For those of you who are scanning EKGs into your EHR, are you having trouble with bad copies from multiple faxing and scanning? We are finding this to be a big problem especially in our surgical area as we have to have an EKG signed by the physician on the surgical chart before surgery. We scan these into the visit after discharge. Some of these EKGs approach unreadable, especially if the EKG was done in another facility. If you have run into this problem, have you figured out a better way to get a good copy?

Thanks for your help.

Katherine A. Hopkins, RHIA, RN
Health Information Manager
Ridgecrest Regional Hospital
1081 N. China Lake Blvd.
Ridgecrest, CA 93555
(760) 499-3670


  • edited May 2016

    There are two options that I know of:
    1. use a copier or adjust the settings on your scanner to lighten or darken
    the image as it might need.
    2. request a better copy from its origin and include it with your signed

    or a 3rd option...have PreAdmissions (or whomever it applies to) request a
    good copy prior to surgery date. I suspect that in most cases, like here,
    that really isn't a viable option. :)

    Diane M. Miller

    Medical Records

    Susquehanna Valley Surgery Center

    717-657-7552 Voice

    717-920-4309 Fax


  • edited May 2016
    We COLD FEED EKG's into our Legal Record from the source system. The
    images are legible. Hard Copy prints are still married with the records
    while the patients are in-house. Providers much rather read from the
    paper than the scanned image. That decision was made by our Clinical
    Information Officer.

    Maryellen McGowan, MS, RHIA, CPC

    Director Of Health Information Management

    Winthrop University Hospital

    259 1st Street

    Mineola, New York 11501

    (P) 516-663-8901

    (F) 516-663-2729

    E- Mail: mmcgowan@winthrop.org

  • edited May 2016
    We too cold feed these from our MUSE system, into our legal record.

  • edited May 2016
    We still have a hybrid record with the original EKG. However, recently it is being scanned to the electronic record at the point of care. The scanned image is not as clear as the original. This certainly is going to be a consideration once scanning of the paper portion of the chart is implemented.

    Sheila Schultz
    Director of Medical Records
    Wheeling Hospital
    One Medical Park
    Wheeling WV 26003

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