LESSON 11

• Cardiology Information System (CIS)


  Mainly focused on the storage and retrieval of Cardiology-centric images
• CIS workflow

  1. Receive order with patient demographics

  2. Acquire images from imaging modalities

  3. Profile images against order

  4. Store for further distribution, viewing, and long-term archive
• Information used by cardiologists

  • Personal notes (history, physical examination)
  • Signals (electrocardiograms)
  • Images (echocardiograms, angiograms, CT, MRI)
  • Reports from investigations and procedures
• CIS serve as a repository that houses digital forms of cardiology imagery
• Most CIS are limited to their storage capabilities and do not include post-processing functions
• Common benefits of CIS

  • Ease of access while maintaining data security
  • Flexibility in the workflow
  • Enhanced comparability
• CIS

  • Editing, viewing, and storing multi-modal cardiology data
  • Remote access
  • Visualization and reporting capabilities
  • EHR integration
• Radiology Information System (RIS)


  A networked software system for managing medical imagery and associated data
• RIS is often used in conjunction with PACS and VNA to manage image archives, record-keeping, and billing within a Hospital Information System
• Hospital Information System (HIS)


  An element of health informatics that focuses mainly on the administrational needs of hospitals
• Picture Archiving and Communication System (PACS)


  A healthcare technology for short and long term storage, retrieval, management, distribution and presentation of images
• Vendor Neutral Archival (VNA)


  A medical imaging used by the healthcare professionals that stores images in a standard format and interface, making medical imaging data accessible through different PACS
• Advantages of using an RIS

  • Better communication with referring doctors
  • Faster payments
  • Improved efficiency
• Basic functions of an RIS


  • Patient management
  • Scheduling
  • Patient tracking
  • Results reporting
  • Image tracking
  • Billing
• Editing, Viewing, and Storing Multi-Modal Cardiology Data


  • Different types of data may be managed on a single platform
  • Including computed tomography (CT), cardiac ultrasound (echocardiography), magnetic resonance imaging (MRI), nuclear imaging (PET and SPECT), and angiography
  • With the help of the CIS
• Remote Access


  The use of networks and integrated information systems, coupled with the availability of the internet and tablets and smart phones, offer flexibility to Cardiology Information Systems
• Visualization and Reporting Capabilities


  • One of the main benefits of Cardiology Information Systems
  • Ease and consistency of reporting
  • Virtually real-time information retrieval is possible with just a couple of clicks and queries
  • Possible from multiple locations
• EHR Integration


  • CIS may be integrated with existing Electronic Health Record Systems
  • Can enhance the quality of services offered by health professionals
  • Offers a more comprehensive view of the patient care spectrum
• Benefits of a Radiology Information System (RIS)

  • Better communication with referring doctors
  • Faster payments
  • Improved efficiency
• Better communication with referring doctors

  1. RIS integrates with referring doctor's electronic health record (EHR) system

  2. Allows easy and quick access to patient data

  3. Results in better experience for referring doctors

  4. Increases likelihood they'll refer more patients
• Faster payments


  RIS allows insurance verification before patient visit<|>Enables electronic payments<|>Results in getting paid faster
• Improved efficiency

  1. Faster to find, input, and create reports from patient data

  2. Records are computerized, no longer need to be entered multiple times
• RIS (Radiology Information System)


  • Tracks a patient's entire workflow within the radiology department
  • Allows radiology providers to add images and reports to EHRs, where they can be retrieved and viewed by authorized radiology staff
• Scheduling

  RIS allows staff to make appointments for both inpatients and outpatients
• Patient Tracking


  • Using a RIS system, providers can track a patient's entire radiology history from admission to discharge and coordinate the history with past, present and future appointments
• Results Reporting


  RIS can generate statistical reports for a single patient, group of patients or particular procedures
• Image Tracking


  • Radiology providers use RIS to track individual films and their associated data
  • As EHRs have become standard and digitized images and PACS have been widely adopted, radiology departments and their RIS-PACS systems have been more drawn into the clinical workflow of the entire medical enterprise
• Billing


  • RIS systems provide detailed financial record-keeping and process electronic payments and automated claims, though these functions are becoming incorporated into medical organizations' overall EHR systems