Areas of cardiology integration
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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

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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


Areas of cardiology integration

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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