Epiphany Healthcare Blog

Epiphany Celebrates 15 Years of Business

Posted by Allison Fawber on July 9, 2019 at 10:22 AM

15Years (002)

Epiphany is excited to announce that July 2019 marks our 15th year of business. As we celebrate our company’s success this year, we would like to take a look back and share some words from our founders about how we got here.

“Fishing on Russ’ dock,” recalled Jim Stanczak (Epiphany’s Executive Vice President and General Counsel) when asked if he could share the story of Epiphany’s humble beginning. “It all started on the dock January 1, 2004. Me with a notebook and pen and Russ (Epiphany’s President and CEO) brainstorming. It was a nice day of fishing, it was a nice day to start a business. He and I discussed the requests we received from around the world for a multi-vendor, multi-modality management system and put them on paper. We were in business by July. I asked, ‘What do you want to call it?’ Russ responded, ‘Epiphany.’”

Russ added some commentary on his motivation to start a new company. “I have always worked for smaller companies. After a small company I worked for was purchased by a global medical company, my ability to quickly resolve customer issues and enhancement requests went away. New development moved at a very slow pace. I knew our idea for Epiphany was too good to pass up."

“We formed a highly specialized team with a shared vision to provide a multi-vendor, multi-modality ECG management system. The team was comprised of engineers with over 30 years of experience in the medical device industry and clinical professionals who witnessed firsthand the daily workflow challenges clinical staff faced.”

Once a company of just a handful of talented and dedicated individuals with a plan and a passion, Epiphany now has 70 employees across the nation and abroad with its headquarters in Midlothian, VA and service and support center located in Durham, NC. Epiphany’s Cardio Server is the fastest growing ECG management system in the country with almost 1,000 hospitals using our product worldwide. We are proud to have hospital customers all over the US, as well as in Canada, South Africa, Australia, New Zealand, Malaysia, the Netherlands, the UK, Italy, and Switzerland.

Cardio Server was built with clinical customer requirements and hospital department workflow improvements in mind. As we celebrate our 15th year of business and the journey that has led to our success today, we thank our customers who have made our vision and our progress possible.

About Epiphany Healthcare: 
Epiphany Healthcare simplifies diverse clinical workflow using one consolidated EMR interface. Epiphany is committed to serving its customers’ needs through product innovation, the delivery of exceptional service, and an unwavering dedication to interoperability. Discover why Epiphany is the preferred provider when managing multi-vendor, multi-modality diagnostic test data. Contact us for more information.


Topics: Epiphany, ECG management

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.


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

3 Easy Ways to Make Your Hospital More Efficient

Posted by Shannon Richter on August 17, 2018 at 12:06 PM



Is the hospital you work for your home away from home?  Do you want your hospital to be the best it can be?  Do you see room for improvement but don’t know how to improve the efficiency of your hospital?

Most efficiency problems in any industry come down to one thing—communication.  The old saying, 'communication is the key to any good relationship,' also applies to the doctor/patient relationship.

If you can improve communication processes, you could cut costs while improving healthcare.  More fluid communication can reduce the time it takes for nurses and doctors to do their jobs.  More fluid communication allows doctors the ability to provide patients with more timely test results and care to reduce patients’ fear while waiting for the unknown.  

Here are three easy ways to streamline your hospital's communication and workflow.

Request a FREE Workflow Analysis

Make Your Hospital More Efficient by Simplifying Your Cardiology Workflow

Epiphany’s Cardio Server ECG Management System

Leave paper and the delays in its processing in the past.  Epiphany's Cardio Server ECG Management System has an intuitive user interface and is IT friendly.  It allows you to pull up ECG data and other diagnostic test results from anywhere in the hospital.  You can view ECGs from an iPhone or iPad or leverage our new Cardio Server Mobile Application.  This digital access eliminates the need for paper copies.  A doctor can easily pull up results at the patient’s bedside with a touch of a screen.

