Page 21 - 2022 Risk Basics - Systems

SVMIC Risk Basics: Systems

Another method allows the staff to run a query to obtain a report of

ordered tests that have not yet been received. When the query is run, the
staff is then responsible for investigating the list to determine if the test

was completed or if the patient failed to appear for the ordered tests.

Some choose to continue utilizing a paper method such as a log or tickler
file to track labs, diagnostic tests, referrals, and appointments that are not

being electronically tracked. This is especially important if the EHR does
not interface with all testing facilities.

If you decide to utilize an electronic tracking system, successful
implementation requires that you work closely with your EHR vendor to

ensure that the key elements of the tracking process are incorporated.

Paper Records

Although the vast majority of healthcare providers utilize EHR, the lack
of interoperability requires handling paper records on a daily basis. Lab

and imaging results, consultant reports, after-hours calls, etc. often are
relayed to providers via paper and need to make their way into the EHR.

• Data affecting clinical decision support components should be
manually entered into those fields.

• Tests or reports should be reviewed, dated, and initialed by the
provider and his/her patient notified of results (including any

follow-up instructions) before they are filed in the record; or, if they
are scanned into the EHR, they should be tasked to the provider.

It is critical to have uniform processes in the office so that these
incoming test results are always handled the same way for all

providers.

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