10 Oct

Patterns Video Now Available

Video: A Research Review on

EFM Assessment Agreement & Standardization

Last week’s presentation on EFM Assessment Agreement packed a lot into 30-minutes. Emily Hamilton, PeriGen’s SVP of Clinical Research reviewed the research related to low levels of agreement among even expert clinicians on core EFM feature assessments.

Emily then reviewed how modern technology has adapted to the problem of standardizing EFM analysis, making it easier for clinicians to see concerning trends and response to clinical interventions.

A video of the presentation has been added to the L&D Library for those who missed the session

23 Nov

Interoperability: The baby and the bathwater

Interoperability: How to keep the baby and the bathwaterDuring a recent interview with Health IT Interoperability, Bruno Bendavid, PeriGen’s Senior Vice President of Product Management was adamant about not allowing the rush to achieve interoperability between healthcare systems erode the need for clinical system workflows that make sense.

“In today’s environment, rigid approaches do not necessarily help create effective, safe, and productive workflows for clinicians.”

In addition to weighing in on the side of uncompromised clinical quality, Bruno speaks to the growing importance of mobile-enabled solutions with easy-to-use interfaces.  “The movement to cloud-based technologies is growing and will be a ‘must-have’ for healthcare platforms,” states Bruno.

The interview, conducted by Frank Irving, outlines the current state of interoperability and important considerations for the road ahead.  In addition to Bruno’s perspective on integrating specialty systems such as those used by labor & delivery, the article includes sound bites by Nancy Ham of Medicity, Matthew Hawkins of Sunquest Information Systems, and Tom Lee of SA Ignite.


Click here to hear more about Bruno’s advice for balancing clinical quality with enterprise interoperability

21 Sep

Fetal Heart Rate Physiology Paper

Fetal Heart Rate Physiology Paper

New White Paper Now Available:

The Physiology of the Fetal Heart Rate Control

Dr. Emily Hamilton, PeriGen’s Senior Vice President of Clinical Research, has just posted a new white paper covering the basic physiology of the fetal heart rate (FHR). Ideal for perinatal unit managers and educators looking for information to help their labor & delivery teams understand how electronic fetal monitoring can help identify fetuses with an increased risk of hypoxic injury and the basis of clinical interpretation of tracings as delivered via EFM and perinatal analysis.  The 15-page paper delves into the impact of active labor on the FHR and the researched clinical models used to differentiate between normal and abnormal FHR patterns.

The paper’s references span a wide variety of research on fetal heart rate and its measurement during labor.  Content includes:

Click for complimentary access to “The Physiology of the Fetal Heart Rate”

About the Author

Emily Hamilton, MDCM is PeriGen’s Senior Vice President of Clinical Research and the inventor of the PeriCALM suite of perinatal analysis software.  She and her research team actively engage in research projects designed to develop and improve the mathematical  models used by PeriCALM software to detect and alert on potentially harmful FHR patterns.

She is widely published in leading obstetric journals and often speaks on her research and the use of technology to help labor & delivery clinical teams identify abnormal fetal heart rate patterns during childbirth.  In addition to being an experienced obstetrician, Emily held numerous academic positions at McGill University.  She works and resides in Montreal, Canada.

18 Sep

Integrating Perinatal Software with Your EHR: 4 of 10 Considerations

Four of Ten Considerations for Integrating Perinatal Software with EHR

Here are some “spoiler” tips from Bruno Bendavid’s Sept. 30th lunchtime webinar “Integrating Perinatal Software with Your EHR:”

  1. Challenge your EHR vendor to accept inbound data other than vitals.
  2. Avoid parallel vitals acquisition (EHR and perinatal system).
  3. SSO solutions are ideal, although external vendors such as Imprivata can close the gap.
  4. Reduce clinical risk and documentation time by interfacing decision support data to the EHR.

Bruno, PeriGen’s integration visionary and veteran, will be presenting six more tips, as well as presenting examples of how to achieve these goals during his September 30th lunchtime (noon – 12:30 PM ET) webinar event.  Included will be a description of the ideal interfacing for your perinatal system and a review of best practices specific to hospital obstetric units. Click for more information or …

Reserve your spot for “Integrating Your Perinatal System” by completing the form below. This special event is first come-first serve

31 Jul

PeriGen Healthcare Innovation Proves It

Matthew Sappern is PeriGen's Chief Executive OfficerPeriGen Proves It

by Matthew Sappern, Chief Executive Officer

Hello PeriGen family and friends. I hope you enjoy this issue of PeriNews. Please feel free to let us know what you like and what you don’t.

