21st Century Cures Act

[handwriting]

Imagine patients being able to see path reports in their hospital portal apps on their phones immediately after you press the sign out button?

U.S. Federal Rule Mandates Open Notes - Open Notes

The federal rule on interoperability and information blocking mandates that healthcare providers offer patients access to all the health information in their medical records “without delay” and without charge.

www.opennotes.org

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[Alteran]

I know of some specialty or boutique-type places where the pathology reports are instantly available to the patient as soon as their signed out. The medical staff there, including the clinicians, near unanimously weren't in favor of that. But administration touting the best bang for your buck and "an unparalleled level of service" went ahead anyways. It put a lot of stress on the pathologists and added extra steps for unexpected findings because they had to call the oncologist to give them heads up before the report was signed out every time. And it increased the work the oncologists had to do because as soon as patients got their reports, they start blowing up the office front desk wondering what they're looking at before their appointment happens in a few days.

 

[deleted314957]

On the bright side, the clinicians will have to stop the B.S. they always tell patients “ the report takes about a week so make an appointment for....”. 99% of the time the patient will be looking at the report in a day. Then the clinicians get to take all the heat! Gotta love it.

 

[LADoc00]

Okay Im imagining something...something crazy. What if for like 20-40 bucks or something we could give patients a more bespoke pathology report experience?

Like more comment, more detail and link they can open with a credit card on their phone for a 1 on 1 teleconsult at $60 for 10 min?

I mean you are reading a report that sounds like you have breast cancer, who ISNT paying for the bespoke experience at that point??

this is good.

 

[Med Director New England]

I agree I think this is good.
Highlights to the parient newly diagnosed with cancer who actually made the diagnosis, classified the cancer, etc. or in other settings rendered the benign diagnosis in a clinical setting concerning for CA.

I always have to stifle an eye roll when I hear a clinical MD talk about a patient “they” diagnosed with cancer.

 

[Guest8]

We went live with instant access to all reports - path, radiology, clinical notes, etc - last week. Already seen some headaches with patients calling before their own doctor was even aware of something. Not sure this needed to be instant access for patients. We generally did a 7-day embargo for patient access until the docs could get the whole picture and prepare the patient for the results. Also allowed us to do provisional dx's on sendouts without having to be worried that the patient would freak out about a provisional dx that may not be the final dx.

 

[Spikebd]

Okay Im imagining something...something crazy. What if for like 20-40 bucks or something we could give patients a more bespoke pathology report experience?

Like more comment, more detail and link they can open with a credit card on their phone for a 1 on 1 teleconsult at $60 for 10 min?

I mean you are reading a report that sounds like you have breast cancer, who ISNT paying for the bespoke experience at that point??

this is good.
View attachment 321567

And with whole slide imaging and digital pathology, the patients can view the slides with the pathologist. The images will all he uploaded in a new “pathology slides” tab in Epic. Sort of like an orthopedist going over an x-ray with a patient. As long as the pathologist is appropriately compensated for this consultation I’d be in support of this motion.

 

[Spikebd]

I agree I think this is good.
Highlights to the parient newly diagnosed with cancer who actually made the diagnosis, classified the cancer, etc. or in other settings rendered the benign diagnosis in a clinical setting concerning for CA.

I always have to stifle an eye roll when I hear a clinical MD talk about a patient “they” diagnosed with cancer.

Interesting discussions being held here. It’s true, pathologists do the final diagnostics, not a surgeon, not a heme onc, not a gastroenterologist etc.

 

[deleted314957]

I never missed that self puffery about the clinician being able to tell the patient how they diagnosed their cancer. After 3 1/2 years of clinical medicine I dreaded that type of interaction. One of the reasons I went into path. After 25 years at the same hospital, all I had to do was just give a little smile to the white coats. They knew their b.s. reeked.