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• Christy
• Cindy
• Barry
• Bill

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• Jenn
• Aimee

GOALS

• stop being secretaries
• insure quality
• clarify expectations

FOUR TARGETS

1. Streamline MEDICARE REFRESH

Proposed:

• MA asks patient to confirm diagnoses
• MA checks boxes on MDP form, or writes brief notes.
• MA moves Diagnoses from Problem Lists to Dx List.

Doctor's role:

• MD reviews MDP form.
• MD edits as needed.
• .diagx
• .fol

2. MANAGING INBASKETS

Opportunities to handle together

• appointment requests
• pathology results
• refills not in RAR basket
• RNs' RARs in our inbaskets

take this baby step first

MA ATTACH TO MD INBASKET EVERY UNIT

MD and MA discuss whether to ...

• Reply
• Review
• Refer
• Pend
• Defer
• But not . . . Delete

3. Specialty Comments

MA role:

• Use .speccomm to import Specialty Comments into Staff Notes.
• Every visit

ADD TO SPECIALTY COMMENTS

• Skin cancers--site, date
• Mole photo date
• Home UV codes
• Last PPD
• Blue Light
• Reminders for future visit

4. Maintain Pathology Log Books

Minimum Standard

• After a week -- missing reports
• Color code skin cancers
• After a month -- untreated cancers
• Initial completed entries
• Save all pages/discard nothing
• Investigate/advise doctor about anything missing

RNS

STANDARDIZED PROCEDURES

QUARTERLY MEETINGS

Protocols for RN Evaluation

DOT PHRASES

• Common RN prescriptions
• RNs review their refill requests before MD

Staff and doctors working happily together

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