Epiphany Healthcare Blog

Epiphany Supports Modality Worklists with Your Devices

Posted by Allison Fawber on April 10, 2017 at 2:16 PM

Epiphany’s Cardio Server supports modality worklists. Why would one want modality worklists as a feature? With modality worklists, patient demographics and order information from the EMR can be securely transferred between cardiograph, stress, Holter, PFT, & CPET devices and Cardio Server. The use of modality worklists improves workflow through the elimination of manual data entry.

Without modality worklists:

  • Orders (in HL7 format) come into Cardio Server from the EMR.
  • Technician prints a list, grabs a cardiograph, and heads out to perform studies.
  • Studies (we’ll use ECGs as an example) are performed with the technician scanning the patient’s wristband for the demographics or filling out key fields on the cardiograph correctly. 
  • Studies are exported out of the cardiograph to Cardio Server.
    • If the patient’s wrist band is scanned, demographics are always correct and the study, with the correct demographics, goes into the Unconfirmed queue for an MD to read.
    • If the manual demographic entry is accurate, the study goes into the Unconfirmed queue for an MD to read.
    • If the manual demographic entry is not accurate (typos), the study goes into the Preliminary queue for clerical staff to correct the typo and reconcile with the order.  Then it is promoted to the Unconfirmed queue for an MD to read. 

Now, if the cardiograph (or other device) supports modality worklists:

  • Orders (in HL7 format) come into Cardio Server from the EMR. 
  • The cardiograph (or other device) queries Cardio Server for the all the orders in the hospital, orders for a given department (i.e., ICU or 4th floor), or a certain patient. These options vary by cardiograph or other device vendor.
  • The technician sees the patient name on the screen of the cardiograph.
  • The technician asks the patient if he is John Doe with DOB of dd/mm/yyyy.
  • The technician selects John Doe on the screen and his demographics populate the ECG perfectly. Study is performed.
  • The technician exports the study into Cardio Server where it always goes to the Unconfirmed queue for an MD to read. 

Modality Worklist - Blue .png

Modality worklists take the human element out of the workflow process; therefore, the reading MDs can view the Unconfirmed studies more quickly. Epiphany’s support of modality worklists helps make your workflow more efficient.

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Topics: holter, ECG, modality worklist, Stress tests, PFT reports

Epiphany Delivers Modality Worklists for Burdick Cardiographs at Tennessee IDN

Posted by T. Dale Monroe on February 18, 2015 at 1:06 PM

Epiphany introduced Burdick ECG modality worklist in December 2014 to an integrated delivery network (IDN) in central Tennessee. This IDN had been using a Burdick/Cardiac Science Pyramis as its ECG management system for years. The modality worklists’ capability was an integral part of their workflow. They could not move away from Pyramis and keep using their Burdick carts without it.

Their Manager of Imaging Informatics described the importance of modality worklist as follows:

The primary benefits of using modality worklists are improved data integrity and appropriate patient care. Modality worklists provide specific patient demographic and order information to the ECG cart that is pre-populated on the cart and transferred either to the ECG printed copy or to any downstream ECG management systems. This is very important for ensuring data integrity. Utilizing modality worklist functionality eliminates typing errors, when manually entering patient information on an ECG cart, which could lead to patient mis-identification and possible improper treatment of a patient. Modality worklists lead to a cleaner medical record as they ensure the accuracy of the patient demographic data and can tie a specific ECG back to a specific order; [because the study automatically matches to the order, the clinician only touches the study one time]. Proper use of modality worklists also improves workflow for the ECG technicians as it is faster to pick the patient from the modality worklist than it is to type in all of the necessary demographic information. 

For Epiphany, this was no easy task. Our engineer, Vahid Talaie, is one of the foremost experts in the field of modality worklist integrations having created interfaces with six vendors in twelve modalities over the years. Vahid worked over 600 man-hours to deliver Burdick cardiograph modality worklists.

If you are considering moving away from Pyramis, we invite you to consider Epiphany. We are the only company in our business tha­­­t has invested in providing a solution and delivered Burdick ECG modality worklists. High volume or low, the speed, simplicity, and accuracy of modality worklists make it a valuable, must-have feature.

 Let Epiphany Help Solve Your Workflow Challenges

Topics: Burdick, ECG cart, modality worklist, Pyramis

12 Questions to Determine How "Open" ECG Management Vendors Are

Posted by Russ DeRemer on June 24, 2014 at 4:51 PM

From the President’s Desk:

As more vendors open their ECG Management systems to support modality worklists to third-party cardiographs, there are questions you may want to ask to determine how “open” their systems really are.

Does the vendor provide the same functionality for third-party cardiograph ECG data as they do for their own? Epiphany does not sell devices and treats all vendors’ ECG data equally.

Do the ECGs from third-party vendors support: 

  1. Serial comparison reporting?
    Epiphany - Yes                                        Vendor?
  2. Electronic calipers and re-measuring intervals (e.g.,STEMI and QTc)?
    Epiphany - Yes                                        Vendor?
  3. Reformatting ECG layout?
    Epiphany - Yes                                        Vendor?
  4. Changing the rhythm strip?
    Epiphany - Yes                                        Vendor?
  5. Adjusting the gain?
    Epiphany - Yes                                        Vendor?
  6. Modifying filters?
    Epiphany - Yes                                        Vendor?
  7. Viewing at a 50mm sweep speed?
    Epiphany - Yes                                        Vendor?
  8. Removing pacemaker artifacts?
    Epiphany - Yes                                        Vendor? 
  9. Do these capabilities apply to legacy data that has been migrated?
    Epiphany - Yes                                        Vendor?
  10. Is the modality worklist functionality embedded in the system? (rather than provided by a third-party vendor)
    Epiphany - Yes, embedded                       Vendor?
  11. Who provides support for the modality worklist technology?
    Supported by Epiphany                            Vendor?
  12. Does the modality worklist functionality require additional server technology?      
    Epiphany - No                                         Vendor?

Epiphany is committed to promoting open systems and interoperability. Discover why Epiphany is preferred when choosing an ECG management vendor that supports modality worklists.


Let Epiphany Help Solve Your Workflow Challenges

Topics: interoperability, legacy ECG data, modality worklist, ECG management system, ECG data, interoperable

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