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Cardiology EMR Software – An Essential
Guide for Every Cardiology Physician
Cardiology EMR Software - An Essential Guide For Every Cardiologist

About this eBook ___________________________________________________________________ 2
Chapter 1: Your cardiology practice will benefit from Cardiology EMR ________________________ 3
Chapter 2: Why implement Cardiology Specific EMR? ______________________________________ 4
Chapter 3: Why choose Certified Cardiology EMR? ________________________________________ 7
Chapter 4: Cloud Based Cardiology EMR works for most Cardiology Clinics _____________________ 8
Chapter 5: Customization of ‘Your’ Cardiology EMR System ________________________________ 10
Chapter 6: Cardiology Specific Templates _______________________________________________ 11
Chapter 7: Practice Management Software and EMR Software Integration ___________________ 12
Chapter 8: EMR Compatibility with Mobile Devices _______________________________________ 14
Chapter 9: Cost of Cardiology EMR ____________________________________________________ 16
Chapter 10: Resources ______________________________________________________________ 18
Request Your Demo ________________________________________________________________ 19
About RevenueXL __________________________________________________________________ 20
Important Legal Notice and Disclaimer _________________________________________________ 21

Updated July 2013

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

About this eBook
This guide is meant as an essential reference for cardiology practices (clinics) and cardiology
physicians including general cardiologists and specialist cardiologists including Non-Invasive
Cardiologists, Invasive and Non-Interventional Cardiologists, Interventional Cardiologists and
Electrophysiologists.
Whether you are looking to implement a new EMR or looking to replace your existing EMR,
this guide will go a long way in answering some, if not all, of your questions. Should you
implement an integrated practice management system, how much should you expect to pay for
a top rated cardiology EHR, what certifications should you look for, will web-based or cloudbased EMR work for you – these are some of the many questions that will get answered after
you have read through this eBook.
If you have any other questions and would like to speak with us, please call us at 408-6257254.

Updated July 2013

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

Chapter 1: Your cardiology practice will benefit from
Cardiology EMR
Your cardiology clinic can benefit tremendously from cardiology electronic medical record
software. This type of software offers many benefits for a cardiology office.


Cardiology EMR Software speeds up the patient
encounter and completion of charts and reduces time on
sending Prescription refills and referral letters.



It improves revenues due to timely visit documentation
and automated charge capture, maximizing your billing by
optimally coding each encounter.



Cardiology software also increases your productivity by
automatically generating progress notes, delivering enhanced patient care with health
maintenance reminders, reducing rejected claims and accelerating reimbursement.

Cardiology EMR software can be customized to mimic your existing workflow and model your
existing templates and forms.
Download our free article at http://www.revenuexl.com/how-emr-increases-revenues/.
Cardiology offices will find many different software options on the market today. Choosing the
right EMR program is not an easy task.

Updated July 2013

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

Chapter 2: Why implement Cardiology Specific EMR?
Many Cardiologists have yet to implement a Cardiology specific EMR in their practices
because of the fear of the EMR slowing them down in their busy practices. However, there
have been excellent advances in specialty EMR. Cardiologists are able to raise the level of
care they provide because the Cardiology EMR is designed with the varying needs of the
patients in mind.

Advanced Equipment Integration
Cardiology is one of the most advanced forms of medicine. Cardiologists rely on specialized
equipment to provide you with accurate information. Equipment such as the ECG, Holter
Monitors, and ECHO are easily integrated with EMR to import the data directly to your patients’
electronic charts, ensuring that the data you need is always readily available to you.

Improving Your Overall Patient Care
By implementing a Cardiology specific EMR, the overall level of patient care is increased. A
Cardiology EMR does the following:
1.

It allows you to take advantage of such features as monitoring your patients’
cholesterol lipids and pacemaker functions.

2.

It gives you health maintenance reminders, which are especially important for
Cardiologists who see a large number of patients.

3.

Specialized alerts can also make you aware of any potential features.

4.

There is instant access to updated patient education materials, which provide
accurate back-up instructions and information to your patients.

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

Documenting Paperwork
One of the most common complaints among medical professionals is the lack of consistent
and legible patient records. When you implement a Cardiology specific EMR in your practice,
you eliminate this complaint completely. In addition, the system offers you the ability to create
folders for patient reports and scans. You or your team can quickly access these reports in
your office. Documenting in your patients' charts during their appointments is also done
quickly, so you can be sure that you have always recorded the accurate information.

Efficient Patient Encounters
It is very helpful to have your patients' family history available. Cardiology patients probably
have conditions that are not heart-related but require medications and visits to other
specialists. Cardiology specific electronic medical records give you the information you need to
monitor their medical information and medication changes. Ordering new prescriptions, making
referrals, and ordering tests yourself is much quicker, so each encounter with your patients is
more efficient and takes less time. This allows you to see more patients in a day, without
sacrificing the level of care they receive.

Financial Benefits
There are several financial benefits of implementing a Cardiology specific EMR. Electronic
billing to insurance companies and to patients is much faster. Payments are automatically
received and can be processed much faster as well. A Cardiology EMR allows your practice to
decrease the amount of paper used, which increases the level of staff productivity while
lowering your office expenses.