As CEO of PeriGen, I have the pleasure to work with and address a number of organizations focused on continuously improving healthcare information technology. It’s a passion of mine – I truly believe in the synergy of IT and clinical practice. To that point, I have been asked to participate as a presenter in an upcoming healthcare innovation conference in Nashville entitled Health:Further. It’s a most fitting title for PeriGen representation because we lead the industry in bringing the power of data analytics and visualization to the bedside.

The panel in which I am participating is entitled “Prove It!” which is THE great challenge for most companies striving to innovate. Fortunately, PeriGen’s technology IS proven, starting with its foundation of accurately interpreting fetal strips in real-time. PeriGen’s ability is definitively shown in a published NICHD study showing remarkable rates of agreement (>90%) between the PeriGen system and multiple clinicians. Not perfect by any stretch, but certainly VERY reliable. That alone is a novel and valuable building block, but what’s more impressive and innovative is how health systems operationalize this capability.

One such example is MedStar and its oxytocin management policies which became more manageable, more consistent, and therefore more impactful after the introduction of automation supporting clinical decisions. Combining straightforward procedure with the ability to identify concerning contraction patterns in real-time, the excellent staff at MedStar reduced the incidence and duration of uterine tachysystole in its patients receiving oxytocin by close to 40%.

We’ve taken this recipe for success to a new level with the newly introduced PeriCALM® CheckList™. This tool can be configured to look for any number of concerning EFM patterns together or discretely and alert clinical staff immediately and with great detail. Among other uses, clients are configuring this tool to automate the vigilant monitoring of EFM patterns used in comprehensive OB checklists, such as those employed by nurses when administering oxytocin. EFM-related tasks which require complex and repetitive human calculations will be aided by the PeriCALM Checklist.

We are excited to introduce this innovation and thrilled by its reception in demonstrations, both personal and those at this year’s AWHONN Convention. More than that, we are looking forward to working with you to operationalize the new technology, improve care and to “Prove It!” to the rest of the world.

23 Jul

Early Registration: EFM Integration Webinar

Free webinar on integration of EFM systems with EHRsRegistration has opened for the August 19th webinar “Special Considerations when Integrating Perinatal Systems,” featuring Bruno Bendavid, SVP of Product Management for PeriGen.  The short free session, scheduled for noon – 12:30 ET, will focus on solving the key challenges faced by labor & delivery units for integration of electronic fetal monitoring systems with major EMRs.

For over 20 years, Bruno Bendavid has been been adapting EFM software to fit hospital EMRs.  He’ll share the perinatal system integration challenges faced and their most common solutions and, then, open the floor to answer questions about specific issues being faced by your unit.

Space is very limited

Register for Integration Webinar Today

Integration Article Also Available

The challenges faced when integrating specialty systems with hospitals EMRs are well documented. (See AHRQ assessment.) Electronic fetal monitoring (EFM) software systems are no exception and, in fact, represent a greater-than-average challenge.

Yet capturing perinatal data is critical and avoiding the need for double data entry is imperative for sustaining a productive labor and delivery department.

In addition to this webinar, Bruno Bendavid has prepared a white paper detailing solutions for the integration of perinatal systems with larger hospital medical record systems.  The article, titled “How PeriCALM Modules Integrate with Major EMR Systems” is openly available.

Click here to access

30 Apr

PeriGen Congratulates Banner Health Instituting Successful Care Quality Initiative Reducing Unnecessary Early-term Deliveries by 22 Percent

For Immediate Release

Media Contact:
Angela Jenkins
Amendola Communications for PeriGen
Download PDF

PeriGen Congratulates Banner Health Instituting Successful Care Quality Initiative Reducing Unnecessary Early-term Deliveries by 22 Percent

The Arizona Quality Alliance Award recipient used perinatal electronic health record data to facilitate medical practice change across 19 facilities

PRINCETON, New Jersey ─ April 29, 2013 ─ PeriGen, the global leader in applying real-time clinical decision support to perinatal systems, applauds Banner Health for successfully reducing elective deliveries of babies at less than 39 weeks and earning a Showcase in Excellence Award from the Arizona Quality Alliance. Banner Health is one of the largest nonprofit healthcare systems in the country.

