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Epiphany Healthcare Blog

Cardio Server: Your IDN's Enterprise-Wide Solution!

Posted by Shannon Richter on May 8, 2019 at 1:23 PM

Imagine using one software program to manage all the different cardio-pulmonary diagnostic tests in your organization from multiple hospital facilities. Epiphany’s Cardio Server simplifies clinical workflow by working with your current devices, electronic medical records (EMRs), and unique challenges.

Are you thinking about implementing an enterprise-wide healthcare IT solution? Epiphany has helped many enterprise hospital systems consolidate multiple ECG management systems and migrate legacy ECG data into Cardio Server. For example, Hospital Sisters Health System is a multi-institutional health care system comprised of 13 hospitals in 12 communities that chose Epiphany for their Enterprise ECG Management System. Indeed, many IDNs use Cardio Server as their workflow solution.

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Maximize Your ECG Management System

Cardio Server is scalable and flexible. It can manage multi-modality, multi-vendor integrations within your enterprise. It has comprehensive HL7 messaging. Cardio Server supports multiple EMRs from different sites integrated through one single solution.  Epiphany communicates with all major EMRs, including:

Affinity

Clinview

HMS

NextGen

Vista

Allscripts

CPSI

Iatric

Opus

Siemens

Athena

eClinical

Keane

Prognosis

Meditech

Centricity

Eclipsys

McKesson

Pulse

Heartland

Cerner

Epic

Medhost

Quadramed

ChartMaxx

 

Easily Migrate To Cardio Server

For hospitals with an existing ECG management system, Epiphany can migrate your legacy data into Cardio Server.  Epiphany extracts ECGs from the source management system, processes the data, and then loads the processed ECGs into Cardio Server. After migration, you have full functionality on legacy data including serial comparison and calipers.

Beyond migration of legacy data, Cardio Server supports multiple time zones for enterprises that extend beyond a single region. It has flexible patient identification criteria for multi-sites lacking enterprise-wide, unique patient IDs. It can also be configured to link orders for inpatient procedures. Cardio Server can reside on your infrastructure and is compatible with your backup and virus protection plans. It is also completely nonproprietary when working with diagnostic devices.

Epiphany makes it easy to start using Cardio Server. When you pair that with Epiphany’s commitment to exceptional customer service, Cardio Server is an ideal enterprise solution for IDNs. Epiphany believes that interoperability in healthcare leads to better patient care.

 

 Learn More About Cardio Server as  Your Enterprise Solution

Topics: ECG management system, Workflow Problems, clinical workflow improvement, enterprise Cardio Server

Epiphany Helps Transform Healthcare with New Mobile Technology

Posted by Shannon Richter on January 4, 2019 at 1:32 PM
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MIDLOTHIAN, VA, January 4, 2019 – With the mission to simplify the collection and management of diagnostic test results, Epiphany Healthcare is excited to announce its new mobile platform, Cardio Server Mobile.   This new responsive web technology enables providers to access and edit ECG data from anywhere with iOS devices.

Cardio Server Mobile is designed for and supports iOS smart devices, which makes it responsive and easy to use. Information is secure with no patient data remaining on the device after the Web session is ended.  

Steve Fetrow, VP of Engineering at Epiphany had this to say about Cardio Server Mobile, "Security and potential HIPAA violations were a key driver for the development of Cardio Server mobile.   Customers described how the medical staff used their smartphones creatively to handle emergent cardiac issues. They would photograph 12-lead ECGs and insecurely message the image to physicians for an emergency overread.  Cardio Server Mobile can reduce the risk of HIPAA violations by securely displaying the diagnostic quality ECG and provide access to previous ECGs on any authorized user's iPhone or iPad."

About Cardio Server:

Epiphany’s Cardio Server is a cost-effective, web-based management system that receives, manages, and exports diagnostic test results to the EHR. Cardio Server is vendor-neutral and communicates with over 260 devices from over 80 vendors. Cardio Server provides easier integration since it accepts data from 23 different modality types such as PFT, stress, Holter, patient monitors, and more.

