Writing a Procedure
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This procedure should include the following:
• Inform the patient of results of all tests/diagnostic procedures. Do not tell patients to “presume” all is well if they do not discover from your office. You can ask the patient to call you at the suitable time to obtain results, but failure of the patient to call you does not assist your office of the responsibility to report results to the patient.
• You may ask Appointment schedulers should have the possibility to track over time the quantity of reschedules and failure to follow-up a patient has had. Computer scheduling has the possibility to track this information so that it is accessible to the scheduler when the patient calls to abrogation, reschedule, or make an appointment. In this way, the healthcare provider can be warned that the patient has not returned at the right time.
• Timetable follow-up appointments for patients prior to the patient’s leaving the office. If the patient says he/she will call later, mention it in the patient record. Persuade the patient, if possible, to make the appointment prior to leaving, even though the patient may need to reschedule later.
• Evolve an office procedure for follow-up. Some offices have a permanent policy for follow-up on certain classes of patient (for instance all postop patients, all patients appointed for follow-up of abnormal Pap Tests, all patients on anticoagulants). Procedures may involve follow-up by telephone initially, first written notification, second written notification, third written notification sent by confirmed as well as regular mail. If confirmed mail is returned undelivered, persist efforts to contact patient.
• Removal from care may be in the best concern of both your patient and yourself, if patient insubordination with follow-up or treatment interferes with your possibility to provide care.
All staff should receive a copy of the procedure manual and sign an avowal of receipt and understanding of the procedures. The procedure should be kept in the personnel file.
Works Cited
Humphrey, Doris. “Contemporary Medical Office Procedures.” Delmar Cengage Learning. 15 Aug. 2003.
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