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Orders Completion and Test Results Management

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Last Post by dubsterne 8 years ago

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srock

(@srock)

Posts: 81

Estimable Member

Topic starter

Does anyone have a workflow for orders completion and test results management that they would be willing to share? Maybe some type of tickler system that works well within centricity?

Posted : November 2, 2012 1:14 am

mfornkahl

(@mfornkahl)

Posts: 132

Estimable Member

I would be interested in this as well

Posted : December 3, 2012 5:46 am

sgilkey

(@sgilkey)

Posts: 64

Estimable Member

We are working on the same process to track outstanding results to make sure we are not missing any results especially if they may be abnormal. I also would like to know how others handle 'in process' orders where patients did not complete tests. We are currently marking them complete and adding a Chart Note to clarify that the patient did not get testing or later refused.

I would like to hear from anyone who has developed a test/referral tracking system other than paper logs.

Posted : January 28, 2013 4:12 am

kathyl

(@kathyl)

Posts: 19

Eminent Member

If the lab is not auto-completed through the interface or if the lab was not completed by the physician when the scanned lab was sent to him/her...

1) The MA will run a report of all in process orders once a month (we usually request labs three weeks out so we give them time to obtain it)

2) The MA will check if the results are in EMR. If yes, complete order. If no, call patient to see if they had them done, when, where. Will call the facility and obtain results for scanning and importing. Order completed. If patient did not have order done, remind them and/or send new order. Leaves in process

3) If patient refused, completes order but makes a phone note documenting conversation.

Trying to get MAs in habit of completing all outstanding orders at each patient encounter or during chart prep the day or 2 days before.

Posted : February 1, 2013 2:38 am

sgilkey

(@sgilkey)

Posts: 64

Estimable Member

This is helpful as it is what we are in the process of implimenting also. We were looking for how others handle In Process that patients do not follow through with. "Complete" is the best choice however it would be nice if there were an additional status option such as "Patient did not complete" to remove it from In Process without apearing as if the order was truly completed.

Posted : February 1, 2013 3:31 am

shannon

(@shannon)

Posts: 20

Eminent Member

Does anyone know how to tell who "completes" the orders? I mean the individual who actually marks an order as complete. we are running into an issue where orders are marked as complete, but they are not complete. It seems there should be some type of inquiry or report I could run but so far I have not had any luck

Posted : February 19, 2013 4:04 am

sborchardt

(@sborchardt)

Posts: 218

Reputable Member

I don't believe there is a report in the system with that information, the only way would be to build a crystal report.

Posted : February 20, 2013 6:36 am

mboulerice

(@mboulerice)

Posts: 73

Estimable Member

We built a crystal report for this issue some time ago. If you email me at m.boulerice@fmhospital I'll send it to you.

Posted : February 21, 2013 1:30 am

sgilkey

(@sgilkey)

Posts: 64

Estimable Member

Can you clarify your email address to request the crystal report? It does not appear to be complete. Thank you!!

Posted : February 21, 2013 4:30 am

shannon

(@shannon)

Posts: 20

Eminent Member

mboulerice said:

We built a crystal report for this issue some time ago. If you email me at m.boulerice@fmhospital I'll send it to you.

I don't think I have the entire e-mail address. Would love to have this report.

Thanks

Posted : February 21, 2013 4:33 am

dubsterne

(@dubsterne)

Posts: 55

Trusted Member

The multi specialty clinic that I worked with implemented a recall system within Centricity EMR that could be tracked fairly easily. While working full time as an MA for a busy OB-GYN Surgeon, I was still able to manage all of the recalls quite easily once a month for a 12 provider multi-speciality clinic. We did this by building in a recall as a test order, it would be for recall 3 months, recall 6 months, recall 1 year recall 5 years etc. When placing the order, the provider would enter the reason for the recall - I would run an inquiry weekly on these and reset the due date for the first day of the month that the recall was due. That way, you're only looking for 1 day each month, the first. Then, we had recall letters built - I would enter those into the order - not in the documents section so that I would have it ready to print when the recall came due. Then, monthly, around the middle of the month, I would run that inquiry for all of the recalls due for the upcoming month. Print the letters that I had set in place and they would be mailed to the patient. Then as a fallow up measure. the following month, I would again run this report to determine all of the patients that did not at the very least schedule an appointment - usually there were not a lot. These patient's would then get a second reminder. If another month goes by, a flag was sent to the provider letting them know that the patient has not scheduled an appointment and at that point, the recall would be cancelled - or if it was something that was extremely important a certified letter could be sent out to the patient. That way, our physicians were covered in the event that something negative happened with a patient that was non-compliant. It really did work very well, and believe me, I speak from the experience of the person that actually performed this work.

Posted : October 6, 2016 5:53 am

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