Epiphany Healthcare Blog

Epiphany’s PDF Naming Wizard -- Powerhouse of Integration Modules

Posted by Jim Stanczak on March 6, 2014 at 2:00 PM

Our customers get it. They get what we do and its profound impact on healthcare.  Sometimes they share their insight with us on how to convey the power of Cardio Server to others.  

What follows is insight received from Frank Piwarski, Senior Integration Analyst, at the International Heart Institute of Montana in a recent e-mail exchange where Frank encouraged us to promote one of our features that makes Epiphany unique.

Frank, who has been working with Epiphany since 2008, wrote:

“It’s odd. One of the most important modules you have is one that you wouldn’t expect to have so much value. 

It's the PDF Naming Wizard. It completes the EMR.  It allows Epiphany to take in PDFs of diagnostic test results that are randomly named and convert them into well-named exams with patient demographics, modality designations, date and time stamps, and physician interpretations.

With a couple of clicks, you can change “6000000000_2014020412340000.pdf” into “holter_dennis_oates_20140204.pdf!” No document scanning. No manual indexing. Takes very little time.

That's it; the PDF Wizard is the powerhouse of modules!! I kid you not. Because you can say that if a result can be saved as a PDF, you can put it into your EMR. Today this means everything.

This module makes you different in the industry. No one else can say "All" and "into the EMR" in one sentence but you guys.

Transition, integration, accommodation of future results, growth, flexibility, low bar, low costs, one view, seamless.

Your mission statement with the “consolidated EMR interface” phrase is on the money.  You work the Cardio Server interfaces once, and then use them over and over with the many modalities.  Cardio Server is like a PACS, able to accept results from multiple vendors’ equipment, but it goes one step further with the PDF Wizard.

It's Noah's Ark, it takes all comers, properly onboards them all, and helps create the one comprehensive overview of all comers, it massively helps complete the patient record.

This will change lives, change outcomes, speed decisions, it's a clarity that only Cardio Server, the Ark of EMR results, can promise.

~ Frank”

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Topics: ECG software, Cardio Server, PDF Naming Wizard, ECG management

Epiphany Upgrades ECG Workflow with Cardio Server and Dragon

Posted by Kevin Sekula on February 11, 2014 at 1:21 PM

Cardio Server

During implementation of Cardio Server with one of our new customers, a 220-bed hospital in Eastern Pennsylvania that performs >1,000 ECGs per month, some of the physicians were hesitant about changing from a dictation-based ECG reading workflow to a digital-based workflow with Cardio Server. They were accustomed to reading printed ECGs and dictating their interpretations; they stated this was a quick process for them and they liked it. The physicians felt that typing interpretations or clicking interpretive statements with a mouse would slow their workflow considerably, thus making Cardio Server challenging to use.

A plan was formed to provide the physicians withDragon Logo Dragon NaturallySpeaking Medical software combined with Cardio Server to address their dictation concerns. Cardio Server works well with Dragon and provides Cardio Server users the ability to dictate their interpretations.

During training, the physicians were instructed to use both tools—Cardio Server and Dragon.  The feedback was very encouraging. One cardiologist stated, "I have had the opportunity to work with the Epiphany system and a voice recognition package [Dragon NaturallySpeaking Medical]. Although my experience is limited it appears that our greatest concern using this package, speed and accuracy, have been met. I have spoken to several of my partners and the feedback has been very positive. It is my belief that using your system will make us more efficient in reading ECGs. It is great when technology facilitates our job performance."

Cardio Server went live in March 2013 and the hospital has reported tremendous success with the program both for the staff and the physicians as well. Here is what the Cardiology Director said about their experience with Cardio Server:

“We had a very positive outcome with Cardio Server. This was achieved by Epiphany’s team and our staff listening to our cardiologists’ needs and concerns. Epiphany’s Joe Noto and Kevin Sekula made the cardiologists’ concerns over dictation their priority. On our go live date, our cardiologists were very satisfied that Cardio Server was set up with Dragon for them to dictate. The cardiologists and our cardiology staff also had the clinical specialist, Kevin Sekula, on site for additional educational support. The Epiphany team, under the leadership of Mr. Noto, continues to offer support and assistance for our ongoing success.”

