Teledermatology consult pathway rev 2012 0411
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VHA Office Of Telehealth Services Store-and-Forward Boston Telehealth Training Center
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Teledermatology Consult Pathway
Transcript of Teledermatology consult pathway rev 2012 0411
VHA Office Of Telehealth Services
Store-and-Forward Boston Telehealth Training Center
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Teledermatology Workflow
Selects Patient and
consult in Imaging
Capture
Imager
Signs the note,
completing the
Teledermatology
Imaging Consult
Reader
Receive
notification of
consult
completion
Imager & PCP
Follows consult
recommendations
PCP
Views results of
Teledermatology
Imaging Consult
PCP
Presents to
Primary Care
Clinic
Patient
Orders
Teledermatology
Request Consult
PCP
Receives
Teledermatology
Request Consult
Clerk or Imager
Creates
appointment in
Teledermatology
Clinic
Clerk or Imager
Presents to
Teledermatology
Clinic
Patient
Sends Patient to
Teledermatology
Clinic
PCP
Triggers
updates to
TeleReader
worklist
Completes
Teledermatology
Request Consult Note
reminder dialog
template
Imager
Request consult
note text
transferred to
Teledermatology
Imaging Consult
reason for request
Imager
Signs the
Teledermatology
Imaging Consult
Imager
Imaging
Consult
pending at
Reading Site
Imager
Acquires
Dermatology
Images
Imager
Images sent
to VistA
Imaging
Completes
encounter
data providing
Wk’ld credit
for Acq Site
Imager
Acknowledges
notification of
Teledermatology
Imaging Consult
Reader
Accesses
images via
Telereader
Reader
Completes the
consult note
containing
Reader
Template
Reader
Enters the encounter
data, providing wk’ld
credit for Reading Site
Reader
Completed by Primary Care Provider
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Sample Order Menu and Prerequisite Text
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(YOUR FACILITY NAME)
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(YOUR FACILITY NAME)
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Name, Patient
SSN DOB
Clinic Location
Provider Name
Patient , NameSSN DOB
PROVIDER, NAMEPROVIDER, NAME
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Name, Patient
SSN DOB
Clinic Location
Provider Name
Provider, Name Provider, Name
Completed by Teledermatology Imager
Highlight consult; go to Action / Consult Results / Complete/Update Results;Select Note Title from list
Complete template
Provider, Name-Title
Date/Time
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Name, Patient
SSN DOB
Clinic Location
Provider Name
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Name, Patient
SSN DOB
Clinic Location
Provider Name
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Name, Patient
SSN DOB
Clinic Location
Provider Name
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Name, Patient
SSN DOB
Clinic Location
Provider Name
Provider, NamePROVIDER, NAME
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Name, Patient
SSN DOB
Clinic Location
Provider Name
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Name, Patient
SSN DOB
Clinic Location
Provider Name
/ES/ PROVIDER, NAME
TITLE
SIGNED: DATE AND TIME
Completed by Teledermatology Imager
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If this message shows up, you need to sign your note from the previous consult. Then restart the Imager consult.
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Here is your note from completing the Teledermatology Request Consult. It auto-fills your note into the Teledermatology Imaging Consult.
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/es/ Provider, Name
Title
Date and time
Depending on your security key, you will either sign consult as the provider, or sign by policy
Name, Patient
SSN DOB
Clinic Location
Provider Name
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Name, Patient
SSN DOB
Clinic Location
Provider Name
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Name, Patient
SSN DOB
Clinic Location
Provider Name
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Name, Patient
SSN DOB
Clinic Location
Provider Name
/ES/ PROVIDER, NAMETITLESIGNED: DATE AND TIME
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Name, Patient
SSN DOB
Clinic Location
Provider Name
Provider, Name Provider, Name
Open Vista Imaging CaptureSelect Teledermatology consult configuration buttonSelect PatientSelect ConsultEnter date of image capture
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Patient, Name DOB SSN Sex SVC/NSC VETERAN
Patient, NamePATIENT, NAME
PATIENT, NAME SSN
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Select appropriate patient from list-make sure consult number matches consult in CPRS
Patient, Name
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Capture all images according to protocol
Patient, Name SSN
Recommended protocol:Use card reader (approved by Information Security and
configured on computer by IT staff )Take required images using camera with SIM cardRemove card from camera and insert into card readerDrag and drop images into Vista Imaging CaptureClick [Study Complete] when finishedOpen Vista Imaging to confirm all images were captured and
imported into Vista Imaging under the correct consult and patientRemove SIM card from card reader and return to cameraDelete images from SIM card
Dermatologist receives alert in CPRS for pending consultProcess alert and review consultOpen TeleReader applicationSelect correct patient and consult in TeleReaderHighlight consult and [LOCK] for readingReview images in Vista ImagingComplete consult report in CPRS using reminder template
Completed by Teledermatologist
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Name, Patient
SSN DOB
Clinic Location
Provider Name
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Name, Patient
SSN DOB
Clinic Location
Provider Name
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Name, Patient
SSN DOB
Clinic Location
Provider Name
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Name, Patient
SSN DOB
Clinic Location
Provider Name
/es/ Provider, NameTitleSigned: Date
Provider, Name
(Not ideal, but gets minimal required information captured from template quickly—beneficial if working remotely and concerned about network problems causing CPRS to close prematurely prior to template completion)
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At this point the dermatologist may fill in the headings as appropriate; encounter information should be complete other that any questions regarding service connected disability or environmental factors. Health factors have been entered with minimal information.
Name, PatientSSN DOB
Clinic LocationProvider Name
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PCP and Imager receive alert regarding completed consult
Viewing results for Interfacility (IFC) consults:Consult tab / Action / Consult Tracking / Display Results
Follow up by Primary Care Clinic and/or
Dermatology Clinic according to recommendations
of TeleDermatologist
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