Page 43 - 2021 Risk Reduction Series - Communication Part One
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SVMIC Risk Reduction Series: Communication
• Train all staff not to file any reports, including consultation
reports or letters, without the physician’s review.
• If the patient cancelled or was a no-show, contact
the patient to reiterate the reason for the referral and
document this discussion in the medical record.
• Make sure there is a clear understanding as to who is
responsible for the patient’s care.
Consulting Physician
When you receive a request for consultation or transfer of care,
take the time to review the records and track the appointment.
Your practice should have a standard procedure for referral-
related communication which clearly defines everyone’s
responsibilities. Consistency and clear instructions will make
the process run more smoothly, benefiting both the patient and
the practice. While referring physicians have a responsibility to
make clear and appropriate referrals to specialists, there is an
equally important responsibility on behalf of the specialist to
provide clear and timely feedback. Consider implementing the
following actions into your process:
• Communicate your specific plan of action to the referring
physician to enhance continuity of care.
• Include any medication changes, tests recommended
and performed, as well as the results and interpretation of
those tests.
• If the patient refuses your advice or recommendations,
document this in the record and convey it to the referring
physician.
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