1 / 11

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)

callum
Download Presentation

Cardiology Workflow

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  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

More Related