Template Customization
One of the top benefits of a Cardiology EMR software solution is in the availability of an
optimal number of templates. While a number of systems will offer customization, the access
Updated July 2013

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

to customized templates specific to the cardiology practice will make it easy to integrate EMR
software into any cardiology practice.

Accessibility
As a Cardiologist, you are dedicated to providing your patients with excellent care. When you
are on call and there is an emergency, it is crucial that you act fast and give accurate
instructions. However, without access to a patient's chart, that is sometimes difficult. Your
Cardiology EMR can be accessed anywhere. So, when an emergency occurs, you will always
be able to find the correct patient information that you need.

Cardiology EMR Software Urgent Alerts
Because cardiac issues can often be life threatening in nature, it's important to have cardiology
EMR software with alerts that trigger based on results and data being loaded that may indicate
a life-threatening position.

Recommendation
Choose an EMR that has been specifically customized for your specialty so that it corporates
features and functionality most often required by physicians belonging to your specialty.

Updated July 2013

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

Chapter 3: Why choose Certified Cardiology EMR?
ONC-ATCB Certification
The use of a certified EMR/EHR software system is critical for any
physician seeking to utilize electronic medical and health records
software not only to improve the efficiency of the practice but also
to recoup the costs of integration through the incentive funding of
the American Recovery and Reinvestment Act (ARRA). Integration
of ONC-ATCB (Office of the National Coordinator – Authorized
Testing and Certification Body) certified EHR technology is a
necessary first step for your practice in obtaining incentive funding.
Certified EHR technology gives assurance to purchasers and other users that an EHR system
or module offers the necessary technological capability, functionality, and security to help them
meet the meaningful use criteria. Certification also helps providers and patients be confident
that the electronic health IT products and systems they use are secure, can maintain data
confidentially, and can work with other systems to share information.

CCHIT Certification
CCHIT Certified® EHR certification is an independently developed, rigorous inspection of
integrated EHR functionality, interoperability, and security. As part of the process, successful
use is verified at live sites and product usability is rated. It is intended to serve providers
looking for greater assurance that a product will meet their complex needs.

Recommendation
Choose an EMR that is both ONC-ATCB and CCHIT certified for maximum assurance about
the quality of EMR that you are selecting.
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Cardiology EMR Software - An Essential Guide For Every Cardiologist

Chapter 4: Cloud Based Cardiology EMR works for most
Cardiology Clinics
Server based EMR systems were once the most popular option for many
years. That is no longer the case thanks to matured cloud technology. For
small to mid-sized practices and physicians on the go, the ability to securely
access patient data from any computer, iPad, desktop, tablet or pocket PC
is indispensable.

Cost Savings
Cost of implementing EMR in your practice can be staggering. The hardware and network
setup alone can cost as much as $30,000. Other fees and costs can nearly double this
amount. With Web-based EMR you do not require an upfront investment in hardware and
software. Web based EMR offers the lowest monthly operating cost and the most affordable
implementation.

No Worries
Your data is protected against hardware and software failures through the use of fault-tolerant
hardware and sophisticated, redundant data backups. You never have to worry about software
maintenance and upgrades. All upgrades are managed server-side by your web based EHR
vendor.

Access Anywhere
You have access to your medical records even when you are not at the office. You always
have the information available. Access your web based EMR from anywhere in the world
where you have an active Internet connection.
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Cardiology EMR Software - An Essential Guide For Every Cardiologist

Security
System and data security utilized in web based EMR exceed the minimum requirements set
forth by HIPAA. In many cases, the established security of data servers also exceeds what
most healthcare providers use in a private practice.

Recommendation
Consult with your IT technician and your EMR vendor on what bandwidth you would need to
support your entire team and your interfaces. If there are any technical constraints due to
geographic accessibility, choose an EMR vendor that offers client-server based EMR Software
for your specialty.

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

Chapter 5: Customization of ‘Your’ Cardiology EMR System
Every cardiology practice is different from all the other
practices out there. You have your own staff, technology
infrastructure, workflow, etc.
As discussed in a recent article, appropriate customization
was considered to be the key to successful EMR
implementations. It has been proven that attempting to
implement EMR systems that do not fit a provider’s workflow or needs will not be successful.

What Does Your Vendor Offer?
Insist that your Cardiology EMR vendor not only sell you the software but also provide the
following:
a. Set up and configuration of the Cardiology EMR for your clinic
b. A customized look and feel of the documents and forms produced by the software
c. Customized Cardiology EMR templates in accordance with your specific requirements
d. Help in configuring the workflow within EMR and recommending necessary changes in
your office work flow so that all the capabilities of your new EMR can be utilized.
e. Sufficient training to all your staff so that each of them understands the correct usage of
various features of the EMR.

Customization Timeframe
How long does customization take? The timeframe will depend on the size of your operation as
well as the amount of customization that you need. However, for small and mid-sized clinics,
you should expect go-live within 30-60 days.

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

Chapter 6: Cardiology Specific Templates
Templates are an important component of the EMR system. A "template" is essentially a tool
for organizing, presenting, and capturing clinical data within the EMR. Use of templates allows
practices to gather all relevant information for their workflow on a single convenient screen,
while populating the information into the medical record. Properly customized templates have
been proven to increase percentage of chart completion thereby having a direct impact on
practice revenues.

