I use plain A5 paper for all imaging and pathology requests - individualised in MDW to > 10 radiology/nuclear medicine businesses in the region and > 20 pathology practices and collection points I am not even considering carting all the individualised ordering forms with me to different consulting locations If we use eReferals then the patients would need specific directions and location information sent directly to patient - otherwise there is no advantage to Drs for paper, printing and time if we need to supply to patients
Regards Les Bolitho Dr Leslie E Bolitho Consultant Physician in Internal Medicine MBBS FRACP FACRRM 6 Dixon Street, Wangaratta .Vic.3677.Australia Phone 61 3 5721 5533 ; Fax 61 3 5722 1781 Mobile 0418 574 463 ; email: [EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Peter MacIsaac Sent: Wednesday, 8 March 2006 8:11 PM To: 'Andrew McIntyre' Cc: 'General Practice Computing Group Talk' Subject: RE: Re[2]: [GPCG_TALK] Increase in radiology ordering Andrew, The point is that you can print all this stuff on the request form at the time of ordering the test - there is really a lot of spare real estate if you don't use the pre-printed stationary they give you. The patients would be better off having a description of the investigation and printed instructions. It may not come as a surprise but maybe 10-20% of radiology bookings made by phone by the patient end up in some form of misunderstanding. Having the request present at time of booking would be really appreciated by both patient and radiographers. Some of this is covered in the report I was involved in doing for the College Radiology. It is available at: http://www.ranzcr.edu.au/documents/list.cfm?lngCat=65 titled e-health issues paper. There is a survey to go with it asking for rating of the issues raised against importance and how well being addressed. As regards the paper we use, how many people out there like having to feed multiple forms into their printers and the stuff ups that occasionally occur? Regards Peter MacIsaac MacIsaac Informatics Consulting in Health Informatics, Terminology & Data management and Health Policy. [EMAIL PROTECTED] 0411403462 (mobile) 61611327 (office) peter_macisaac (skype) 8 Ewart St. Yarralumla 2600 "We trained hard, but it seemed every time we were beginning to form up into teams, we would be reorganised. I was to learn later in life that we tend to meet any new situation by reorganising, and a wonderful method it can be for creation the illusion of progress while producing confusion, inefficiency and demoralisation." - From Pertonii Arbitri AD 66, attributed to Gaius Petronus, a Roman General who later committed suicide. -----Original Message----- From: Andrew McIntyre [mailto:[EMAIL PROTECTED] Sent: Wednesday, 8 March 2006 6:44 PM To: Peter MacIsaac Cc: 'General Practice Computing Group Talk' Subject: Re[2]: [GPCG_TALK] Increase in radiology ordering Hello Peter, what you are saying, I guess, is that providers need an electronically accessible Information sheet so that after doing an electronic order you can print out the instructions for the test for the patient to take with them. It may be possible to include this in the order flow, if the Radiologist acks the order with a response that includes printable information rather than just an accept ack. That is the ideal outcome with realtime messaging. That could be done with the knowledge of what was ordered so a specific information sheet on eg Prep for CT Abdo was returned. That is doable. The ORR return message only provides for NTE segments but that is actually a reasonable use for them. (NTE = notes and comments) Even if you print out the order, as well as sending it electronically, there are huge advantages in transferring patient demographics, copy doctor info and some clinical info as well eg Allergies It is likely to help patient matching on return of the report and avoid typos. Wednesday, March 8, 2006, 9:03:03 AM, you wrote: PM> What is the problem with printing the collection centre details, plain PM> English explanation of what the test involves (for the patient to read), and PM> any standard instructions for that test on a plain paper or generic secure PM> medical stationary. PM> Alternatively the path and DI companies can provide a tear off pad with the PM> maps and directions etc. PM> The former is a more elegant solution, the latter would require less IT PM> system change - in my opinion. PM> Regards PM> Peter MacIsaac PM> MacIsaac Informatics PM> Consulting in Health Informatics, Terminology & Data management and Health PM> Policy. PM> [EMAIL PROTECTED] PM> 0411403462 (mobile) PM> 61611327 (office) PM> peter_macisaac (skype) PM> 8 Ewart St. Yarralumla 2600 PM> "We trained hard, but it seemed every time we were beginning to form up into PM> teams, we would be reorganised. I was to learn later in life that we tend to PM> meet any new situation by reorganising, and a wonderful method it can be for PM> creation the illusion of progress while producing confusion, inefficiency PM> and demoralisation." PM> - From Pertonii Arbitri AD 66, attributed to Gaius Petronus, a Roman General PM> who later