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

Follow Evolving GuidelinesFollow Evolving Guidelines

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

Text Generation

CHADS2 Calculator

Demo: Data Submission to Demo: Data Submission to ACCACC

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.