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Transcript
The Document Game
MELISSA
SANDY
TOMMY
APPOINTMENT
MAKE
FOR ANNUAL PHYSICAL
Arrive at
DOCTOR’S OFFICE;
APPOINTMENT
APPOINTMENT
FILL OUT FORMS
MAKE
to take elderly mother to doctor
re: severe arthritis pain
Contact info
MAKE
with pediatrician for suspected
broken finger
Insurance
HIPAA
Health history
BACK to the
DOCTOR’S OFFICE
GO
Take MORNING OFF WORK
Go to RADIOLOGY for X-rays
Get PRESCRIPTION for pain
with the results
MOTHER
PICK
UP
from nursing home
PARENT
Outcomes
Pharmacy
FILLS OUT FORMS
Contact info
Insurance
HIPAA
TAKE TO FAMILY doctor’s office
GIVEN CLEAN BILL OF HEALTH
PRESCRIPTION
Arrive at
DOCTOR’S OFFICE;
Contact info
Insurance
HIPAA
ORTHOPEDIC SURGEON
FILL OUT FORMS
Contact info
Insurance
Health history
Drug
interaction
Uh oh,
Bring X-rays to
HIPAA
Patient FORGETS
to list
some meds
WRONG
DRUG is
prescribed
PAY
EXTRA
parent waits to
hear from pharmacy
Health history
Patient DOESN’T
want to list
some meds
PHARMACY
CONTACTS
DOCTOR,
Get X-rays go to
LAB for TESTS;
Go to
PROPER
CARE
Rendered
FILL OUT FORMS
filled
Additional tests needed
Doctor’s
handwriting
is MISREAD
Drug NOT COVERED
by insurance
company
Prescription
Health history
ORTHOPEDIC
SURGEON
forgot X-rays
Pharmacy
Patient DOESN’T CONSIDER
these to be meds
(St. John’s Wort as anticoagulant)
Doctor gets results
BACK to
RADIOLOGIST
GO
FILL OUT FORMS
to get X-rays
PROPER
CARE
Rendered
PROPER
CARE
Rendered
PRESCRIPTION
Prescription
filled
PHARMACY
CONTACTS
DOCTOR,
Pharmacy
Doctor’s
handwriting
is MISREAD
Drug NOT COVERED
by insurance
company
Contact info
Doctor refers Joan to
specialist
WRONG
DRUG is
prescribed
PAY
EXTRA
PAY
EXTRA
Doctor’s
handwriting
is MISREAD
WRONG
DRUG is
prescribed
filled
EMERGENCY
ROOM
Go to
REFERRAL
NUMBER
FINGER
is Set
Drug
interaction
Prescription
Health history
get
MAKE
PHARMACY
CONTACTS
DOCTOR,
HIPAA
call INSURANCE COMPANY
patient waits to
hear from pharmacy
Drug NOT COVERED
by insurance
company
Insurance
PATIENT
APPOINTMENT
FILLS OUT FORMS
Contact info
Drug
interaction
Return for follow up;
get new X-rays
Arrive at
HIPAA
DOCTOR’S OFFICE;
patient waits to
hear from pharmacy
Insurance
Health history
FILL OUT FORMS
EMERGENCY
ROOM
Go to
Contact info
Insurance
HIPAA
EMERGENCY
ROOM
Go to
PATIENT
FILLS OUT FORMS
Insurance
HIPAA
CARE
delayed
Drug
interaction
CARE
delayed
Duplicate
testing
File miscommunicated
to Emergency Room
Drug
interaction
CARE
delayed
Insurance
HIPAA
Contact primary doctor
Duplicate
testing
Drug
interaction
File miscommunicated
to Emergency Room
Complete history given
PATIENT
Health history
Patient FORGETS something
Contact primary doctor
Patient FORGETS something
FILLS OUT FORMS
Contact info
CARE
delayed
PROPER
CARE
Rendered
Opinion given
Contact info
PROPER
CARE
Rendered
Health history
CARE
delayed
Drug
interaction
Health history
Contact primary doctor
Patient FORGETS something
Complete history given
Duplicate
testing
Drug
interaction
Duplicate
testing
File miscommunicated
to Emergency Room
Complete history given
PROPER
CARE
Rendered
CARE
delayed
Drug
interaction
Duplicate
testing
PROPER
CARE
Rendered
Poor Melissa, her week started with a routine annual physical…or so she thought.
Chaos ensued when her elderly mother, Sandy, called from the nursing home complaining of severe arthritic pain that needed immediate attention.
To top it all off, Melissa’s son, Tommy, returned from Little League practice with what appeared to be a swollen dislocated finger.
Duplicate
testing
PROPER
CARE
Rendered