 Effective Practice
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The HVMA Radiology department generates a report sent to the PCP identifying patients with an abnormal mammogram and performs some follow up testing.
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Benefits: - Facilitates reconciliation of follow up through the PCP.
- Prevents patients' loss to follow up.
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In practice at: HVMA Braintree, Cambridge, Chelmsford, Copley, Medford, Post Office Square, Somerville, Watertown, Wellesley
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Effective Practice
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Abnormal mammogram results are called into the patient and PCP by Mount Auburn Hospital Radiology department. MACIPA sends a list of abnormal mammogram results every month that is reconciled by the medical assistants and PCP using the tickler file.
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Benefits: - Institutionally generated list provides a back-up system for reconciliation.
- Paper-based low tech easy to replicate.
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In practice at: MAH Mount Auburn Health Care and Arlington
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Effective Practice
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The radiology department runs their own report for all abnormal mammogram testing results to ensure completion of recommended follow up. The radiology department will perform some immediate follow up on site. The results are sent to the ordering provider and often referred to a surgeon or the Breast Center. Urgent mammograms are scheduled by the referral coordinator who utilizes a monthly report for reconciliation.
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| Benefit: Promotes follow up on abnormal screening requiring follow up. |
In practice at: HVMA Burlington, Lynnfield, Peabody
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Effective Practice
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Paper system:
- Mammograms requiring follow-up are placed in a logbook or computerized database
- Staff person is assigned to review on a scheduled basis
- Follow-up attempts are documented in the medical record
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Benefits: - Facilitates identification of screening follow-up
- Promotes continuity of care
- Paper-based / cost effective
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In practice at: Waltham Family Practice (NWH), Office of Office of Dr. Pedrotty (BWH), BWH Spanish Clinic
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Effective Practice
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Radiology notifies the PCP and the patient when follow-up mammogram is due following and abnormal finding. The PCP will contact the patient if the follow-up appointment has not been scheduled.
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Benefits: - Promotes continuity of care.
- Facilitates identification of follow up.
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In practice at: APG-Chelsea (BIDMC)
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Effective Practice
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Mammograms performed at BIDMC are tracked by the QI administrative support staff to identify patients requiring follow- up. Patients requiring follow up are referred to the provider for further action.
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| Benefit: Facilitates identification of screening follow-up. |
In practice at: Healthcare Associates (BIDMC)
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