Say Goodbye to Paper! ECGs Going Digital

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Say Goodbye to Paper! ECGs Going Digital

21-Jun-2017

ECGs will be available electronically for care providers at Regina General and Pasqua hospitals by June 30th representing phase one of this project and phase two will be when Regina Crossing and a number of rural centres in the fall.

Between Regina General and Pasqua hospitals alone, they are storing between 4,000 and 5,000 tests per month or between 48,000 and 60,000 per year.  Until now, ECGs were stored as paper files as part of a larger patient chart.

There are many benefits to having this system:

  • Moving to a digital system will put this vital piece of diagnostic information at care providers’ fingertips, supporting them in making quicker diagnoses for people who may be critically ill and allowing them to share information easily with other providers;
  • Remote access to confirm ECGs and Holters;
  • Preliminary reports and final reports available on SCM;
  • Ability to print billing reports;
  • As retrieving  paper ECGs is cumbersome and time consuming, this system will allow for a quicker disposition of patients to the most appropriate unit or department for their care and management. This will be better for patients and better for our emergency departments, too, because it will increase patient flow in and out.  
  • From a safety perspective having ECG results available electronically will also maintain the integrity of test results as paper tests are prone to fading making it challenging to read theme over time;
  • This system also allows for financial savings over time as the health region will no longer need to purchase ECG paper.

During the interim while everyone is being trained and more comfortable with manoeuvring through this system paper ECG copies will continue to be printed and placed in the chart until everyone is comfortable with accessing ECGs electronically.  If training is delayed for any reason, this form of billing ability will not be possible.  We will have super users associated with the Pediatric, Cardiology, and Department of Medicine programs which comprise the physician groups with ECG interpretive privileges.  I am encouraging all physician’s with this level of training to please register immediately.

We have a list of some 70 billing physicians that have interpretive privileges. We will be providing each Department Head a complied list of who has been trained and who is outstanding as a way to ensure we don’t miss anyone.    

The Digital ECG and Holter storage system will go live June 29th. 

We are implementing in two phases:

  • RGH and PH (June 29th)
  • Moosomin, Indian Head, Woolsey, Fort Qu’Appelle and Surgical Center/ Crossings – date TBA, early fall

Dr. Andrea Lavoie was our physician partner who assisted us during the RFP process.  The system is user friendly which is the one of the reasons this product was chosen.  If you bill for ECGs, you are required to attend an in-service to gain access to the system and have the ability to confirm ECG/Holters for billing purposes.

 There are different levels of training:

Access Group

Dates

Length

Reading and Interpreting Physicians

June 27th afternoon

45 mins

 

June 28th

 

 

June 29th

 

Cardio Neuro ECG Techs

June 27th

1 Hours

IT Admin

June 27th

2 Hours

Trainers (support after Go Live)

June 27th

2 Hours

RN’s performing ECG’s during downtime

On the unit, TBA

30 min

End users

On the unit, TBA

15 min

Training will commence at 0730 and go until 1700 on each day.   There is a training schedule signup sheet located RGH 3C- Administrative Coordinator Kelly Marchigiano. She can be reached by email (kelly.marchigiano@rqhealth.ca) or by phone at (306)766-4234

Deadline to register June 26th at 14:00 hours.

 

June 27th and 28th we will have a trainer available from 1700-1900 and can train up to 12 physicians each night (2 classes of 6) or 24 additional training opportunities. This information has been provided to Kelly Marchigiano who would be more than happy to book people in.

 

Submitted by:  Vicki Ehrlich, Director, Cardiosciences Program