At Epiphany, our first priority is to make sure our customers are confident and comfortable with our product. We understand that changing familiar processes can be difficult. This is why we provide extensive training with the ability to modify the user experience for their comfort, as in a case like this. Additionally, Epiphany follows up with its customers regularly after on-site training to make sure they continue to be happy with the product and its functionality.


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Topics: EKG software, ECG software, Cardio Server, Dragon NaturallySpeaking, ECG management

5th Year in a Row: Epiphany’s Cardio Server Awarded "Category Leader" in 2013 Best in KLAS Report

Posted by Allison Fawber on February 4, 2014 at 9:12 AM

Epiphany Healthcare is proud to announce theKLAS Category Leader 2013 top ranking for its Cardio Server as the "Category Leader" for ECG Data Management in the 2013 Best in KLAS: Software & Services report.

This year’s award marks the fifth consecutive year Epiphany has received the “Category Leader” recognition in ECG Management from KLAS. KLAS helps healthcare providers make informed technology decisions by offering accurate, honest, and impartial vendor performance information.

"At Epiphany, we listen to our customers and strive to provide them with exceptional service," said Joe Noto, VP of Strategic Partnerships and Marketing. "Their meaningful input fuels our passion to develop innovative products. It is a profound honor to receive the KLAS award for the fifth year in a row. We believe it is a recognition of our unwavering commitment to the success of our customers."

Epiphany’s Cardio Server is a vendor neutral, multi-modality, intuitive management system that receives, manages, and exports diagnostic test results to EMRs. Cardio Server communicates with over 100 devices, from over 40 vendors, in 15 diagnostic modalities, consolidating individual device interfaces to the EMR. Physicians and other users access and edit ECG and other diagnostic test data from anywhere in the hospital, the office, or home using a standard web browser.

About Epiphany Healthcare 
Epiphany Healthcare simplifies diverse clinical workflow using one consolidated EMR interface. With over 500 hospital customers in the US and abroad, 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. For more information, please visit, follow Epiphany on Twitter (@epiphhealth), or Linkedin (

About KLAS 
KLAS is a research firm on a global mission to improve healthcare delivery by enabling providers to be heard and counted. Working with thousands of healthcare professionals and clinicians, KLAS gathers data on software, services, medical equipment, and infrastructure systems to deliver timely reports, trends, and statistical overviews. The research directly represents the provider voice and acts as a catalyst for improving vendor performance. Follow KLAS on Twitter at


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Topics: EKG software, ECG software, Cardio Server, Epiphany's Cardio Server, KLAS Category Leader, KLAS Research, ECG Data Management, ECG management

Lock Haven Hospital Has An Epiphany

Posted by Holly Allen on March 7, 2013 at 1:52 PM

Technology Optimizes ECG Workflow 

Lock Haven, PA – The Lock Haven Hospital cardiopulmonary department recently acquired new technology to enhance patient care: Cardio Server from Epiphany Cardio. Cardio Server is an award-winning management tool for electrocardiograms (ECGs). The web-based application turns a manual, time consuming task into quick, electronic clicks. In addition to saving the cardiopulmonary department time and valuable resources, Cardio Server has made patient information more accessible.

The ECG management ways of the past were very time consuming at Lock Haven Hospital. After each ECG was performed, a technician had to manually print three copies of the ECG on thermal paper. The technician had to then manually place carbon paper between each of the three printed copies. Then the technician had to wait for a physician’s interpretation. The carbon paper allowed the physicians to save time by documenting their interpretations only once per ECG rather than three times, but the carbon often left messy residue and was not the most efficient process.

With the implementation of Cardio Server the process can now be completed with a few,Physicians using Cardio Server to read ECGs online clean computer clicks. Once the technician has performed the ECG, the physician can view and interpret the test and then electronically confirm/sign online whether on site or not. The physician is also able to quickly access previous ECG tests for comparison when continuing care on the same patient. For back-up measures, Cardio Server electronically distributes a paper copy of each ECG to medical records without anyone having to perform an additional click. 

