. Single-click access from CVIS system to ECG Management System using Web API.

Upgrading or implementing a new ECG Management System in your hospital is a significant investment of dollars and time. Maximize the return from this effort: Manage many types of diagnostic test results, share one set of HL7 interfaces across multiple modalities, and move towards meaningful use.

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Topics: stress, 12-lead ecg data, holter, managing ECG data, ECG management, diagnostic test results, multi-modality

Cardio Server Shared by Multiple Hospitals within an Enterprise System

Posted by Allison Fawber on September 7, 2011 at 3:32 PM
Epiphany offers broad flexibility to enterprise medical systems with multiple hospitals.

Multiple Hospitals sharing healthcare IT systems usually have diverse legacy devices and cannot afford the typical proprietary solutions that start with replacing working devices from various manufacturers. Epiphany is compatible with 100+ devices from over 40 vendors, supporting 15 diagnostic modalities.

Our customers have also shared with us that in multi-site systems each hospital needs to be able to define their own flexible workflow. Epiphany supports:  

  • The ability to adjust Cardio Server to fit different workflow preferences for each site in a multi-hospital implementation. Examples include:
    • Multi-hospital implementations often have more than one vendors’ cardiographs. Epiphany can migrate data from multiple legacy management systems and use that data to provide serial comparison reports on 12-lead ECGs from different vendors‘ cardiographs.
    • HL7 messaging (order update, preliminary result, image update, final result, billing messages) can be sent to and received from multiple applications. For example, Cardio Server supports customized results for Epic and also for Cerner.
    • It is common in multi-site installations that patients do not have a truly unique patient ID. Cardio Server can identify previous studies for a patient, even if those were performed with a different patient ID in another site. As an example, Cardio Server locates previous studies on name and date of birth.
    • Cardio Server can be configured to not require order linkage for outpatient and clinics studies, but require orders for inpatient procedures.
    • Some physicians confirm studies within the exercise stress application. Epiphany enables the stress studies coming from this hospital/clinic to be received as “confirmed” and pass onto the EMR while allowing other sites to confirm using Cardio Server.
    • Multiple time zones are supported for enterprises that extend beyond a single time zone.

Epiphany values feedback from our customers. Listening and learning from our customers has allowed us to be proactive, adapt, and expand the functionality of our products to be flexible in supporting multi-site environments.  

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Topics: Cardio Server, enterprise medical systems, multiple enterprise software, hospital software, Epic, Cerner, multiple hospitals, diagnostic modalities, diagnostic test results

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