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The Push Part II: The Options

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stevep1138@aol.com View Drop Down
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Joined: Mar 17 2009
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  Quote stevep1138@aol.com Quote  Post ReplyReply bullet Topic: The Push Part II: The Options
    Posted: Dec 22 2015 at 12:00pm
After having asked those who read the previous article to consider their stance on electronic data documentation, I felt it only necessary to follow-up with an article clearly outlining the primary options that are currently available to Perfusionists. What follows will be an introduction to the plethora of Perfusionist related EPR systems, their functionalities, as well price points. Many of which you can find information about on Perfusion.com.

Generally speaking, there tends to be two ends of the spectrum when it comes to choosing an appropriate software to electronically collect and record information. Variables are dependent on the type of Heart Lung Machine utilized, data output capabilities, as well as budget restraints. Instrumental in the decision is also the desires of the Perfusionist team and, specifically, what they want to see on a Perfusion report post-op.

The most robust system option available, that many deem the “Cadillac” of them all, is Viper by Spectrum medical. Being non-specific to the hardware being utilized in the OR it provides Perfusionists with a wide variety of tools. With automatic data feeds for the majority of diagnostics, it constantly monitors and records all the information on the user’s behalf. It has bi-directional data flow capabilities that will allow interfacing, and is fully HL7 compliant. It is multiple facilities capable, as well.

The drawback to Viper boils down to one extremely important factor, price. Coming in at $75,000+ per system, the financial burden of purchasing it is one many find difficult, or impossible. Attached to that is annual licensing renewals and service fee’s that require visits by Spectrum personnel to update the system. There is also hardware installation associated it with it that can be considered invasive.

Lumped into the more expensive EPR’s, we also find Terumo T-Link and Sorin DMS. These two options were exclusively manufactured for individuals that utilize a Terumo or Sorin heart-lung machine, respectively. They capture much of the data coming from the heart-lung machine, and provide non-invasive hardware that connects directly to an RS-232 output on the back of the heart-lung machine.

The downside to Terumo T-Link and Sorin DMS is that you cannot use the technology to its fullest capability without simultaneously using their heart-lung machines. The system is not multiple facilities capable, and HL7 compliance may or may not be available. The price point remains better than Viper, but still comes in at $60,000+ per unit plus licensing fees.

At the opposite end of the spectrum looking towards middle of the road solutions we find two primary providers in OnCloud and Perfusion Pro.

The OnCloud system, provided by Perfusion.com, was designed as an extremely non-invasive, secure solution to the alternatives in the market place. Billed as a new informatics and quality management system, it will allow customers to never have to download software or updates. Information is then stored in a secure data center. It is not system specific, and multiple facilities capable.

OnCloud falls short in its ability to capture data directly from the heart-lung machine, meaning that information input into the system will be manual. It does, however, come in at the most reasonable cost. At $800-$1,100 annually, per user, it claims to be one of the fastest adopted programs available.

The last remaining commonly discussed program is Perfusion Pro, by PDS Medical Solutions. Currently, there is a version 1.8 program available that is not dependent on the type of heart-lung machine used. It will capture specific data information automatically as long as there is an RS-232 data output option available. Created and designed by a Perfusionist it is billed as the most universal solution on the market. It also has the capability of capturing lab work automatically from those customers with a CDI 500.

Perfusion Pro lacks in its HL7 compliance, and ability to capture ALL data from the pump automatically. It is, currently, not multiple facilities capable. With a price point of $12,500 per system it is costly, but more reasonable in comparison to the aforementioned programs with the exception of OnCloud. However, it does include all associated hardware, training at customer facility, no recurring licensing fees, as well as automatic updates.

The interesting thing to note with Perfusion Pro is that there will be a fully automated, HL7 compliant, multiple facility capable Version 2.0 coming in Q1 of 2016.

Although this article does not cover the entirety of the options available, it does address some of the most commonly discussed solutions. All of them have their downfalls, and none of them can or will fulfill every single expectation set forth by Perfusionists. However, the right system coupled with the right users and equipment will make a world of difference in the everyday life of Perfusionists everywhere.

Stephen C. Peterson - President&CEO - PDS Medical Solutions


Edited by stevep1138@aol.com - Dec 22 2015 at 12:02pm
PDS Perfusion Pro, a heart beat ahead of the rest
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