Workflow automation and interoperability – Diagnostic Devices

Heather ChildsEMR Program DirectorMidmark Diagnostics Group

2AAFP 2005

Midmark Diagnostics Group - Overview

• Incorporated in 1978 (Brentwood Medical Technology)• Providing devices that create test results which can be digitally

integrated into the electronic patient record.

• The leading provider of integrated diagnostic devices for today’s EMR – 80 EMR partners.

Award winning products• 2005 Competitive Strategy Leadership of the Year Award

- Frost & Sullivan Award Winner – 1999, 2005• MS-HUG Industry Solution Awards – 1997, 1999, 2004, 2005

• Pocket PC Magazine – Medical Editor’s Choice Award – 2004

• TETHIC Most Innovative Patient Care Winner – 2003

• TEPR Awards – 2000, 2002, 2003, 2004

3AAFP 2005

Diagnostic Devices – Workflow issues

• Problems with today’s diagnostic devices- Large equipment that takes up office and shelf space

• Workflow issues – Inconvenient for both the patient and the physician• Inefficient – Increases hardware and supply costs• Interoperability issues – Not a integrated solution

- Creates a paper based report• Uses extra staff time to file reports (or scan them into an EMR)• Expensive thermal paper that curls and fades (staff must either mount thermal

paper on special mounting cards or photocopy report to prevent fading)

- Lack of connectivity solutions• Reports are scanned into the EMR creating a static report.• Interface options limit information exchange and create a data gap.

4AAFP 2005

5AAFP 2005

Integration into the EMR

Bridging the gap…

Diagnostic Test Results

Electronic Health Record

Integration

6AAFP 2005

Diagnostic Devices – Workflow Solutions

7AAFP 2005

Diagnostic Devices – Interoperability Solutions

Interoperability Solutions - Integration• ActiveX Controls & .NET – Software tools for the EMR• Seamless data exchange – Becomes part of the EMR

- Allows electronic comparison among tests- Allows data mining from the EMR

Workflow solutions for various environments• Serial and/or USB port access• Thin Client and Fat Client solutions

• Wireless – Bluetooth, Wi-Fi, etc.

Bridging the Gap with IQmark devices

8AAFP 2005

“Systems are integrated only if they utilize a single underlying database, a common user interface and seamless navigation across all functionality. Anything less should be defined in terms of an interfaced system. Interfaces are developed to pass data from one application to another…Interfaces are not bad -- just limited.”

Integrated Systems Help Solve Health Care's Hottest ChallengesBy Brad Block

Integration vs. Interfaced

9AAFP 2005

IQmark Advantage – the integrated solution

Integrated vs. Interfaced

Active X Controls & .NET HL7

File saved in patient chart File is an attachment

Digital file: small Image file: large

Run one program Run multiple programs

Single database Multiple Databases

Integrated data Pass static numbers

Electronic comparison Manual comparison

Common user look and feel Multiple user interfaces

Fees from EMR only Fees EMR/Device Vendor

Upgrades from EMR only Upgrades EMR/Device Vendor

10AAFP 2005

Integrated Diagnostic Solutions

11AAFP 2005

Diagnostic test easily selected

from a pull down menu integrated

in the EMR.

Select the test desired and

simply click the Acquire Data

button.

12AAFP 2005

Live ECG screen displays enabling healthcare workers to monitor the quality of the waveform before acquiring the test.

13AAFP 2005

Once acquired, the ECG waveform and data are seamlessly integrated

into the EMR.

Review data by pressing the View Report

button.

14AAFP 2005

15AAFP 2005

Examples of another EMR integration of the IQmark products.

Simply click and view.

16AAFP 2005

17AAFP 2005

Data is seamlessly integrated into the patient’s

progress notes.

18AAFP 2005

19AAFP 2005

Data can be superimposed for detailed and precise comparison to previous

reports.

20AAFP 2005

Workflow automation and interoperability – Diagnostic Devices

Heather ChildsEMR Program DirectorMidmark Diagnostics Group