Data Entries
| Entry ID | Yes | No | Not applicable | Unknown |
|---|---|---|---|---|
| Entry ID | Yes | No | Not applicable | Unknown |
Documented entries:
( TOTAL YES / APPLICABLE QUESTIONS)*100% = %
Opportunity to find practice gaps:
( TOTAL NO / APPLICABLE QUESTIONS)*100% = %
You have indicated the following entries as not applicable:
entries
See below to find which questions can give you insights about choosing your opportunity for your PPIP activity
( TOTAL YES / APPLICABLE QUESTIONS)*100% = %
Opportunity to find practice gaps:
( TOTAL NO / APPLICABLE QUESTIONS)*100% = %
You have indicated the following entries as not applicable:
entries
See below to find which questions can give you insights about choosing your opportunity for your PPIP activity
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Is there an process/procedure for establishing patient triage?
Did the referring healthcare provider receive acknowledgement of this consultation request within 7 days of your office receiving it?
Did the referring healthcare provider receive the decision to accept or deny the consultation request within 14 days of your office receiving it?
Did the referring healthcare provider receive a written consultation report or discharge summary within 30 days from the date of consult? (Please note that posting the consultation letter to Netcare or Connect Care does not constitute fulfillment of this requirement.)
The Consultation Report includes history and purpose of the referral?
The Consultation Report includes: a past and current medical history
The Consultation Report includes: Medications prescribed
The Consultation Report includes: Allergies
The Consultation Report includes: a physical examination
The Consultation Report includes: diagnostic conclusions or differential diagnosis
The Consultation Report includes: treatments/investigations initiated
The Consultation Report includes: medications prescribed
The Consultation Report includes any specific recommendations for required follow-up by the referring healthcare provider
The Consultation Report includes specific recommendations for required follow-up by the consultant
The Consultation Report includes specific recommendations for referral to other consultants
Is there a process to track referrals made to additional consultants initiated by your office?
The Consultation Report includes any other advice given to the patient
Does the patient have access to you, your team or a contracted service provider (other than patient self-referring to an alternate facility) for advice outside of clinic hours ?
