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.
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.
Mobile applications for physicians are quickly becoming the new normal, yet the major mobile application stores are flooded with resource options. Mobile cardiology apps can help provide clear patient communication and ease-of-use benefits for physicians on the go, but how can you choose which ones to use?
Christina Thielst notes that physicians are getting busier, so it’s vital to have the right communications readily available.
“Patients need relevant and effective communications at the right time, via the right mode and in a language they can understand and act upon,” Thielst said. “As much as it might be nice to return to the days of Marcus Welby, MD, and his calm face-to-face conversations, that isn’t likely to happen.”
CMS and ONC issued three Notices of Proposed Rule Making (NPRMs) in quick succession during March and April that have a major effect on what to expect for Stage 3 of Meaningful Use (MU3). These NPRMs affect both the content of MU3 and also how it and earlier stages are likely to roll out. If you want, you can read the relevant 242 Federal Register pages here, here, and here. Take your time. I’ll wait.
People involved in imaging have had a few months now to fully digest these proposed rules. But there seems to be a lot of confusion out there. Many remain a bit puzzled by what it all means in practical terms.
Nearly two-thirds of Americans own a smartphone, and 62 percent of them have used their phone in the last year to look up information about health conditions. As both patients and physicians rely on mobile devices in their daily lives, they are seeking ways to use their mobile technology in healthcare as well. Both mobile radiology and cardiology have an opportunity to bring value to clinicians and patients even as technology adapts to support real-world applications.
Mobile Radiology and Cardiology Help Speed Care
A survey of nearly 500 emergency physicians found that 97 percent have personally ordered diagnostic tests that they knew were medically unnecessary.
The most common reasons they ordered unnecessary tests were:
– Fear of litigation
– To avoid missing a low-probability diagnosis
Unnecessary testing is costly and can lead to negative consequences for patients, such as false positives and unneeded radiation exposure. Healthcare executives should foster cardiovascular imaging best practices among staff to reduce unnecessary testing and patient risks. Promoting the utilization of appropriateness criteria, working toward interoperability and promoting patient awareness will help organizations follow best practices.