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Alex: You make a very good point here. It's one we have considered. Take for example the case of a child that is making frequent repeat visits to deal with a cleft palate. This patient needs to go to our cranial-facial department and our speech therapy department. In a decentralized environment the patient's parents would make one appointment with cranial-facial. They then would go through the phone tree again to make the associated speech therapy appointment. Of course, they could be possibly forwarded. However, the onus of coordinating the timing of those appointments would be on the patient, because each clinic is going to be naturaly focused their own scheduling exigencies and preferences. In a centralized environment, a single call would be placed. The scheduler would be responsible for making the appointments fit the patient's needs. By the way, getting authorizations would also be handled at a single point in this environment as well. So, the centralized environment offers opportunities and efficiences for consolidation of effort that benefits the patient and the hospital. The argument that the clinics know the medical ramifications of the scheduling process best is a strong point as well. There are no easy answers here. By the way, I obviously completely disagree with Doug Davison's comment, "this is not the place nor the time for [this conversation]." This is clearly a perfect forum for discussing implementation of medical information systems, in particular how to best utilize Meditech's appointment scheduling module. Thomas Stephen Laxar Coordinator, Hospital Information Systems Children's Hospital Oakland 510-428-3833 [EMAIL PROTECTED] %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% Thur Apr 27, 2006 8:55 pm From: "Alex Anderson" <Ale Subject: RE: [MEDITECH-L] Centralized Scheduling From: "Alex Anderson" <[EMAIL PROTECTED]> Date: Thu, 27 Apr 2006 16:19:26 -0400 Wouldn't it be nice to have the ability to look at his issue from a patient perspective? Personally, I would like to have one phone number to call or one website to visit to see all of my appointments. I would love to have the person who is scheduling my PT aware of my CT and my Ortho appointments. It would even be nice if my PCP could schedule my appointments at the hospital. The CWS module whether you are in client server or Magic can be set-up so just about anybody can schedule appointments, if you take the time and build it so other people can use it. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary Rozenboom Sent: Thursday, April 27, 2006 9:06 AM To: JOHN HUGHES; Ann Skinner; Randy Hart; Meditech-L List (E-mail); Patricia Cornwell Subject: RE: [MEDITECH-L] Centralized Scheduling All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com John, We have therapists who have specialized in certain areas as I mentioned in my first email. When we get so spread out and I know how this goes in the hospital field as well as many areas of business. Employees change, and to keep everyone up to speed as to who to schedule with for each different specialty; is challenging enough just in Rehab. It is definitely to the benefit of our patients to have them schedule correctly with the proper therapist their first visit. That isn't just owning an area that is the best use of our resources. Mary -----Original Message----- From: JOHN HUGHES [mailto:[EMAIL PROTECTED] Sent: Thursday, April 27, 2006 7:41 AM To: Ann Skinner; Randy Hart; Meditech-L List (E-mail); Patricia Cornwell; Mary Rozenboom Subject: RE: [MEDITECH-L] Centralized Scheduling my bad, didn't mean to offend ya just state the black & white of it from a business perspective. again, your comments sound just like when nurses had to begin documenting on the computer trashing their outdated paper forms. "the story will get lost!" they cried... implementation requires cooperation, not dictation from either "side". team play, remember? out! jh -----Original Message----- From: Ann Skinner [mailto:[EMAIL PROTECTED] Sent: Thursday, April 27, 2006 7:50 AM To: Randy Hart; JOHN HUGHES; Meditech-L List (E-mail); Patricia Cornwell; Mary Rozenboom Subject: RE: [MEDITECH-L] Centralized Scheduling John, Sorry, but this comment reflects a total lack of awareness of the issues that are present for various departments. Its not about the FTE, its about the ability to have a level of control over your schedule for a professional who knows more about the clinical issues related to how the schedule is put together and the ramifications, than a clerk in an office in another part of the building, or even another town. People who only concern themselves with "the purely business perspective" make it extremely difficult for clinicians to do their jobs effectively. Calling people who have a legitiimate concern about the way they treat their patients passive aggressive is unecessarily insulting, and totally dismissive. Ann >>> "JOHN HUGHES" <[EMAIL PROTECTED]> 3:30:52 PM Wednesday, April 26, 2006 >>> All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com i can't help but laugh as each dept. gets freaked out at the concept of centralized scheduling. "oh no! i'll lose my .75fte." from a purely business perspective it's a no brainer done deal; just getting the passive-aggressives to get used to it is where most folks are at. surgery seems to be the toughest egg to crack...