D 6 - MCP 00-09 Communicaton of Test Results to Providers and Patients.pdf

NOTE: Patients can view test results (those requiring action as well as those not requiring action) in less than 7 days by accessing online patient portals.

Ordering Provider On call/ Coverage Provider for Service

Emergency Department

Medical Doctor of Day Emergency Department

Ordering Provider Attending Physician

Medical Doctor of Day/ICU Attending

Medical Doctor of Day/ICU Attending Emergency Dept

Emergency Department Se Chief of

Emergency Department

Ordering Provider Oncall/Coverage Provider for Service Section/Service Chief

On Call/Coverage Provider for Service Section/Service Chief

Ordering Provider Emergency Department Provider

Ordering Provider Attending Physician

Ordering Provider Attending Physician

Emergency Department Se Chief of

Emergency Department

Ordering Provider Oncall/Coverage Provider for Service Section/Service Chief

On Call/Coverage Provider for Service Section/Service Chief

Ordering Provider Emergency Department Provider

Ordering Provider Attending Physician

Ordering Provider Attending Physician

Emergency Department Section Chief of Emergency Department

PACT Team Roles and Responsibilities for reporting test results (including labs, Xray, etc.)

Ordering Provider (physician, PA, NP) Receives test result through all established channels, i.e., CPRS View Alerts, phone calls from diagnostic locations, CPRS notes, etc.

Reviews all test results.

Takes appropriate action that includes notifying patient of results or delegating actions to other team members.

Registered Nurse Registered Nurses will communicate clinically acceptable test results to patients as requested by the ordering practitioner.

If requested to communicate marginally abnormal test results, two conditions must exist: 1) no higher-level diagnostic evaluation is required, and 2) the treatment plan must be documented in the electronic medical record by the ordering provider.

Licensed Practical Nurse/Licensed Vocational

Nurse/Clinical Associate. Notifies patients of normal test results as documented in the electronic medical record by the ordering provider.

Administrative Associate Provide support for mailing, printing, faxing.

Receives patient requests for test results and works with team towards resolution.

ER Team Roles and Responsibilities for reporting test results (including labs, Xray, etc.)

Ordering Provider (physician, PA, NP) In the emergency room labs and imaging studies are always ordered stat, the results are communicated to the patient by provider before their departure from the emergency room.

If the patient leaves the emergency room prior to results, the patient is contacted by provider via telephone with the results of the test after their departure. If they are unable to be contacted by phone, a certified letter is sent with the results.

If critical lab results are called to the emergency room on a non-emergency room patient after hours, the emergency room provider attempts to contact the patient shortly thereafter with the results by telephone. Communication is also sent to the ordering/primary care provider by either TEAMS or outlook email.

If the patient does not have a primary care provider, then a certified letter of the results are sent to the patient.

Administrative Associate Provide support for mailing, printing, faxing.

PM&R/Pain Team Roles and Responsibilities for reporting test results (including labs, Xray, etc.)

Ordering Provider (physician, PA, NP, Chiropractor)

The PM&R/Pain physician, chiropractors, and physician assistants are responsible for reporting all lab, diagnostic studies, or imaging results ordered or performed from service to patients.

Providers use a Telephone Note and document discussions with the patient and any applicable plan of action.

If the patient is unavailable or does not answer, the provider will make up to three

(3) calls, each spaced at least one day apart.

If there is no response, they will proceed with the Abnormal Diagnostic Form Letter, notifying the patient to contact our service to discuss their labs, studies, or images.

Providers on leave will delegate all CPRS alert notifications and results to a peer who will follow the same protocol described above.

Administrative Associate Provide support for mailing, printing, faxing.

Medicine and Surgery Service Team Roles and Responsibilities for reporting test results (including labs, Xray, etc.)

Ordering Provider (physician, PA, NP) The ordering provider is the responsible team member for communicating all test results.

Receives test result through all established channels, i.e., CPRS View Alerts, phone calls from diagnostic locations, CPRS notes, etc.

Reviews all test results.

Takes appropriate action that includes notifying patient of results. Notifications may be made within appropriate time frames, as defined in the MCP and per VHA Directive 1088, by telephone, face-to-face in clinic, secure messaging, or by letter. Letters may be generated through a CPRS note title for laboratory results.

These letters are then printed through a central location within the VA and mailed out to patients.

If the ordering provider is not available, then the designated surrogate makes required notifications following the above process.

Registered Nurse No role

Licensed Practical Nurse/Licensed Vocational

No role

Administrative Associate Provide support for mailing, printing, faxing.

Receives patient requests for test results and works with team towards resolution.

January 23, 2025 MCP 00-09

STAT examinations/tests.

Direct communication.

Read Back.

Electronic communication.

Administrative Hours.

Interpreting Physician.

Monitoring Company.

7. REFERENCES

NOTE: The signature remains valid until rescinded by an appropriate administrative action.