Implementation of Automated Input of EKG to Patient EHR

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by AaronAnthony
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Health & Fitness

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Implementation of Automated Input of EKG to Patient EHR

GOAL: To decrease the amount of time that EKGs are input into EHR, increase access to results, and decrease user error. - EKGs are among top diagnostic tools used in the healthcare setting.- Delay in EKG interpretation poses a significant detriment to patient outcomes (Pearlman, 2008).- Target for implementation is within a large academic Level I Trauma center in Miami, FL.- Unit will be Emergency Department ( a 40 bed ER, with 3 trauma bays) - 70,000 patients per year - 3 ER doctors on staff at a time. - Approx. 15 nurses, +/- 8 ancillary staff

Introduction and Organizational Implementation

Implementation of Automated Input of EKG to Patient EHRBy: Aaron MacQuesten & Anthony CatronFlorida International University

Current and Proposed Work Flow


Functional Requirements


Organizational Readiness


Planning Implementation

AbstractEKGs are among the most commonly used diagnostic tests performed within the clinical setting, and many important lifesaving decisions can be made from results directly achieved by a 12-lead EKG (Drew et al., 2005). Delays in obtaining and interpreting EKG results can be associated with poorer patient outcomes (Pearlman, 2008). A healthcare providers lack of access to recent/past EKG results can cause increase time between acquisition, interpretation, and medical intervention; thus threatening the quality and interventional options that could be employed during cardiac anomalies. Despite recent technology advances, many organizations continue to use antiquated methods to input EKG results into patients EMR. The telehealth software developed by the corporation Welch Allyn, called CardioPerfect™, will decrease the required number of steps while increasing the efficiency of the process. The telehealth software that allows for the capture and transmission of the biometric data, such as an EKG, automatically transmits the patient’s information and data directly into the EMR with minimal end-user input. The efficiency of the system prevents redundant steps, reduces user error, misplaced physical copies, and delayed access to the results. The interoperability of the system adds the benefit of interconnecting multiple healthcare organizations by allowing the exchange of data across multiple operating platforms. Adopting automated EKG input into EMR will streamline provider accessibility, as well as increase patient safety and favorable clinical outcomes.

Delay becomes apparent primarily when the physical paper chart needs to be scanned. Additional steps must be taken to scan EKG into EHR; thus the delay. Also, heightened user error due to manual input of patient info. and scanning. Streamlining a protocol to integrate ECGs into EHR quicker and more efficiently may lead to a significant reduction in cardiac disparities (Griffin et al., 1999). The misplacement of ECGs can be effectivly improved by incorporating automated ECG uploads into the PACS ( Picture Archiving and Communication System) (Hsieh & Lo, 2010). Viewing ECG results via an automated and computerized system allows for not only quick retrieval, but also allow for data manipulation and analysis (Hsieh & Lo, 2010).

Late Majority Adopters •Healthcare Administrative LeadersEnd-User •Registered Nurses •Technicians •Providers

Obstacles • Late majority adopter of innovation.Training • Two week super user training by Welch Allyn staff. • One-week end user training by staff development. • Ongoing biannual training by staff development

•Testing will start in a controlled nonclinical setting. •Super users and all end users of the pilot area•Exiting surveys after testing•Exit survey results will be analyzed and used to address any

•Implementation timeframe is for weeks.•System downtime is a risk to the electronic solution.•Maintain downtime procedures.

Muse Cardiology Information System

WelchAllyn CardioPerfect

The two videos and links to the left are two possible soloutions to the problem. - From day one CardioPerfect will work with all 33 EMR programs WelchAllyn has interfaces with in the US and Europe (WelchAllyn, 2011).- CardioPerfect has add-ins to support spirometry and holter monitoring with a simple plug-in.-Offers physicians the productivity benefits of device connectivity, which, in turn, allows them more time to focus on patient care-Can be used on any computer/laptop that meets specified requirements, making the device more portable than large ECG machines- CardioPerfect Workstation maximizes workflow efficiency and simplifies electronic health record (EHR) integration in ambulatory care settings (Diagnostic and Inverventional Cardiology, 2010)

- Quick, accurate, easy to operate, and easily integratable into EHR software.- Purchase of designated laptop with charging cradle, hardwires for ECG, electrodes, and software bundle- Secure internet connectivity for transfer of patient data into EHR- Tablets could be purchased, but as an optional purchase


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