Sunday, August 30, 2009

Results to Endorse

Yes, it seems like a never ending journey to get all electronically available results delivered to everyone's CIS Inbox. For months, I've been promising the simultaneous rollout of a new means a assisting in results management known as pools. The thought was that all results would be delivered to both the ordering clinician and members of a predesignated pool. This pool would be designed in advance of the onset of results delivery and would provide an alternative means of reviewing and endorsing labs, either by a covering doc or even by an MA, depending on practice protocol. For example, there are many instances where it is appropriate for normal labs to be signed by ancillary staff who can also create a correspondence letter informing the patient of their results. Abnormals could be left for the physician to later in the event that those results are not otherwise brought to their attention.

It turns out that the pools as described do not function as promised. After consulting with our IT colleagues at Cerner, we realize that we can best manage these results at the practice level by using the proxy tool. This, in fact, is a really good thing. Most clinical sites use the proxy tool for a variety of functions including patient list management, messages, and, in a number of sites, for results management.

In the coming days, I will create a quick video that will review the set up of proxies. I have heard from many of you who are ready to receive results and expect that we will begin delivery on Tues Sept 8. Stay tuned and look for emails related to this soon.

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