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ESO EHR + Philips MRx monitor ?'s

Discussion in 'EMS Talk' started by Kevinf, Dec 27, 2016.

  1. Kevinf

    Kevinf Forum Captain

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    Anyone here use ESOsolutions EHR and are you able to import Philips MRx monitor data into your ESO charts? Cursory inspection seems to show they only support Zoll Cloud import. Frustrating. I'm waiting on a response from ESO support but I'm glad to hear from anyone here as well.

    Secondly, for anyone using the Philips MRx monitor, how does your agency archive monitor data? Direct bluetooth connection to a PC? WiFi to a server? Not at all?

    I'm looking to setup our agency to import our monitor data into our electronic charts, but both systems are irritatingly obtuse.
     
  2. VentMonkey

    VentMonkey Crackpot Premium Member

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    We're about to switch to ESO EHR by next month, but we do use Zoll and it will be uploaded via Bluetooth to our devices.

    I'm curious to know how long has your agency been using the ESO EHR charting system, and aside from the import issues, how does your agency seem to like it over all?

    Also, sorry I can't help with the monitor uploading questions.
     
  3. Operations Guy

    Operations Guy Supreme Overlord

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    This is my warning regarding MRX. I hate any time I have to use it with Bluetooth. Connection sucks and is prone to dropping connection. Sending 12 leads via Bluetooth to the computer is horrible. We eventually just turned to printing the strip and scanning into Rescuenet as an attachment if we run a 12 lead. As far as importing vitals via Bluetooth I gave up and just punch them in. As far as archiving monitor data we don't do it. I do know that in the past they have pulled data off the monitors to review a call but there is no archiving to say a server.
     
  4. Kevinf

    Kevinf Forum Captain

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    We switched from hardcopy + EMScharts (yes, double charting!) to ESO at the end of September this year, so we have about 3 months in with ESO. We were using the original iPad mini with EMScharts and it ran well enough. ESO brought the original mini's to their knees however, so we upgraded to the iPad Mini 4 and ESO runs well on that. So my first recommendation is to throw modern hardware at ESO if you are using tablets. As to the actual charting system, I have to say that ESO is more refined with less legacy cruft, but I wouldn't say that I like either better than the other. The company support from EMScharts was always rapid and helpful, issues solved within a business day or two. My best description of ESO support would be "glacial", issued solved within 2-6 weeks. ESO is prettier though ;)

    Two things missing from ESO that I LOVED in EMS charts is the ability to flip/reverse a chart, and the ability to easily lookup repeat patients with just a name. In ESO, you need to start all charts from scratch, and to lookup a repeat patient to add into your chart you need their Last name and either a Social Security # or a birthdate. Annoying at times. And lets not forget the fact that I can't seem to figure out how to import a standard monitor file into ESO, hence the thread.

    Edit: another thing I just remembered. In ESO if you add to a patient's meds, history, or allergies with "other", anything you enter under the "other" heading DOES NOT SAVE to the patient's long term data, it will only apply to that chart. So if your patient has an uncommon condition that isn't included in the baked in list, any providers that pull up that patient in the future will only see "OTHER" listed instead and not what you entered into that field.

    TL;DR... both are perfectly fine to use from a provider perspective. They both have their quirks, ESO moreso than EMScharts however.

    Noted. I have a background as a IT systems administrator so I can troubleshoot these kinds of network issues far more deeply than most. It may be an issue baked into the MRx or it could be local to your environment. I can give the bluetooth a try myself and report back my findings. Our director of operations specifically wants to get away from paper leads and scanning so that solution is a non-starter :)
     
    Last edited: Dec 27, 2016
    VentMonkey likes this.
  5. Kevinf

    Kevinf Forum Captain

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    Edit to the above: for administrative purposes, EMScharts has tons of backend flexibility but it is a complicated rat's nest. ESO has far fewer backend configuration options, but what's there is easy to adjust. ESO backend does require Microsoft Silverlight to be installed however, so you'll need a Windows PC and internet explorer to do it. The run reporting and agency statistics from ESO also seem to be handled well and it generates useful graphs and information.
     
  6. VentMonkey

    VentMonkey Crackpot Premium Member

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    Our service went with the Surface Pro.
     
  7. Operations Guy

    Operations Guy Supreme Overlord

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    I totally understand operations wanting to get away from paper for 12 leads. Those things cost money and going paperless is a way to cut cost. My only question is will you then be transmitting 12 leads to the hospital so they can have a look if need be? Also as far as archiving monitor data I don't think it's as important as making sure the PCR has the data imported. Archiving monitor data would kinda be pointless and cost money if you import it all to the PCR or am i missing something?
     
  8. Operations Guy

    Operations Guy Supreme Overlord

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    We did as well and when I run on the rig I love it. Easily take pictures of paperwork and import it plus a ton more. The selling point to our corporate office is they cost like a third of what a tough book cost.
     
  9. VentMonkey

    VentMonkey Crackpot Premium Member

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    But are they as notoriously durable as the Toughbooks, negating the cost factor?
     
  10. Operations Guy

    Operations Guy Supreme Overlord

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    With the outterbox cases and the fact we didn't get keyboards for them I think they will hold up ok. Time will tell though.
     
  11. Kevinf

    Kevinf Forum Captain

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    We can transmit 12 leads to local hospitals, and if we can get the Philips to play nice with ESO we should be able to drop archiving.
     
  12. Operations Guy

    Operations Guy Supreme Overlord

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    That's good all the hospitals play nice. I have had issues where some of the older docs want a paper one right away in their hand as I come in to rule out or in whatever I think it is.
     
  13. hometownmedic5

    hometownmedic5 Forum Captain

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    I cant even begin to tell you they how of it, but I can say for sure that the Phillips MRx will talk to ESO EHR wirelessly. We began changing over to the MRx when we still used ESO, so it can be done.

    I find the upload process to be infuriating most of the time, but I still use it over the scan and attach method. Then again, my primary truck is still using a zoll, so I only have to deal with the phillips on OT shifts outside my home system, so maybe my patience threshold is a bit higher than someone who uses it every day.
     
    Kevinf likes this.
  14. Handsome Robb

    Handsome Robb Youngin' Premium Member

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    We use the MRx and ESO and import our vitals and ECGs on every call.

    I never have connectivity issues with the MRx, personally.
     
  15. Kevinf

    Kevinf Forum Captain

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    I discovered iPads don't allow bluetooth file transfers, so I'm assuming you use either a Windows laptop, Android or Microsoft tablet to do it?
     
  16. hometownmedic5

    hometownmedic5 Forum Captain

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    Our setup is toughbooks running windows.
     
  17. RocketMedic

    RocketMedic Just Like Otters!

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    IIRC, the best answer for MRX to anything for me was to use that weird propietary Philips-to-16-pin cable for getting it to the toughbook.

    For the X-series and WiFi, it usually works, but I also have a USB drive on me for when it doesn't. I've also heard of people setting their phones up as WiFi hotspots and connecting the tablet and the monitor together via that hotspot.
     
  18. NPO

    NPO Forum Deputy Chief

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    This is a HIPPA nightmare and shouldn't be encouraged...


    Sent from my SM-G935T using Tapatalk
     
  19. RocketMedic

    RocketMedic Just Like Otters!

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    So are pens.

    The data transfer from literally any monitor is a wholly uninteresting sprawl of lines and numbers. Not exactly state secrets.
     
    NomadicMedic likes this.
  20. NPO

    NPO Forum Deputy Chief

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    I know. The concern is you're introducing unsecured devices to what should be a secured network. Data is only as safe as the weakest device.

    Sent from my SM-G935T using Tapatalk
     

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