[optimal] How to improve time and motion efficiency in the photographic suite....

  • From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
  • To: "'spectralis-user-group@xxxxxxxxxxxxxxxx'" <spectralis-user-group@xxxxxxxxxxxxxxxx>
  • Date: Mon, 9 Sep 2013 11:53:23 -0700

Which speaks to the issue, that TECHNICALLY, LEGALLY, it is the responsibility 
of the PHYSICIAN to "obtain consent" thereby verifying that the PHYSICIAN 
talked to the patient about the procedure and the need for it. Our role, 
TECHNICALLY, LEGALLY,is to verify that there is one in the record ( only)    
So, as the imager, you could easily eliminate that aspect ( which is time 
consuming) by either asking the physician to do this, and/or ( a reality check 
here) someone on their non imaging staff to have this done BEFORE they enter 
the photographic suite....

I find in our center that the most time is spent actually conversing with the 
patient, answering their questions ( which SEEM to never be brought up in the 
exam room)  If I could neutralize this need, we could see double the patients.

However, I appreciate that each patient could well be my mother and I would not 
want HER treated as if a sausage patty on an assembly line.  I am fortunate 
that CPMC does not ask us to crank up the conveyor belt any faster than is 
compassionately possible.

Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Center
CPMC Department of Ophthalmology
2100 Webster Street Suite 212
San Francisco CA 94115
(415) 600-3937   FAX (415) 600-6563

From: spectralis-user-group@xxxxxxxxxxxxxxxx 
[mailto:spectralis-user-group@xxxxxxxxxxxxxxxx] On Behalf Of Eric Kegley
Sent: Friday, September 06, 2013 6:40 AM
To: spectralis-user-group@xxxxxxxxxxxxxxxx
Subject: Re: [spectralis-user-group] New Spectralis user in a high volume 
clinic, need workflow advice

Have your clinic staff, if they are trustworthy and empathetic, consent your 
patients for you. Removing that 2 minutes from each patient will save you time. 
I still do a cursory explanation so that I have some type of relationship 
either the patient but having consents pre-signed REALLY helps.

Eric Kegley, CRA, COA
Director of Ophthalmic Imaging
6560 Fannin St., Suite 750
Houston, TX 77030
Main 713 524-3434

Sent from my iPhone

On Sep 6, 2013, at 8:10 AM, "stuart.alfred" 
<stuart.alfred@xxxxxxxxx<mailto:stuart.alfred@xxxxxxxxx>> wrote:
Hi Group,
I've just returned to working in a large volume FA/OCT clinic. Roughly 20 
patients per day, each getting Spectralis OCT/FA.  I perform my own injections, 
we export to an EMR system (also print out), use 25% dye, and conclude lates at 
5minutes.  Aside from the obvious things of drawing up dye prior to patients 
arrival etc. do any of you have thoughts or suggestions on how to improve my 
workflow in order to keep pace?  Frankly I know I do a great job keeping pace, 
but I have to keep charts 'showing' in the rack to two or less - otherwise the 
docs sometimes freak out -even though they are the ones actually behind.  Oh, I 
have no control over the schedule since our Institute is arranged such that 
each retina spcialist is an indepentent practice and I am an admin. employee.
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