Today’s cardiologists rely heavily on electronic data from a variety of sources. From echocardiogram and stress test machines to catheterization suites, the accuracy and reliability of these data systems are paramount for delivering high quality cardiology care. The sophisticated technology is undermined, however, if each piece of the cardiologist’s arsenal isn’t integrated into a comprehensive Electronic Medical Records ( EMR ) system.

CARDIOLOGY-SPECIFIC EMR’S

The EMR System you choose needs to be able to integrate into your office setting. For example, if you do physical exams, echocardiograms and stress testing all in different rooms, you need your EMR to be able to automatically migrate all of the patient’s data so that it is accessible from any computer. The days of manually scanning, uploading, and transferring patient data are over. Therefore, we will begin here with the assumption that all patient records will be easily accessible from one user interface, not multiple software programs for different types of records.

VERIFY EQUIPMENT AND SOFTWARE COMPATIBILITY

Many cardiologists send their patients for tests that use different machines and software than they own in their office. Choosing an EMR based on the myriad of consultant’s equipment is difficult at best. For example, if you use the GE Marquette Stress Testing System in your office, but a patient brings you a CD-ROM from a consultant that used iCardia Event Monitoring as a Holter device, you need to make sure that the EMR you choose to grow your practice will be compatible.

BUILDING TRUST IN YOUR EMR SYSTEM

Besides equipment compatibility, the right EMR for your office should make your life easier, not harder. The daily operations of your cardiology practice should not have to adapt to accommodate an antiquated EMR. It should be the other way around. For example, if a patient is in your Philips Integris Cath Lab suite and their latest potassium result is 7.4, a combination of audible and visual notifications should be triggered. You shouldn’t have to wait in the Emergency Department to receive all of your laboratory results before taking the patient to the cath lab; rather you should have a system in place that you can trust will alert you to critical developments.

EASILY TRACK STAFF AND PATIENTS’ ACTIVITIES

The last thing your sophisticated cardiology suite and EMR System should do is be a burden to those that use it the most – your office personnel. Verify that your EMR will seamlessly integrate patient appointments, reminders, and other scheduling details. Special tests such as fasting lipid profiles often require that your staff spend time sending out reminders and tracking down results prior to their appointment with you. An EMR System that could integrate automatic emails or phone calls one week prior to an appointment would improve efficiency. From ordering special materials prior to nuclear studies, to tracking who logs into the EMR, a lot of repetitive tasks can be integrated into an office system that curbs human error and improves your practice’s measurable outcomes.

DICOM COMPATIBILITY

Digital Imaging and Communications in Medicine (DICOM) is a standard construct used increasingly by Health Information Systems, but it is not universal. Because you will view color video of echocardiograms, roentgenograms, and graphical data, the EMR System you choose will likely need to meet this standard.

Specifically, DICOM covers handling, storing, printing, and transmitting information in medical imaging. To ensure that all of the equipment and software you use can be accessed and viewed within your EMR interface, it will be important to navigate the technical areas of licensing fees versus free viewers and custom integration programming.

EMR CONSULTANT

Using an experienced EMR consultant without the financial bias of a corporate sales team can help avoid mistakes in this complicated field. Call 888.519.3100 or visit www.EMRconsultant.com to speak with an expert that can help you make your investment wisely.

Cardiology EMR/Suite Checklist

CARDIOVASCULAR DATA ANALYSIS

  • Analysis of Percent of Stenosis of Vessels
  • Cardiac Output Values
  • Cardiovascular Stress Tests
  • Cholesterol Lipid Analysis
  • Coumadin Flow Sheets
  • Ejection Fraction Values
  • Electrocardiogram
  • Integration of Hemodynamic data

INTEGRATION OF CARDIAC CATHETERIZATION DATA

  • GE LC 2000 Plus Digital
  • Philips Allura 2002 Bi-Plane
  • Philips Integris H-3000
  • Philips Integris V-3000
  • Siemens Hicor
  • Siemens Coroskop C
  • Drager Medical’s Infinity
  • MEDRAD, Inc.’s Veris MR
  • Mennen Medical Corp.’s Envoy
  • Philip’s IntelliVue Information Center

