Automate and elevate your lung cancer screening program
Lung screening presents a number of challenges for diagnostic imaging centers with Low Dose Computed Tomography (LDCT). Patients must be screened for eligibility requirements, and participating centers are required to upload pertinent exam information to a lung cancer screening registry in order to qualify for payment.
PenLung offers facilities a comprehensive unified software solution to manage patients participating in lung screening programs. This system also provides automated web and tablet calculators to collect smoking and environmental risk history for patient eligibility, along with the facility’s LungRADS™ reporting combinations, which in turn automates the entire reporting, auditing and lung cancer screening registry upload.
FEATURES AND BENEFITS OVERVIEW
- Automatic data extraction from report narrative
- Patient letters
- Recall/past due correspondence
- Separate finding profiles
- ACR LungRADS™
- Recommendations and outcomes
- Non-conformance tracking for liability
- Pathology and cancer staging
- Tracking of unresolved cases to resolution
- Extended care navigation
- Statistical audit reporting
- Audit log tracking
- Email ready
- Registry export
The components below are included with PenLung
PenLung produces improved economics with time and costs savings, along with a low initial investment for all LDCT and ACR reporting needs. The PenLung platform includes automated patient tracking, calculating statistics, automated letter generation in multi-language formats, automated administrative reports for program evaluation and data mining. PenLung can be installed onsite or as a web-based solution hosted by PenRad where all data is securely transmitted for compliance with HIPAA and MQSA.
PenLung’s Intelligent Tracking includes
- Patient History – smoking status, previous history, etc
- Patient Correspondence – Email capable
- Exam result letters
- Patient reminder letters for next exam
- Tracking of unresolved cases to resolution
- ACR Lung-RADS compliant
- Pathology and cancer staging
- Statistical audit reporting with audit log tracking
- Non-Conformance tracking for liability
- Extended care Navigation for patients needing additional workup
PenRad’s Nurse Navigator workbook optimizing productivity while enhancing patient care through the tracking, recording, and planning of the patient’s journey. As additional evaluation is required, facilities are able to record and track the sequential progression of each procedure or event for the patient’s journey, ranging from; additional imaging, to biopsy, to cancer board, to various therapies, to surgery and reconstruction.
For facilities offering Genetic consulting or arranging, the Nurse Navigator workbook also assists in the process. PenRad’s rich patient medical and risk system collects family cancer history, and automatically computes genetic testing eligibility with multiple models, optimizing the clinician’s time.
Offering the industry’s most comprehensive package for clinical relevance statistics, PenRad’s pathology system fulfills the needs for the general audit. It also offers many extended benefits for research for direct correlation between imaging attributes (mammo, us, mri) to pathology, correlation with patient risk factors, gender, age, and patient family genetics.
The pathology system automates correlation of pathology for each abnormality for initial and secondary pathology (re-biopsy and surgical). As a biopsy is initiated for each abnormality (bound to imaging exam and location), a pathology exam record is created pending pathological results.
PenRad offers as an option a pathology results interface (HL7) that attaches the pathologist report to the pathology exam and biopsy exam for reference to automate biopsy report generation and pathology tracking.
LDAP Sign In
PenRad has LDAP integration, minimizing passcode maintenance. Within the profile of each user, various rights and preferences can be assigned:
For the Radiologist
Reading preferences (right on left, left on right)
Reading profiles (resident, staff, requires second read based on exam type, EQUIP, PeerReview goals, master user, speech recognition log-in).
General or master rights
For Data Entry
User, general or master rights and transcription options
A unique feature with PenRad is it retains application position and size, plus the unique locations for; report preview, medical and risk data, administrative reports, by user, facilitating various workstation monitor combinations. Also, location filters can be applied to filter worklists by individual workstations as well.
Letters and Marketing
Patient Exam Letters – PenRad offers a gamut of options for patient exam letters. Each available in the patient’s preferred language as an option. Patient exam letters are automatically profiled by exam type, tissue density and impression. If desired the radiologist can include a custom message from their library to patient, and/or select special case letters or/and use a form for wet reads.
