How to Automate EndoManager

The endoscopist writes the report in the room

EndoManager is NewCura's endoscopy software, and it is what a GI unit writes the procedure in. The Report Writer is template based and physician specific, taking point and click, free text or voice dictation, so the endoscopist finishes the report while the case is still in mind.

The imaging sits around it. EndoManager EMS acquires, stores and routes the stills and video off the tower, vendor neutral across the scopes a unit owns, and passes them to the EMR or PACS beside it. ScopeCycle covers the rest of a scope's life: its reprocessing cycle, its time in storage, who handled it, which patient it was used on.

What EndoManager is not is the office. The schedule, the sedation record, the pathology result and the ledger live in whatever practice management system the centre already runs, gGastro or another, and NewCura's software is built to stand alongside one over HL7, DICOM and API. Everything below follows from that split.

Answering one question means opening two systems

Most questions worth asking at an endoscopy centre land across the seam.

Take yesterday's list. Which cases had a specimen sent, and has the pathology come back? The specimen is in the procedure report, the result in the chart next door, and knowing means opening both and matching case by case. Which sedation records are missing a recovery score or a discharge criterion? The case list is in one place, the record in the other. Which procedures never had a facility charge posted? The coded report is here, the charge is there.

Then the work with no deadline on it. A patient whose last colonoscopy recommended a five year interval, now in year six, who may or may not already be booked. A scope three weeks past its quoted return from the vendor with nobody chasing it. A month of cases waiting to be counted into a detection rate, which is an afternoon's work.

EndoManager

Biopsies that come back, or get chased Each report recording a specimen matched against the result filed in the chart, and every biopsy overdue on its own turnaround ranked by how long it has waited.

Quality numbers counted, not compiled Adenoma detection, cecal intubation and withdrawal times worked out for each endoscopist, and the period's GIQuIC fields checked before anything is filed.

Scopes cleared before the list starts Reprocessing cycles, hang time and disinfection steps read each morning, plus which scopes are out for repair past their quoted return.

EndoManager codes the case and counts the cecum times

The measuring is built in, and better than most units make use of.

The coding engine reads the endoscopist's findings and suggests the endoscopic diagnosis and the CPT codes, which is the difference between coding at the time and coding from memory a week later. Reports are e-signed and go out over the EMR interface, with the primary care physician notified by fax or email. Quality metric review is in the product: cecum and withdrawal times, polyp detection rates and callback reports, with EndoManager GIQuIC certified. ScopeCycle reports on reprocessing history, repairs, loaners and staff competency.

So the numbers exist. The ceiling is that each is true of one system only.

An adenoma detection rate needs the procedure and the pathology, and the pathology is filed next door. An unbilled case needs the coded report on one side and the posted charge on the other. A recall needs the interval written on the old report and the schedule that would already show the patient booked. Neither product is wrong about its own half. The question just has two sides, and joining them is a person with two windows open and a list of case numbers.

The exceptions can be on a list by morning

Suppose the matching had been done by the time the unit opened.

Every report recording a specimen checked against the chart for a result filed, anything past its expected turnaround listed by days pending. Yesterday's sedation records read for the elements that have to be there, the pre-sedation assessment, the ASA class, timed vitals, a recovery score, documented discharge criteria, and each gap named while the case is fresh enough to correct. Completed procedures with no facility charge posted, oldest service date first, and cases where posted codes differ from the engine's suggestion put on a list for a coder to settle.

The counting comes free alongside it. Detection rate, cecal intubation and withdrawal time per endoscopist, by initials, against the benchmark. Room utilisation, turnover and first case on time starts from yesterday's schedule. The period's cases checked against what GIQuIC asks for, staged and left unfiled. Scopes past their hang time or missing a disinfection step, before the first case.

The boundary holds all the way through. Gathering the facts, counting them and setting them side by side happen unattended. A recall letter, a posted charge, a registry filing or a scope pulled out of use waits for the clinician, coder or nurse manager whose judgement it is.

An afternoon of matching becomes a morning list

The matching itself asks for no clinical skill. It asks for two logins and an hour the unit does not have.

WebRun is an agent that works a real Chrome browser, signed in the way your unit is. It opens EndoManager and ScopeCycle, opens the practice system beside them, matches one against the other, and returns a list with the exceptions and their case numbers at the top.

It runs on your schedule in a private environment of your own, and a run can be confined to a named set of domains and to reading only. Cases travel by number, not by name.

The systems a workflow opens, and the things it will not sign, are named on its page.