Avoiding unnecessary early-term deliveries is a best practice advocated by obstetrical professional organizations and national quality organizations. Research demonstrates that elective deliveries before 39 weeks increase the risk of newborn respiratory problems and lengths of stay for mothers and babies.

Banner Health used both historical and real-time data gathered from PeriBirth®, PeriGen’s electronic health record (EHR) designed specifically for obstetric (OB) care. The captured data helped the health system establish a baseline and monitor ongoing compliance of the new protocol across 19 hospitals. As a result of this quality initiative, the number of elective deliveries at less than 39 weeks decreased by 22 percent over the first six months, representing more than 2,600 more babies per year being delivered at term.

“We are thrilled to play a part in Banner Health’s success as they pioneer system-wide adherence to a widely endorsed obstetrics best practice,” said PeriGen Chief Executive Officer Matthew Sappern.  “Our company’s mission is to deliver the most medically relevant information at the most relevant time to help clinicians make knowledge-driven decisions. We commend Banner Health for using this information to further its commitment to data-driven, evidence-based practice safeguarding the delivery of healthier infants.”

Implementing Evidence-based Best Practice Enterprise-wide

An organization recognized nationally for using technology to improve care quality, Banner Health leveraged its established system of clinical performance groups (CPGs) to drive this initiative. Once the groups identified elective deliveries before 39 weeks as its target standard, clinicians and staff members developed a process that could be deployed enterprise-wide to evaluate the medical necessity of such a delivery before scheduling a patient for an early induction or cesarean section.

A key step in the protocol’s implementation was to pull several years of historical data from the PeriBirth system into an enterprise data warehouse. From this data, the team was able to pinpoint each hospital’s current and historical rate of elective deliveries before 39 weeks and gaps in documentation. The CPG was able to establish a baseline for measuring future performance and to identify which hospitals would require more education and attention.

As the health system implemented the new protocol, PeriBirth played a key role in helping the CPG track each facility’s and provider’s compliance.

“Data from PeriBirth was hugely instrumental in giving us a true reading of data rates to quickly determine who was following the protocol,” said Barbara LaBranche, MBA, B.S.N., R.N., senior director of clinical informatics at Banner Health Corporate and co-leader of the initiative. “Up until now we’ve relied on coded data four to six weeks after the fact. With our new system, we’re able to give physicians feedback in as near to real time as possible, which is much more effective for prompting practice change. It’s hard to argue with numbers.”

Banner Health has now developed a dashboard for monitoring this perinatal standard. The dashboard extracts data from PeriBirth and its reporting tool nightly to give care providers and administrators near real-time information. The data outcomes enable OB managers to review and compare compliance with quality measures at the system, facility, unit and physician level.

About Banner Health

Headquartered in Phoenix, Banner Health is one of the largest, nonprofit health care systems in the country. The system manages 23 acute-care hospitals, the Banner Health Network and Banner Medical Group, long-term care centers, outpatient surgery centers and an array of other services including family clinics, home care and hospice services, and a nursing registry. Banner Health is in seven states: Alaska, Arizona, California, Colorado, Nebraska, Nevada and Wyoming. For more information, visit www.bannerhealth.com.

About PeriGen, Inc.

PeriGen, Inc., is an innovative provider of fetal surveillance systems employing patented, pattern-recognition and obstetrics technologies that empower perinatal clinicians to make confident, real-time decisions about the mothers and babies in their care. PeriGen’s customer-centric team of clinicians and technologists builds the most advanced systems available to augment obstetric decision-making and improve communications among the clinical team at the point of care, while supporting data flow between healthcare IT systems.

PeriGen’s unique fetal surveillance products provide dynamic visual cues that direct clinicians to the most essential patient information displayed on the screen. Unlike legacy fetal monitoring devices and software from non-specialist companies, PeriGen Visual Cueing™ provides an instant view of the mother’s and baby’s current status and trends over time to avoid errors, increasing patient safety and reducing risk for clinicians and hospitals. For more information, please visit us at www.PeriGen.com.