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

Epiphany Streamlined Stress Workflow for a 220-Bed Hospital in Southern California

Posted by Pat White on August 3, 2011 at 11:05 AM

Epiphany installed its Cardio Server in a 220-bed hospital in Southern California in 2010. Like most hospitals that do not have an ECG management system, workflow for cardiography results before Epiphany was labor intensive. This essay describes how Epiphany streamlined stress workflow with dozens of customized forms for this hospital’s cardiologists.

The Hospital’s Stress Workflow Before Implementing Epiphany

The hospital went live with Epiphany’s Cardio Server in December, 2010. Cardio Server was configured to accept imports from resting ECG, stress, and Holter; upon physician confirmation, Cardio Server exports results to the hospital’s EMR.

Of these three modalities, stress was the biggest problem. Before Epiphany, stress workflow was laborious. Technicians printed stress studies and placed them in the individual cardiologists’ boxes in the reading room. Cardiologists had to make a trip to the reading room to read the stress studies and dictate a final report. Transcriptionists then created a preliminary report with the cardiologist’s dictation and placed the final report back in the cardiologist’s box for final review and signature. Delays, depending on reading schedules, were not uncommon.

The challenge Epiphany faced was to get the cardiologists to read on-line, thus eliminating the trip to the reading room, eliminating transcription, and eliminating the multiple paper copies of the stress studies. This challenge was harder given the cardiologists all had different ways they interpreted different types of stress testing.

Streamlined Stress Workflow After Implementing Epiphany

Stress Test

Epiphany’s Cardio Server is a pure-web, browser-based product. As such, cardiologists access it from any computer in the hospital, from their office computers, or their home computers; on-line reading eliminates multiple paper copies. Pure-web access also solved the problem of the cardiologists making daily visits to the reading room; pure-web access speeds the time between study completion and diagnostic test results posting to the EMR.

Epiphany solved the second problem, the variance in types of stress tests used by the individual cardiologists, by creating customized forms. Forms are fully formed paragraphs that duplicate what a transcriptionist normally types. By taking discrete data results out of Quinton Q-Stress, Epiphany automatically populates those results into the appropriate place on the form (e.g., maximum heart rate, maximum ST level, etc.). Transcription eliminated.

Finally, Epiphany created several forms customized to each cardiologist’s writing style. Multiple forms were built for each cardiologist and for each type of study.  Customized forms were created for routine exercise testing, stress echo, Cardiolite, Lexiscan, Dobutamine stress and Dobutamine echo. Epiphany threw in some forms for Holter for good measure. Now all that is required of the cardiologist is to select the appropriate form with a click, read the populated results, tab to any of the variable fields for pick-list or free-text entry, and confirm it. The study is digitally signed and posted to the EMR.

The best part is that all this comes standard with the purchase of Cardio Server! No extra budget for this custom work is required. We do it before we get on site, while we are on site, or after go-live. We do it to make your days shorter, not longer. Related Posts Plugin for WordPress, Blogger...

Topics: stress, stress workflow, cardiologists

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