We have a few more hiccups than others, but here is our process.

Labs
1) All lab results come through the Quest/Labcorp Interface. This generates a message for Dr C to review the item.
2) Dr C reviews the lab, makes a note on the lab and signs off. The note may say "There are no significant abmormalities" or it may say "You test show you have X problem. You should do the following. If you have additional questions, come infor an appointment." This also automatically generates a letter to the patient in AC.
3)Dr C then sends a message to the "Nursing" mailbox to please send the patient their lab results and a copy of the letter." Any MA can see the Nursing mailbox, which is why we send it there. They then print the labs and letter to PDF and attach it to a templated message via our portal RelayHealth and send it to the patient.

Other Items:

3)With items that come in via hardcopy, like a fax, the MA scans it into the chart in the appropriate area, which then generates the message to Dr C to review the item. Then basically see 2) above.

Myfax:
4) I recently started using an internet fax named Myfax. When I want to insure a fax is done right, i do it myself via Myfax. But i need to print to pdf from the chart, and then upload it to Myfax and send it. Pharmacies do not have this phone number. Only specialist offices or others that I specifically give it to.

5) Some xray results may come in via Myfax or password protected email. These come to me, and I download the pdf and import it into the chart. I do have to rename it when I save it to disk before importing. Then it is like 2) above. And i have to delete the file.

We are considering changing to Updox since the cost of Updox is about the same as the combined cost of RelayHealth + MyFax. Well, actuall I think it is about $100/year more but it has some integration with AC with Myfax and RelayHealth do not. It may be worth the extra cost.



Wayne
New York, NY
Hey, look! A Bandwagon! Let's jump on!