Holy Redeemer Hospital

June 7, 2016Dear [redacted] :I am writing in response to your letter dated May 23, Please know that the physician has spoken to the patient regarding the issue, and requested the patient to come into the office to review her results and folloptions,The medical practice involved uses an Electronic Medical Record (EMR)The majority of actions related to patient care are based on the flow of data in the medical recordIn this particular case the physician selected the wrong option after she reviewed the patient's resultsAs a result of this keying error the follaction which is to contact the patient was not prompted in the systemBased on the accidental selection of the wrong option, the EMR indicated no follaction was required at that point.It appears there was some misunderstanding related to what was communicated by the outside radiology center to the patient and what the office understood the patient's request to be which resulted in the wrong test order being provided to the patient.The physician upon receiving a copy of your letter reviewed the patient record to determine what had occurredThe physician then immediately contacted the patient to review the results, requested the patient come in for a follappointment, apologized for the incident and explained how it occurred.We have used this incident as a learning opportunity with our staffThe process within the EMR has been reviewed with this physician and others within the practice so there is a heightened awareness of the ramification to the flow of patient care if a wrong selection is made within the EMR.If you have any further question please feel free to contact me at [redacted] .Regards,Nancy M.VP Audit, Compliance & Transparency

June 7, 2016Dear [redacted]:I am writing in response to your letter dated May 23, 2016. Please know that the physician has spoken to the patient regarding the issue, and requested the patient to come into the office to review her results and follow-up options,The medical practice involved uses an...

Electronic Medical Record (EMR). The majority of actions related to patient care are based on the flow of data in the medical record. In this particular case the physician selected the wrong option after she reviewed the patient's results. As a result of this keying error the normal follow-up action which is to contact the patient was not prompted in the system. Based on the accidental selection of the wrong option, the EMR indicated no follow-up action was required at that point.It appears there was some misunderstanding related to what was communicated by the outside radiology center to the patient and what the office understood the patient's request to be which resulted in the wrong test order being provided to the patient.The physician upon receiving a copy of your letter reviewed the patient record to determine what had occurred. The physician then immediately contacted the patient to review the results, requested the patient come in for a follow-up appointment, apologized for the incident and explained how it occurred.We have used this incident as a learning opportunity with our staff. The process within the EMR has been reviewed with this physician and others within the practice so there is a heightened awareness of the ramification to the flow of patient care if a wrong selection is made within the EMR.If you have any further question please feel free to contact me at [redacted].Regards,Nancy M.VP Audit, Compliance & Transparency