Overview of benefits
Benefits are delivered by the PaceNet system in three general areas, in every case providing a different solution to that adopted by other pacing databases:
Complete electronic system
- Efficient and time-saving
- Total data capture
- CCAD compliant
- PAS integrated
- Available throughout the hospital
- Electronic patient transfer
- Real world, real time performance data
- Powerful search functionality
- MDA management system
- Stock management system
Complete electronic system
No paper back-ups are required. Coverage is comprehensive, from implant to follow-up, and flexible enough to accommodate any device from the loop recorder through to unusual devices such as the tri-ventricular pacemaker.
Efficient data entry
Designed to maximise efficiency. Designed with physiologists in mind.
- Information is presented in a simple tabbed structure. Follows the format of a programmer. As an example, impedances are grouped together for all leads, rather than entering all data lead by lead.
- An average follow-up involves few changes to programming: while allowing detailed data entry for the complex patient, the system acknowledges this reality by auto-filling programming fields to minimise data entry during follow-ups (figure 1).
- Database of thousands of generators and leads pre-fills fields to allow rapid and accurate data entry. Continuously updated with the latest models.
- Automatic data scanning in 2011 (see below).
Figure 1 (click to open in a new window).
Data is automatically carried through from one follow-up to the next so that only changes to programming
have to be entered manually (in this case, just the mode switch field is being altered yet all other fields
are automatically confirmed the same).
Intuitive data entry
The system is fully CCAD compliant, however no data needs to be entered using BPEG codes. Unlike with other systems, with which it is necessary to pin a code list on the wall, all data entry uses familiar terminology - this additionally avoids the preferential use of particular codes which is currently apparent from high level CCAD data analysis. Users can select from intuitive lists or give free-text entries: either way, this is automatically and invisibly translated into BPEG codes to print the pacemaker card and complete the CCAD return in BPEG-coded format.
Data entry uses intuitive lists or free-text entry. Clinical features are
selected on their own, or noted to also be pacing or ICD indications.
In all cases, BPEG coding takes place invisibly in the background.
Pacemaker card printing
After entering an implant procedure the pacemaker card can simply be printed off without requiring any further data entry. Fields are automatically translated into and printed onto the card in BPEG coded format (A2, G4 etc).
CCAD return completion
Without requiring any additional data entry, the database can be seamlessly downloaded into a CSV file 100% compliant with CCAD requirements. Simply send the CSV file to CCAD and the return is complete.
PAS system integration
HL7 compliance allows integration with the hospital PAS system (or equivalent), which is highly encouraged. Patient demographic data is then always refreshed from the PAS system. Outputs such as reports can also be imported into hospital electronic patient record systems.
Total data capture
PaceNet allows 100% of data to be stored for future reference. Floppy discs or USB stick outputs from programmers can be uploaded and stored with follow-ups; these can then be re-created and read through the programmer at a later date, for instance to review EGMs in detail as part of a retrospective research project. PDFs of remote follow-ups, scans of EGMs or any other relevant files can similarly be associated with patient events. While you may choose to print out an EGM to hand around on the day, the era of printing out voluminous summaries from the programmer is over. No other databasing system allows you to capture EGMs electronically.
MDA management system
PaceNet contains a comprehensive MDA management system to take the pain out of complying with MDAs, and instead allow a rapid systematic response with a complete audit trail. Identify affected hardware, regardless of whether wasted, explanted, or implanted in patients subsequently transferred or deceased. 'Tag' affected patients' records with an alert and an action plan requiring electronic signature to suppress and confirm compliance. The first stage of a systematic and comprehensive response can thus be immediately completed and reported back to the MHRA. Subsequently, percentage compliance with the action plan can easily be kept under surveillance for all previous MDAs.
Unlike some other databasing systems, PaceNet gives you complete user-friendly control of your own data. Boolean operators are used to allow you to generate complex queries without having to programme them yourself. Results can be downloaded to Excel. Standardise searches throughout a network to track compliance with targets. Complete an audit in an afternoon, and then run it monthly to track trends.