committed suicide. PM> -----Original Message----- PM> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] PM> On Behalf Of john hilton PM> Sent: Wednesday, 8 March 2006 1:30 AM PM> To: General Practice Computing Group Talk PM> Subject: Re: [GPCG_TALK] Increase in radiology ordering PM> I think all pathol/rraiol/specialists should provie rolls of stickers with a PM> phone no and a map. Then it would be easier to use plain paper referrals. PM> jh PM> On Mon, 6 Mar 2006 20:15, Wal Tracey wrote: >> Richard >> >> There are significant financial advantages for radiology & pathology >> providers to have electronic referrals. saves them inputting data >> On the other hand as Andrew Nolan wrote how else will the patients >> know where to go unless they have a piece of paper. >> >> The solution is to print a piece of paper for the patient and mark it >> with your 'x' and send an encrypted request form to the radiology/ >> pathology provider at the same time all in the one procedure. This >> is doable now with Argus as the request is really only a referral and >> the software providers would be able to implement this easily with a >> print & email option >> 1 Medicare have their pathetically insecure piece of paper with the >> doctors mark upon it to satisfy their 'regulations' >> 2 The patients have their piece of paper to stick on the fridge >> 3 the radiology/pathology providers have saved a gazillion in >> inputting costs >> 4 the GP does not have to use an individual certificate or card reader >> >> everybody happy - not likely - but it is a suggestion >> >> on the subject of request forms we have reformatted printing ( in >> Genie) to use A5 paper; half the paper used and saved a few more >> Tasmanian blue gums >> >> >> Wal >> >> On 06/03/2006, at 9:22 PM, Richard Hosking wrote: >> > AS I have said before - look at the workflow. >> > The patient is the messenger of the request - why send it >> > separately via E mail? >> > If it arrives separately, the radiology practice now has to worry >> > whether the pt will turn up. >> > They have the address and contact details on the form - indeed the >> > forms are DESIGNED to be used this way. >> > >> > R >> > >> > Andrew Nolan wrote: >> >> How else will patients know where to go unless they have a piece >> >> of paper? Although we receive results via HL7 and PIT, there >> >> appears no way to upload requests using the same technology. >> >> I take it that the folks from doha are looking at slashing radiology. >> >> >> >> On 06/03/2006, at 8:50 PM, Peter MacIsaac wrote: >> >> >> >> >> >> GPCG members, >> >> I would appreciate a little help. I am involved in a project >> >> looking at a range of issues around radiology referrals. I would >> >> intend passing on the report for comment when drafted. >> >> However in >> >> the meanwhile there has been a steady increase in the cost of >> >> radiology services over recent years. We are looking for likely >> >> hypotheses from the coal face as to what might explain this. >> >> Another glaringly obvious issue is the lack of electronic >> >> referrals to radiologists - we are not sure to what is the extent >> >> of computer generation of printed request forms, and there seems >> >> to be little electronic transfer occurring. >> >> Any ideas appreciated. If people send them directly to >> >> me I will >> >> collate and return to the list for comment to reduce traffic. >> >> >> >> Regards >> >> Peter MacIsaac >> >> MacIsaac Informatics >> >> >> >> Consulting in Health Informatics, Terminology & Data management >> >> and Health Policy. >> >> [EMAIL PROTECTED] >> >> 0411403462 (mobile) >> >> 61611327 (office) >> >> peter_macisaac (skype) >> >> 8 Ewart St. Yarralumla 2600 >> >> >> >> "We trained hard, but it seemed every time we were beginning to >> >> form up into teams, we would be reorganised. I was to learn later >> >> in life that we tend to meet any new situation by reorganising, >> >> and a wonderful method it can be for creation the illusion of >> >> progress while producing confusion, inefficiency and >> >> demoralisation." >> >> >> >> - >From Pertonii Arbitri AD 66, attributed to Gaius Petronus, a >> >> Roman General who later committed suicide. >> >> _______________________________________________ >> >> Gpcg_talk mailing list >> >> [email protected] >> >> http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk >> >> >> >> --------------------------------------------------------------------- >> >> --- >> >> >> >> _______________________________________________ >> >> Gpcg_talk mailing list >> >> [email protected] >> >> http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk >> > >> > _______________________________________________ >> > Gpcg_talk mailing list >> > [email protected] >> > http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk >> >> Wal Tracey >> Norpalms >> 25 Barker Road >> Howard Springs >> >> Ph 08 89831416 >> Fx 08 89814752 >> email [EMAIL PROTECTED] -- Best regards, Andrew mailto:[EMAIL PROTECTED] Andrew McIntyre Buderim Gastroenterology Centre www.buderimgastro.com.au PH: 07 54455055 FAX: 54455047 _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
