Cardiac Catheterization Lab Integration Project Frederic Resnic, MD, FACC Brigham and Women’s Hospital Harvard Medical School Boston, MA, USA March 13, 2006 ACC Scientific Sessions
About Brigham Cath - Statistics l 5 Cardiac Catheterization labs l Completely remodeled in 2000 l 4000 Diagnostic procedures annually l 1800 Interventional procedures annually l 700 Peripheral procedures annually March 13, 2006 ACC Scientific Sessions 1
March 13, 2006 ACC Scientific Sessions 2
About Brigham Cath - Systems l Brigham-developed Hospital Information System (HIS) known as “BICS” l Philips Integris Angio Systems l Witt Hemodynamic Systems l Agfa Scheduling and PACS system l LUMEDX ACC NCDR submission system March 13, 2006 ACC Scientific Sessions 3
March 13, 2006 ACC Scientific Sessions 4
Cath Lab Integration Project Goal Dramatically change and improve the workflow in the cath lab. March 13, 2006 ACC Scientific Sessions 5
Cath Lab Integration Project Motivation l l l l Personnel efficiency – entering data (accurately) into multiple lab systems Determining “status” of exam Speeding up “lab turn-around” time “Finding” the patient record in the hemodynamic system (e. g. , patient name spelling or patient ID transposed) “Finding” the images in the digital archive Expedite charges and billing (centralize and validate information to reduce time lag) Handle exceptions to basic workflow: – Change rooms during procedure- avoid reentering data all over – Unscheduled/unknown patient -“John Doe” reconciliation March 13, 2006 ACC Scientific Sessions 6
Cath Lab Integration Project Process 1. 2. 3. 4. 5. 6. Facilitate discussions between vendors to determine how and what information to communicate (“define the standard”) Vendors went away to perform implementation Track vendor implementation status Try implementations in “live” lab Find errors, go back to steps 1 or 2 Took a long, long time (2+ years) March 13, 2006 ACC Scientific Sessions 7
Cath Integration - Pre-procedure Patient, order, and procedure info BICS (HIS) Patient and order information March 13, 2006 Agfa ICIS Procedure status ACC Scientific Sessions LUMEDX NCDR Witt Hemo Philips Integris Agfa PACS 8
Cath Integration - Post-procedure Report BICS (HIS) Report Patient and order information March 13, 2006 Patient, order, and procedure info Agfa ICIS Procedure status LUMEDX NCDR Data Witt Hemo Philips Integris Images ACC Scientific Sessions Agfa PACS 9
March 13, 2006 ACC Scientific Sessions 10
Realized Benefits l l l l Accurate and automated patient demographics Happier technologists (less busy work –typing) Fewer interruptions for Cath Lab Flow Manager (procedure status and cancellations) Faster room turn around time Better communication between cath lab teams Improved efficiency of billing Providing data to be able to optimize resource utilization March 13, 2006 ACC Scientific Sessions 11
Integrating the Healthcare Enterprise (IHE) l Is IHE going to fix this multi-vendor integration problem for us? Speed of implementation in a hospital? Technical specification between vendors? Simplify purchasing process? Pre-tested/integrated software (not “live in lab”)? – Upgradable/standard software releases (no “one of a kind” software)? – – March 13, 2006 ACC Scientific Sessions 12
General Conclusions l End goal was correct and project was successful, but… l Vendor integration process was painful and time consuming We hope we have avoided potential software upgrade problems in future (specially developed software) – Get to be good friends with software developers from companies – March 13, 2006 ACC Scientific Sessions 13
IHE Conclusions Our cath lab integration design is very close to IHE Cardiology “Cardiac Catheterization Workflow Profile”. It works. l Next time we intend to specify IHE in our purchasing RFP and avoid the entire design, specification, development, integration, and test phases. l Let IHE do it for us. l March 13, 2006 ACC Scientific Sessions 14
Скачать презентацию Cardiac Catheterization Lab Integration Project Frederic Resnic MD
0a8b2e6116a585cf74194a12ad1f9b10.ppt