Exam letters are automatically constructed by inserting into bookmarks nested within the document, logos, images, signatures, recall interval and exam type information, patient’s primary and CC physicians contact information, scheduling and genetic contact info when applicable by location, breast density statements by state for multi-state enterprises, and various multi-level risk statements (based on Tyrer Cuzick range values and other data derived from patient information) by populating various sentences.
Exam Letters can be distributed by conventional printing and mailing, or in the case of diagnostic exams can be offered to patient at time of exam, and/or email by our service PenConnect that reduces the cost of mail.
Exam result letters and reminders can be sent to patient medical portal as a PDF. Many patient studies conclude, patients prefer results as soon as possible and direct versus “going” to a portal.
Patient Reminder Letters – PenRad offers a gamut of options for patient reminder letters. Each available in the patient’s preferred language as an option. Reminding patients to return increases compliance.
Patient reminder letters are automatically constructed by inserting logos, images, signatures, recall exam type information, patient primary contact information, and scheduling contact info by location and directions, within bookmarks nested the document.
As an option, reminders letters can automatically include recommendations based on patient’s risk values and breast density to simultaneously schedule Tomo, Ultrasound, and Dexa optimizing the facilities operation.
Letters can be distributed via conventional printing and mailing, or with our optional Email service PenConnect, that reduces the cost of mail by emailing instead and still prints letters for patients not participating in email. Reminder as well as exam result letters can be sent to patient medical portal as well as a PDF. Many patient studies conclude, patients prefer results as soon as possible and direct versus “going” to a portal. And for facilities with online portals for scheduling and patient medical and risk history updates, links for access can be incorporated.
PenRad’s autoselect reminder system automatically monitors the patient recall system. AutoSelect allows letters to generate any frequency (once a month, week, every day, etc.) to streamline scheduling. Autoselect automatically selects the initial (reminder) and consecutive (past-due and final) correspondences for all letter recall group types (screening, follow-up, bx follow-up and immediate) and incorporates internal date off-sets for print dates for each letter. The algorithm maintains 30 days between letters and includes letter generation when there has been extended time between processing.
In addition to standard recall letters, a series of letters can be automatically processed for patients with an immediate recall 10 days after patient’s exam that did not return or no future appointment within 15 days. Common examples; additional imaging or a biopsy.
PenRad’s AutoSelect selects patients 30 days in advance of next targeted exam date and a reminder letter is generated. If appointment messaged received within +/-15 days of the targeted exam date the patient reminder letter inhibited. 30 – 60 days after targeted next exam date a past-due letter is generated if previous reminder letter sent and next exam date not changed. 60 – 90 days after targeted next exam date, a final reminder letter is generated if previous letter sent and next exam date not changed.
Write Letters – PenRad offers a write letter system that supports one off letters via mail or email to patient, physicians, hospitals/clinics, and to insurance companies or can draw from library of letters templates saved for example; benign or positive pathology results to patients, news letters to referring physicians and/or surrounding facilities, pre-authorization for additional exams to patient’s insurance companies. By combining write letters capabilities with administrative reports, facilities can harvest the data within PenRad for direct patient engagement, marketing and other opportunities. For example; fund raising events, open houses, reach out to cancer survivors, patient survey’s, high risk patients introducing genetics and/or MRI screening, smokers to introduce LDCT screening, patients without DEXA exams, enrolling patients for research with; AHD, LCIS, etc. Letters to can be mailed and/or emailed with a zero cost basis then.
Physician Unresolved Letters – This offers documented correspondence for patients that are not compliant with radiologist follow-up recommendations to the ordering physician. Generates automatic cover letter and copy of exam. Option also offers copy to patient. When exam resolved automatic correspondence reflecting exam resolved. Correspondences can be process via mail and or by optional email.
PenRad administrative reports are more just for audit preparation. Reports offer evaluation by individual, facility, and referring physician, and a wealth of data for analysis of; workload, quality, efficiency, outcome analysis, facility utilization, cost patterns and trends, marketing, referral patterns, time studies and patient services. Plus monitoring non-compliant patients.
A series of reports compute statistical information for the radiologists and technologists for MQSA audit. Audit macros (one tap) save hours of preparation. Pre-Audit report identifies items requiring resolution. MQSA audit macro prepares necessary documents for each individual and facility in enterprise for MQSA.
