Dealing with multiple medical systems while evaluating and treating patients, “drives doctors nuts because that’s not why they got into medicine,” says Dr. Barry Bertolet. Any simplification in the process would be welcome and streamlining the process to the point doctors can spend more time with patients would top any physician’s wish list.
Bertolet, FACC, who works at North Mississippi Medical Center in Tupelo, said that McKesson Cardiology™ fits the bill. Bertolet spoke during a recent webinar sponsored by DAIC and McKesson on data consolidation and interoperability across the cardiovascular service line at North Mississippi Health Services, which serves 24 counties in north Mississippi and northwest Alabama.
McKesson Cardiology has helped the North Mississippi Medical Center reduce the number of systems clinicians must interface with, and streamlined structured reporting a easier to meet requirements for ACC registry submission, that can be time-consuming and costly.
Benefits of Integrated Reporting
The benefits of integrated reporting to North Mississippi Health Services include:
- Preop, intraop and postop procedures on one record
- Previous procedures readily available and can be pulled up with live data during a case
- Standard charge worklist that’s easy to edit
- Standardized reporting, with a single template for all physicians
Prior to McKesson Cardiology, if Bertolet wanted to check previous images, he would have to leave the procedure room, log in to another system and review those images, which took time away from patient care. Now he can view current and previous images at the same time. He also can show images to patients, which can help them better understand their disease state and what interventions or therapies may be required to improve their health.
But by far the best feature, Bertolet says, is the ability to produce a final report in three minutes or less, because much of the work is completed through checklists that are completed during the procedure.
“By the time I’ve finished with a procedure, much of the work has already been done,” Bertolet says. “When I come out, I can focus on the summary and the review of data, because McKesson assures that necessary data for reporting is included prior to signature. So I do the final report, which immediately flows to the patient chart and is sent to the referring physician—often before the patient leaves the cath room.”
Easier Registry Reporting, Data Mining
North Mississippi Health Services participates in most all of the ACC NCDR registries, so time spent submitting data for each can add up quickly. Because the information is in a single database, the reporting process is streamlined for the registry clerk. Single database reporting also makes it easier to capture data related to the Medicare Access and CHIP Reauthorization Act (MACRA), Bertolet says.
The health system uses the web-based IBM Cognos module within McKesson Cardiology to generate specialized operational reports daily that let doctors and supervisors accurately track such metrics as daily charges, procedure volumes by physician, procedure costs and much more, says Carla Durham, RN, Cath Lab nurse manager at North Mississippi Medical Center.
Users can select from preloaded reports or can create their own. The medical center is especially interested in performance and efficiency measures, clinical data and outcomes, as well as administrative and operational data, Durham says. Popular reports at the health system include:
- Procedure stats
- Daily hemo reports
- Inventory usage
- Administrative reports for physicians
- ACC data
Single Repository of Data
In addition to the 650-bed Tupelo medical center, North Mississippi Health Services includes five affiliate hospitals and its clinics, with a total of four EMRs that feed into McKesson Cardiology, notes Ed Quillen, PhD, the health system’s chief technologist for the cardiology software.
Systems from these procedure/billing areas also feed into McKesson Cardiology, creating what Quillen calls “a rich data mining environment for us”:
- Vasc US
Downstream interactions with Conserus Enterprise Viewer and the Conserus Image Repository give the system’s 600 web clients up to one year of data in an online cache, with archive retrieval times of as little as 10 seconds, Quillen says.
“We have structured reporting, wrapped up with dynamic analytic capabilities in a single platform,” Quillen says.
McKesson Cardiology helps North Mississippi Health Services fulfill its stated mission to improve the health of those it serves, says Bertolet, who notes that includes giving more time for physicians to spend with patients and their families.
“No doctor got into the field of medicine to interact with EMRs,” says Dr. Bertolet. “We’re here to take care of patients, and we’re looking for partners (like McKesson) that can help me take care of patients on a timely basis.”