We had the same problem, a physician who worked part-time as a
Hospitalist, but also maintained a private practice.  Originally we
created two Provider mnemonics and used one for private practice and one
for his Hospitalist role.  This has multiple problems, especially with
nursing and admitting choosing the wrong provider mnemonic.  Since then
we've had several part-time Hospitalists and private practice physicians
and we have one provider mnemonic.  

We have created three new Hospital Services:  ODOHOSP:  Hospitalist
Observation pts    MEDHOSP:  Hospitalist Medical pts   SURGHOSP:
Hospitalist Surgical pts and  TCUHOSP:  Hospitalist Transitional Care
Unit pts.

We then added a query to our Order Entry consult CDS that asks if this
consult is a Hospitalist consult.

We created a NPR report that looks at pt's by Hospital Service and also
pulls in all those consults for Hospitalists.  We contacted Meditech in
regards to doing a PCI custom list that would search for pt's by
Service, but they were unwilling to do this, so our physicians have to
rely on the printed NPR report for their list of pts.  

We also use Valco's Dataglider Physician Portal and they are in the
process of creating a role for Hospitalists that will pull in all pt's
with one of the 4 Hospitalists services and all those consults for
Hospitalist.  This should give them an accurate inpt list.

Sandra Riggers, RN BSN
Solutions Development Analyst
St. Joseph Regional Medical Center
208-799-5609
[EMAIL PROTECTED]

-----Original Message-----
From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf
Of Kowalczyk, Susan
Sent: Wednesday, January 24, 2007 9:53 AM
To: Cole, Beth; [email protected]
Subject: RE: [MEDITECH-L] Physician with multiple roles

Please post to L 

-----Original Message-----
From: Cole, Beth [mailto:[EMAIL PROTECTED] 
Sent: Tuesday, January 16, 2007 6:00 PM
To: [email protected]
Subject: [MEDITECH-L] Physician with multiple roles

We have a physician who has two very different roles within our
organization.

First, she is a credentialed staff physician with her own private
practice.

Second, she is a contracted physician for our ED through an outside
company.

This has created a mess for her practice staff as they try to determine
which patients in PCI are really theirs as opposed to patients she has
seen
in the ED.

Has anyone else dealt with this situation before?  If so, how did you
resolve it?  So far, the only thing I can see that will make things
better
for her & her staff is to create two entries for her in the provider
dictionary, which we're not sure we want to do.

Beth

Beth Cole
Information Services Project Manager/Team Leader for MEDITECH & Clinical
Applications Newman Regional Health Emporia, KS  66801
v: 620.343.6800 x1131
f: 620.340.6133
www.newmanrh.org

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