ED Rounds – Ortho Clinic Pathway
ED Rounds Presentation by Dr Paul Keyes
A personal perspective on system review and pathway re-engineering…
Rationalization of Process
- Every consult is entered by ERP into I3 and printed to accompany copy or ED chart and is placed in clinic book, with a patient sticker placed on clinic appointment sheet.
- Non-urgent consults are faxed to orthopedic surgeons offices for triage and cue placement with all other primary care referrals
- If subspecialty specific consult requested, then this is faxed to the orthopod of choice’s office. If urgent, then the orthopod on call will sort/laterally refer consult in clinic that week
Outcomes
- Collaborative approach ED and ortho
- Single process for all orthopedic referrals
- Identical sorting of: In ED, Clinic, Ortho office/subspecialty referrals
- Legible, billable consults
- Timely and appropriate consultations/assessments
- Orthopod flexibility as to site of consultation/clinic
- Appropriate chain of responsibility from Consult to consultant evaluation
