Mammography Reports used for Follow up

Once the diagnostic report is signed by the radiologist, it becomes final and is faxed to the referring clinician.

Transcription enters the appropriate coding in Imagecast, triggering follow up and letters.

Follow up:

Unresolved follow up listing:

Patients are included on this list once they are final and the coding has been entered.

This list is to ensure all exams are being followed up on appropriately.

Cat 0: Prints daily with just those that were final and coded the prior day.

Assistants review list to ensure they have these exams and have started calling to get patients scheduled for additional imaging or to retrieve prior outside exams.

Also prints weekly including all outstanding Cat 0’s recommendations.

Assistants review list and make sure follow up is in progress or has

been completed. If complete the assistant will resolve the

recommendation.

All attempts to schedule patient or retrieve prior exams are documented in

Rec update and included on the report.

Cat 4/5: Prints weekly with all outstanding recommendations for intervention.

QA specialist uses this list to retrieve pathology or other

appropriate follow up.

All follow up attempts are recorded in Rec update and included on

this report.

Cat 3:Prints weekly. The recommendations that are not yet due or overdue, can be ignored.

Those that are due or overdue that show no letters as having printed, need to be checked.

They are probably Cat 3’s that were recommended on one breast when the opposite breast was a Cat 4/5. The letters for the Cat were suppressed as the Cat 4/5 took precedence.

Un suppress the appropriate letters.

Once all of the reminder letters have printed at 60 days a certified letter will need to be printed and mailed out with a return receipt requested.

At the time the cert letter is printed and mailed, the recommendation can be resolved.

Omitted Mamm Data Report:

Exams included on this report are in final status but do not have mamm findings

or interventional procedure data entered.

Use this list to ensure all coding has been entered.

Once the mamm findings or interventional data is entered they will fall off the

list.

QA specialist also uses this list to ensure she gets pathology on all the procedures

performed on site, within 72 hours.

Unknown exam types report:

Exams included on this report are in final status but have no “patient data” entered.

The information entered in the patient data field ensures the studies are counted

correctly for statistical purposes.

If this information is not entered the study is counted as an unknown.

The required fields in Pt. Data need to be entered and appropriate recommendations resolved.

C Status Log:

Studies included on this log have been performed but do not have dictation.

This is reviewed daily and with investigation it needs to be determined why the study has not been read or if it was missed and needs to be re-read.

Audit reports

Biopsy statistics report (brief)

Mamm Exam Statistics report.

Screening Audit report.

These can be run by the IT department upon request.

They must be run at least yearly for MQSA. (per site, per rad, per year)