“As we continue to evolve and expand our cardiac care relationships with the providers from Susquehanna Health Systems onsite at Lock Haven Hospital, the Epiphany system allows us to better serve patient needs when critical minutes can make a difference,” said John Zidansek, Chief Executive Officer, Lock Haven Hospital. “Cardio Server’s innovative technology provides more timely results and diagnostic capabilities for digital electrocardiograms and allows physicians to optimize cardiac care.” 

Lock Haven Hospital is a 47-bed facility with an additional 90 long-term care beds, and is fullyLock Haven Hospital accredited by The Joint Commission. With more than 40 medical staff members, specialties include cardiology, otolaryngology, family practice, general surgery, obstetrics/gynecology, internal medicine, pain management, nephrology, ophthalmology, orthopedics and pediatrics. The hospital offers a full range of services including 24-hour emergency care, a birthing center, diagnostic imaging, physical/occupational/speech therapy, outpatient surgery, sleep studies and more. For more information, visit

Founded in 2004, Epiphany simplifies the collection and management of diagnostic test results with its application—Cardio Server. Epiphany's Cardio Server receives, manages, and exports diagnostic test results to all major EMRs. With over 450 hospital customers in the US and abroad, Epiphany is committed to serving its customers’ needs through product innovation, the delivery of exceptional service, and an unwavering dedication to driving open systems. Discover why Epiphany is preferred when managing multi-vendor, multi-modality diagnostic test results. 


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Topics: EKG software, ECG software, Cardio Server testimonials, all major EMRs, managing ECG data, ECG management

KLAS Awards Cardio Server “Category Leader” for ECG Management

Posted by Allison Fawber on January 18, 2013 at 10:43 AM

Epiphany Cardiography Products, LLC is proud to announce that KLAS awarded Cardio Server
“Category Leader” for ECG Data Management in the Best in KLAS: Software & Services report for 2012.

KLAS Research

This year’s award marks the fourth consecutive year Epiphany has received the “Category Leader” recognition in ECG Management from KLAS.¹

What is KLAS? KLAS helps healthcare providers make informed technology decisions by measuring and reporting accurate, honest, and impartial vendor performance data. KLAS speaks with hospital and clinic executives, administrators, physicians, nurses, and other directors and managers with business responsibilities regarding the experiences they are having with their vendors and products. Routinely, KLAS works with over 20,000 people from 5,000 hospitals and nearly 3,000 ambulatory organizations annually in order to gather direct client feedback on vendor performance.

Epiphany's Cardio Server ECG Management System

Epiphany’s Cardio Server is a browser-based, intuitive management system that receives, manages, and exports diagnostic test results to EMRs. Cardio Server communicates with over 100 devices, from over 40 vendors, in 15 diagnostic modalities, consolidating individual device interfaces to the EMR. Physicians and other users can access and edit ECG data and other diagnostic test results from anywhere in the hospital, the office, or home using a standard web browser. Users are also able to access ECGs from their smart devices.

“It is an honor to receive the 'Category Leader' award from KLAS for the fourth year in a row", states Kelli Sudduth, VP Implementations, Training, and Support at Epiphany. “Epiphany works to maintain a constant level of customer satisfaction across many levels; from new customers to our long standing 'customer partners,' we strive to assist healthcare providers in achieving their clinical, administrative and IT objectives. As we continue to grow in the industry and face new challenges, it is rewarding to know that our customers believe we are on the right path, positively contributing to their success.”

About Epiphany Cardiography Products, LLC. 
Founded in 2004, Epiphany’s mission is “to simplify the collection and management of diagnostic test results. With over 450 hospital customers in the US and abroad, Epiphany is committed to serving its customers’ needs through product innovation and the delivery of exceptional service with an unwavering dedication to driving open systems. Discover why Epiphany is preferred when managing multi-vendor, multi-modality diagnostic test results. 

