Critical Test Result Management

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Critical Test Result Management

• Your Name

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Vocadas CTRM Product VERIPHY

• Vocada provides the industry leading Critical
  Test Result Management (CTRM) system that
  enhances patient safety and improves clinical
  effectiveness through a verifiable and traceable
  communications system.
• Veriphy, Vocadas flagship system, was designed
  for hospitals to provide their enterprise with an
  easy to use, productive, consistent
  communications platform for all diagnostic
  departments to effectively communicate critical
  test results to ordering clinicians.

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Critical Test Result Communications

• Communication of CTRs is a manual phone based
  process
• CTRs represent a very small percentage (2.5) of
  diagnostic procedures but the highest risk to
  patient safety
• Hospital data systems are not communication
  enablers because they are PC dependant

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CTRs are an important patient safety issue

• "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 JCAHO (DMN
  9/13/2005)

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Source The Advisory Group 2006
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Veriphy An Enterprise CTRM Solution

• Delivers ALERTS about CTRs in real-time to Common
  Devices Used by Ordering Clinicians
• Ordering Clinicians include Physicians, Nurses
  and Departments
• Ordering Clinician Profiles Define Alerting Rules
• Hospital Administration Define CTR Policy
• Define and categorize critical results.
• Establish time frames for communicating results

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Once a Critical Test Result is identified
Instant Notification
Instant Availability
Instant Verification
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Pager Notifications

• Alphanumeric Pager
• Red CTR. Call Veriphy 800-123-4567 enter 123456
  to retrieve message from Dr. Phil Reeves at
  General Hospital Radiology.
• Numeric Pager
• 800-123-4567 123456

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The Veriphy Application (US Patent 6,778,644)

• Phone and data application
• Voice-based message entry
• Web site contains all data
• Sold as a Service (SAAS)
• No local hardware or software required
• No new technology or training required for the
  ordering clinician
• Ordering clinicians return the page via phone, or
  can access the message via the web
• Phone log is a legal document
• All activity is saved chronologically with the
  audio voice message for 10 years

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Examples of Veriphy Role based Profiles
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The ConnectNowTM Implementation Process

• Vocada meets 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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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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Productivity Tool for All
Source The Advisory Group 2006
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Management and Compliance
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Conclusion Veriphy and CTRM Best Practices

• Establish and Communicate Policy and Procedures
  to All Stakeholders
• Include All Ordering Physicians
• Both in-patient and out-patient
• Emphasis on communicating results directly to
  ordering physician
• With escalation support to intermediaries
  (nursing stations, etc)
• Support Direct Physician AND Role-based
  Escalations
• Support for backup communication contacts
• Support role-based escalations Escalate to Sr.
  IM Resident
• Track/Remedy Communication Anomalies
• Verification of Receipt of All Messages