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Areas of Cardiology Integration. Cardiac Longitudinal Record, Dissemination & Disease Mgt. EKG Lab. Echo Lab. Lab. Nuc. Lab. Cath & EP Lab. Other Cardiac Procedures. IT Infrastructure (Security, patient Ids, user authentication). Ordering, Scheduling, Referral.

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areas of cardiology integration

Areas of Cardiology Integration

Cardiac Longitudinal Record, Dissemination & Disease Mgt

EKG

Lab

Echo

Lab

Lab

Nuc.

Lab

Cath

& EP

Lab

Other

Cardiac

Procedures

IT Infrastructure (Security, patient Ids, user authentication)

Ordering, Scheduling, Referral

Charge Posting Billing

slide2
Echo
  • Echo WF+PIR (incl. MWL, gaps: physician scheduling mgt, not always HIS ordered, counter-indication/clinical decision, multi-stage tests)
  • Echo measurements with image links to reporting
  • Outbound Reports (states) with selected images Export (archiving images + report ?).
  • Lab Test Access
cathlab and ep
CathLab and EP
  • Access of Echo, Nuc, ECG, MR, CT, EP, Post-processing output (images, reports, measurements)
  • Lab Test Access
  • Cath WF-prep/collect + PIR (incl MWL, gaps: worse !, pre-cath, intra-cath, post-cath, NCDR input.
  • Cath WF-event log-tracking, time-synch
  • EP measurements, waveform
  • Cath WF-Reporting (define report content-Help from SCAI-ACC-ESC).
  • Access to previous Cath output
  • Outbound Reports (states) with selected images Export (archiving images + report ?) to Longitudinal record
ecg lab
ECG Lab
  • Access of ECG and reports enterprise wide and external to enterprise (status)
  • Time Synch
  • Scheduled and unordered, post acq ordering WF, Patient Info Reconciliation
  • Critical value notification, clinical context, audit trail.
  • Charge capture (save a buck)
it infrastructure
IT Infrastructure
  • Enterprise User Authentication (single sign-on, multiple systems and enterprise access)
  • Patient ID Cross-referencing (patient ID/MRN linkage between hospitals, small practices).
  • Retrieve Info for Display(RID) - Inbound and Outbound (quick simple view, non-cardiac reports, still images, documents).
  • Retrieve motion images for Display (Inbound and outbound, non-diagnostic ?)
  • Consistent Time + special cardiac care episode events usage definition.
  • Patient Synchronised Apps (local and server)
  • Audit Trail (for Privacy, cross-domain, modality, central repository)
  • Consistency of PIR across verticals
scheduling ordering referral
Scheduling, Ordering, Referral
  • Multi-ordering patient care plan mgt, order external (rad, lab, drugs, transfer, etc.) + Discharge mgt.
  • Prerequisite checking (labs, drugs, insurance)
  • Patient location/tracking/transport
  • Inventory management (from Cath, Nuc.EP,)
  • Room/equipment availability (link to ordering)
  • Physician & staff tracking, notification.
  • Referral communication/authorization with/from referring physician
longitudinal record
Longitudinal Record
  • Critical value notification, clinical context, audit trail.
  • Episode definition and linkages (integration with specific WF)
  • Cross-episode/encounter linkage and filtering query/retrieve from LR
  • Feeding in LR patient info from practices
  • Feeding/exporting with Media Interchange
  • Feeding in LR patient info from inpatient cardio
  • Quality, Guidelines Mgt - RetrievePocket Guidelines for Display
  • Export to national outcome registries
short list
Short List
  • Echo WF+PIR (incl. MWL, gaps: physician scheduling mgt, not always HIS ordered, counter-indication/clinical decision, multi-stage tests)
  • Cath WF-prep/collect + PIR (incl MWL, gaps: worse !, pre-cath, intra-cath, post-cath, NCDR input.
  • Access of ECG and reports enterprise wide and external to enterprise (status)
  • Patient ID Cross-referencing (patient ID/MRN linkage between hospitals, small practices).
  • Retrieve Info for Display (RID) - Inbound and Outbound (quick simple view, non-cardiac reports, still images, documents).
  • RetrievePocket Guidelines for Display
  • Audit Trail + Consistent Time (for Privacy, cross-domain, modality, central repository)
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