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Epiphany Healthcare Blog

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

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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