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Who gets your report?
Community rad here. Admin is asking me for ideas to solve the problem of automated results from Epic EMR going to providers, lots of reports filling up their “inboxes”. For instance, if a pt is in the ER or gets admitted every rad report on the patient gets distributed to the PCP and the ordering provider in their Epic inbox. They’re feeling overwhelmed by this deluge.
How do you folks handle this? I don’t think the info blocking legislation does much to help me with this.
Thanks for your input! -
8 Replies
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That is simply best practice. The referring doc and the pcp should get the report. What is the point of providing a report at all if the deluge of information will not go to the two physicians expected to act on it?
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If they ordered it or they are the PCP, they are obligated to at least read it. Special snowwwfwakes are overwhelmed?
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Let the necessary physicians have electronic access – without automatically emailing it. Otherwise most of it is probably going to the junk folder.
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My name is somewhat close to one of the PCPs in the community. Occasionally, an admissions clerk fat-fingers me in as the PCP for someone who comes through the ER. As a result, my EMR inbox is filled with dozends of results every day. It makes no sense to deluge the PCP with every piece of information on a admitted inpatient if they are not taking care of that patient at the time. Send them an ‘admission notification’ and the discharge summary, everything else is stupid.
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Alert fatigue is real.
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It is a complicated issue. A primary care physician will be held liable for not acting on something contained in a radiology report, even if he was not the one to order it, so it makes sense to at least make it available to them.
A routine CMP ordered daily on an inpatient? They probably don’t need that. A lot of imaging results are also irrelevant to them, but I don’t think we want to take on the liability of “flagging” the things that they need to see. Therefore, they get it all.-
It probably is really hard for them to coordinate all the follow up of the incidental crap, pulm nodules, thyroid, renal, pancreatic etc.
Some of these are probably people theyve seen one time like 3 years ago too so its probably very frustrating for them.
Theres no one answer IMO. Just another negative of following a million incidental lesions in everyone. Our healthcare system at work
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EMR.
A billing system.
Full of worthless nonsense.
Difficult to separate the wheat from the chaff.
Alert fatigue for sure.
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