Subscription to a paid service may be required. Health Insurance Portability and Accountability Act (HIPAA) compliance of a technology depends on appropriate use of the technology, such as adjustment of device or software settings. In preparing this paper, products of different companies are described for illustrative purposes but without full inclusion of all companies and all possible technologies. The focus is first on how to perform CQI by quickly capturing and sharing computer screenshots followed by a review of other established and new GC methods and their applications. However, the same principles may also be useful for other imaging modalities. This paper describes the different ways of communication with images or graphic communication (GC) can be done and tailored to different settings for continuous quality improvement (CQI), education, and clinical care for echocardiography. This capture and send approach to sharing images allows the recipient to continue with the current clinical work and review the sent information later. 1, 2, 3, 4, 5 If an immediate discussion is not needed, stored or captured videos and still image files or connecting hyperlinks can be shared. Options include reviewing images on workstations at different locations or on computers or devices that can access image sharing or broadcasts. However, there are times when shared decision making is needed at a moment's notice but is difficult because of the geographic separation of providers. Furthermore, unscheduled communication may interrupt the flow of patient care and cause inefficiency or errors.
In‐person communication can be a challenge in a busy echo laboratory because providers may be working in different locations.
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