Cloud FAQs

Can any other hospitals see my data?  No, our cloud implementation is single tenancy.  One hospital system to a virtual server.

Who is the cloud service provider?  Microsoft Azure.

Do you provide “high availability” server technology in the cloud?  Yes.

Where would my data be located? Your production environment and storage would be in the Azure server farm located centrally to your hospital system.  https://azure.microsoft.com/en-us/

Do I have a test environment available?  Yes, a test system is available during implementation, testing, and upgrades.  Continuous availability is an option.

Who manages backups and disaster recovery?  Epiphany is responsible for managing your system.  An image of your system is maintained at an alternate Azure location than your production system.

Is my data encrypted in the cloud?  Yes, and also when transmitted through the VPN.

Are anti-virus and malware protection tools included?  Yes, we utilize Microsoft Azure’s anti-virus and malware protection tools.

What happens if I am not satisfied with Cardio Server in the cloud?  We will roll your system to your in-house server technology at no additional expense.

Is Cardio Server in the cloud HIPAA compliant?  Yes, Epiphany has strict HIPAA compliance throughout our organization and that includes the cloud.

How is the system accessed in the cloud?  There is an encrypted VPN from the hospital to Cardio Server and another encrypted VPN from Epiphany to the system for support.

Will I need any server technology installed at our hospital?  Maybe. Some cardiograph vendors utilize a gateway server that would need to be on-site.

Are there any additional expenses beyond the Epiphany Cloud Services subscription cost and on-site training?  Minimal, the VPN and, possibly, the gateway server required by some cardiograph vendors.  Patches, upgrades, 3rd party software, and hardware updates are included. 

About Epiphany Healthcare 

Does Cardio Server have 510(k) FDA registration?
Yes, Cardio Server received its 510(k) registration as a Class ll device in November, 2005. A copy of the registration is available upon request.

Can a software-only application for ECG management receive a 510(k) from the FDA?
Yes, the first sentence of Cardio Server's 510(k) registration states that it is available as a software-only application.

How long has Cardio Server been in clinical use?
Cardio Server was first deployed for use at Duke University in 2001.

How many employees does Epiphany have?
Our staff numbers over 70 and growing.

Does Epiphany own the license to Cardio Server?
Yes.

Common Misconceptions

Is it true that one company's resting-ECG algorithm is somehow superior to another company's algorithm?
We discuss computerized-ECG findings with physicians every day. The one question that we always ask is, “How often do you agree with the interpretative statements coming from the cardiographs?” We of course hear the occasional extremes “never or 95% of the time.” The most common answer, however, regardless of the cart manufacturer is, “60 to 75% of the time we agree with the computerized interpretation.”

When you transfer ECGs with interpretations from a cardiograph to Cardio Server, the original statements and measurements pass through to Cardio Server without modification. If you like your current algorithm you will still see the same data.

Is it true that transferring from carts to an ECG management system other than that of the cart manufacturer will void your cart warranty?
No. Epiphany has many sites with carts transferring to Cardio Server without voiding the warranty.

Can Cardio Server accept wireless transfer from MAC 5000/5500 cardiographs?
Yes. We have hundreds of GE carts transmitting ECGs wirelessly to Cardio Server.

Can I purchase Silex, wireless modems for my MAC carts from Epiphany?
Yes. The modems come with instructions for installation by Biomed, telephone support, and the original Silex warranty.

Why do the competitors say that Epiphany is either going out of business or going to get acquired?
We have heard a variety of rumors and misinformation over the last 15 years. This can happen when you displace older, staid companies in a monopolized market niche. We believe that robust competition benefits the end users with more features at better prices. We are growing, business is strong, and our customers are benefiting.

How does Epiphany import device data?
Most of our modality imports have both alpha/numeric feeds and waveform-PDFs. Supported formats include DICOM, XML, HL7, and PDF. When we receive the alpha/numeric data, we post it into editable fields. This is so much more than simply taking a PDF in for storage.

When we get only a PDF, we are doing much more to support our customers. Our PDF Import Tool allows the importation of any PDF to Cardio Server where we create a new modality in the database and populate all demographics with an ADT or orders feed. Our tool provides you flexible workflow including a cover page for physician interpretation, forms, acronyms, electronic signature, HL7 messaging into the EMR, automated messenger functions, and administrative reporting.

Other Inquiries 

Have a question not answered by our FAQs? Contact us. We will respond to your inquiry as soon as possible.