Medicomp - advancing diagnostic cardiology
Large Networks

Medicomp has helped many health care organizations to install full-disclosure Holter network systems, starting in 1996 with the Kaiser Permanente network in Northern California.


Kaiser Permanente 1996

Medicomp's exceptional technological capabilities enabled the creation of the world's largest and most advanced Holter network system, interconnecting Kaiser's 27 hospitals throughout Northern California. The network is comprised of four central scanning sites located in Sacramento, Oakland, San Francisco and Santa Clara, and 23 remote editing or report stations.

This unprecedented achievement allowed a patient to be set up in a remote location apart from where the Holter record was scanned. For example, a patient living in Napa could be set up at the local facility. Upon completion of the procedure the Holter record was transferred to Oakland via telecommunications. The record was then scanned and the edited report became available in Napa later that same day. Sophisticated automated routing systems developed by Medicomp enabled Holter records to be sent not only to default locations, but also to alternate secondary sites during periods of backlog or peak flow.

A key advantage of the Holter network created by Medicomp was an ability to utilize Kaiser's existing hardware resources, providing significant savings. The integration of the HP TraceMaster system at seventeen of Kaiser's networked sites means true interactive multi-tasking.

According to Kaiser, the implementation of Medicomp's Holter Network not only decreased costs by 50% but also increased productivity. The exceptional performance of Medicomp's PM350 Patient Recorder-Analyzers helped to substantially reduce the number of lost procedures resulting from noise often inherent in tape systems. Most dramatic, however, is that the turnaround time for a completed Holter report was reduced from five days to same day availability.

Kaiser Mid-atlantic 2004

Large Hospital Network
Northern Virginia Southern Maryland Region
Savings = $170,000

Organization Structure:

This organization is a large hospital system that provides more than 500,000 customers in Maryland, Virginia, and Washington D.C. with health care plans and services. The company is affiliated with nearly 900 physicians across 35 hospitals and medical offices in the mid-Atlantic region. They have an integrated care model, offering both hospital and primary care through a network of hospitals and primary care physician practices.

Organization Objectives:

  1. Network 29 of their 35 locations across 2 states and the District of Columbia
  2. Utilize existing hardware in every facility to save costs and allow for internal maintenance
  3. Greatly decrease and improve turnaround time
  4. Deliver all reports to 2 locations for Cardiologist Interpretation
  5. Dramatically reduce repeat procedures
  6. Increase patient satisfaction by reducing size of monitors
  7. Have a back-up scanning company for overflow and vacation coverage.

Evaluation Process:

This Hospital System began their two and a half year evaluation process by requesting their current provider to design a Holter network with the above mentioned capabilities. After they failed to respond to the request, senior management from the Clinical Outcomes Department reviewed information left behind by Medicomp and invited them in for a demonstration. Medicomp designed a custom network configuration to meet the demands of the Health Plan as depicted on the enclosed map.

Medicomp representatives traveled with the hospital system’s senior biomedical and IT staff to an existing Medicomp network installed in the area. This was to demonstrate a working network similar to the configuration the hospital system required. After approval of Medicomp’s Epicardia 4000™ software on the hospital system’s Computers, the Purchase Order was placed. Within two weeks, the entire network was operating and the necessary hospital staff was trained.

The turn around time for reports was significantly improved, the technicians can cover for each other when needed, all reports are delivered electronically to the interpreting physicians, the patients love the size of the monitors, and the hospital network saved over $170,000. Medicomp performed back-up scanning while the technicians were training and maintained a seamless report delivery for the hospital’s physicians. A win-win for all!!

View the Kaiser Mid-Atlantic Network Map.

Mid-atlantic Cardiovascular 2004

Large Cardiovascular Group
Greater Baltimore, Maryland Area
Savings = $400,000

Organization Structure:

  1. Eleven locations comprised of 63 Cardiologists
  2. Provides 44% of all cardiology services in the State of Maryland
  3. Approximately 600 Holters scanned per month
  4. Currently networked via T-1 and T-3 connections

Organization Objective:

  1. Network 11 locations utilizing existing network lines
  2. Share Holter scanning duties
  3. Improve turnaround times
  4. Increase scanning speed
  5. Have fewer repeat procedures
  6. Free up technicians to perform other more lucrative tasks
  7. Allow for remote scanning via laptop computers when necessary

Process of Evaluation:

This group performed an internet search of all Holter companies in the marketplace that manufactured their own equipment. They further investigated some basic information such as size of monitors, financial stability of company, network capabilities, and reputation for customer service.

After the initial screening by senior management, nine (9) companies were selected to perform evaluations. The evaluation consisted of each company scanning approximately 200 cassette tapes of the customer’s choosing. Each vendor was required to have the ability to read cassette tapes so all could be evaluated using the same ECG data.

After the initial 200 tapes were analyzed, the vendors were rated on their clinical (algorithmic) accuracy. After this analysis, the field was narrowed to three vendors. The three vendors were then asked to demonstrate the tools technicians would use to increase the speed of the scanning process. At the end of this process, two vendors were left.

The third stage consisted of scanning real patients utilizing the digital monitors. This process consisted of approximately 100 patients. After a careful analysis of all components the group concluded that for clinical accuracy, speed of scans, and ease of use - only one company met every criteria......MEDICOMP!!

After being selected, all 11 locations were networked and functional in four days. Since installation, turnaround time has gone from days to hours, scan time has decreased by 30%, technicians are able to perform other more profitable tasks, very few repeat procedures are required, remote access is available as needed, and the cardiovascular group saved over $400,000. By choosing the Medicomp system, all of this large cardiovascular group’s goals were accomplished.

View the Mid-atlantic Cardiovascular Associates Map.

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