¹In 2009, the category Epiphany received the KLAS "Category Leader" award for was Patient Monitoring Systems

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Topics: EKG software, ECG software, Cardio Server, Epiphany's Cardio Server, KLAS Category Leader, KLAS Research, ECG Data Management, ECG management

Epiphany’s Cardio Server Receives DIACAP Certification

Posted by Allison Fawber on December 21, 2012 at 10:36 AM
The United States Department of Defense (DoD) (Air Force) awarded Epiphany its DIACAP certification for Cardio Server on December 21, 2012. DIACAP stands for DoD Information Assurance Certification and Accreditation Process. It is a multi-faceted approach to security involving assessment, remediation, monitoring, and vigilance. Further, it requires the company whose system or software is involved to potentially tighten their processes and to maintain continuous compliance.

Epiphany's Cardio Server is DIACAP Certified

Over the past year, Epiphany’s Cardio Server has undergone the stringent DIACAP certification process. It involved a thorough inspection of our development and support processes with an overall security posture in view. During the certification process, every line of code was audited by the Epiphany engineering team for (Information Assurance) IA compliance. All points of entry into the system were documented and tested.

Here is the breakdown of systems tested and the number of checks involved for Cardio Server:

  • Windows Server Operating System: 315
  • .NET: 73
  • Application Development: 158
  • IIS: 65
  • Internet Explorer: 128
  • Database: 231

In all, 970 discrete security checks were made on Cardio Server. The results of some checks required remediation in order to make the application DIACAP compliant. For example, vulnerabilities related to Web Services were addressed. Another example would be that when an account has been locked out due to failed attempts, it can only be reset by an administrator; there is no reset based on duration. Even the development process was tweaked as a result of these checks to ensure that IA guidelines were heeded at every step of the process. For example, developers now must have their code reviewed for IA impact before it can be accepted into the product. That IA awareness during development is now codified and followed by Epiphany engineers.

Cardio Server underwent several automated audits and three manual audits conducted by the United States Air Force. The automated tests involved the use of a scanning product called Retina. The manual tests involved a skilled Air Force contractor manually checking Cardio Server’s security posture by running through his own checklist.

The end result is that Epiphany’s DIACAP initiative has resulted in a more secure Cardio Server which will serve as a better neighbor in your corporate network. If you work in a DoD medical treatment facility then the software that you use must be DIACAP compliant and Cardio Server is ready to fill that role for you.



Topics: EKG software, ECG software, Epiphany's Cardio Server, DIACAP, DIACAP Certification

Epiphany Accepts Exports from General Devices CAREpoint™

Posted by Allison Fawber on July 24, 2012 at 11:07 AM

Each year, nearly half a million people in the U.S. fall victim to the most deadly type of heart attack, ST-Elevation Myocardial Infarction (“STEMI”). A patient’s chances of survival depend on immediate action to restore blood flow to the heart. Studies have shown that length of time between the onset of a STEMI and treatment significantly impacts survivability. Currently fewer than half of STEMI patients receive treatment within the guideline-recommended timeframe.[1] In response, the American College of Cardiology introduced the Door to Balloon Initiative targeted at reducing the time between STEMI patient arrival at the hospital and treatment. 

Prehospital 12-lead ECGs taken by EMTs enroute to the hospital can speed the diagnosis and reduce door-to-balloon times in the hands of cardiologists. High quality ECGs transmitted to the receiving hospital provides additional time for STEMI diagnosis, rather than waiting until the patient's arrival to prepare the cath lab for immediate treatment.

