How to Automate HI-IQ

The IR department keeps books nobody else keeps

Interventional radiology sits awkwardly between other people's systems. The images belong to radiology, the patient belongs to a ward, the supplies belong to the storeroom, and the case itself belongs to nothing in particular. HI-IQ from ConexSys is the system that closes that gap, used in academic centres, community hospitals and office-based labs, and it carries the Society of Interventional Radiology's endorsement.

It holds what a RIS and an EHR were never built to hold. Which device went in and from which lot. How much radiation the case delivered. Who gave the moderate sedation and what was charted while they did. Which coils, sheaths, wires and stents came off the shelf, whether they were consignment, and whether any of them reached a bill. How long a room stood empty between cases.

The people in it are IR nurses and technologists, an inventory coordinator, a quality lead and the interventional radiologists.

An audit finding starts as a blank field nobody noticed

None of that is hard to collect. HI-IQ collects it. The difficulty is that it only becomes useful when a person sits down with it, and nobody has the hour.

So the quality meeting comes round and somebody spends the afternoon before it pulling complications out and sorting them by type and severity. Charge reconciliation happens weekly if it happens, and a coil opened at four on a Friday goes unbilled for good. Contrast sits on a shelf until its expiry date passes and then goes in the bin. The consignment rep gets rung when a tray looks thin, which is usually mid-case. A recall notice arrives by email and sits in a shared inbox waiting for somebody to think of cross-checking it. And tomorrow's list has two cases in the same room at ten, which will be discovered at ten.

HI-IQ

Dose outliers on the morning list Yesterday's cases read against your own reference levels, so a high-dose case reaches review while the operator still remembers it.

Supplies that reconcile themselves Devices scanned as used set against what was captured for billing, with every mismatch listed the same evening.

Recalls answered with patient names A manufacturer's notice read as it arrives and crosschecked against the implant log, so the affected cases are known the same day.

Dose, sedation and stock are all recorded already

HI-IQ is not short of capability, and a department that configures it properly gets a great deal out of it.

Quality assurance covers procedure volumes, radiation dose monitoring, sedation plan efficacy, adverse events and outcomes, follow-up appointments and encounter auditing. Inventory management tracks lot numbers and expiry dates, on-hand values and par levels for reordering, with barcode scanning at the point of use and a line through to procurement. Tracking and communication follows patient and procedure progress, publishes case status in real time and measures turnaround and room utilisation. Interfaces bring orders in from the RIS and scheduling from the EHR, and send billing, product usage and purchase orders back out. Insight, the reporting side, gives standard and customisable reports, trend analysis and scheduled reports.

The record is complete and the reports exist.

What is left is the sitting down. A report that runs on Monday is a report somebody opens on Wednesday, if the list was short and the week was kind. And the recall notice was never in the system at all. It arrived as an email from a manufacturer, with a model number and a lot range somewhere in the body of it.

The suite and the storeroom can report themselves overnight

Set two of those records beside each other and most of the week's questions answer themselves.

Yesterday's cases read for dose against your own reference levels, so an outlier is on a screen the next morning while the operator still remembers the case. Yesterday's moderate sedation records checked for the gaps that fail an audit, with a completion request drafted to whoever charted it.

Devices scanned as used set against what was captured for billing, so the mismatch is a line in a sheet that evening rather than a write-off at quarter end. Contrast lots read against their expiry dates weekly, so a box gets used instead of binned. Consignment stents counted against par with a restock request drafted to each vendor rep. Tomorrow's list checked tonight for double-booked rooms, staff clashes and cases missing a resource they need.

And a recall email crosschecked against the implant log as it arrives, so whether a recalled device is in one of your patients has an answer with names on it before lunch.

The line in a hospital holds here as everywhere in medicine. Reading, counting and listing run unattended, and nothing in them interprets a study or decides anything clinical. A record change, or anything reaching a patient or a referrer, waits for a qualified person.

Reports only help when somebody opens them

The reading is the part that quietly never happens. It is also the cheapest part of the department to hand over.

WebRun is an AI agent that drives a real Chrome browser, signed in the way your staff sign in. It opens the case log, the fax folder or the inbox a recall notice landed in, reads what is on the screen, and brings back the exceptions rather than the whole report.

It runs on your schedule inside a private environment of your own. Sessions are not shared between workflows, a workflow can be locked to an explicit list of sites, and a run can be watched and stopped part way.

Each workflow below names what it opens and how often it runs.