|
Posts: 1,612
Joined: October 2011
|
|
|
|
Joined: Sep 2009
Posts: 2,986 Likes: 5
Member
|
Member
Joined: Sep 2009
Posts: 2,986 Likes: 5 |
I wonder what would happen as the program evolves, though. My understanding is that the lab interfaces are one-way at this time; i.e., docs don't order labs via the interface. If it becomes bidirectional, then the problem might recur(?). Until now I have not needed any flexibility in my lab interface. LabCorp is the only one we have set-up, and we are happy with it, but it is "one-way, one-doc". So all that follows needs to be checked with AC. I would guess that all INCOMING labs to a practice lab account could be routed to the same box. This would be regardless of who initiates the order (again, if it is within the same practice), and whether that order was handwritten or electronically generated. I still like this idea better than the "shared password" approach. Does a similar issue exist for ePrescribing and eRefills? Anyone in a group using eRX care to answer this one? How do you handle refills that are automatically generated when a doc is away?
Jon
GI
Baltimore
Reduce needless clicks!
|
|
|
|
|
Joined: Sep 2003
Posts: 12,874 Likes: 34
Member
|
Member
Joined: Sep 2003
Posts: 12,874 Likes: 34 |
Date | Time to the second | User | Operation (Insert, Sign, etc.)
Description (Created patient message, Created SOAP note, etc.)
Row ID | Originating Computer @Jim, again this isn't perfect but, yes, this does solve your problem. Your covering doc does not need to use your computer, and I would hope he wouldn't just as you wouldn't be able to log into his/her. Of course, you would lock your computer and only you could use it from remoting. I also think that if you go on vacation and you have covering docs, you have to decide and agree to let them cover your patients and lab results. Whether you are in France or behind your desk, only one doctor can take care of the patient. If you do log in to your computer and see a potassium of seven, then would it not be better in that scenario to call the covering doctor and alert them to this. Being in a foreign country should absolve you from any medicolegal action as long as everyone agrees that the vacationing doctor just isn't involved. As far as the ePrescribe (and I am a little gun shy to make these comments), but it would seem like decisions to refill or not refill should just be trusted to the covering doc.
Bert
Pediatrics
Brewer, Maine
|
|
|
|
|
Joined: Feb 2005
Posts: 2,002
Member
|
|
Member
Joined: Feb 2005
Posts: 2,002 |
Maybe I am being too superficial but I do not see the problem. If you take the time to log in, review a lab, and take care of a potassium of 7 why would you not also take the time to send the covering doctor a message saying you took care of it? The best way to handle coverage (for those of you lucky enough to have it) while you are gone is let the covering doctor cover. If you do not trust the other doctors in your group to do things the way you think they should then it is time for someone to go...them or you.
Leslie
Hospital Employed Physician Who Misses The Old AC
"It's a good thing for a doctor to have prematurely grey hair and itching piles. It makes him appear to know more than he does and gives him an expression of concern which the patient interprets as being on his behalf. "
|
|
|
|
|
Joined: Nov 2006
Posts: 2,084
Member
|
|
Member
Joined: Nov 2006
Posts: 2,084 |
If you do not trust the other doctors in your group to do things the way you think they should then it is time for someone to go...them or you. This may become a problem as the hospitals buy up practices or if we are "forced" into ACOs -- you may not know, or trust, your covering doctors. Long live small practices (despite that Dr. Ezekiel Emanuel predicts we'll be all destroyed by "reform").
John
Internal Medicine
|
|
|
|
|
Joined: Feb 2005
Posts: 2,002
Member
|
|
Member
Joined: Feb 2005
Posts: 2,002 |
I have heard we will only be around for about 5 more years. Same with the family farm. So I am buying a milk cow and some honey bees and training the donkeys to pull a plow. Now if I just knew how to make my own tequila.
Leslie
Hospital Employed Physician Who Misses The Old AC
"It's a good thing for a doctor to have prematurely grey hair and itching piles. It makes him appear to know more than he does and gives him an expression of concern which the patient interprets as being on his behalf. "
|
|
|
|
|
Joined: Nov 2006
Posts: 2,084
Member
|
|
Member
Joined: Nov 2006
Posts: 2,084 |
Good plan, Leslie. Actually, small practices may have to hide in the shadows to survive, like speakeasies during Prohibition. Knock on the door, "open up, Bennie sent me, I need a physical".
John
Internal Medicine
|
|
|
|
|
Joined: Feb 2005
Posts: 2,002
Member
|
|
Member
Joined: Feb 2005
Posts: 2,002 |
Hahaha! Jon, I was going to comment on your comment but I cannot top that one!
Leslie
Hospital Employed Physician Who Misses The Old AC
"It's a good thing for a doctor to have prematurely grey hair and itching piles. It makes him appear to know more than he does and gives him an expression of concern which the patient interprets as being on his behalf. "
|
|
|
|
|
Joined: Sep 2003
Posts: 12,874 Likes: 34
Member
|
|
Member
Joined: Sep 2003
Posts: 12,874 Likes: 34 |
That is a great comment, lol.
Bert
Pediatrics
Brewer, Maine
|
|
|
|
1 members (beagle),
166
guests, and
17
robots. |
|
Key:
Admin,
Global Mod,
Mod
|
|
|
|
