If each provider was obliged to provide a *pixel by * pixel image with map & contact no, to go into standardised frame on plan paper referral? jh On Thu, 9 Mar 2006 11:41, Dr. Les Bolitho wrote: > 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]
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