About Epiphany Healthcare:

With over 900 hospital customers worldwide, Epiphany Healthcare is committed to serving its customers’ needs through product innovation, the delivery of exceptional service, and an unwavering dedication to improving clinical workflow. Discover why Epiphany is the preferred provider when managing multi-vendor, multi-modality diagnostic test data. For more information, please visit http://www.epiphanyhealthdata.com, follow Epiphany on Facebook (https://www.facebook.com/EpiphanyHealthcare/) Twitter (@epiphhealth), or Linkedin (http://www.linkedin.com/company/epiphany-healthcare).

 

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Topics: ECG management system, Workflow Problems, Mobile ECGs, Mobile Healthcare Applications

How a Healthy Clinical Workflow Reduces Revenue Loss - Introducing Epiphany Analytica™

Posted by Shannon Richter on October 17, 2018 at 11:14 AM

Analytica_logo

Does your hospital have any of these problems: delayed billing resulting in lost revenue, workflow noncompliance, understaffing/overstaffing, and/or training issues?

What if you could use clinical data from Epiphany Healthcare’s Cardio Server to help you improve your workflow and save money by identifying clinical inefficiencies for remediation?  Wouldn’t you want to?

By helping you pinpoint problem areas in your hospital’s operations, Epiphany Healthcare enables you to forecast staffing needs, evaluate performance metrics for staff, clinics and organizations, and schedule reports with automatic delivery.  How can we do all of that?

Leverage Data to Drive Quality Improvements.
Request More Information.
Introducing Epiphany Analytica™!

Your Reporting Source for Improved Workflow

  • Capture the right metrics across your organization. Epiphany Analytica™ identifies costly trends and opportunities for improvement.
  • Identify the cause of lost ECG revenue. Epiphany Analytica™ delivers the data needed to inspire change.
  • Leverage easy-to-read graphs to provide insight to those who own the process. Precisely measure and display data-driven reports.
  • Utilize data to encourage quality improvements. Equip your organization with the right tools at the right time.

Analytica™ allows hospitals to examine historical data to identify trends and get a sense of how departments and staff are performing.  With Analytica™, hospitals evaluate staffing needs, workload distribution, and potential training needs by comparing metrics week-to-week, month-to-month, or year-to-year.  The automated reporting schedule is customizable based on the hospital’s needs.  Automated report delivery eliminates delays and the risk of human error.  Analytica™ graphs measure progress toward meeting goals and performance targets.

Leverage data to drive quality improvements.  If you can’t measure the process, you can’t improve the process. Analytica™’s operational monitoring provides a snapshot of the health of your workflow.

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Determine at a glance the efficiency of reading physicians and sites.  The unconfirmed-to-confirm time report from Analytica™ presents data on how long an ECG waits in the unconfirmed status to be read by the physician.  In some states insurance companies will deny the claim if it is not processed within a specific time frame?  This report allows evaluation of the readers’ efficiency in confirming a study, which is tied to how quickly the bill can go out. Delayed readings cause revenue loss due to late billing.  With this report see:

  • Average time studies spend in the unconfirmed status
  • Average time in unconfirmed by site
  • Confirmations by site
  • Average time by provider to confirm studies
  • Number of studies confirmed by provider
Evaluate Technicians that Perform ECGs before Receiving Order Studies Missing Orders

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Hold your staff accountable by finding trends and quickly identifying the day of the week and the time of day when there is an increase in studies without orders.  This report will shed light on the following:

  • Number of studies missing orders by weekday and time of day
  • Number of studies missing orders by each technician
  • Number of studies missing orders by site
  • The technician who performed each study
Evaluate the Effectiveness of Training and Tech Performance Create to Promote Time

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Find out the average time from creation-to-promote by each technician with this report.  Determine the sites and technicians who are following protocol.  This report provides data on the time required for ECGs to reconcile to an order and be made available to the reading physician and the following:

  • Shows percentage of studies that auto reconcile in 10 seconds or less
  • How long it takes to get the study to the provider’s box to be read
  • Shows percentage of studies that have delayed reconciliation and the average delay
  • Average time each site took to promote a study to the unconfirmed status where the provider can read it

Capture the right metrics across your hospital and use them to make your clinical workflow as efficient as possible. Equip your organization with the right tools at the right time to communicate the full picture.  Identify the cause of lost ECG revenue by using clear graphical data. Analytica™ can identify costly trends in the clinical environment. Let it help you.

