June 23, 2008

EMERGENCY DEPARTMENT AND URGENT CARE CENTER FAXES: At the present time, the emergency department and the on-site urgent care center are faxing nearly 200,000 sheets of paper a year to primary care physicians.  This includes a number of specific documents including the emergency department face sheet, the discharge sheet, the H&P used in the urgent care center and a HIPAA cover sheet.  We have heard concerns raised by a number of physicians that these documents are not always helpful and the volume of paperwork is excessive.
    Over the past several weeks, we have reviewed the actual documents, as well as some regulatory requirements (JCAHO and legal).  We have concluded we do not have to fax a copy of the medication list to the next provider from the emergency department, as long as we give a copy to the patient to take with them (JCAHO confirms).  Secondly, we have concluded the HIPAA disclaimer does not need its own sheet.
    Where are we going with this?  Our goal is to reduce the total number of pages being sent to you, while trying to be certain important information is available, especially for those patients being seen in follow-up within one to three days after the emergency department visit.  In the event you need information we have not sent, we are looking at streamlining the process to get the information.  Stay tuned for some changes. Questions?  Call Linda Duplechian at 937-641-5071.

CYSTIC FIBROSIS MUTATION SCREENING PANEL AVAILABLE: The molecular genetics laboratory at Dayton Children’s has begun cystic fibrosis testing for the original ACMG/ACOG panel of 25 mutations plus six variants.  Our assay consists of multiplex PCR to amplify all of the panel mutations in a single reaction followed by directed primer extension (DPE) and automated detection by micro array hybridization on the AutoGenomics INFINITI instrument.  Please use the following Sunquest test codes to order these test:

 CFMSP for the panel only
 CFMSPR for the panel with reflexing to sequencing
 CFSEQ for sequencing only
    For this assay, we require 3-5 mL (1 mL minimum) whole blood in an EDTA (purple-top) tube.  Specimens will be batched and the assay performed at least once a week.  Results will be reported within 10 days of receipt of specimen.  If you have any questions, please contact the genetics department at 937-641-3262.

E-MAIL ADDRESS COLLECTION: Dayton Children’s is always striving to provide pertinent information to community physicians in convenient, efficient ways while also being environmentally conscious. If you would like to receive this information, other pertinent continuing education and medical staff updates from Dayton Children’s electronically, please fill in the information below; fax it to 937-641-3454 or e-mail crueaj@childrensdayton.org.
 
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REGIONAL PEDIATRIC HEALTH ASSESSMENT DATA: Join us for the public release and discussion of Dayton Children's 2008 Regional Pediatric Health Assessment on Tuesday, July 8, at 10:30 am in outpatient conference rooms A-C.  Be the first to learn the results of our health assessment conducted every three years to gauge parent perceptions of their children's health.  For more information contact Jessica Saunders, injury prevention/health coordinator at 935-641-3385.