[MEDITECH-L] ER phys and Radiologist reading of ER Radiology exams and Reconciliation/Documentation

[Nelson, Kay]

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Since we went live with PACS and became filmless, it became apparent that the process we had in place for the ED physicians and the Radiologists needing to read and document that they have seen each other's reading of the ER exams is not working.      As I understand it there are two things that must occur: 1. If the ED physician reads a Rad image first, he must document his reading and then the Radiologist needs to state agree/disagree with the ED assessment. 2. If the Radiologist reads the image first, then the ED physician still needs to reconcile what he has prescribed with the Radiologist's reading and be able to document this reconciliation.   *  We no longer move a film jacket between ED and RAD, so the piece of paper that used to go between the two departments will not work. *  If the Radiologist marks the Radiology Image in the PACS system as "Read", then the ED physician cannot enter a key image in the PACS system stating he has acknowledged the Radiologist's reading.   Can anyone share their process with me? We have Meditech Magic RIS,  Cerner Firstnet in the ED, and Emageon PACS imaging system.   Kay Nelson SR Application Analyst IS Dept Carondelet Health - Kansas City Ascension Health Information Services 816-943-2238   NOTE: This e-mail message may contain information that is privileged, confidential, and exempt from disclosure.  It is intended for use only by the person to whom it is addressed. If you have received this message in error, please do not forward or use this information in any way. Delete it immediately and contact the sender as soon as possible by the reply option or by telephone at the telephone number listed (if available).  In the event you cannot fulfill your obligation or there has been any improper release of this information, please contact the Privacy Officer at Carondelet Health at (816) 943-4611.

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