Cardiac Imaging Opportunities, News & More
Regardless of size or location, every organization’s cardiology department faces similar challenges. Whether it is lost time from inefficient workflows or mounting pressures to improve quality of care, these challenges have a significant impact on business performance and care outcomes. Technology for cardiac imaging is the key to improving performance.
In this section, you will find insights and opportunities to help you meet the challenges that arise in your healthcare organization. Value-based care, ICD-10, cardiology patient engagement and 3D echoes are only a few of the topics discussed by McKesson industry experts and guest authors.
Start improving your cardiac imaging and cardiology department today by reading the blog posts below.
Editor’s Note: The following article by Dave Pearson is posted on imagingbiz.com and is reprinted here with permission.
A full year has gone by since 425-bed Northridge Hospital Medical Center in Los Angeles went live with a new enterprise-wide EMR solution from Cerner. The hospital likes what it’s seeing, but as capable as the system is for most departments, its cardiovascular reporting modules have not shown to be as versatile nor as precise as those in the McKesson CVIS, Northridge’s CardioVascular Center has been using since 2006.
The current state of the healthcare industry can best be summed up by the late, great David Bowie in one word: “Ch-ch-ch-changes.”
The ICD-10 changeover went smoothly — until it didn’t, and health care systems are challenged to stay efficient while accurately implementing the new codes. Outcome-based revenue models require a new level of comprehensive health management. VNA solutions offer the promise of greater efficiency, streamlined workflows and better outcomes, but with a learning curve.
All of these changes — even with the challenges they present — offer great promise for a better-functioning health care system in the future.
As transcatheter aortic valve replacement (TAVR) becomes more widely used across the US, TAVR specialists are realizing that the measurement method being used (CT angiography, transesophageal echocardiography, or traditional echocardiography) to determine the correct valve size is less important than storing those measurements in a central repository for later analysis.
With TAVR, a catheter is inserted in the groin and passed up to the heart (the procedure can also be done through the chest wall), avoiding the need for open-heart surgery. A replacement valve is compressed, advanced through the tube to the correct position within the aortic valve, and expanded. Some TAVR valves are mounted on a balloon to help with expansion; others are self-expanding.
What makes a harmonious data relationship in cardiac imaging? All communications between cath labs and the EHR flow seamlessly, and new technologies are integrated swiftly without disruption. That flow is critical for cardiac providers to avoid duplicate data entries and burdensome manual processes when they file reports.
Cardiologists can establish such harmony in their department by integrating a centralized cardiovascular information system (CVIS) with hemodynamic systems and their EHR. Not only will this increase data processing efficiencies on the back end, it will also generate faster front-end workflows and meet emerging federal integration requirements.
The cardiovascular service line has been rapidly evolving in the past several years, as new flavors of data and imagery are developed. This evolution has opened a significant opportunity for providers to consolidate their imaging and data efforts, rather than have them battle against each other within the service line.
Cardiac imaging providers can help with these interdepartmental data skirmishes by seeking a complete, centralized cardiovascular information system (CVIS). Unlike the image-centered focus of a cardiology PACS, a modern CVIS helps prioritize data integration within the entire service line.
What makes a modern, future-ready cardiovascular information system (CVIS)? Imagine the ability to connect all of your cardiology imaging data into to a single point of access that is available across the entire cardiac enterprise. No longer would you be forced to scour multiple systems for the right information, wasting valuable resource time.
This game of departmental hide-and-seek is fading away in the cardiac imaging world. Providers are beginning to project toward what cardiac imaging should look like by 2020 – and how they can streamline their CVIS.
Editor’s Note: This article by Marcia Deeb recently ran on the Cath Lab Digest and is reprinted here with permission.
Data and Reporting at Washington Health System
Tell us about your history with McKesson Cardiology and where you are today.
When Washington Health System first began using the system in 2006, we started out slowly. We began with echo and hemodynamics for the cath lab. We then moved into cath and echo reporting.
Since that time, our scope has broadened, so we now have modules for electrophysiology, peripheral vascular ultrasound, stress, nuclear medicine, charge management, inventory management, a medications and lab interface in the hemo system, and support for electrocardiogram review and reporting. I believe we have everything that McKesson currently offers.
Whether you crave immediate results from IT investments or love to get ahead of a curve, we’ve got points for consideration on integrating your organization’s cardiovascular information system (CVIS) with your vendor neutral archive (VNA).
Let’s talk about the practical side of integration, the part where you get near-instant gratification. First, if your organization has purchased a VNA, you want to leverage that investment. Connecting the CVIS to the VNA creates opportunities for more efficient storage asset management and reduction in administrative overhead. Most VNA systems today offer image management capabilities that are superior to most CVIS systems. Put simply, it doesn’t make much sense to have a central image repository and store cardiology images in a separate system.
The episodic nature of cardiac care means the cardiology department has long focused on clinical coordination and value-based care. Its IT systems followed suit, giving cardiologists a complete view of a patient’s history, treatments, and follow ups.
With the rest of the healthcare world now taking this path, it’s time for cardiac-care systems to open up, merging data to form a complete view of a patient’s care — cardiac and non-cardiac.
A high rate of cardiovascular disease putting pressure on cardiology services: does that sound familiar? Yes, this is the case in the US — it’s also true in the UK. Specifically, at Nottingham University Hospitals (NUH), which provides care to more than 2.5 million Nottingham residents and specialist services to between 3 million and 4 million people from neighboring counties.
NUH typically performs around 16,000 echocardiograms and 600 stress echocardiograms each year, and the numbers are steadily increasing, according to Dr. Michael Sosin, consultant cardiologist.