Learn more about Epiphany Analytica

 

Topics: ECG data, Workflow Problems, Healthcare IT professionals, clinical workflow improvement

Happy Doctor’s Day!

Posted by Holly Allen on March 26, 2018 at 11:43 AM

Have you heard of National Doctor’s Day?  This national holiday took 58 years to become more than just a local holiday.  National Doctor’s Day is celebrated on March 30th in the United States and praises physicians for the work they do supporting their patients and their communities.  On this day, Epiphany would like to take a moment to thank each and every provider for their diligence to detail, timely diagnosis, and passion for the wellness of their patients who are our family.

Doctor gift.jpgThe first Doctor’s Day can be traced back to a small town in Georgia called Winder.  On March 30, 1933 Eudora Brown Almond, the wife of a prominent Georgian doctor, wanted to create a day to recognize and honor doctors.  She mailed greeting cards to all of the doctors she knew and even placed flowers on the graves of deceased physicians. The flowers she placed on the graves of these doctors that are still used to celebrate National Doctor’s Day today are red carnations.

Even though this day was celebrated locally since 1933, it wasn’t a national holiday until Congress passed Proclamation 6253 in 1991.  March 30th was chosen because Dr. Crawford W. Long used an ether anesthetic for the first time on this day during surgery in 1842.

Epiphany would like thank the many providers who utilize Cardio Server on this special day.  We love hearing your feedback whether it be the ease of access from anywhere on any device including computers, tablets, or mobile devices or feedback regarding our features such as our advanced calipers.

We are happy to serve over 850 hospitals allowing providers to devote more time with their patients and less time on the clerical tasks.  Happy Doctor’s Day to each of you!

 

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Topics: Cardio Server, National Doctor's Day, Workflow Problems, ecg management software

5 Workflow Problems Epiphany Eliminated at Montgomery County Memorial Hospital, Red Oak, IA

Posted by Kathy Riley and Kevin Sekula on April 20, 2016 at 12:32 PM

During implementation of Epiphany Healthcare’s Cardio Server at Montgomery County Memorial Hospital (“MCMH”) in Red Oak, IA, a cumbersome paper-based workflow was replaced with an online, digital ECG management system.

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Before

Prior to implementing Cardio Server, a patient’s ECG was printed out as many as three times with multiple copies of the study going to the patient’s chart, physician’s dictation inbox, cardiology department file, etc. During our workflow analysis, Epiphany learned it required manually matching the patient’s transcribed ECG result to the patient chart and medical record, which was a labor intensive and error-prone process. The ECGs were dictated by the physician, results were matched to the hard-copy ECG, and then sent to the physician’s inbox for signature. Once signed, the ECG was sent to Medical Records where the ECG was manually scanned into the EMR and then shredded.

With MCMH’s existing process, which contained several potential points-of-failure, it could sometimes take up to two months for a study to be fully completed in the EMR. The staff at MCMH was eager to analyze and streamline their workflow problems with an ECG management system.

Epiphany’s Cardio Server is a browser-based, digital ECG management system that brings in studies from hundreds of devices, regardless of vendor, and exports results to EMRs.

Ron Kloewer, CIO at Montgomery County Memorial Hospital, stated:

“We went live this week at Montgomery County. Awesome job by everyone. Excellent product and we will be adding to it! Thank you so much for all your efforts and guidance. Wanted you to know that the entire team did a great job!”

