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The CardioAccess
International Clinical Outcomes (ICO) Database is a fully relational,
comprehensive database for both congenital and adult heart disease.
CardioAccess' products function as a tool for patient care, teaching,
research, and practice management. The ICO Database is comprised of four
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, and the
CardioAccess 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. |
