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Cathy,

Ok, you knew it was coming, "what are you waiting for"?  We do also sometimes 
encounter the situation where there is a cancellation somewhere between the PAT 
and day of surgery.  Here's our process:  an assessment is completed in PCS (by 
phone or in person) on a PRE SDC V# that is assigned to the day of surgery.  We 
have an Outpatient (short form) and an Inpatient Assessment.   If there is any 
documentation on that V#, it is not cancelled.  In fact, it can't be cancelled. 
 Admitting gets a warning that documentation exists in other applications and 
it lists them specifically.  The assessments stay in the EMR.   It sounds like 
you've thought of a lot of creative workarounds, but I'm only going to suggest 
what I think you probably already know.  You really need to get your 
documentation electronic, then the patient has to be in the system even if they 
are just in a pre-registered status, and Admitting won't be able to cancel out 
your V#'s.  

Donna Wendel, RN
Senior Clinical Analyst
Anderson Hospital
Maryville, IL   62062
618-288-5711 ext.  444
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-----Original Message-----
From: Giles, Cathy [mailto:[EMAIL PROTECTED]
Sent: Tuesday, May 16, 2006 1:51 PM
To: [email protected]
Subject: [MEDITECH-L] Saving paper records on SDC no shows


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Hello,
We have an issue where SDC patients cancel their surgical visit after
the PAT is completed but before the surgery.  The PATs are completed on
paper (I know what am I waiting for) and forwarded to medical records.
Admitting cancells out the account (or the account has never been
created) before we can scan in the paper record.  We are thinking about
creating a location called "CANCELLED" for these accounts and not
physically cancelling out the accounts.  The paper record would then be
scanned in on this account and could be retreived from the EMR.  Therein
another issue.  Getting Admitting to leave the account open.  We scan
utilizing VALCO and there is not a hold on the account to prevent
someone from cancelling the account.  We were thinking the location flag
of cancelled might queue them to leave the account alone and also not to
use it for another service.  Thoughts on this?  I am also thinking about
having PAT place an order such as "PAT COLLECTED" so that a physicial
lock would be placed on the visit.  Anyone else have this issue?  Any
other solutions out there?

Cathy Giles
Clinical Analyst
Memorial Medical Center
231-845-3661 

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