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Cardiology Workflow

Cardiology Workflow. Cardiology IHE ACC-03. Paradigm differences – Radiology v. Cardiology. Cardiologists … Are frequently physically separated from Hospital and Office (mobility) Diagnose and treat patients directly (ownership and self referral)

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Cardiology Workflow

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  1. Cardiology Workflow Cardiology IHE ACC-03

  2. Paradigm differences – Radiology v. Cardiology • Cardiologists … • Are frequently physically separated from Hospital and Office (mobility) • Diagnose and treat patients directly (ownership and self referral) • In general generate more complex reports then Radiologists • Are autonomous • “Getting Cardiologists to agree is like herding cats” Andrew M. Keller, MD

  3. Workflow • Ideal workflow for a Cardiology test • With integrated patient view • Each step may be a topic for an IHE technical framework • Goal : Balance existing Radiology technical frameworks with critical Cardiology workflow needs Andrew M. Keller, MD

  4. Workflow Events • Order entry, processing, and receipt • Pre-authorization (advanced beneficiary notice) • Professional / Global • Technical • Patient scheduling • Staff / room scheduling • Transportation if inpatient Andrew M. Keller, MD

  5. Workflow Events • Patient Registration • with HIS/LCR • Demographic reconciliation • Coordination and scheduling with mobile physicians performing the examination • Generate workflow documents “the folder” • Hardcopy of order • Billing information • Previous reports • Previous media Andrew M. Keller, MD

  6. Workflow Events • DICOM Worklist to carts (DMWL) • Study acquisition • Notification of study status changes to CPOE/HIS • MPPS • (DICOM Modality Performed Procedure Step) • ordered, pending, in acquisition, preliminary, final, signed • Study storage and final archiving • Study retrieval using an intelligent rapid search Andrew M. Keller, MD

  7. Workflow Events • Materials management • Study dissemination • Intranet • Diagnostic format for review • Bedside review – low resolution • Extranet – low resolution review and interface • CD or other hard copy for dissemination Andrew M. Keller, MD

  8. Workflow Events • Reporting • Review workstation • Physician entry paradigm for report • Preliminary report dissemination • Final report • Electronic signature • Dissemination – hard copy, email, fax, HIS/LCR • Revision and reconciliation • Quality assurance Andrew M. Keller, MD

  9. Workflow Events • Data mining • Billing and auditing • Professional and Technical • Electronic • Link to BAR • Automatic Audit tracking and reporting • Disaster Recovery Andrew M. Keller, MD

  10. Existing IHE integration profiles Access to Information – Q/R images Key Image Notes Consistent Presentation Simple Image / Numeric Reports Basic Security Schedule workflow Patient Info / Reconciliation Charge Posting Post Processing Workflow Possible top workflow events to prioritize Bidirectional order processing, status, reconciliation, and DMWL Scheduling staff/equipment and physicians Posting to BAR with ABN Secure Web based viewers Consistent Presentation of Waveforms Milestones Andrew M. Keller, MD

  11. Mission • In order to reduce medical errors, improve quality, and efficiency IHE shall develop intercommunication standards to manage order entry, acquisition, and billing, and provide a consistent display of images, waveforms, measurements, and reports leveraging existing IHE technical frameworks. Andrew M. Keller, MD

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