Out of the box Cardiology content and EMR Templates
Cardiology specific templates will often include the following: Hypertension, Cardiac Exam,
Exercise Stress Sheet, Echocardiography, Carotid Ultrasound, Carotid Duplex B Mode velocity
Analysis, Dobutamine Myocardial Perfusion Imaging, Tilt Table Test, Inhaler instruct, Custom
Cardiology SOAP Note Templates, Cardiac Cath, Pacemaker Visit, Holter Monitoring, TWAVE, Aorta Ultrasound, Adenosine Myocardial Perfusion Imaging, EECP, Pacemaker/ICD
Interrogations, Point-n-Click SOAP Note Templates and Referral Letter Templates customized
for the Cardiologist.
While the Cardiology EMR may come equipped with these templates, the cardiology vendor
must work with you to customize the templates you use often and train you so that you can
make the required tweaks to the templates on your own at a later date.

Recommendations
After the demo, check with your vendor about what additional templates you will need and if
cost associated with creation of those templates will be included in the cost of EMR
implementation.

Updated July 2013

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

Chapter 7: Practice Management Software and EMR
Software Integration
Integrated cardiology medical billing software has many
advantages and helps with overall practice management.
Practice management (PM) software runs the business
side of healthcare, from scheduling patients to billing to
generating monthly reports. Therefore, picking the right
system is also crucial for any medical practice. According
to MGMA a major decision point is picking a PM system
that works well with the practice's EHR since EHR is more the driver than the PM system.

Integrated EMR and Practice Management System
An integrated EMR and Practice Management System are built from the ground up and share
the same database. Integrated system eliminates the potential for communication and data
interchange failure between the EMR and Practice Management components.

Interfaced EMR and Practice Management System
Interfaced systems where the EMR and Practice Management systems are developed by
different vendors often involve a third party component for interfacing both the systems. Using
two separate systems can come with many problems because the two may not always work
well together. Quite often, there is a breakdown in communication (even between programs
that are supposed to work well together), preventing a 2-way exchange of some data elements
between them. Integrated systems eliminate lost or missed charges, and improve the patient
experience via greater efficiencies.

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

If your practice already uses a practice management system that you cannot live without,
check with your EMR vendor if they have interfaced with your practice management system in
the past. If your practice management system is HL7 compliant, you should be able to find a
third party component (like X-link) to interface it with your new EMR.

Recommendation
To conclude, the best solution to this potential breakdown in communication between practice
management software and EMR is by choosing an integrated practice management and EMR
system. This is an all-in-one answer that provides a seamless user experience, regardless of
whether you're an office manager or a provider.
(Read our blog at http://www.revenuexl.com/blog/bid/113982/Integrated-PracticeManagement-and-EMR-is-Better-For-Your-Practice)

Updated July 2013

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

Chapter 8: EMR Compatibility with Mobile Devices
According to www.cio.com, “the 2010 release of the Apple iPad opened many eyes in the
healthcare industry. For years, physicians and
caregivers shied away from incorporating information
technology into patient interactions because laptops
and computers on wheels (COWs) were so
cumbersome. A 10-inch tablet, though, made it easy to
access patient records and medical images, look up
drug information, schedule appointments and even
show patients educational videos at the bedside.

Going Mobile with your EMR
There are three ways that you can access your EMR Software from an iPad:
a. Use the browser (Safari) on your iPad to connect to your EMR
b. Use remote access mechanism to access the EMR that is running on your own server
in your clinic
c. Use native iPad specific application for your EMR that you can download from the Apple
store front and enjoy the slick UI that is the hallmark of modern user friendly interface.
With Android gaining acceptance in the marketplace, many vendors are also gearing up to
provide EMR that runs on Android based devices. Ask your vendor about the types of devices
and operating systems supported.

Mobile Benefits
a. The iPad is increasingly replacing the clipboard in several ways. Patients can fill out
forms and questionnaires electronically before an appointment, and residents on
Updated July 2013

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

hospital rounds can use iPads to collect patient information, place orders and prescribe
drugs earlier in the admissions process.
b. The digital questionnaires (mentioned in (a) above) are a start, as are surveys taken at
discharge that let staff members receive real-time feedback about a patient's visit.
Physicians can also use iPad apps to explain medical conditions—in some cases, by
drawing on images of X-rays.
c. Telemedicine has traditionally not been conducive to helping patients connect to
physicians from their own home. However, iPad with its built-in camera and optional 3G,
can bring home health to the masses.
d. Surgeons and their teams need access to lots of data before, during and after a
procedure. There are many applications that enable remote monitoring of vital signs,
object recognition and videoconferencing.

Recommendation
Choose an EMR that provides you with a native iPad or Android based application for doing
most of your routine tasks including scheduling appointments, charting visit notes, ordering
ePrescription, etc.

Updated July 2013

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

Chapter 9: Cost of Cardiology EMR
Cost of EMR implementation has been a major factor that has prevented widespread
acceptance of EMR.
However, there is no simple or definitive answer in regards to the cost of implementing EMR in
a Clinic. You have to consider the various factors that can raise or lower the price of the
service for your clinic.
Read http://www.revenuexl.com/blog/bid/108201/How-much-does-an-EMR-or-EHR-Softwarereally-cost for more details.

