Critical Test Result Management

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Critical Test Result Management
Vocada, Inc 866-486-2232
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Vocadas CTRM Product VERIPHY

• Vocada provides the industrys leading Critical
  Test Result Management system
• Veriphy, Vocadas flagship system, is designed
  for hospitals to provide their enterprise with a
  safer and more productive communications platform
  for CTRs from radiology, clinical lab and
  cardiology.

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Critical Test Result Communications

• Communication of CTRs is a manual phone based
  process (No data systems to provide the
  communication)
• CTRs represent a very small percentage (2.5) of
  diagnostic procedures but the highest risk to
  patient safety

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CTRs are a top priority in patient safety and
with the Joint Commission

• "In our database of over 3,000 sentinel events
  (deaths and major disability resulting from care)
  and their root cause analyses, the most
  frequently cited causative factor over
  two-thirds of the cases is ineffective
  communication."
• Dr. Richard Croteau, executive director for
  patient safety initiatives at the Joint
  Commission (DMN 9/13/2005)

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Patient Safety and Productivity Two Sides of the
Same Coin

• Average CTR communication process takes 10 to 20
  minutes
• Reporting clinician must manually document their
  communication
• No formal escalation processes for all Ordering
  Clinicians
• Manual phone calls are interruptive to the
  ordering clinician which decreases their
  productivity
• All diagnostic departments call manually but
  dont follow a shared communication process

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Veriphy An Enterprise CTRM Solution

• A hosted platform, Veriphy begins with a 90 day
  implementation (profile directory build, ROY best
  practices)
• Enables verbal and numerical CTR messages to be
  authored by the reporting clinician
• Delivers ALERTS about CTRs in real-time to common
  devices used by ordering clinicians
• Using the information from the ALERT the Ordering
  Clinician retrieves from Veriphy the message (and
  processes the read-backs)
• Provides an audit trail that the message was
  reviewed
• Detailed reports show enterprise Turn Around Time
  (TAT)

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Some Veriphy Customers

• Baylor University Medical Center
• Hospital of University of Pennsylvania
• Rhode Island Hospital/Brown University
• New York Health and Hospital Corp.
• University of Rochester Medical Center
• Albert Einstein Medical Center/Thomas Jefferson
  University
• USC LA County
• Memorial Hermann Health System/UT Houston
• Partners Healthcare/Harvard
• Grady Memorial/County Hospital Atlanta
• Baptist Health South Florida
• Carolinas Healthcare

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Once a Critical Test Result is identified
Instant Notification
Instant Availability
Instant Verification
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The Veriphy Implementation Process

• Vocada creates a steering committee with the
  hospital stakeholders to begin the Veriphy Launch
  Process
• Who are the ordering clinicians (nurses,
  physicians, departments)
• The CTR policies are codified/written in a
  communications campaign
• What are the critical findings and desired
  turn-around times (TAT)
• The Veriphy Directory is developed
• Hospital sponsored letter of introduction of CTR
  policy
• Vocada back-offices this letter and the responses
• Vocada works with department chiefs, groups and
  clinics to profile their communication
  workflow/protocols
• Vocada/Sponsors meet with the stakeholders prior
  to launch
• Veriphy launch, followed by quarterly reviews of
  success metrics

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Examples of Veriphy Role based Profiles
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Example of Hospital Veriphy Policy
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Veriphy Lab Desktop
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Veriphy Radiology
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Outbound ALERTS

• Outbound alerts Veriphy delivers real-time
  alerts into any device with the call back
  information

• Email
• Fax
• Pager
• Cell-phone
• Wireless Device
• Desktop

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Outbound Phone Calls

• Outbound Phone Calls Veriphy delivers real-time
  phone calls to the nurses phone.
• Enables Nurse to accept the message, listen to
  the entire message and read-back correctly
• System escalates the message to unit if it is not
  picked

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Audit Trail
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Joint Commission Compliance Report
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Verified Results

• Easy Compliance with Accrediting Bodies Joint
  Commission, CAP, ACR
• Demonstrable Improvement in Patient Safety
• Measurable Decrease in Turn Around Times (TAT)
• Greater Staff Productivity

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Veriphy complies with all standards

• Joint Commission NPSG 2
• Complies with 2a - read-back requirements
• Complies with 2c - Track timeline of CTR
  communication
• American College of Radiology
• Complies with the ACRs communication guidelines
• College of American Pathology
• Complies with CAP certification checklist
• Complies with CLIA statutes
• Veriphy makes compliance with the National
  Patient Safety Goals on communicating test
  results a snap.
• - Julia Napper, Dir. Performance Improvement and
  Quality, Parkland Hospital

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Verify Improves Patient Safety

• Alerts when messages are retrieved in the
  compliance goal and when they are not
• Enables performance improvement analysis of Turn
  Around Times
• Provides a dedicated application to this critical
  care issue
• Provides a consistent platform for all
  diagnostics and referring physicians to
  communicate
• "It makes sure that the results that get
  sent to critical care areas are acted upon," she
  says. "It gives you a focus on the small
  percentage of critical values that need to be
  followed up on and that can fall through the
  cracks. It has really illuminated the problem
  areas, enabling us to identify them and correct
  them."
• - Barbara Corning-Davis, at Salem Hospital in
  Salem, MA

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Shorter TAT and Greater Staff Productivity

• At the Medical Center alone, we perform 375,000
  a year...It takes only 30 seconds to send a
  message as opposed to 20 minutes to track someone
  down, which is a significant impact on workflow.
• - Jean Plummer, Radiology Informatics
  Manager, Baylor UMC

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QA

• Pricing
• Need the number of profiles to be developed
• Need the number of test completed over the past
  12 months for each diagnostic dept.