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CardioAccess®
The CardioAccess International Clinical Outcomes (ICO) Database is a fully
relational, comprehensive database for both congenital andadult heart
disease. CardioAccess' products function as a tool for patient care, teaching,
research, and practice management. The ICO Database is comprised of five parts,
the Congenital Cardiovascular and
Thoracic Surgical Database which
includes all of the Society of Thoracic Surgeons (STS) congenital data elements,
the Adult Cardiovascular Surgical
Database which includes all of
the Society of Thoracic Surgeons (STS) adult cardiovascular data elements, the Adult
Thoracic Surgical Database which
includes all of the Society of Thoracic Surgeons (STS) adult thoracic data
elements, the American College of Cardiology (ACC) IMPACT
Registry and theCardioAccess
Transplant Database. The goal of these databases is to provide medical
practices with local or remote access to information leading to better medical
care
Our products are developed
using Microsoft Visual Basic™ and Microsoft Access™ which enables the software
to be easily integrated with other Microsoft Office™ applications. For example,
communication with the statistical analysis tools of Microsoft Excel™, the
graphics of Microsoft PowerPoint™ for presentations, and the word-processing
capabilities of Microsoft Word™ are all available to the user. As an option,
CardioAccess now supports Microsoft SQL Server™.
The CardioAccess ICO
Database allows for entry of data at multiple entry points to facilitate
utilization of the database during the patient care process. More than 700 data
elements are captured in these databases, including demographic, insurance,
preoperative, operative, perfusion, imaging, postoperative, discharge and
follow-up information. Data is entered in real time, at well-defined points
during the patient's physician office visits and hospitalizations. CardioAccess
utilizes the following data entry points:
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Demographic and
Hospitalization data is entered in the office by office staff.
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Preoperative data is
entered in the office or on the patient care wards by the nursing staff.
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Operative data is
entered directly in the operating room by the operating room staff. This
operative data includes all STS core data elements as well as detailed
listings of diagnosis with associated ICD-9 Codes and procedures with
associated CPT Codes.
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Perfusion data is
entered directly in the operating room by the perfusionist.
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Digital operative
imaging and video, such as cardioscopy, can be stored digitally in both
still photos and motion video format in the operating room.
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Information regarding
valves, conduits, shunts, implants, devices and transplants is entered
directly in the operating room.
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Postoperative data,
including complications with associated ICD-9 Codes, is entered by the
nursing staff.
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Follow-up Data,
including a comprehensive patient satisfaction questionnaire, is entered by
the office staff and nursing staff.
The data entered at these
multiple data entry points is then compiled into numerous tables, spreadsheets,
and reports for data retrieval. On-site statistical analysis of this data is
readily accomplished, obviating the delay and expense incurred by reliance upon
off-site data analysis. The system allows for real-time outcomes analysis. The
Society of Thoracic Surgeons risk stratification algorithm incorporated within
the Adult Cardiovascular Surgical Database allows users to calculate the
estimated risk of mortality based on specific risk factors and the operative
procedures performed. The calculation acts as a guide to clinical decisions.
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