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Flash FAX

June 23, 2008

      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.

      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
       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
       Name: _________________________________________________________________
       E-mail address: _________________________________________________________
       Practice name: __________________________________________________________
      *Dayton Children’s will not share your e-mail address with any other

      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.


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