After: 

Below are the five workflow problems that Epiphany eliminated at MCMH:

  1. Multiple paper copies of each ECG—Staff at MCMH printed multiple copies of the same test results (sometimes on different colored thermal paper for unconfirmed and confirmed ECGs; sometimes mounted on cardboard backing to create a hard copy).

    Epiphany’s Cardio Server presents the ECGs online for the physician to view, measure with calipers, compare to previous ECGs, edit, confirm. Once confirmed, Cardio Server supports required report distribution, sends messages to billing, notifies providers, and tracks interactions with the reports. All of these functions are digital, requiring no paper printing. 
  1. Delayed ECG interpretations—With a paper-based workflow, ECGs awaited physician interpretation until the reading physician returned to the department.

    Epiphany’s Cardio Server automatically promotes ECGs to the inbox of the scheduled reading physician where they can be read from any PC in the hospital or read remotely with permissions from IT. Furthermore, automated reports track the status of ECGs, including reports from the time when the ECG was posted to the physician’s inbox until the time when the ECG was read and confirmed.
  1. Time consuming telephone calls—With a paper-based ECG workflow, MCMH’s staff fielded endless phone calls from surgery or referring physicians looking for the ECG results every day.

    Epiphany’s Cardio Server posts preliminary, unconfirmed ECGs with the cardiograph’s interpretation to the EMR as soon as it is acquired by the technician. Then, once read and confirmed, Epiphany automatically updates the unconfirmed ECG with the confirmed ECG in the EMR.  Now, surgery, referring physicians, etc. access the ECG interpretation and waveform image from the EMR whenever necessary.  They no longer call the department seeking ECG results.

See also: 10 Requirements for a Multi-Modality ECG Management System

  1. Time consuming quest for the patient’s previous ECGs—With ECGs scanned into the EMR, and the associated delays in that process, MCMH experienced inconvenient access to previous ECGs for comparisons.

    Epiphany’s Cardio Server automatically presents the previous ECGs right below the current ECG for easy comparison; they are all in one place immediately.  Epiphany eliminated the long and frustrating search for ECGs in the scanned folder of the EMR, which was described as the EMRs’ “junk drawer.”  And, because of the weeks-to-months delay in final EMR scanning and posting with MCMH’s paper-based workflow, Epiphany eliminated the search to try and find a previous ECG for an acute patient before the ECG was in the EMR (a process that required searching for ECG files in the department after-hours).
  1. Manual report management and distribution—Managing and distributing final ECG reports for ordering physicians, referring physicians, primary-care physicians, surgery, etc. was manual and time consuming.

    Epiphany’s Cardio Server posts the confirmed ECG interpretations in the EMR associated with a link to the ECG image so no hard copies are required to be printed, faxed, or mailed between locations or placed in the physicians’ hospital mailboxes. Cardio Server eliminates managing paper ECGs; eliminates keeping log books, mounting ECGs, pulling ECG files, re-filing ECGs, scanning ECGs, and shredding multiple copies of ECGs created in a paper-based environment.

After implementing Epiphany’s Cardio Server, MCMH solved its cumbersome paper-based workflow problems. Digital ECG management allows cardiologists to login to Cardio Server from every PC in the hospital or remotely with permissions from IT, compare a current ECG to the previous ECG, and make their interpretation on the ECG within a minute or two.  Once an ECG is confirmed in Cardio Server, results are automatically sent to the EMR, eliminating the paper-moving, pulling, filing, matching, scanning, and shredding process; eliminating a process that that could take days, weeks, or months.  MCMH’s whole workflow can now be completed within minutes on the same day.

At Epiphany we take pride in helping our customers address their workflow problems by assisting them in streamlining their workflow processes. Our implementations’ team, consisting of project managers, clinical training specialists, and software technicians, work closely with our customers through the implementation process to construct a more streamlined and efficient workflow. If your paper-based workflow is like the ‘before’ described above, give us a call.

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Topics: Cardio Server, EMR, Workflow Problems, Montgomery County Memorial Hospital

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