Patient Referral Use Case Study

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In this use case, emphasis is placed on the importance of care coordination for when a patient is referred to an outside provider for additional care. Notice of the referral, including relevant patient data must be able to be transferred between the health information systems of both providers to ensure appropriate continuity of care. The objective of this use case is to ensure that a patient referral can be sent instantaneously through the providers’ health information systems to provide the second care provider with all relevant patient data needed to ensure the coordination of care is seamless.
There are two primary actors involved in the patient referral use case, the sending physician practice and the receiving physician practice. The
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Using the e-prescribing system SureScripts, Dr. Brull is able to not only create prescriptions and send them to the pharmacy electronically, she can also maximize medication reconciliation by confirming what medications the pharmacy has filled for her patients no matter who the prescribing physician is.

• “Use clinical decision support to improve performance on high-priority health conditions” (Clinical Decision, 2013). The EHR system uses clinical decision support to notify Dr. Brull if a specialist were to prescribe a medication for patient that was already taking a medication that would cause a drug-drug interaction. This ensures that even if the specialist were to have received a partial medication list, the patient will still receive the best possible care.

• “Protect electronic health information created or maintained by the Certified EHR Technology through the implementation of appropriate technical capabilities” (Protect Electronic, 2014). Dr. Brull’s location in Plainville, Kansas does not have access to a health information exchange. As a result, her office uses an integrated fax system. This is a known HIPAA-compliant means of transferring clinical information to providers. She then uses scanners to upload the faxed images of the clinical documents into the patient’s

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