Automated CVIS Cardiology Guidelines Save Time and Improve Patient Outcomes

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March 11, 2021—Clinical guidelines are regularly updated in all aspects of medicine. In cardiology, organizations like the American College of Cardiology and the American Heart Association update clinical guidelines almost every year.1 2 However, this poses a problem for clinicians. Manually updating clinical guidelines in outdated cardiovascular information management systems (CVIS) is a difficult and timely process. And while structured reports are essential in today’s cardiology departments, the information included in these reports may not be relevant if they do not reflect the latest clinical guidelines.

Dr. Serge Makowski, CEO and co-founder of leading clinical software development company MediReport, says, “Doctors need to be up to date with the latest clinical guidelines whenever they treat patients. But manually updating existing information management systems is a cumbersome, time-consuming, and resource-intensive process that typically involves professionals from other fields, such as information technology or research and development. Systems should have the ability to automatically update to allow clinicians access to the latest techniques, latest devices, and latest recommendations; this improves the quality of the reports generated and the treatment of patients in general. »

Many hospital systems struggle to keep up to date with rapidly changing cardiology guidelines. In many cases, physicians are already aware of the new guidelines and want to integrate them into the existing CVIS platform. But to do this, it is often necessary to speak with the IT department of the hospital. Other entities such as the CVIS account provider and the hospital’s research and development team must be involved to successfully update the directive. By the time the guidelines are incorporated, they may be out of date. Previously, most users simply wanted a product for managing their cardiovascular data. Now users want a service in addition to the product. Provision of proactive and retroactive updates of clinical practice guidelines and recommendations should be an integral part of the product. This allows clinicians to save time while adhering to the latest clinical recommendations. It also ensures that payers, such as Medicare, receive all the information needed for full reimbursement.

Modern CVIS Features Improve Directive Compliance

Because cardiology is a field driven by innovation and research, practice guidelines are regularly reviewed and updated. When new guidelines are released, CVIS platforms should:

  • Integrate new clinical guidelines live and dynamically without delay.
  • Provide the ability to enter new information or calculations as requested, helping physicians describe new techniques, include new medical devices in protocols, or follow new clinical recommendations.
  • Implement relevant and appropriate new clinical fields at the correct time of the procedure description to ensure correct and relevant data collection.

In cath labs using CVIS systems that do not update automatically, data loss, data obsolescence, and erroneous data recall are very real risks. For example, in the past, coronary stenoses were traditionally classified as an ABC lesion type and other clinical information was aggregated to assess risk factors such as age, biomarkers, and clinical history. Today, based on new clinical guidelines, lesions are assessed using SYNTAX scores, which allows for a more precise and accurate assessment of lesion severity. The CardioReport 360 system dynamically integrated this new guideline with the SYNTAX scores a few years ago and now, in accordance with the most recent guideline, has implemented the SYNTAX II score. The system also has the ability to recalculate the scores of all lesions from past procedures without losing any data. At the same time, the system software is updated so that SYNTAX scores will still be used in the future.

CVIS technologies should also be adaptable to updated procedural techniques, such as bifurcation. Good practice is to know the latest bifurcation techniques, and CVIS should implement accurate clinical fields to document different techniques such as T-stent, crush technique, and Y-stent. When DK stent crush first appeared on the market, this new technique became part of the protocol for doctors using CardioReport 360. The addition happened almost instantly.

A unified CVIS system should provide seamless integration of guidelines and classification seamlessly without delay or intervention from an organization’s IT department. This avoids wasting time in development, testing and installation. Such a centralized system allows the clinician to document all relevant information, provide care based on the latest evidence-based practices, and generate automatic reports for review by providers and others. When guidelines are updated, they are automatically changed in the software, preventing documentation errors and helping providers receive proper reimbursement.

CardioReport 360 is the ideal choice for doctors because of:

  • Its flexible and dynamic protocol and dictionary
  • MediReport’s clinical support team automatically updates dictionaries, remotely, for all users as they review the latest medical literature
  • Partnerships with medical device manufacturers that allow the system to update their catalogs automatically.

Dr. Makowski says, “A unified CVIS system should advise the clinician on mandatory and critical procedural data according to the latest clinical guidelines. The platform should integrate the latest information into the system to help improve clinical flow, provide better patient outcomes, and ensure compliance with all rules and regulations.

Reference:

1. ACC Clinical Guidelines and Documents
2. AHA Guidelines and Statements

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