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Epiphany Healthcare Blog

7 Reasons Why Adding Sites to Your Cardio Server System is a Good Idea

Posted by Allison Fawber on January 24, 2018 at 2:58 PM

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Managing a multiple-hospital, enterprise-wide IT infrastructure is challenging. Epiphany offers broad flexibility to hospitals in this situation. 

Hospital groups usually have legacy devices from multiple manufacturers and want to avoid the expense of replacing these products. Epiphany is compatible with 260 devices from over 80 manufacturers supporting 23 diagnostic modalities, so you can leverage your existing devices, workflow, and infrastructure.

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Our customers have shared that in multiple-site systems, each hospital needs to be able to define its own workflow. Epiphany supports the ability to adjust Cardio Server to fit different workflow preferences for each site in a multiple-hospital implementation. Examples include:

  1. Epiphany migrates data from your legacy management systems and uses that data to provide serial comparison reports on diagnostic test results from different manufacturer‘s devices.
  2. HL7 messages, including order updates, preliminary results, image updates, final results, and billing messages, are transferred between multiple applications. For example, Cardio Server supports customized results for Epic, Cerner, Meditech, McKesson, and all other major EMR vendors.
  3. It is common in multiple-site hospital systems for patients to have different patient IDs from different sites. Cardio Server identifies a patient's previous studies, even if they were performed with a different patient ID in another site, by using patient name and date of study and other unique identifiers of your choice.
  4. Cardio Server can be configured to not require order linkage for outpatient and clinics studies, but to require orders for inpatient procedures. With our system, you can add not only your hospitals but your clinics and physician practices as well.
  5. Some physicians confirm studies within the exercise stress application. Epiphany enables those stress studies coming from the hospital/clinic to be received as “confirmed” and pass onto the EMR while allowing physicians at the other sites to confirm using Cardio Server.
  6. For university hospital systems, Epiphany has a workflow for cardiology fellows. The cardiology fellows receive a “usertype” unique to them that does not contain the ECG’s preliminary interpretation from the cardiograph. In this way, they are able to provide an unbiased interpretation before the reading MD confirms their work on the study. There is an additional option of a “training” version of Cardio Server, which strips interpretations from the ECGs, de-identifies patient information, and creates an archive of ECG training files for future use.
  7. 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 active, adapt, and expand the functionality of our products to be flexible in supporting multiple-site enterprises.

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Topics: ECG workflow, enterprise Cardio Server, Enterprise hospital system, migrate legacy ECGs

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.

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

Epiphany Improves Workflow for A Critical Access Hospital in Cody, Wyoming

Posted by Allison Fawber on September 4, 2014 at 10:26 AM


Physicians learning Cardio ServerA critical access hospital in Cody, Wyoming implemented Epiphany’s Cardio Server three years ago to help manage their ECGs, stress, and Holter studies. We were able to speak to the Cardiopulmonary Manager about how the hospital’s workflow has changed since 2011. 

What was your organization's workflow like before implementing Epiphany?:
We would do the procedure and fax the results to the ordering doctors. When they were interpreted, we would re-fax a copy to the ordering doctors and send the originals to Medical Records to be scanned into the EMR. We also kept a copy in our office for comparison if the patient returned at a later date for ECGs. Then several days later the doctors’ offices would call and state they did not get them and we would pull the chart and fax once again.

What is your workflow like today?:
The ECGs are transmitted from the ECG machine to Epiphany at the time of service. When the order is entered, they attach to the order and go directly to the patient's EMR. All of our doctors’ offices have access to Epiphany and they can look at [the studies] there or in the EMR. We do not get calls to fax results any more. We deal with a Pediatric Cardiologist out of state and he is able to access and interpret all of his patients’ tests in Epiphany also. We also just started using Messenger and now all the doctors get a report of the interpretations from the Cardiologist. The process is the same for stress tests and Holter monitors. We do the procedure and transmit directly to Epiphany, which sends it to the EMR.

If you could tell other hospital organizations one thing about how Cardio Server has helped you and/or your organization, what would it be?:
Cardio Server has helped cut back the wasted steps of faxing reports over and over again due to offices misplacing them. It has saved our medical records department time since they don't have to scan all the reports in. Cardio Server also helps the billing office; we print out weekly reports of all the confirmed results. These reports tell who confirmed them and what site they were located at.

Any other comments you'd like to add?:
The staff at Epiphany is very helpful. If there is a problem, they handle it quickly. The support team has always worked with me to figure out a solution in my workflow and they're extremely nice.

Epiphany is constantly working with hospitals of all sizes to provide a solution to their workflow challenges. Cardio Server is scalable to meet the needs of critical access hospitals, community hospitals, university medical centers, and large independent delivery networks including physician practices and clinics. Want to see how Epiphany can tailor a solution to your organization’s needs?

Let Epiphany Help Solve Your Workflow Challenges

Topics: Cardio Server, stress workflow, Epiphany support, holter studies, ECG workflow, hospital billing

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