Cost Factors
Type
As described earlier in this eBook, for various reasons, implementing a web based EMR
solution requires little upfront investment in software and hardware vis-à-vis implementation of
a server-based EMR solution.
Training
If you need onsite training so that you and your staff can be face to face with the trainer, you
will incur additional travel, board and lodging costs in addition to the fixed implementation and
training costs.
Customization
Implementation often assumes a certain amount of customization of the templates and
workflow required by the practice. Since you are starting with a version of the EMR that has

Updated July 2013

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

been customized for your specialty, it is more often than not sufficient for most practices. It is
better to check with your EMR vendor if you have any specific customization requirements.

Get in Touch
To get a realistic idea of how much your Cardiology EMR system will cost you, talk to your
vendor about your specific needs. Make sure the vendor understands your full needs and
provides you with a breakdown of all the costs involved. Contact RevenueXL today to get more
information about our most affordable pricing options for your system.
Check out our pricing and cost comparison with other vendors at
http://www.revenuexl.com/Portals/62006/docs/revenuexl%20emr%20pricing.pdf
RevenueXL also offers ‘Free Cardiology EHR’ in conjunction with its medical billing services
starting at 2.5% of practice collections. Contact us for more details.

Updated July 2013

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

Chapter 10: Resources
1. Agency for Healthcare Research and Quality (AHRQ) National Resource Center for Health
IT - Find information on cardiology rules and reminders and access cardiology
documentation templates
2. American Health Information Management Association (AHIMA)
3. Centers for Medicare and Medicaid Services (CMS)
4. Certification Commission for Health Information Technology (CCHIT) - Authorized
Certification Body (ONC-ACB) for certifying EHRs to support meaningful use
5. Healthcare Information and Management Systems Society (HIMSS)
6. Health Resources and Services Administration
7. Office of the National Coordinator for Health Information Technology (ONC)
8. Medical Coding Resources - Offers information about certified EMR software, as well as
articles about upcoming EMR legislation and incentives
9. EHR Incentive Program – Second Stage - proposed CMS rule details the criteria for
successful participation in the EHR Incentive Program, while the ONC focuses on the
implementation specifications and certification criteria for EHR technology.
10. American College of Cardiology

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

Request Your Demo
Request your demo from our website at www.revenuexl.com/emr-demo. Please include as
much information about your practice as possible including number of full time and part time
providers, number of staff members, number of patients see each day and your budget.
One of our experienced sales executives will contact you to help get a better idea of your
needs. We will then schedule a live demo for you and the other members of your staff. During
that demo, you will get a chance to speak with the presenter about how our EMR Software can
be best leveraged in your clinic for maximum ROI.

Updated July 2013

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

About RevenueXL
Established in 2005, RevenueXL of Cupertino, California (Silicon Valley) is a leading provider
of healthcare solutions and EMR software, providing CCHIT and ONC-ATCB Certified
Electronic Health Records Software to small and mid-sized practices. Our mission is to be
recognized as the most trusted provider of integrated practice management solutions and
electronic health records.
To achieve that, we use a unique blend of process knowledge, the most mature, proven EMR
technology, and some of the most gifted individuals that allow us to deliver exceptional quality
and value.
RevenueXL is more than just a provider of EMR software solutions – we are your partner in
bringing your practice into the future of healthcare. Contact us today through our website at
www.revenuexl.com, or call us at (888) 461-9998.
RevenueXL Inc.
19925, Stevens Creek Blvd.
Cupertino, CA 95014
Email:
info@revenuexl.com
aparna@revenuexl.com

Updated July 2013

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Cardiology EMR Software - An Essential Guide For Every Cardiologist

Important Legal Notice and Disclaimer
Please note that this e-book as well as any other information on www.revenuexl.com has been
compiled based on our experience and a variety of resources available as of the time issued.
Although RevenueXL Inc. has made every reasonable attempt to ensure complete accuracy of
the content in this e-Book, it assumes no responsibility for errors or omissions. You should use
this information including recommendations as you see fit, and at your own risk. Your particular
situation may not be an exact fit and hence you should adjust your use of the information and
recommendations accordingly.
Further, reader accepts that there are strictly no warranties or conditions of any kind, regarding
the use or performance of this e-book. There are no warranties regarding the use or
installation of any software products, templates or any other means, recommendations or
directions mentioned in this e-book. There are no warranties, expressed or implied, as to
infringement of third party rights, merchantability, or fitness for any particular purpose. In no
event will anyone be liable to you for any consequential, incidental or special damages,
including any lost profits or lost savings, or for any claim by any third party.
Any trademarks, service marks, product names or named features are assumed to be the
property of their respective owners, and are used only for reference. There is no implied
endorsement of any kind.
RevenueXL provides both web based and server based EHR solutions to small and mid-sized
clinics in addition to providing medical billing, coding and coding audit services.
Nothing in this e-book is intended to replace common sense, legal, medical or other
professional advice, and is meant to inform and assist the reader.

