gmigs09
commented
5 years ago There may be a role for Dynamic Worklists or shared Patient Lists as well.
On Mon, Nov 26, 2018 at 8:39 AM David Alt notifications@github.com wrote:
David: From Pediatrics, but could apply to all primary care and somewhat similar to this ED request https://github.com/DavidAlt/MHSG/issues/10.
While we are on the subject of notes and communication, I would like to propose a suggestion to improve the outpatient/ inpatient communication.
Since Genesis doesn't automatically send any inpatient notes to the PCM, or clinic provider who sent a patient to the ward, I would suggest that we make it part of our standard practice to copy the D/C summary note to the clinic provider &/ or PCM. As a mostly outpatient provider, I will actually worry about patients I've sent inpatient, and wonder about what has happened, but often lack the time to personally f/u to find the documents. It's also just good communication about the care as the outpatient team is usually continuing the care.
In speaking with our team nurse this morning, she spends a decent chunk of time looking for our patient's d/c summaries by following the census slides daily. Copying the d/c summary to all of the team nurses would make that task a "push" rather than a "pull" and allow the nursing staff to accomplish more tasks.
V/R, -Dr. Burr.
Jean E. Burr, M.D. LTC, MC, USA Adolescent Medicine Physician Department of Pediatrics Madigan Army Medical Center 9040 Jackson Ave. Tacoma, WA 98431-1100 Clinic 253/968-1980
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JOSEPH M. MIGLIURI, MD
DavidAlt
David: From Pediatrics, but could apply to all primary care and somewhat similar to this ED request.
While we are on the subject of notes and communication, I would like to propose a suggestion to improve the outpatient/ inpatient communication.
Since Genesis doesn't automatically send any inpatient notes to the PCM, or clinic provider who sent a patient to the ward, I would suggest that we make it part of our standard practice to copy the D/C summary note to the clinic provider &/ or PCM. As a mostly outpatient provider, I will actually worry about patients I've sent inpatient, and wonder about what has happened, but often lack the time to personally f/u to find the documents. It's also just good communication about the care as the outpatient team is usually continuing the care.
In speaking with our team nurse this morning, she spends a decent chunk of time looking for our patient's d/c summaries by following the census slides daily. Copying the d/c summary to all of the team nurses would make that task a "push" rather than a "pull" and allow the nursing staff to accomplish more tasks.
V/R, -Dr. Burr.
Jean E. Burr, M.D. LTC, MC, USA Adolescent Medicine Physician Department of Pediatrics Madigan Army Medical Center 9040 Jackson Ave. Tacoma, WA 98431-1100 Clinic 253/968-1980