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Review of Diagnostic Test Results and Notification to Patients (8.01)

Review of Diagnostic Test Results and Notification to Patients (8.01) - Policies, Clinical, UWHC Clinical, Department Specific, Ambulatory, Patient Care

8.01

8.01 Review of Diagnostic Test Results and Notification to Patients  
Category:  UWHC Departmental Policy   
Policy Number:  8.01    
Effective Date:  October 22, 2014   
Version:  Revision    
Manual:  Ambulatory    
Section:  Patient Care (Ambulatory)   
 
 
I. PURPOSE

To establish a process for the health care provider or their designee to review results and notify patients of
diagnostic test results.

II. POLICY
A. Diagnostic results are directed to either the ordering provider or the Clinical Results Pool for review.
B. A designee of the Clinical Results Pool will consult with the ordering provider or their designate for all
abnormal results, as defined by laboratory ranges or by clinical relevance.
C. A designee of the Clinical Results Pool may initiate a patient notification letter, call a patient, or send
MyChart message with any normal results. They may do this for abnormal results once direction is
received from the ordering provider or their designee.
D. All results will be communicated to the patient per the Ambulatory Service Standards.
III. PROCEDURE
A. Each physician/provider is responsible for reviewing test results and notifying the patient of the results
and any needed changes in therapy in a timely way. The physician/provider may delegate the review of
results to a qualified health care team member who may also assume the responsibility of notifying the
patient based on the physician/provider direction.
B. Abnormal laboratory values designated as "critical" will be communicated to the ordering health care
provider or their designee immediately by the laboratory staff. (See UWHC Administrative Policy 8.07 -
Critical Results and Critical Tests/Procedures, Communication of)
C. Abnormal results and any changes in the plan of care should be communicated to the patient as soon as
possible.
D. Documentation of notification will be made in the patient's electronic medical record (EMR) by the person
notifying the patient.
E. Patients may be notified in person, by direct phone call, or using one of the following forms: letter,
dictated note, or other approved system.
F. When it is necessary to communicate with the patient outside of the clinic setting, please follow UWHC
Administrative Policy 6.24 – Communication with Patients Outside of the Clinical Setting.
G. Clinic-specific processes for review of diagnostic test results and patient notification may be added to this
Policy if needed to define a specific process.
IV. REFERENCES

UWHC Administrative Policy 6.24 - Communication with Patients Outside of the Clinical Setting
UWHC Administrative Policy 8.07 - Critical Results and Critical Tests/Procedures, Communication of
Ambulatory Service Standards


V. REVIEWED AND APPROVED BY

Ambulatory Policy and Procedure Committee
Clinics Administration

SIGNED BY

Karen Leimkuehler, RN, MS, Clinic Operations Director