INTEGRATION OF DOPPLER AND ECHOCARDIOGRAM DATA

  • Acuson Cypress
  • Acuson Sequoia
  • Unitixs Vascular Systems
  • Multilab Vascular Systems
  • Summit Doppler
  • Life Dop Doppler System

INTEGRATION OF EKG AND HOLTER MONITOR DATA

  • Marquette MAC Series
  • Nihon Koden EKG System
  • Philips Pagewrite EKG
  • Welch Allyn CP100
  • iCardia Event Monitoring Servicev
  • Braemer Event Monitors
  • GEMS Life Event Monitoring Service
  • iRhythm Zio Event Card and Holters
  • GE Seer
  • Zymed Digitrak

INTEGRATION OF STRESS TEST AND TREADMILL DATA

  • GE Case
  • GE Marquette
  • GE Dinamap
  • GE DASH
  • GE CareScape
  • Philips Sure Signs
  • Welch Allyn Propaq
  • Spot Vital Signs

INTEGRATION OF ELECTROPHYSIOLOGY DATA

  • Bard Labsystem Pro EP Recording System
  • EP Link H.I.S. Interface
  • EP Loxix Mapping and Analysis Suite
  • Mega’s Micromed SD MRI-compatible EP Recording System
  • GE’s Cardiolab EP Recording System
  • Philips’ Biosense Webster Integration (EP Med Systems for EP Recording, plus XPER x-ray mapping)

INTEGRATION OF PACEMAKER DATA

  • Biotronik Cylos & Philos DR-T
  • CCC Pacemaker
  • Biotronik Argos, Teros & Apex series
  • Sorin Group (SG) REPLY DR
  • SG Symphony DR 2550
  • SG Rhapsody DR 2530 & DR 2510
  • Boston Scientific (Guidant Medical) ALTRUA Pacemaker Family
  • Medico Pacemakers’ Easy, Ejection, Sophos, Millennium, & Lindos
  • Medtronic Adapta & EnRhythm
  • St. Jude Affinity, Entity, Identity (incl. ADx), Integrity (incl. ADx), Microny, Regency, Verity ADx, Victory, & Zephyr
  • Shree Pacetronix’s Ventralite, Pinnacle, & Charak
  • Vitatron T-Series
  • Vitatron C-Series, A3 models (incl. 2nd generation)
  • Vitatron CRT 8000
  • Vitatron Selection 9000 AF3.0
  • Vitatron PreventAF, DiagnoseAF, Diamond 3, Ruby 3, Saphir 3, Topaz 3, Jade 3

CARDIOLOGY EMR TEMPLATES

  • Abnormal ECG
  • Abnormal Stress Tests
  • Acute Myocardial Infarction
  • Adenosine Nuclear Stress Test
  • Angina Pectoris
  • Aortic Disease
  • Cardiac Cath
  • Cardiac Exam
  • Cartoid Artery Stenosis
  • Chest Discomfort
  • Chest Pain
  • Congestive Heart Failure
  • Echocardiogram
  • Hemodynamic Studies
  • Hypertension
  • Pacemaker
  • Palpitations
  • Parathyroid Disorder

HEART DISEASE TEMPLATES

  • Adult Congenital Heart Disease
  • Angina Pectoris
  • Arrhythmia
  • Bradycardia
  • Cardiomyopathy
  • Congestive Heart Failure
  • Coronary Artery Disease
  • Heart Attack
  • High Blood Pressure
  • Valvular Heart Disease

CARDIAC PROCEDURE DOCUMENTATION

  • AngioJet
  • Angioplasty
  • Atherectomy
  • Balloon Valvuloplasty
  • Intracoronary Radiation Therapy
  • Laser
  • Myocardial Biopsy
  • Stent Implantation
  • Heart Assist Device Implantation:
  • Intra-aortic Balloon Pump (IABP)
  • Ventricular Assist Device (VAD)

HEART PACING DEVICE IMPLANTATION

  • Automatic Implantable (or Internal) Cardioverter/ Defibrillator
  • Pacemakers

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