Abdominal Aortic Aneurysms

Patients whose abdominal aortic aneurysms are repaired prior to rupture have at least a 90% survival rate.

But too many identified aneurysms go untreated…

Cindy's Return Imaging

67-year-old female, being surveilled by Vascular Surgery every 6 months for 5.0 cm AAA. Patient presented with acute limb ischemia and underwent BKA. During her post operative visit for the BKA, the patient was instructed to follow up as needed and did not return. 1.5 years later, our software was installed and identified the 5.0 cm AAA from the last surveillance study. The patient was contacted to return for surveillance imaging. Follow up CT described a 6.3 cm AAA and the patient is scheduled for endovascular repair.

Ted’s Scheduled Repair

84-year-old underwent an outpatient MRI of right hip preoperatively, for a Tenex procedure. The radiologist described a 5.7 cm AAA. Our software identified this patient in real time and presented the patient to the nurse navigator who was able to call the patient and PCP the same day. The patient was referred to Vascular Surgery and was evaluated within 2 weeks. He is now scheduled for an endovascular repair.

Nancy’s Routine Monitoring

70-year-old male underwent abdominal CT for diverticulitis in 2018, this revealed a 4.2 cm AAA. No one was made aware of the incidental AAA. Our software identified the AAA in historical review of EMR. Patient and PCP were contacted, Vascular Surgery referral was made. The follow up surveillance US described 4.6 cm AAA and 2.8 cm common iliac artery aneurysm and now patient is now being routinely monitored.

Nurse Navigator Perspective

We found several patients who were being monitored however, the ordered studies were not being performed. This unveiled a system issue with how orders were placed and defaulted to be routed to the incorrect scheduling department. After further discission with the clinic staff, this was a known issue but because we were able to demonstrate the frequency in which it was occurring, the clinic staff was able to escalate the problem with IT for correction.

As a nurse navigator, I have been able to contact patients who had no knowledge of their AAA. I’ve received many “thank you, I’m glad you called,” responses from patients. This interaction has given me the opportunity to educate patients on their diagnosis and help prevent them from getting lost.

I was able to use my clinical judgement and escalate a concern I had on a patient with our program’s medical director. Illuminate’s software identified a thoracic aortic aneurysm from a chest CT, the patient’s upper abdominal aorta was partially visualized and mentioned dilatation. After further review, the patient never had abdominal imaging. Not only were we able to get the patient in for surveillance imaging of the chest, we also obtain abdominal imaging which revealed a large infrarenal AAA.

Discovery360 Helps You Find & Manage Patients like these

Illuminate Discovery360 AAA is helping integrated care organizations improve patient care, mitigate medical legal risk, and uncover new revenue sources using a multi-phase solution to identify, follow, and when necessary, provide treatment to your patients at risk.

Patients whose aneurysms are repaired prior to rupture have at least a 90% survival rate. The survival rate drops to 20% at rupture.

Why Hospitals are Investing in Discovery360 AAA

“While performing our due diligence of Discovery360 Services AAA, my vascular team and I immediately saw the value of finding these at-risk patients outside our line of sight.”

Kevin Hicks, CEO

Overland Park Regional Medical Center

Primary Care Physicians

Provides an excellent example of how new technologies can help primary care doctors deliver more efficient, optimized care for their patients.

Vascular surgeons

Identifies new repair candidates in need of immediate attention. Over 80% of patients that have an AAA rupture die before reaching the hospital.

CEO/COO/CMIO

Introduces a new and recurring revenue stream with a quick, measurable ROI and an opportunity to increase surgical suite and radiology utilization rates.

Quality Improvement and risk Management

Further establishes your hospital as being proactive in maximizing patient care, mitigating medical legal risk and eliminating potential professional liability claims of missed diagnoses.

Radiologists

Reinforces their pivotal role in both diagnosing and capturing incidental medical problems and performing ongoing AAA surveillance studies.

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