On 12 December 2011 13:46, Dr. David H Chan <
dchan@mcmaster.ca> wrote:
> When it comes to obligations, I wonder if a patient can challenge them to
> push the patient's record to MyOSCAR? I think with the many different
> positions described in this thread, the future is further than I thought.
> Maybe the patient should have a voice in this.
> David
>
> David H Chan, MD, CCFP, MSc, FCFP
> Associate Professor
> Department of Family Medicine
> McMaster University
>
http://oscarmcmaster.org
> 175 Longwood Road South, Suite 201AHamilton, ON L8P 0A1
> Tel:
905.525.9140 x28505
>
>
>
> On Sun, Dec 11, 2011 at 1:58 AM, Gunther Klein <
drgklein@shaw.ca> wrote:
>>
>> Remote Citrix XenApp(TM) access to Cerner Millenium (TM) hospital
>> information system for VIHA.
>>
>> The VIHA IT people have taken the novel and somewhat controversial
>> position that they have no obligation to push lab and imaging results for
>> inpatients admitted to VIHA facilities to the community GPs of those
>> patients (like they are obliged to do for outpatients referred to VIHA
>> operated lab and imaging facilities).For this reason, when my patient is
>> admitted to hospital, I don't automatically get copies of the inpatient lab
>> results pushed to my OSCAR system, even if I order those tests. I have to go
>> and fetch those results by logging into VIHA's information system.
>>
>> Of course this approach has raised a few eyebrows, and they struggled a
>> little to explain to me what the advantage of not sharing this information
>> with the community FP was exactly. They said something about confidentiality
>> and about cost of sending lab results etc. etc... It does seem somewhat at
>> odds with the team approach to health care we are all supposed to be
>> embracing...
>>
>> Gunther
>>
>>
>>
>> On Sat, 2011-12-10 at 18:42 -0500, Peter Hutten-Czapski wrote:
>>
>> We have a local solution cobbled together at our small rural hospital
>> that sends Xrays Echo Admissions Consults and the ilk to Oscar via HL7
>> The local LHIN is working (slowly) on a region wide solution for all
>> hospitals and will also include labwork
>> ================
>> Peter Hutten-Czapski
>> Haileybury Ontario
>>
>> "The attitude that ‘if rural people want these services they’ll have
>> to come to the city to get them’ is simply not acceptable…” (Newbery,
>> 1999)
>>
>> Before printing, think about the environment. Avant d' imprimer,
>> pensez à l'environnement.
>>
>>
>>
>> On 10 December 2011 18:17, John Yap <
john-yap@shaw.ca
>> > wrote:
>> > That's much more than we have in New Westminster. I can tell patients
>> > are/have been in the ER as the labs get sent to me via Excelleris, and I
>> > note the ER docs ordering them. No XR reports. Consults will be faxed to us
>> > sometimes. The ER report is unreadable most of the time. After a week or
>> > so, I'll see the paper version of the imaging reports or consults, as they
>> > have to be transcribed.
>> >
>> > JohnY
>> >
>> > On 2011-12-10, at 3:01 PM, Karen Cunningham wrote:
>> >
>> >> in London we have something called LENS that sends us emails that
>> >> detail patient visits to our ERs (LHSC Vic, LHSC University) and St.
>> >> Joseph's urgent care and a few others also, St. Thomas ER I think and
>> >> a few others. Also sends us information about admissions of our
>> >> patients to the same hospitals, and discharges. Info also contains the
>> >> diagnosis given for those visits or admissions. (sometimes a bit "off"
>> >> of what really it was for, but most of the time correct).
>> >>
>> >> However no information about test results, or Xrays, or consults etc,
>> >> if we want that info have to request it. However at least I know if
>> >> you have been in hospital and it is something important, I know now I
>> >> should be requesting information if I need more details.
>> >>
>> >> Karen C
>> >>
>> >>
>> >> ------------------------------------------------------------------------------
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> ------------------------------------------------------------------------------
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