Structured Cardiovascular Reports Reduce Late Fees


Baystate Medical Center

Springfield, Mass.


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• Establishment of a cardiovascular platform with a structured report (SR)

• 100% RS support was obtained from contributors

• Positive level of non-payment fees in the five-day window of 79%, from 89% to less than 10%

• 92.5% of heart disease reports are signed within 24 hours

Baystate Health is an integrated health system serving over 800,000 people in western New England. With its roots in 1883, Baystate Health has provided its community with top-quality health care for over 140 years.

The company runs the system, the Baystate Medical Center in Springfield, Mass., Is the only regional level 1 area. The center has 734 gym beds as well as 11 cardiologists. Each year, the center treats around 5,000 systems in the catheterization lab, as well as around 400 STEMI, 350 TAVR, and 1,500 PCI.

Challenge: Lack of integrated data, structured analysis, and manual process

Like most hospitals, Baystate does not have a single cardiac database to make documentation available and clear. In the absence of a structured report, Baystate users must rely on multiple applications, complex interfaces, and diagnostic tests to complete a cardiac report.

“When you don’t have a single database, your data is everywhere. Collecting and trying to extract information from multiple places takes time and frustration,” said Corey McKinstry, director of the vascular department of cardiac intervention services at Baystate Medical Center. Data leading to manual work takes time as well as little documentation.