Make Your Hospital More Efficient by Simplifying Your Pulmonary Workflow


Pulmonary Server

Epiphany's Pulmonary Server allows users to access, view, edit, and electronically sign pulmonary studies and other diagnostic test data from anywhere in the hospital, office, or home.  It streamlines communications and hospital efficiency by saving time and reducing labor costs.  Just look what it did for the Cleveland Clinic.

Make Your Hospital More Efficient by Going to Paperless Rhythm Strips

Rhythm Strip Management

Epiphany's Rhythm Strip Management provides a solution to the labor-intensive challenges of patient monitoring strip management.  The application eliminates paper and the time it takes to cut it, scan it, file it, and read it.  Again, paper belongs in the past.  Anyone with access can pull up rhythm strips digitally and instantly.  This instant access reduces time and streamlines communication.

More timely communication makes hospitals more efficient.  Using these three, or even just one of these solutions, will streamline your hospital's communication.  Healthcare technology such as these applications will significantly improve the care-delivery experience for both the doctor and the patient.

 Contact Us for a Demonstration or More Information

Topics: Epiphany Healthcare, clinical workflow, ECG management, healthcare workflow efficiency, rhythm strip management, efficiency, Cardio Server compatibility, Cardio Server Mobile, Mobile ECGs, Mobile Healthcare Applications, Smart devices in healthcare

ECG Management Buyer’s Guide-2:   Automation—Why Removing Tedious Processes is Crucial

Posted by Allison Fawber on November 28, 2016 at 10:10 AM

Speed and efficiency are critical aspects of patient care. Timely receipt and transfer of study data, diagnosis, billing information, etc., are vital in today's healthcare market. Manual order reconcillliation is a tedious process and we have the solution. 


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. It is a time-consuming, laborious process. 

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: Cardio Server, ECG management, Improved Efficiency, automatic reconciliation, automation, efficiency

Dramatically Improved ECG Workflow at Merit Health Wesley in Hattiesburg, MS

Posted by Allison Fawber on August 30, 2016 at 9:39 AM

merithealthwesley_s.jpgAt Epiphany, we love to hear news of improved workflow from our customers. Merit Health Wesley, a 211-bed hospital in Hattiesburg, MS, has been using Cardio Server for eight years to manage their ECGs.

Rhonda Hudson, Respiratory Care Clinical Supervisor, recently shared her Epiphany story with us.

Before Implementing Epiphany

Before implementing Cardio Server, orders were placed/printed to the department, a technician performed the ECG, and two copies were printed (one for the chart and one for the physician’s interpretation). Technicians would search through files for prior ECGs for comparison and place them in the physician’s inbox for a hand-written interpretation and signature. Once interpreted, the technician scanned the ECG into the patient's medical record. The original signed copy was maintained in a patient file. 

After Implementing Epiphany

Today, the order appears on a task list. The technician performs the ECG and transmits the ECG to Epiphany where it automatically matches to the order and sends a preliminary/unconfirmed result to the patient’s medical record. The physician interprets/confirms the ECG result in Epiphany (electronically signs it) and the preliminary/unconfirmed result is replaced in the patient’s medical record by the confirmed result.

When asked to summarize how Cardio Server has helped her organization, Rhonda stated: “Faster ECG results. Easier charge reconciliation. Faster comparison to the patient’s prior ECG results and a reduction in staff, paper, and storage space.” She added that Epiphany’s technical support is quick to respond to any issues. 

About Merit Health Wesley
As an affiliate of the state’s largest healthcare system, Merit Health Wesley is committed to providing superior care across the Pine Belt. Recognized for patient safety and for top performance on key quality measures, Merit Health Wesley is also the area’s first and only accredited Chest Pain Center and only area hospital to be accredited for Heart Failure care. For more information about Merit Health Wesley, call 601-268-8000 or visit

If your hospital organization’s paper-based workflow is similar to the ‘before’ scenario Rhonda described above, contact us for a free webinar demonstration of our system today.

Watch Our 3 Minute Overview Video












Topics: Cardio Server, Scanning ECGs, ECG management, ECG results, paper-based workflow

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.

