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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