Outpatient Services Luncheon Patient Order Requirements January 31, 2012

1. Outpatient Services LuncheonPatient Order RequirementsJanuary 31, 2012

2. Patient Order Requirements • Patients Full Legal Name • No nicknames • Example Barbara A Lutz • Date of Birth • Tests Requested • Ordering Providers signature • If the signature is not ledgible, please write the providers name also

3. Patient Order Requirements • Diagnosis • Narrative • ICD code • Please also indicate if any additional copies should be sent to another provider for continued care of the patient • eg cc Dr. Hunter • Patients Phone Number • So departments can schedule if required

4. Patient Order Requirements • Please fax orders to the following locations • Rehab services 530-2040 (Salida) • Rehab services 395-6348 (Buena Vista) • Laboratory 530-2201 • Imaging 530-2203 • Cardio/Pulmonary 530-2282 • Buena Vista Health Center 395-9064 • Specialty Clinic 530-2292

5. Patient Order Requirement • Special Requirements for Imaging Orders: • CT Abdomen DOES NOT cover pelvis • If CT Abdomen and Pelvis is needed; the order must state this • 3D reconstruction must be requested on the order • Consult Radiologist with contrast questions

6. Patient Order Requirements • Special Order Requirements for Cardio/Pulmonary Orders: • Physician History and Physical form must be attached to all sleep study orders • Neck circumference must be listed on history and physical form • Sleep or non sleep deprived must be listed on EEG orders • “Hyperventilate” or “no hyperventilate” must be listed on EEG order

7. Patient Order Requirements • Special Order Requirements for Cardio Pulmonary Orders continued: • Echogram orders must be ordered as limited or complete • Exercise oximetry can be ordered with Treadmills

8. Patient Order Requirements • Special Order Requirements for Rehab Services (PT, OT and Speech Therapy): • Include patient phone number of the order so rehab services can schedule the patient • Include frequency and duration of visits • ICD code is helpful. A surgical diagnosis MUST be accompanied by a diagnosis which explains the reason for the surgery and therefore the need for rehab. DO NOT use surgical diagnosis exclusively.

9. Patient Order Requirements • Special Order Requirements for Rehab Services (PT, OT and Speech Therapy) continued: • For complex patients, rehab CAN NOT evaluate and treat a neck, shoulder and hip all in one day. Please choose the most acute/debilitating injury. • eg prioritize 1. shoulder 2. neck 3. hip • Indicate if patient has a preference for rehab services location • eg Salida or Buena Vista

10. Patient Order Requirements • Special Order Requirements for Lab/ Pathology: • Two unique identifiers must be on all specimens collected and sent to HRRMC for testing • Last Menstrual Period for Pap Smears • Site for Pathology Specimens • eg-Left scalp • Date and time of specimen collection

11. Patient Order Requirements • On Line Laboratory Test Catalog • http://www.hrrmc.com • Services • Diagnostic Services • Laboratory Test Catalog • Work in Progress

12. Patient Order Requirements • HRRMC Order Expiration by Department

13. Patient Order Requirement QUESTIONS