Watch Our 3 Minute Overview Video

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

Administrators at Jasper County Medical Center Describe Workflow Improvements With Cardio Server

Posted by Allison Fawber on July 7, 2015 at 12:41 PM

After 10 years of working with Cardio Server for managing their ECG workflow, Diane Haseleu, Respiratory Therapy Manager and Glenda Mattocks, Cardiopulmonary Director at Jasper County Hospital in Rensselaer, IN, weighed in on their experience with the system.

Workflow Before Implementing Epiphany:Cardio Server Inbox - Schedule a Demo to See More!

“We were faxing paper for confirmations and making many copies for physicians. Sometimes work needed to be duplicated because of lost paperwork. We were hunting charts to find old ECGs for comparison. Many hours were spent unproductively,” explained Diane.

Workflow Today:

“Today there is no lost paperwork. We can access old copies in seconds for comparisons. We’re able tomake changes with errors on confirm copies with no crossing out of incorrect information. We are also able to generate a report for all procedures done without having a log book system. Every step of the process is much easier,” she added.

Lastly, Diane stated that she would tell other hospitals that implementation and continued use of Cardio Server has helped her organization by reducing the amount of time “paper shuffling” and that “mistakes are easily fixed in one step.” Her hospital plans to add PFT and other modalities to their system.

Glenda Mattocks, Cardiopulmonary Director added, "Our turnaround time for an ECG went from sometimes up to an hour to 5 minutes on reading stat ECGs. Since we are a rural hospital and don't have a cardiologist on site 24-7, we always had to fax our ECGs to the cardiologist before implementing Epiphany. The liability for the physicians was high because of the poor quality of the faxed ECG."

Would you like to see how Epiphany can help your organization become more efficient?  Contact us for a free webinar demonstration of our system today.

Let Epiphany Help Solve Your Workflow Challenges

Topics: Cardio Server, ECG management, ECG workflow, lost paperwork, workflow improvement, cardiopulmonary director

ECG Management Buyer’s Guide 1: Support, Training, & Upgrades

Posted by Allison Fawber on April 23, 2015 at 9:00 AM

As your existing ECG management system nears its end of life (e.g., running on Windows Server 2003) or as your hospital evaluates ECG management for the first time (e.g., paper-based ECG storage exists now), there are critical topics to consider. Epiphany Healthcare’s principals have been working with cardiology software for most of our professional lives. As people with years of experience, we often find hidden costs in competitive quotations. These hidden costs break out into key topics. Ignoring these topics could lead to pitfalls in your selection process. Enclosed are seven pitfalls you want to avoid.

  1. Warranty: In order to lower a quotation’s total, competitive manufacturers often quote the first year of support as “Monday through Friday, 8:00 am to 5:00 pm.” Epiphany believes ECG management is a mission-critical application. As a mission-critical application, support during normal business hours is inadequate and poses a potential risk to patients.
    Epiphany only offers “platinum style” 24/7/365 support for this mission-critical application. 
    download Support Documents 
  1. Post-warranty contracts—hours: Following in this same pattern, post-warranty contracts are often quoted with normal-business hours’ support to minimize your perceived lifecycle costs.
    Epiphany provides a tool to help you analyze project lifecycle costs.
    download Lifecycle Analysis Tool
  1. Post-warranty contracts—pricing: Pricing for post-warranty contracts are generally based on the list price and not the discounted purchase price. Customers who receive a 40% discount on a list-price project of $150,000 are often shocked to find that 24/7/365, “platinum style” post-warranty support agreements are over $30,000 annually for a system that only cost $90,000.
    The annual support from Epiphany for a typical $90,000 system is about $10,000.

  2. Support-quote prices are not firm: We find that support-quote prices are sometimes deliberately quoted lower than the actual, final support costs with a disclaimer noting that, “This quotation is an estimate and the final price may be different.”
    Support quotes from Epiphany are firm.
  1. Inadequate training days: In order to keep the price down, we hear that projects are quoted with little or no in-service training anticipating that during implementation, the competitive vendor’s Project Management team will decide how much training is required. This practice adds unanticipated costs to the discounted project.
    Epiphany includes the necessary days for in-service training in our proposals.