PenRad analytics offer direct access to pathological finding types correlated by the abnormality profiles, patient risk values and genetic testing, breast density, providing insight on screening and diagnostic TP, TN, FN and FP.
Teaching category reports allow during exam and post exam assignments as well further expanding analytic capability.
Reports offer multiple filters by date range, filters for data (see for example below), individuals and their affiliations, or location or combination of locations (zones).
Various reports have the capability to generate letters to patients and referring physicians, based various data filters (for example; cancer survivors, zip code, age, risk values, genetic testing eligible, smoking history, implants, exam type, birads) via the write letter feature directly by paper or optional email.
Report can be exported for further study and/or graphical representation with Excel, for example.
The components below are value-added additions for PenLung
Medical and Risk Components
(OPTIONAL – Penlung)
Now your patients can update their information with simple prompts in a “yes” or “no” format that validates their personal and historical data. No more pencils, pens, history forms or recycling bins are needed with PenForms.
Easy To Use
Simply have the patient use a tablet to update their personal and historical information. All information in the PenRad system is displayed in simple yes/no prompts for the patient to verify or change. Once changes have been made or verified, the information is automatically entered into the permanent patient history data in the PenRad system.
Data entry is accomplished directly by the patient; eliminating the possibility of a data entry error by staff. All patient information that is in the PenRad system is automatically displayed on the tablet. All the patient needs to do is to verify the information by simple yes/ no taps on the tablet screen.
When patients are finished with their historical data, they can watch a BSE video, or any other educational or promotional videos by simply selecting the desired item on the tablet. Save time and money when data history collection is accomplished in half the time and there is no manual transfer of data from a paper history form into the PenRad system, eliminating the chance for clerical error.
PenRad’s patient medical and risk survey form system (collecting and updating medical hx, computing risk values and genetic testing eligibility).
Our integrated suite offers analytics, data mining and export, a common database reservoir and many more features, making it a superior alternative to a single purpose, 3rd party free-standing “survey”. Utilizing PenSurvey also eliminates the initial and ongoing expense that comes with other 3rd party enhancements and interfaces.
Our suite offers tablet collection and signature of HIPAA, release, consent, email, plus educational videos, and much more.
New forms are always populated with previous known data and can be viewed within PenRad.
(OPTIONAL – Penlung)
PenRad offers many HL7-compliant interfaces for bi-directional transfer of specific information to and from HIS/RIS systems. The PenHL7 interface module allows for the automatic download of patient demographics and the upload of narrative reports via the industry standard HL7 data packets.
The interface module (upload and download) offers a series of options to allow for the customization of the standard and non-standard data transfer elements. The download function allows the downloading of patient demographics from the HIS/RIS system to the PenRad system. This typically contains PID (Patient Identification) and OBR elements.
HL7 Pathology Import
PenRad’s pathology import system monitors HL7 result messages from the Pathology department. PenRad’s HL7 engine automatically matches pathology results based on the exact combination of patient MRN, date of biopsy exam and accession number, then automatically attaches it to a biopsy exam and internal Pathology exam for tracking and statistics.
This import component offers the preview of the Pathology department’s report to enhance the correlation of pathology result types to each lesion biopsied (primary and satellite and/or other locations) and enriches the monitoring for correlation, secondary biopsies, and further lymph node sampling.
Smart on FHIR
(OPTIONAL – Penlung)
*May be used as a stand-alone module and works with any full HIS / RIS, MIS or PACS system and eliminates the requirement to schedule staff to complete the fetching tasks.
PenFetch is DICOM service that can scan various PACS for applicable priors and route them to various designations in advance, creating an automated process and improving staff efficiency. This service monitors HL7 orders, DICOM worklists and file drops while allowing the majority of image transfers to be off-hours prior to patient arrival. PenFetch also tracks image transfers and walk-ins are processed immediately.
PenDose SR Import
This DICOM dose interface automatically populates dose value received into the patient’s imaging exam record. The dose value can be entered manually. It may be included in the narrative report, and if desired, into the patient exam letter. The patient prior exam screen displays dose by exam and accumulated total.
