I had that concern about our electronic orders, because it certainly is just 
spitting out a paper. 

We must do something! How can we make CMS hear us? ASCP just send an email that 
a hospital is OR says it is unjust. j

-----Original Message-----
From: Jesus Ellin [mailto:jel...@yumaregional.org] 
Sent: Friday, December 17, 2010 12:46
To: Weems, Joyce; WILLIAM DESALVO; histonet
Subject: RE: [Histonet] Physician Signatures

This is true about electronic ordering but there is a provision on what is 
acceptable for electronic order, just ordering in a system and spitting out 
requisitions does not comply, There needs to be password verification and 
review of this information by the clinician before it is ordered and sent to 
the laboratory performing the service when the requisition is created.  They go 
on to say that orders and requisitions are different aspects and should not be 
confused. IF the orders are just received through an electronic interface then 
there is a difference.
But if the specimen is received using any paper form then this needs to be 
signed by the clinician either electronically or manually.

We are looking at this really closely, with using paper requisitions, even 
orders from the OR for frozens, molecular studies, interoperative work, all 
needs to be signed by the surgeon.  Can you imagine the impact that this is 
going to cause. 

Our current solutions is to have maybe standing orders in place and move and 
look at process within the  Main OR's, outpatient OR and clients.
Once again a huge problem,, but Bill is right this will lead to more and more 
paperless enviroments.


Jesus Ellin
Yuma Regional Medical Center   

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