We are a very small site - but we do not have a cardiologist read EKGs. The provider that ordered the EKG interprets it and only one copy is in the chart. We are C/S and will be implementing Scanning and Archiving spring 2007 and we plan on only having one copy scanned in the EMR.
Cindy Grolla, RN Clinical Project Leader Phone: 507.646.1209 Pager: 507.645.1475 -----Original Message----- From: [email protected] [mailto:[EMAIL PROTECTED] Behalf Of Gregersen, Glenn A Sent: Wednesday, December 27, 2006 4:10 PM To: CS Ellner, Scott; _SISU - Clinical Systems Users Group; [email protected] Subject: [MEDITECH-L] RE: EKGs Please post this is interest to my site _____ From: Scott A. Ellner [mailto:[EMAIL PROTECTED] Sent: Wednesday, December 27, 2006 2:03 PM To: _SISU - Clinical Systems Users Group; [email protected] Subject: EKGs This may be a little off topic from Meditech, but feedback from others from the list serve is always valuable. The question or issue has recently surfaced regarding EKGs and the process within the hospital. Currently, our practice is this. A machine interpreted copy of the EKG is placed in the patient's record at the time the EKG is performed. A non-interpreted copy of the same EKG is returned to the Cardiology department to be read by a Cardiologist. The Cardiologist dictates his or her interpretation of the EKG. The EKG is transcribed by the Cardiology secretary as an ITS report in Meditech. The report is printed to a dot matrix label printer. The label is placed on the non-interpreted copy of the EKG, and the Cardiologist signs the Cardiologist interpreted copy of the EKG. Once signed, the EKG is scanned into our third party archiving and scanning software for electronic access. As you can imagine, this process is tedious, time consuming, etc., and can take up to 3 or 4 days from start to finish. However, this process has been in place for years prior to Meditech and is what it is today since Meditech implementation in 1999 with the addition of the scanning in 2004. I am looking for other practices at other facilities. So, my questions are: What process are others utilizing within their own facility. I spoke with one other Client Server facility who stated their EKGs are not read by a Cardiologist, since all physicians are trained regarding EKG interpretation, only a machine interpreted copy is placed in the patient's record. Have other facilities taken this approach and eliminated the process of Cardiologist interpretation all together? I welcome any and all feedback regarding current EKG practice and processes. Thanks, Scott A. Ellner, MHA, RRT Senior Clinical Analyst Information Services Anderson Hospital 6800 State Route 162 Maryville, IL 62062 Telephone: (618) 288-5711, Ext. 484 Fax: (618) 288-4088
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