One solution to managing incoming STEMI cases is General Devices’ CAREpoint™ Workstation.CAREpoint™ Workstation The CAREpoint™ Workstation manages 12-Lead reports received from EMS by 2-way radio or cellular wireless data and can forward them to Epiphany's Cardio Server across the hospital’s local area network, enabling en-route confirmation of ECG interpretation. Such early transmission of pre-hospital ECG data can be used to alert and mobilize catheterization teams, which may assist with reducing door-to-balloon times. By achieving ECG interpretation and diagnosis early on, a patient’s optimal care plan may be quickly established and treatment may be expedited.
The ECG taken at the time of ST elevation in the ambulance is stored in Cardio Server after being transmitted and becomes part of the patient's record as a stored ECG. Once stored in Cardio Server, the STEMI ECG becomes an integral part of the patient record.  When the Cardiologist reads the next ECG to document any changes/improvements after the Coronary Angiogram is performed, the previous study is the point of reference for the cardiologists interpretation.

Since Epiphany accepts exports from CAREpoint™ workstations, the STEMI ECG is available to view from virtually anywhere with a standard web browser in Cardio Server. Cardiologists can even access the study from home or their smart devices. This is extremely beneficial, as it helps the hospital more easily and efficiently organize the proper team for the immediate next steps in the patient's care.

Epiphany is proud to be compatible with General Devices' CAREpoint™ to help reduce door-to-balloon times. For an extensive look at other devices we're compatible with, please visit

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Topics: EKG software, ECG software, Cardio Server, General Devices Carepoint, ST elevation, STEMI, EMS, Door to balloon

Epiphany is Compatible with ALL Leading Cardiograph Manufacturers

Posted by Patricia Brewer on May 22, 2012 at 1:34 PM

Flexibility is reflected throughout Epiphany, specifically with our integration with vendors. This flexibility allows us to connect with many different ECG carts. This means that multi-hospital/clinic organizations with various ECG cart vendors may not need to purchase new equipment in order to take advantage of Epiphany’s ECG management solution. If one hospital has one type of ECG cart but another hospital has a different type of ECG cart, it is not a problem; you can use your preferred equipment. We integrate with Burdick/Cardiac Science, GE, Mortara, Nihon Kohden, Philips, Schiller, Norav, and Welch Allyn ECG carts. If you do not see your vendor on this list, just ask! As hospitals continue to expand through acquisition of other facilities including clinics, one less thing to worry about is capital expenditure for new ECG carts. 

 Epiphany Cardiograph Vendors

Another bonus of integrating with a variety of cart vendors is the cost benefit of not having to retrain staff on new carts. We all know that training staff on new equipment can be a costly and timely venture. By using your current carts, that expense is no longer a worry.

You also get to keep the features you like on your current carts, for example, the algorithms used for provider interpretation. Providers get used to the way the cart interprets ECGs. By keeping your current carts, providers do not need to change the way they interpret their studies. 

As technologies evolve and hospitals continue to grow, an organization could end up with a variety of ECG carts. Epiphany has the ability to integrate with those systems so they continue to work seamlessly for you.

Cardiographs that Epiphany Integrates With:

  • Mortara ELI 350, 250, 150 and 10
  • Philips PageWriter TC70, TC50, TC30, Touch and Trim XML series
  • HP PageWriter Series 200, 300, and XLi with modem or floppy disc interface
  • GE/Marquette SDLC Interfaced MAC-6, MAC-8, MAC-12, MAC-15, MAC-PC, MAC VU
  • GE/Marquette MAC 5000 and MAC VU with floppy disc interface
  • GE/Marquette MAC 5000 Version 8A or later, XML interface
  • GE/Marquette MAC 5500, 1200, 1600, 800
  • GE Cardio Soft XML export
  • Cardiac Science/Burdick 8500/8300, Eclipse Premier, Eclipse Plus, Eclipse 850 and Atria Series 
  • Schiller AT and CS series
  • Schiller MS 2010 & 2015
  • SCP formats
  • Norav PC ECG 1200, Blue ECG, Green ECG LAN
  • Nihon Kohden 1550A and 1350A
  • Welch Allyn CardioPerfect PCR-100 PC-ECG


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Topics: EKG software, ECG software, ECG, Cardiac Science, Burdick, Philips Pagewriter, Mortara, Schiller, Nihon Kohden, Welch Allyn, Vendor-Neutral, Multi-Vendor, ECG cart

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