 Effective Practice
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Adaptation of the IDX practice management system creating a facsimile of the doctor's schedule used to track and reconcile cervical cancer screening. Results are cross-referenced with outstanding requests and followed-up. Mount Auburn Hospital Pathology Department sends a list of abnormal Pap smear results monthly. Outstanding results are reconcilied at standard intervals.
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| Benefit: use of existing technology to track and reconcile health screening. |
In practice at: MAH Lexington
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Effective Practice
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Results are reconciled on arrival of the result report by the medical assistants file tickler system.
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| Benefit: Paper system easy to replicate. |
In practice at: MAH Office of Dr. Christopher Peckins, Primary Care Center, Waverly Primary Care, Mount Auburn Health Care at Arlington
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Effective Practice
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The medical assistants query patients prior to being seen for their annual examination as to their status for:
- Pelvic exams; and
- Pap tests.
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| Benefit: Updated health maintenance and screening information to any point when the patient intersects the system. |
In practice at: BWH Internist Associated of Needham
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Effective Practice
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A planned care coordinator monitors electronic registries for cervical cancer screening Pap. There are daily and weekly “huddles” for planned care teams.
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| Benefit: Practiced based electronic tickler system for screening mammography follow up. |
In practice at: CHA Broadway Somerville Adult Health, Cambridge Family Health and Cambridge Family Health North, East Cambridge Health Center
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Effective Practice
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A log is kept for outstanding Pap results. Abnormal Pap smear results are forwarded to the ordering provider, who makes referrals to either Gynecology or the Center for Women. Abnormal Pap smear results are reconciled on arrival of the result report and outstanding requisitions reviewed on a monthly basis. MAH Pathology sends a list of abnormal Pap smear results every month to ensure reconciliation. This report is also cross referenced with the outstanding reports in the paper log book system.
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Benefits: - Paper-based ticker system that can be initiated easily.
- Easy transmission this type of system to an electronic system.
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In practice at: MAH Physician Associates of Mount Auburn Hospital (PAMA), Primary Care Center, Waverly Primary Care
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Effective Practice
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Written reminders to schedule a Pap smear.
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Benefits: - Easy to use template letter
- Low tech, easy to replicate
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In practice at: Middlesex Family Practice (NWH)
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Effective Practice
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Reminders are sent to the patient via a tickler system in which the provider completes a file card (with the return date noted) that is placed in a month-by-month divided box
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| Benefit: Paper-based tickler system that can be initiated by multiple staff members |
In practice at: Waverly Primary Care (MAPS)
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