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We have a policy outlined to provide open PCI access to the physician
and one designee at their clinic.  This is a common issue because the
patient will not clarify their referring physician in the ER or
admissions will not code the physician correctly.  Just pick your
poison.  This is not a MIS issue!  If the patient cannot be queried
through PCI the clinic should call HIM.  My two cents...

Chris Anderson                                
MIS Director | Moore County Hospital District
* Email: [EMAIL PROTECTED] - *Office: (806) 934-7873

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Diana L. Hall
Sent: Tuesday, September 05, 2006 5:56 AM
To: Nancy Carman; Meditech-l
Subject: RE: [MEDITECH-L] Magic-Physician office staff utilizing PCI

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We have a policy that states that only one user per office has
un-restricted access. We normally give it to an office manager or nurse,
whomever the physician designates.  Also, any physician can access the
patient. Since this is in our policy, it doesn't get to be a huge
problem for the offices. They know that if they want Meditech access,
this is what they need to do. Everyone else in the offices are
restricted by provider or provider group.


-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Nancy Carman
Sent: Thursday, August 31, 2006 10:58 AM
To: Meditech-l
Subject: [MEDITECH-L] Magic-Physician office staff utilizing PCI

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We have several off-site physician offices connected to our Meditech
system.  They use PCI to view information on their physicians' patients
and print info to set up their office charts.  But, for the most part,
the physicians in these offices do not use PCI, just the office staff.

The office staff users are set up in the MIS User dictionary to be
restricted to patients linked to physicians in the practice/group (pg 3
MIS User dictionary). The issue that repeatedly surfaces is when they
have a new patient being referred to the office that they have never
seen before, and the physicians in the practice have no link to these
patients in PCI.  So, the restricted office staff users are unable to
bring up the patient in PCI since no link exists between the patient and
the physician.

The Self-Assign feature is not an option for us since 99.9% of the
physicians in these practices are not going to get into PCI and add a
patient to their list so their staff can see the patient data in PCI.
They just do not have time for this.

Unrestricting the office staff users so they can access any patient in
our database in not an option due to HIPAA.

We did have one practice that would call IS and we would emulate the
physician and add the patient to the physician's patient list.  But we
do not want to continue with this and start receiving calls from
multiple offices.  And...the office staff does not like calling every
time they need to see a new patient in PCI!

Has anyone out there figured out how to meet the needs of the restricted
physician office staff users in regards to these new referral patients?
Thanks for any advice you can offer in regards to this issue.  This is a
very big problem for us....and it gets bigger with every physician
office we grant access to...they all want to access patient info on new
referral patients!!!!

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