$$$. reminds me of nurses (and administration) balking at the concept of workstations in the patient rooms or just moving to nursing documenting on the computer at all... as always we in healthcare change albeit painfully & slowly. take care all. john -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Mary Rozenboom Sent: Tuesday, April 25, 2006 5:54 PM To: Cornwell, Patricia; Randy Hart; Meditech-L List (E-mail) Subject: RE: [MEDITECH-L] Centralized Scheduling All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com I totally agree with Pat on Rehabilitation Services, from start to finish of her paragraph it is identical here in our Rehab Department. Recurring patients, changes in patients schedule, and Staffing schedules as well as Staff specializing in certain areas Vertigo, Women's Health, Orthotics, TMJ..etc. The scheduler in the Rehab Department knows her people, and their specialties. Mary Rozenboom, Rehab Pella Regional Health Center -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Cornwell, Patricia Sent: Tuesday, April 25, 2006 7:59 AM To: Randy Hart; Meditech-L List (E-mail) Subject: RE: [MEDITECH-L] Centralized Scheduling All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com Speaking for Rehabilitation Services, I definitely feel that we are better off being decentralized. We are using CWS, it is our third scheduling system. We schedule for about 80 physical, occupational and speech therapists who provide inpatient, outpatient and Home Health services at two facilities. Our KEY resource in scheduling is staff, rather than machines and/or rooms. We are constantly changing availabilities for vacations, sick time, meetings, etc. Since most of our patients are seen 2 - 3 x / week for 4 - 6 weeks, they are constantly making changes for their appointments. It is very important for the data to be up to date so we don't double book. Quite often, a supervisor needs to be consulted during a scheduling process. This would be for unusual problems (diagnoses) or a physician calling to get someone in "now." I cannot imagine relying on Central Scheduling. Pat Cornwell Director of Rehab Services Palos Community Hospital -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Randy Hart Sent: Monday, April 24, 2006 1:47 PM To: Meditech-L List (E-mail) Subject: [MEDITECH-L] Centralized Scheduling All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com Anyone willing to share information pertaining to their implementing a Centralized Scheduling Department. What are the pros and cons? Has it worked? Was it received well by Medical Staff? What departments do you schedule for? Any information would be appreciated. We are definitely going forward with this endeavor. We presently use CWS, MSM but everything is decentrailzed. Multiple departments scheduling their own. Randy Hart, System Support Analyst Duncan Regional Hospital Duncan, OK 73533 Ph: (580)251-8939 Fx: (580)251-8953 [EMAIL PROTECTED] _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l This message and accompanying documents are covered by the Electronic Communications Privacy Act and the Health Insurance Portability and Accountability Act. 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Thank you. _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l -------------------------------------------------------------------------------- Return-Path: <"Alex Anderson" <[EMAIL PROTECTED]>> Received: from thompsonhealth.org> by cho.org; Thu, 27 Apr 2006 20:55:38 0000 Received: from smtp2.mail.cho.org ([192.168.1.39]) by smtp2.in.cho.org; Thu, 27 Apr 2006 20:55:34 -0700 X-ASG-Debug-ID: 1146196531-4272-322-0 X-Barracuda-URL: http://192.168.1.39:8000/cgi-bin/mark.cgi Received: from prosonic.com (prosonic.com [204.202.252.254]) by smtp2.mail.cho.org (Spam Firewall) with SMTP id 85A8F2000539; Thu, 27 Apr 2006 20:55:32 -0700 (PDT) Received: from prosonic.iserver.net (localhost [127.0.0.1]) by prosonic.com (8.13.6/8.13.1) with ESMTP id k3S3ot3N044313; Fri, 28 Apr 2006 03:51:09 GMT Received: from mail.thompsonhealth.org (mail.thompsonhealth.com [204.69.151.232]) by prosonic.com (8.13.6/8.13.1) with ESMTP id k3RKJaEQ012538 for <[email protected]>; Thu, 27 Apr 2006 20:19:40 GMT X-MimeOLE: Produced By Microsoft Exchange V6.0.6603.0 Content-class: urn:content-classes:message MIME-Version: 1.0 Content-Type: text/plain; charset"us-ascii" X-ASG-Orig-Subj: RE: [MEDITECH-L] Centralized Scheduling Subject: RE: [MEDITECH-L] Centralized Scheduling Date: Thu, 27 Apr 2006 16:19:26 -0400 Message-ID: <[EMAIL PROTECTED]> X-MS-Has-Attach: X-MS-TNEF-Correlator: Thread-Topic: [MEDITECH-L] Centralized Scheduling Thread-Index: AcZp8QRFy6cI/eWAQ8OhFTX5oV8O4AABmjdQAAD4RrAADlkBQA From: "Alex Anderson" <[EMAIL PROTECTED]> To: "Mary Rozenboom" <[EMAIL PROTECTED]>, "JOHN HUGHES" <[EMAIL PROTECTED]>, "Ann Skinner" <[EMAIL PROTECTED]>, "Randy Hart" <[EMAIL PROTECTED]>, "Meditech-L List \(E-mail\)" <[email protected]>, "Patricia Cornwell" <[EMAIL PROTECTED]> X-MIME-Autoconverted: from quoted-printable to 8bit by prosonic.com id k3RKJaEQ012538 X-Mailman-Approved-At: Thu, 27 Apr 2006 20:26:52 +0000 Cc: X-BeenThere: [email protected] X-Mailman-Version: 2.1.5 Precedence: list List-Id: Email list for Meditech users <meditech-l.MTUsers.com> List-Unsubscribe: <http://mtusers.com/mailman/listinfo/meditech-l>, <mailto:[EMAIL PROTECTED]> List-Archive: <http://prosonic.iserver.net/pipermail/meditech-l> List-Post: <mailto:[email protected]> List-Help: <mailto:[EMAIL PROTECTED]> List-Subscribe: <http://mtusers.com/mailman/listinfo/meditech-l>, <mailto:[EMAIL PROTECTED]> Sender: [EMAIL PROTECTED] Errors-To: [EMAIL PROTECTED] X-Barracuda-Bayes: INNOCENT GLOBAL 0.1733 1.0000 -0.9713 INNOCENT GLOBAL 0.1733 1.0000 -0.9713 X-Virus-Scanned: by Barracuda Spam Firewall at mail.cho.org X-Barracuda-Spam-Score: -0.97 X-Barracuda-Spam-Status: No, SCORE-0.97 using global scores of TAG_LEVEL2.0 QUARANTINE_LEVEL4.0 KILL_LEVEL7.0 tests X-Barracuda-Spam-Report: Code version 3.02, rules version 3.0.11500 Rule breakdown below pts rule name description ---- ---------------------- -------------------------------------------------- Content-Transfer-Encoding: quoted-printable %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