Updated July 2013

Page 21

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Cardiology EMR Software - Essential Guide for every Cardiologist

  • 1. Cardiology EMR Software – An Essential Guide for Every Cardiology Physician
  • 2. Cardiology EMR Software - An Essential Guide For Every Cardiologist About this eBook ___________________________________________________________________ 2 Chapter 1: Your cardiology practice will benefit from Cardiology EMR ________________________ 3 Chapter 2: Why implement Cardiology Specific EMR? ______________________________________ 4 Chapter 3: Why choose Certified Cardiology EMR? ________________________________________ 7 Chapter 4: Cloud Based Cardiology EMR works for most Cardiology Clinics _____________________ 8 Chapter 5: Customization of ‘Your’ Cardiology EMR System ________________________________ 10 Chapter 6: Cardiology Specific Templates _______________________________________________ 11 Chapter 7: Practice Management Software and EMR Software Integration ___________________ 12 Chapter 8: EMR Compatibility with Mobile Devices _______________________________________ 14 Chapter 9: Cost of Cardiology EMR ____________________________________________________ 16 Chapter 10: Resources ______________________________________________________________ 18 Request Your Demo ________________________________________________________________ 19 About RevenueXL __________________________________________________________________ 20 Important Legal Notice and Disclaimer _________________________________________________ 21 Updated July 2013 Page 1
  • 3. Cardiology EMR Software - An Essential Guide For Every Cardiologist About this eBook This guide is meant as an essential reference for cardiology practices (clinics) and cardiology physicians including general cardiologists and specialist cardiologists including Non-Invasive Cardiologists, Invasive and Non-Interventional Cardiologists, Interventional Cardiologists and Electrophysiologists. Whether you are looking to implement a new EMR or looking to replace your existing EMR, this guide will go a long way in answering some, if not all, of your questions. Should you implement an integrated practice management system, how much should you expect to pay for a top rated cardiology EHR, what certifications should you look for, will web-based or cloudbased EMR work for you – these are some of the many questions that will get answered after you have read through this eBook. If you have any other questions and would like to speak with us, please call us at 408-6257254. Updated July 2013 Page 2
  • 4. Cardiology EMR Software - An Essential Guide For Every Cardiologist Chapter 1: Your cardiology practice will benefit from Cardiology EMR Your cardiology clinic can benefit tremendously from cardiology electronic medical record software. This type of software offers many benefits for a cardiology office.  Cardiology EMR Software speeds up the patient encounter and completion of charts and reduces time on sending Prescription refills and referral letters.  It improves revenues due to timely visit documentation and automated charge capture, maximizing your billing by optimally coding each encounter.  Cardiology software also increases your productivity by automatically generating progress notes, delivering enhanced patient care with health maintenance reminders, reducing rejected claims and accelerating reimbursement. Cardiology EMR software can be customized to mimic your existing workflow and model your existing templates and forms. Download our free article at http://www.revenuexl.com/how-emr-increases-revenues/. Cardiology offices will find many different software options on the market today. Choosing the right EMR program is not an easy task. Updated July 2013 Page 3
  • 5. Cardiology EMR Software - An Essential Guide For Every Cardiologist Chapter 2: Why implement Cardiology Specific EMR? Many Cardiologists have yet to implement a Cardiology specific EMR in their practices because of the fear of the EMR slowing them down in their busy practices. However, there have been excellent advances in specialty EMR. Cardiologists are able to raise the level of care they provide because the Cardiology EMR is designed with the varying needs of the patients in mind. Advanced Equipment Integration Cardiology is one of the most advanced forms of medicine. Cardiologists rely on specialized equipment to provide you with accurate information. Equipment such as the ECG, Holter Monitors, and ECHO are easily integrated with EMR to import the data directly to your patients’ electronic charts, ensuring that the data you need is always readily available to you. Improving Your Overall Patient Care By implementing a Cardiology specific EMR, the overall level of patient care is increased. A Cardiology EMR does the following: 1. It allows you to take advantage of such features as monitoring your patients’ cholesterol lipids and pacemaker functions. 2. It gives you health maintenance reminders, which are especially important for Cardiologists who see a large number of patients. 3. Specialized alerts can also make you aware of any potential features. 4. There is instant access to updated patient education materials, which provide accurate back-up instructions and information to your patients. Updated July 2013 Page 4
  • 6. Cardiology EMR Software - An Essential Guide For Every Cardiologist Documenting Paperwork One of the most common complaints among medical professionals is the lack of consistent and legible patient records. When you implement a Cardiology specific EMR in your practice, you eliminate this complaint completely. In addition, the system offers you the ability to create folders for patient reports and scans. You or your team can quickly access these reports in your office. Documenting in your patients' charts during their appointments is also done quickly, so you can be sure that you have always recorded the accurate information. Efficient Patient Encounters It is very helpful to have your patients' family history available. Cardiology patients probably have conditions that are not heart-related but require medications and visits to other specialists. Cardiology specific electronic medical records give you the information you need to monitor their medical information and medication changes. Ordering new prescriptions, making referrals, and ordering tests yourself is much quicker, so each encounter with your patients is more efficient and takes less time. This allows you to see more patients in a day, without sacrificing the level of care they receive. Financial Benefits There are several financial benefits of implementing a Cardiology specific EMR. Electronic billing to insurance companies and to patients is much faster. Payments are automatically received and can be processed much faster as well. A Cardiology EMR allows your practice to decrease the amount of paper used, which increases the level of staff productivity while lowering your office expenses. Template Customization One of the top benefits of a Cardiology EMR software solution is in the availability of an optimal number of templates. While a number of systems will offer customization, the access Updated July 2013 Page 5