  2. Travel, room, and meals invoiced separately: Another hidden cost occurs when on-site in-service training is quoted without including travel, room, and meal expenses. This, again, increases the actual project costs.
    Training costs from Epiphany always include travel, room, and meals.

  3. Version upgrades approximate the expense of the original system:  Lifecycle costs are underestimated when your expectations are that version upgrades are included in the post-warranty support agreement and, instead, the vendor’s intention is to charge for the next major version.
    All upgrades are included in Epiphany’s support agreement. Beyond third-party applications (i.e., Windows Server 2008/2012) and professional services for our labor, you only buy our software modules once.

It is reasonable to expect that proposed solutions show all anticipated costs in a transparent manner and that mission-critical applications be supported 24/7/365. Epiphany’s “Category Leader” recognition by KLAS confirms our straightforward commitment to your project.

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Topics: Discounted Healthcare IT Projects, healthcare IT, ECG management, ECG management system, Buyers Guide

Epiphany Healthcare Added 117 New Hospital Customers in 2014!

Posted by Russ DeRemer on March 10, 2015 at 4:02 PM

Competitive ECG Management System Replacements


Epiphany added 117 new customers in 2014, establishing Epiphany as the leader in new-system sales in the hospital ECG Management market. Just in 2014, Epiphany migrated 72 GE MUSE customers, 14 Philips TraceMaster customers, and 11 Mortara Pyramis customers over to Cardio Server. 

Have a Look at Epiphany: 

Many hospitals upgrade legacy ECG Management systems without looking at alternatives. What have our new customers learned that would cause them to select Epiphany?

  • Epiphany has advantages managing clinical data from many different vendors and modalities
  • Lifecycle costs are lower with less expensive support agreements that include software upgrades
  • Epiphany can digitally migrate your legacy ECG data into Cardio Server
  • KLAS has ranked Epiphany as “Category Leader” for 6 years in a row
  • Epiphany has expertise managing clinical data and complex workflows in enterprise systems with multiple hospitals (IDNs). These accounts often have a mix of differing vendors’ ECG Management systems, cardiographs, and other devices.
Sign up for a free demonstration or request a complimentary workflow analysis for more information.Let Epiphany Help Solve Your Workflow Challenges

Topics: Cardio Server, Epiphany Healthcare, ECG management, ECG management system, Philips TraceMaster, Mortara Pyramis, GE Muse

A 300-Bed Hospital in South Texas Improves Efficiency with Epiphany

Posted by Allison Fawber on November 18, 2014 at 12:04 PM

A 300-bed hospital in South Texas implemented Epiphany's Cardio Server five years ago. They are managing their ECG and Holter studies with Epiphany.

An administrator at the hospital shed some light on how Epiphany has improved her organization's workflow. Before implementing Epiphany, she recalled, "we were totally dependent on the Medical Records Department for copies of old EKGs. We averaged 800 EKGs monthly. Holter reports were also kept in Medical Records and hand-written interpretations were copied and kept in our department."

[After implementing Cardio Server], “we are now able to retrieve, view, or print any EKG or Holter study without having to depend on the Medical Records Department. We now average about 1,200 EKGs monthly," she added. “If I could tell other hospital organizations one thing about how Epiphany has helped us, it would be that having the capability of retrieving any EKG or Holter from Epiphany has been a great time saver and has made us much more efficient.”


With Epiphany’s Cardio Server, users can access and edit diagnostic data from anywhere in the hospital, office, or home using a standard web browser. Cardio Server is such an intuitive application that physicians and other users can be trained on the system in 15 minutes.

Epiphany Healthcare is on mission to simplify diverse clinical workflow for healthcare organizations worldwide. With over 600 hospital customers in the US and abroad, Epiphany is committed to serving its customers' needs through product innovation and the delivery of exceptional service. Discover why Epiphany is preferred when managing multi-vendor, multi-modality diagnostic test data.

Sign Up for a Demonstration

Topics: Epiphany customers, ECG management, Improved Efficiency, EKG management

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