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Here in Hamilton, we now have widely disparate methods of communicating results of mammograms – EMR dowmload of report, EMR download of mammogram header with no report, paper report- typed from OBSP, paper report – handwritten from OBSP.
I can show you examples of all these I have received recently.
There needs to be an absolute consistent way of reporting mammograms, including capacity to report electronically, as we use our EMR in our office to carry out Quality Initiatives and monitor who and who has not had a mammogram, in order to ensure women get the testing they need.
Grey Bruce Health ServicesI would like to see the Non-OBSp cases funded through the Breast Assessmant Program as the OBSP clients are. These clients make up the majority of Breast Assessment clients.
I’m not sure how the facility lead role will roll out in light of the fact that we only have 3 reading radiologists who each receive a fair amount of time off and at this point I have no idea who would want this role and is there payment for the role?
There seems to be aneed for better communication from the regional Hub sites to the facility as often a memo is sent and when asked for clarification that regional person doesn’t know/understand the memo either.
I think that the idea of breast imaging shared into a provincial repository is an excellent idea, however, I believe it will tak a very long time to implement.
Simple solutions which need to be implemented
1) all breast radiologists must do ultrasound guided biopsies, no more IHFs dumping their uncertainty and work on the hospital.
2) all IHF clinics must provide sufficient unique patient identifiers on CD images to allow importation into hospital PACS. This is basic need to enable image identification.
3) all breast imaging reports must follow standard reporting practice. Currently IHF reporting can be grossly substandard.