  • 7. Cardiology EMR Software - An Essential Guide For Every Cardiologist to customized templates specific to the cardiology practice will make it easy to integrate EMR software into any cardiology practice. Accessibility As a Cardiologist, you are dedicated to providing your patients with excellent care. When you are on call and there is an emergency, it is crucial that you act fast and give accurate instructions. However, without access to a patient's chart, that is sometimes difficult. Your Cardiology EMR can be accessed anywhere. So, when an emergency occurs, you will always be able to find the correct patient information that you need. Cardiology EMR Software Urgent Alerts Because cardiac issues can often be life threatening in nature, it's important to have cardiology EMR software with alerts that trigger based on results and data being loaded that may indicate a life-threatening position. Recommendation Choose an EMR that has been specifically customized for your specialty so that it corporates features and functionality most often required by physicians belonging to your specialty. Updated July 2013 Page 6
  • 8. Cardiology EMR Software - An Essential Guide For Every Cardiologist Chapter 3: Why choose Certified Cardiology EMR? ONC-ATCB Certification The use of a certified EMR/EHR software system is critical for any physician seeking to utilize electronic medical and health records software not only to improve the efficiency of the practice but also to recoup the costs of integration through the incentive funding of the American Recovery and Reinvestment Act (ARRA). Integration of ONC-ATCB (Office of the National Coordinator – Authorized Testing and Certification Body) certified EHR technology is a necessary first step for your practice in obtaining incentive funding. Certified EHR technology gives assurance to purchasers and other users that an EHR system or module offers the necessary technological capability, functionality, and security to help them meet the meaningful use criteria. Certification also helps providers and patients be confident that the electronic health IT products and systems they use are secure, can maintain data confidentially, and can work with other systems to share information. CCHIT Certification CCHIT Certified® EHR certification is an independently developed, rigorous inspection of integrated EHR functionality, interoperability, and security. As part of the process, successful use is verified at live sites and product usability is rated. It is intended to serve providers looking for greater assurance that a product will meet their complex needs. Recommendation Choose an EMR that is both ONC-ATCB and CCHIT certified for maximum assurance about the quality of EMR that you are selecting. Updated July 2013 Page 7
  • 9. Cardiology EMR Software - An Essential Guide For Every Cardiologist Chapter 4: Cloud Based Cardiology EMR works for most Cardiology Clinics Server based EMR systems were once the most popular option for many years. That is no longer the case thanks to matured cloud technology. For small to mid-sized practices and physicians on the go, the ability to securely access patient data from any computer, iPad, desktop, tablet or pocket PC is indispensable. Cost Savings Cost of implementing EMR in your practice can be staggering. The hardware and network setup alone can cost as much as $30,000. Other fees and costs can nearly double this amount. With Web-based EMR you do not require an upfront investment in hardware and software. Web based EMR offers the lowest monthly operating cost and the most affordable implementation. No Worries Your data is protected against hardware and software failures through the use of fault-tolerant hardware and sophisticated, redundant data backups. You never have to worry about software maintenance and upgrades. All upgrades are managed server-side by your web based EHR vendor. Access Anywhere You have access to your medical records even when you are not at the office. You always have the information available. Access your web based EMR from anywhere in the world where you have an active Internet connection. Updated July 2013 Page 8
  • 10. Cardiology EMR Software - An Essential Guide For Every Cardiologist Security System and data security utilized in web based EMR exceed the minimum requirements set forth by HIPAA. In many cases, the established security of data servers also exceeds what most healthcare providers use in a private practice. Recommendation Consult with your IT technician and your EMR vendor on what bandwidth you would need to support your entire team and your interfaces. If there are any technical constraints due to geographic accessibility, choose an EMR vendor that offers client-server based EMR Software for your specialty. Updated July 2013 Page 9
  • 11. Cardiology EMR Software - An Essential Guide For Every Cardiologist Chapter 5: Customization of ‘Your’ Cardiology EMR System Every cardiology practice is different from all the other practices out there. You have your own staff, technology infrastructure, workflow, etc. As discussed in a recent article, appropriate customization was considered to be the key to successful EMR implementations. It has been proven that attempting to implement EMR systems that do not fit a provider’s workflow or needs will not be successful. What Does Your Vendor Offer? Insist that your Cardiology EMR vendor not only sell you the software but also provide the following: a. Set up and configuration of the Cardiology EMR for your clinic b. A customized look and feel of the documents and forms produced by the software c. Customized Cardiology EMR templates in accordance with your specific requirements d. Help in configuring the workflow within EMR and recommending necessary changes in your office work flow so that all the capabilities of your new EMR can be utilized. e. Sufficient training to all your staff so that each of them understands the correct usage of various features of the EMR. Customization Timeframe How long does customization take? The timeframe will depend on the size of your operation as well as the amount of customization that you need. However, for small and mid-sized clinics, you should expect go-live within 30-60 days. Updated July 2013 Page 10
