Cardiac Episode Adjudication Workflow With Targeted Data Review
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Solution Overview
Problem
Current workflows for adjudicating cardiac episodes between primary and secondary adjudicators are inefficient and manual, leading to interruptions, increased workload, and potential misdiagnoses due to the need to sift through excessive data, which can delay appropriate patient care.
Innovation Solution
A computing system that streamlines the adjudication process by using a remote patient monitoring system to send specific portions of episode data and questions to a secondary adjudicator, assisted by artificial intelligence, reducing the need for manual data review and improving efficiency.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If manual workflows are used to send ECG/EGM data to secondary adjudicators, then the process can be performed with simple tools, but the productivity and efficiency of adjudication deteriorates due to interruptions and manual handling
Solution Approach 1:
The patent replaces manual mechanical workflows (printing papers, physical delivery, unsecured messaging) with an automated electronic system. The computing system automatically transmits ECG/EGM data and questions to secondary adjudicators via secure electronic communication, eliminating manual intervention while significantly improving productivity and reducing interruptions.
2Loss of information
If entire episode data is sent to secondary adjudicators, then all relevant information is provided, but the time required to review data increases due to excessive amount of information
Solution Approach 1:
The patent extracts and transmits only the specific portions of episode data that are most relevant for adjudication. The system identifies and sends targeted segments of ECG/EGM data along with associated questions to secondary adjudicators, rather than transmitting the entire dataset. This maintains necessary information completeness while dramatically reducing review time.
Solution Approach 2:
The patent segments the episode data into relevant portions for transmission to secondary adjudicators. The system divides the complete episode data into specific segments based on clinical relevance and adjudication needs, allowing secondary adjudicators to review only the critical portions without time loss.
3Reliability
If primary adjudicators manually wait for secondary adjudicator approval, then direct communication is maintained, but the primary adjudicator becomes unavailable for other patient care duties
Solution Approach 1:
The patent replaces manual communication and waiting processes with an automated electronic system. Primary adjudicators can submit ECG/EGM data and questions through the computing system, which automatically transmits them to secondary adjudicators. This eliminates the need for primary adjudicators to physically wait or interrupt meetings, maintaining communication reliability while restoring their availability for other patient care duties.
Data Source
AI summary
Techniques are described for facilitating multi-party adjudication of cardiac episodes. An example system includes memory storing instructions and processing circuitry configured to execute those instructions to receive episode data of a cardiac episode from a medical device. The processing circuitry is configured to determine a region of the episode data based on input from a primary adjudicator and to display a notification to a secondary adjudicator. The processing circuitry is further configured to display the region of episode data to the secondary adjudicator and to receive and transmit input from the secondary adjudicator.