Monday, November 9, 2009

CIS Results to Endorse coming to all on Dec. 1

A lot is going on these days in EMR land. Anyone who makes it over to the blog must now by know that we will soon be sending electronic results to all users ordering labs from an ambulatory or daystay encounter. That means that we will be able to discontinue the duplicative delivery of paper reports once practices develop a new baseline in workflow. For most practices, the transition has taken a matter of days. Given the variation in practices across BMP, we expect to be able to discontinue paper delivery by the first week of January pending any unforeseen issues with the RTE process.

As I write this, I am watching my Outlook account creep very slowly through the mail merge I set up for the distribution of videos that I have previously sent as well as posted here on the blog. While I still can't deal with hearing my own voice, I've heard that the videos are both useful and the right length: short.

I expect the BMP RTE project to be very successful, but there are a few remaining issues that will need attention:
  • It is imperative that the ordering clinician's name be clearly written on the lab requisition. After a virtual inquisition by IS and the lab, we found that labs are delivered to a default attending, e.g. medical director of a clinic, if the ordering clinician, be they resident, PA, NP or otherwise does not explicitly declare themselves on the order.
  • An area up for review with our vendor is the need for physicians and others to be able to review labs without actually signing them. This is particularly useful when the proxy tool is employed in cross-coverage. The ability to review, and thereby signify that a lab was "seen" with action deferred to the ordering clinician, is crucial for practice workflow and patient safety.
  • The inability to cc another physician is a significant limitation that we will have to live with for the meantime. While I have been in the habit of forwarding relevant results to other BMP physicians, such an expectation for practices much busier than mine would be an unfair encumbrance. Keep in mind that practices outside of BMP to whom you cc results will continue to receive them in printed form.
The electronic delivery of Result to Endorse will be a major step towards the paperless medical record. The more we orient ourselves to the electronic record as a data repository and as the focal point for data input and communications, the better the patient record, and, ultimately, our patients' health, will be.