  • 12. Cardiology EMR Software - An Essential Guide For Every Cardiologist Chapter 6: Cardiology Specific Templates Templates are an important component of the EMR system. A "template" is essentially a tool for organizing, presenting, and capturing clinical data within the EMR. Use of templates allows practices to gather all relevant information for their workflow on a single convenient screen, while populating the information into the medical record. Properly customized templates have been proven to increase percentage of chart completion thereby having a direct impact on practice revenues. Out of the box Cardiology content and EMR Templates Cardiology specific templates will often include the following: Hypertension, Cardiac Exam, Exercise Stress Sheet, Echocardiography, Carotid Ultrasound, Carotid Duplex B Mode velocity Analysis, Dobutamine Myocardial Perfusion Imaging, Tilt Table Test, Inhaler instruct, Custom Cardiology SOAP Note Templates, Cardiac Cath, Pacemaker Visit, Holter Monitoring, TWAVE, Aorta Ultrasound, Adenosine Myocardial Perfusion Imaging, EECP, Pacemaker/ICD Interrogations, Point-n-Click SOAP Note Templates and Referral Letter Templates customized for the Cardiologist. While the Cardiology EMR may come equipped with these templates, the cardiology vendor must work with you to customize the templates you use often and train you so that you can make the required tweaks to the templates on your own at a later date. Recommendations After the demo, check with your vendor about what additional templates you will need and if cost associated with creation of those templates will be included in the cost of EMR implementation. Updated July 2013 Page 11
  • 13. Cardiology EMR Software - An Essential Guide For Every Cardiologist Chapter 7: Practice Management Software and EMR Software Integration Integrated cardiology medical billing software has many advantages and helps with overall practice management. Practice management (PM) software runs the business side of healthcare, from scheduling patients to billing to generating monthly reports. Therefore, picking the right system is also crucial for any medical practice. According to MGMA a major decision point is picking a PM system that works well with the practice's EHR since EHR is more the driver than the PM system. Integrated EMR and Practice Management System An integrated EMR and Practice Management System are built from the ground up and share the same database. Integrated system eliminates the potential for communication and data interchange failure between the EMR and Practice Management components. Interfaced EMR and Practice Management System Interfaced systems where the EMR and Practice Management systems are developed by different vendors often involve a third party component for interfacing both the systems. Using two separate systems can come with many problems because the two may not always work well together. Quite often, there is a breakdown in communication (even between programs that are supposed to work well together), preventing a 2-way exchange of some data elements between them. Integrated systems eliminate lost or missed charges, and improve the patient experience via greater efficiencies. Updated July 2013 Page 12
  • 14. Cardiology EMR Software - An Essential Guide For Every Cardiologist If your practice already uses a practice management system that you cannot live without, check with your EMR vendor if they have interfaced with your practice management system in the past. If your practice management system is HL7 compliant, you should be able to find a third party component (like X-link) to interface it with your new EMR. Recommendation To conclude, the best solution to this potential breakdown in communication between practice management software and EMR is by choosing an integrated practice management and EMR system. This is an all-in-one answer that provides a seamless user experience, regardless of whether you're an office manager or a provider. (Read our blog at http://www.revenuexl.com/blog/bid/113982/Integrated-PracticeManagement-and-EMR-is-Better-For-Your-Practice) Updated July 2013 Page 13
  • 15. Cardiology EMR Software - An Essential Guide For Every Cardiologist Chapter 8: EMR Compatibility with Mobile Devices According to www.cio.com, “the 2010 release of the Apple iPad opened many eyes in the healthcare industry. For years, physicians and caregivers shied away from incorporating information technology into patient interactions because laptops and computers on wheels (COWs) were so cumbersome. A 10-inch tablet, though, made it easy to access patient records and medical images, look up drug information, schedule appointments and even show patients educational videos at the bedside. Going Mobile with your EMR There are three ways that you can access your EMR Software from an iPad: a. Use the browser (Safari) on your iPad to connect to your EMR b. Use remote access mechanism to access the EMR that is running on your own server in your clinic c. Use native iPad specific application for your EMR that you can download from the Apple store front and enjoy the slick UI that is the hallmark of modern user friendly interface. With Android gaining acceptance in the marketplace, many vendors are also gearing up to provide EMR that runs on Android based devices. Ask your vendor about the types of devices and operating systems supported. Mobile Benefits a. The iPad is increasingly replacing the clipboard in several ways. Patients can fill out forms and questionnaires electronically before an appointment, and residents on Updated July 2013 Page 14
  • 16. Cardiology EMR Software - An Essential Guide For Every Cardiologist hospital rounds can use iPads to collect patient information, place orders and prescribe drugs earlier in the admissions process. b. The digital questionnaires (mentioned in (a) above) are a start, as are surveys taken at discharge that let staff members receive real-time feedback about a patient's visit. Physicians can also use iPad apps to explain medical conditions—in some cases, by drawing on images of X-rays. c. Telemedicine has traditionally not been conducive to helping patients connect to physicians from their own home. However, iPad with its built-in camera and optional 3G, can bring home health to the masses. d. Surgeons and their teams need access to lots of data before, during and after a procedure. There are many applications that enable remote monitoring of vital signs, object recognition and videoconferencing. Recommendation Choose an EMR that provides you with a native iPad or Android based application for doing most of your routine tasks including scheduling appointments, charting visit notes, ordering ePrescription, etc. Updated July 2013 Page 15
