The workaround for this problem is to ‘end’ an exam before you save any images. That resets the clock and your study should cross over on the correct day. It does not save an ’empty study’ and no file without any images are sent to qPath. It’s a freebie. I’d recommend doing that. It will make your images much easier to find in qPath.

You may have noticed that when your images cross to qPath from the SII, sometimes it shows up on the list on the prior day – or sometimes on a day several days prior. This is happening because the machine opens a new study as soon as one is closed. So, if a study is closed on Tuesday and the next is not closed until Friday, the machine ‘started’ the Friday study on Tuesday. It will therefore show up on qPath on Tuesday’s date rather than Friday’s date. The images will have the correct date on them, but they will be on the list on the wrong date.

It is possible to order the study in Pulsecheck, then find the ordered study in the machine’s worklist. That would fix the problem as well. However, since at this point we are doing mostly educational studies, we don’t want orders for them in the chart as that will cue the billers and coders to bill for studies that are ‘educational’ – which we don’t want to do. That would cause a lot of confusion.

Remember, at least for now, we are ‘billing’ for procedural guidance – specifically central lines. You need: to save the proper image (wire in a vessel – at least in short axis, ideally in short and long axis), an order in pulse check, assign the attending in qPath, fill out the proper worksheet in pPath, and get the attending to sign it in qPath.

This video is a reminder of how to ‘end’ a study. You must do this at the end of your scanning to get the images to cross to qPath. Now we see that it’s a good practice to ‘end’ the empty study before you scan with the SII as well; otherwise the images cross as if they were done on whatever day the prior study was closed.