Project GoalsProject Goals• Enhance culture within cardiology practice that
data is important.– Decreased variation in the practice.
• Fix a problem at a local level and enhance the whole Epic community by sharing it with everybody else.
• Increase Participation in the PINNACLE Registry.
• Apply knowledge to other specialties.
The Project: Quick RecapThe Project: Quick Recap
• Spring PAC session 13: Structured Cardiology Note with Registry Reporting
NoteWriter
Discrete Data
Elements for
Reporting
Discrete Data
Elements for
Reporting
Capture Data within Workflow
Capture Data within Workflow
Reduce Note
Writing Time
Reduce Note
Writing Time
Data Collection & Data Collection & SubmissionSubmission
Data Collection & Data Collection & SubmissionSubmission
Clarity<XML>
</XML>
________________________
NoteWriter notes andother clinical workflows
Crystal Report exported to XML
Administrative utility
Data to ACC &
confirmation
About the PINNACLE About the PINNACLE RegistryRegistryWith millions of patient records, the PINNACLE Registry® is the world’s largest cardiovascular outpatient quality improvement registry. A component of the ACC NCDR® suite of clinical registries, the PINNACLE Registry gives cardiologists the credible quality measurement solutions needed to survive in today’s demanding health care environment.
The registry provides a centralized system for clinical practices to promote practice innovations and achieve clinical excellence.
The PINNACLE Outpatient Registry tracks The PINNACLE Outpatient Registry tracks patients beyond the hospital…patients beyond the hospital…
Patient Conditions• Coronary Artery Disease • Heart Failure• Atrial Fibrillation • Hypertension
Goals• Measure adherence to clinical
guidelines • Eliminate and reduce variations in
care• Improve care coordination for CV
patients• Facilitate overall improvement in
outpatient care
Source & Credits: ACC
14M+ million encounters covering 3.4M unique 14M+ million encounters covering 3.4M unique patientspatients
Source & Credits: ACC
Project ChallengesProject Challenges
Follow Evolving
Guidelines
PromoteAdoption
Compare Yourself to
Others
Improve/StandardizeProcesses
Project ChallengesProject Challenges
Follow Evolving
Guidelines
PromoteAdoption
Compare Yourself to
Others
Improve/StandardizeProcesses
Project ChallengesProject Challenges
Follow Evolving
Guidelines
PromoteAdoption
Compare Yourself to
Others
Improve/StandardizeProcesses
Compare Yourself to OthersCompare Yourself to Others
PINNACLE
CADCAD
AFibAFib
Hypertension
Hypertension
Heart FailureHeart Failure
ClarityClarity
KPIsKPIs
Reporting WorkbenchReporting
Workbench
UniverseUniverse
Project ChallengesProject Challenges
Follow Evolving
Guidelines
PromoteAdoption
Compare Yourself to
Others
Improve/StandardizeProcesses
Promote AdoptionPromote Adoption
11 Guideline-based care
Standardize Processes
Comparison to peers 22PINNACLE is a qualified
registry for MU stage 2 reporting.
33 Swedish Medical Center Experience
ACC GoalsACC Goals
• Improve care in chronic cardiovascular disease (CAD, HTN, afib/flutter, HL, etc.)
• Increase efficiency and effectiveness of clinical encounter documentation
• Facilitate participation in the PINNACLE Registry ( MU Stage 2 menu objective)
AgendaAgenda
• Project Goals & Challenges• Demo• The Process: Collaboration with Epic• Lessons Learned & Vision• The Future
Licensing Licensing & Resources& Resources
• Licensed for EpicCare-Ambulatory
• Licensed for ACC-NCDR Registry Communication Module
• Participant agreement with the NCDR
Licensing & Licensing & ResourcesResourcesReview content
◦ Consult with Cardiologists ◦ Don’t remove elements with hearts◦ Work with compliance on color-coding
CollaborationCollaboration
• Buy in: Society and professional members have agreed the project has national importance.
• Guidance: Voice of ACC helped filter out conflicting development direction suggestions.
• Commitment: ACC leadership works closely with Cupid R&D and acts as liaison for other members.