Send to PACS
Send various documents to PACS through PenRad’s DICOM engine automatically, and manually attach to the exam. For example, an automatic option that streamlines interpretation for the radiologist is to include sending the patient’s Medical Risk History worksheet to the PACS bound to the exam as it is released to worklist.
For the Radiologist
During interpretation with or without interaction with PenRad’s reporting system, radiologists and staff benefit with an image of the medical and risk history worksheet.
An image may be scanned or constructed automatically derived from the captured data elements within the patient record, including demographics, risk factors, computed Gail and Tyrer-Cuzick values.
PenRad can offer facilities DICOM worklist capabilities for various imaging modalities in the imaging department. The DICOM worklist eliminates data entry at the modality, and can be used for pre-fetching comparison images.
Worklist capabilities are available by location and modality. The worklist can be populated by various sources for example; patient, orders, HL7, exam creation, and/or by appointment. PenRad can also provide or generate the accession number.
DICOM to HL7 Order
Support Tools and More
(OPTIONAL – Penlung)
The appointment package facilitates scheduling of patients for exams, generation of reminder and no-show letters and room schedule printouts. The one-glance touch screen system optimizes facility utilization and staffing. The standard package allows scheduling for up to 5 rooms, with 5-room modules available to be added as needed.
Scheduling, rescheduling, changing or reviewing an appointment is simple – select the patient, tap on the day/time and room. Or if you wish; pick day/time, room and patient.
AutoReader saves time, resources and money by utilizing adaptive learning and pattern recognition technology to eliminate the need of manual data input for tracking and statistical analysis.
Radiologists continue to transcribe narrative reports while AutoReader automatically extracts exam information. Important information including exam type, letter type, recall interval and Lung-RADS are automatically extracted and stored for MQSA audit, tracking, statistics and unresolved case report generation.
- Improved economics with time, resources and cost savings
- Automation of data input for tracking and statistical analysis
- Increased flexibility with data extraction by customizing to each radiologist and by exam type
- Ability to process breast imaging exams including mammography, ultrasound, MRI, BSGI, stereotactic bx, US bx, MRI bx, Scintimammography bx, cryoablation, brachy, FNA, aspiration, localization, sentinel node and specimen imaging
- Crystal reports for statistical MQSA report generation, practice management, data mining and export
PenLung can be expanded to reduce operating costs, patient anxiety, and compliance risk by using our PenConnect system to provide an instant result and reminder notification by email. This feature pays for your complete automated reporting system and more.
Typically patients receive two letters per year (result and reminder), a $4.00 cost burdened per patient annually. At 20,000 exams per year with 50% email participation rate, saves $40,000.00 per year. Include the referring physicians and save more. Create a competitive advantage while providing convenience and a benefit, for the patient and physician, all while saving.
Email Exam Results to Ordering Physician
Physicians can opt-in to receive exam results automatically
Email Patient Preparation for Exam
Patients may update forms at their convenience prior to arrival, facilitating efficient intake and enhancing patient risk analysis
This feature empowers the facility to direct market to patients based on zip codes, genetics, risk, follow-up, tumor type, age range, breast density and more
Imagine a system with the ability to monitor the vitals of your enterprise remotely at any time all from the palm of your hand.
Dashboard Capabilities (and growing)
- Patient counts in the queue, wait times, etc
- Stop and start your interfaces
- Counts pending:
- Recall and reminder letters
- Completed exams for distribution
- Exams waiting for interpretation
- Unapproved exams >10 days
- Biopsies and pathology
- Unresolved exams
- Counts sent/pending for last 3/5 days:
- Emails, Faxes, HL7 results
- Total counts of exams
- By zone, location, and individual user
- Select from various functions for:
- Radiologist, Technologist, Managers and IT remote support
Ever Expanding Dashboard Features
Available for Android, IOS & Web browser.
*May be used as a stand-alone module.
The PenTask module allows facilities to create one-time and/or repeatable tasks that require attention for compliance and tracking. Collect and manage audit information effortlessly and instantly to increase staff utilization through this enhanced feature.
In PenTask, a task can be assigned to an individual and/or to a department, and each individual or department can have a dashboard to stay current with task items assigned.