Generate implant and follow-up reports. Use them as GP letters. Import them into EPR to become part of the patient's electronic record.
Stock management system
PaceNetStock is a fully integrated sister system for stock management. This allows all generators and leads to be logged and tracked, from arrival in the hospital through to implant or other use. Complete live tracking of all stock includes warnings and prioritisation for stock close to expiry. Generates flexible financial and stock reports. Optimised for rapid stock entry. Future bar code scanning in version 2 release to make stock entry even simpler.
Network within the hospital
PaceNet is available from any terminal within the hospital without requiring manual installation. Outside of the lab and the pacing clinic, access it from the outpatient clinic, or while performing a check on the ward.
PaceNet creates a network within the hospital linking the pacing clinic with other clinicians. Read-only rights can be given to wide range of clinicians to improve communication and encourage wider interaction with pacing data. Other clinicians can request pacing checks electronically, review diagnostic data from devices without calling the clinic, access device information out of hours for acute admissions. Changing the culture can bring this valuable data out of the pacing clinic and onto the wards.
The system is also designed to support Trusts based on more than one main site: site filters appear at key points in the database (e.g. patient lists or search pages) and are defaulted to the logged-in user's primary site.
Network between hospitals
All PaceNet member hospitals become part of a network. This brings crucial benefits.
Electronic record transfer. Patient records can be transferred electronically between hospitals, or their care can be shared. Thus, it is the ideal system to support a cardiac network.
Real-world real-time performance data. When enough hospitals have joined the system, for the first time you will be able to compare aspects of your practice against the average for the UK. Drill down to specific outcome measures, implant outcomes such as infection or lead displacement, programming outcomes such as inappropriate shock rate or % RV pacing. Truly understand your practice by comparing your outcomes, not against the artificial benchmark of results collected during clinical trials in other countries, but against the average results of your peers using appropriately standardised real-world and real-time data, collected to the standard required for clinical use, and collected in identical format in every centre. All results are completely anonymous so that only you can see your hospital's results.
Improvements in 2011 and beyond
Upgrades to newer versions of the system are automatic and come without additional charge, so you will always benefit from having the latest release.
Priorities for the version 2 release in 2011 include:
- Automatic data scanning from Latitude and other remote follow up systems. This process is already underway and will reduce data entry times even further by allowing patients to upload remote data directly into PaceNet, including on the day of their pacing clinic visit (Figure 3)
- Automatic financial coding to maximise departmental revenue
- Bar code scanning of stock in PaceNetStock
- Individual patient access to their own record via the web
- Enhanced customisation options
- DVLA management system
PaceNet is highly compatible with remote follow-up systems. This is not true of all other databases - as
an example, only the elements highlighted in yellow above from Latitude (about 50% of data) can be
accepted by Medtronic's Paceart system.
Seamless switchover from CCAD
Switching over to PaceNet couldn't be simpler. Our CCAD migration tool allows you to migrate key information on your existing patients, including their implanted generators and leads, automatically.
Fully supported and always up-to-date
The PaceNet package comes with full support, by telephone and on-site. Upgrade to newer versions is automatic so that you are always on the latest version of the system and benefit from all improvements.
Why switch to PaceNet?
We believe that the benefits described above make PaceNet clearly the best pacing database on the market. However by joining PaceNet you also join a project. Pacing data in the UK should be brought together and owned by the hospitals to be used for the benefit of the patients and the wider community. It should not be owned by manufacturers. Information is power and grouping this information will allow hospitals to inform their tendering processes. Additionally, as well as directly improving research into cardiac diseases, grouping the data will allow users to compare their outcomes and in the process drive up standards in implant and programming. In the future the network can be a basis for user forums, education, and sharing of best practice. By contributing to a network, guided by a committee of its members, you are joining a project to set the UK on the road to creating the best database of cardiac data in the world.