  • 17. Cardiology EMR Software - An Essential Guide For Every Cardiologist Chapter 9: Cost of Cardiology EMR Cost of EMR implementation has been a major factor that has prevented widespread acceptance of EMR. However, there is no simple or definitive answer in regards to the cost of implementing EMR in a Clinic. You have to consider the various factors that can raise or lower the price of the service for your clinic. Read http://www.revenuexl.com/blog/bid/108201/How-much-does-an-EMR-or-EHR-Softwarereally-cost for more details. Cost Factors Type As described earlier in this eBook, for various reasons, implementing a web based EMR solution requires little upfront investment in software and hardware vis-à-vis implementation of a server-based EMR solution. Training If you need onsite training so that you and your staff can be face to face with the trainer, you will incur additional travel, board and lodging costs in addition to the fixed implementation and training costs. Customization Implementation often assumes a certain amount of customization of the templates and workflow required by the practice. Since you are starting with a version of the EMR that has Updated July 2013 Page 16
  • 18. Cardiology EMR Software - An Essential Guide For Every Cardiologist been customized for your specialty, it is more often than not sufficient for most practices. It is better to check with your EMR vendor if you have any specific customization requirements. Get in Touch To get a realistic idea of how much your Cardiology EMR system will cost you, talk to your vendor about your specific needs. Make sure the vendor understands your full needs and provides you with a breakdown of all the costs involved. Contact RevenueXL today to get more information about our most affordable pricing options for your system. Check out our pricing and cost comparison with other vendors at http://www.revenuexl.com/Portals/62006/docs/revenuexl%20emr%20pricing.pdf RevenueXL also offers ‘Free Cardiology EHR’ in conjunction with its medical billing services starting at 2.5% of practice collections. Contact us for more details. Updated July 2013 Page 17
  • 19. Cardiology EMR Software - An Essential Guide For Every Cardiologist Chapter 10: Resources 1. Agency for Healthcare Research and Quality (AHRQ) National Resource Center for Health IT - Find information on cardiology rules and reminders and access cardiology documentation templates 2. American Health Information Management Association (AHIMA) 3. Centers for Medicare and Medicaid Services (CMS) 4. Certification Commission for Health Information Technology (CCHIT) - Authorized Certification Body (ONC-ACB) for certifying EHRs to support meaningful use 5. Healthcare Information and Management Systems Society (HIMSS) 6. Health Resources and Services Administration 7. Office of the National Coordinator for Health Information Technology (ONC) 8. Medical Coding Resources - Offers information about certified EMR software, as well as articles about upcoming EMR legislation and incentives 9. EHR Incentive Program – Second Stage - proposed CMS rule details the criteria for successful participation in the EHR Incentive Program, while the ONC focuses on the implementation specifications and certification criteria for EHR technology. 10. American College of Cardiology Updated July 2013 Page 18
  • 20. Cardiology EMR Software - An Essential Guide For Every Cardiologist Request Your Demo Request your demo from our website at www.revenuexl.com/emr-demo. Please include as much information about your practice as possible including number of full time and part time providers, number of staff members, number of patients see each day and your budget. One of our experienced sales executives will contact you to help get a better idea of your needs. We will then schedule a live demo for you and the other members of your staff. During that demo, you will get a chance to speak with the presenter about how our EMR Software can be best leveraged in your clinic for maximum ROI. Updated July 2013 Page 19
  • 21. Cardiology EMR Software - An Essential Guide For Every Cardiologist About RevenueXL Established in 2005, RevenueXL of Cupertino, California (Silicon Valley) is a leading provider of healthcare solutions and EMR software, providing CCHIT and ONC-ATCB Certified Electronic Health Records Software to small and mid-sized practices. Our mission is to be recognized as the most trusted provider of integrated practice management solutions and electronic health records. To achieve that, we use a unique blend of process knowledge, the most mature, proven EMR technology, and some of the most gifted individuals that allow us to deliver exceptional quality and value. RevenueXL is more than just a provider of EMR software solutions – we are your partner in bringing your practice into the future of healthcare. Contact us today through our website at www.revenuexl.com, or call us at (888) 461-9998. RevenueXL Inc. 19925, Stevens Creek Blvd. Cupertino, CA 95014 Email: info@revenuexl.com aparna@revenuexl.com Updated July 2013 Page 20
  • 22. Cardiology EMR Software - An Essential Guide For Every Cardiologist Important Legal Notice and Disclaimer Please note that this e-book as well as any other information on www.revenuexl.com has been compiled based on our experience and a variety of resources available as of the time issued. Although RevenueXL Inc. has made every reasonable attempt to ensure complete accuracy of the content in this e-Book, it assumes no responsibility for errors or omissions. You should use this information including recommendations as you see fit, and at your own risk. Your particular situation may not be an exact fit and hence you should adjust your use of the information and recommendations accordingly. Further, reader accepts that there are strictly no warranties or conditions of any kind, regarding the use or performance of this e-book. There are no warranties regarding the use or installation of any software products, templates or any other means, recommendations or directions mentioned in this e-book. There are no warranties, expressed or implied, as to infringement of third party rights, merchantability, or fitness for any particular purpose. In no event will anyone be liable to you for any consequential, incidental or special damages, including any lost profits or lost savings, or for any claim by any third party. Any trademarks, service marks, product names or named features are assumed to be the property of their respective owners, and are used only for reference. There is no implied endorsement of any kind. RevenueXL provides both web based and server based EHR solutions to small and mid-sized clinics in addition to providing medical billing, coding and coding audit services. Nothing in this e-book is intended to replace common sense, legal, medical or other professional advice, and is meant to inform and assist the reader. Updated July 2013 Page 21