[Histonet] Physician Signatures

[Weems, Joyce]

It's wonderful that you are ahead of the game. I have electronic orders from GIDU and Breast Health, but haven't been able to get the ORs on board yet. I am hoping this will be the push they need to comply. Sure would make it easier!

How does your order work? Our electronic order generates a paper requisition. - one in the lab and one to send with the specimen.  Surgery says they don't have good access to printers, et. Do you have multiple frozens on complicated cases that require a requisition with one? And one they can write the special instructions on, etc?

Thanks for your response. j


Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax

________________________________
From: WILLIAM DESALVO [mailto:wdesalvo.cac <@t> hotmail.com]
Sent: Friday, December 17, 2010 11:47
To: Weems, Joyce; histonet
Subject: RE: [Histonet] Physician Signatures

I work in an integrated health system that has 9 Hospitals and 100's of outreach clients. All our hospitals are using Computerized Physician Order Entry (CPOE) for all tests ordered and our outreach clients use Electronic Order Entry via interface to their system or our web based system or they have client specific paper requisitions that have always required physician signature. We will be able to continue business as usual moving forward in 2011. The federal government specifically and definitely wants everyone to use electronic ordering and reporting processes so that we can move forward to the Electronic Medical Record (EMR) and reduce repeats and waste in laboratory tests.

William DeSalvo, B.S., HTL(ASCP)

> From: JWeems <@t> sjha.org
> To: histonet <@t> lists.utsouthwestern.edu
> Date: Fri, 17 Dec 2010 11:10:13 -0500
> Subject: [Histonet] Physician Signatures
>
>
> Is everyone concerned about getting a physician's signature on requisitions, or do you have a fool proof plan in place? Inquiring minds want to know....... TIA!
>
> How many of you have electronic ordering for AP?
>
> This from CodeMap Compliance that I get..
>
> Signatures Required on Laboratory Requisitions
>
> Although many professional groups and organizations lobbied against the signature requirement, CMS is implementing this provision as part of the CY 2011 MPFS. Starting January 1, 2011, the ordering physician must sign all written or paper requisitions for laboratory tests and services. Clinical laboratories will have to scramble to revise requisitions to include a signature line for the ordering physician.
>
> However, those labs that receive test orders via electronic or web-based interfaces should not be affected by the signature requirement included in the 2011 MPFS. In the comments to the proposed 2011 MPFS, CMS states,
>
> "Our proposed policy does not concern electronic or telephonic requests, because we do not consider these types of requests to be requisitions. As we discussed previously, a requisition is the actual paperwork, such as a form that is provided to a clinical diagnostic laboratory that identifies the test or tests to be performed for a patient.
>
>
>
> Joyce Weems
> Pathology Manager
> Saint Joseph's Hospital
> 5665 Peachtree Dunwoody Rd NE
> Atlanta, GA 30342
> 678-843-7376 - Phone
> 678-843-7831 - Fax
>
>
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