The Diagnostic Center program facilitates the delivery of care traditionally rendered in hospital in an enhanced ambulatory setting. This has required the development of new, and the modification of old, concepts and systems of patient flow, documentation, registration, scheduling, and communication. Diagnostic Center personnel were originators of ideas, creators of some of the systems, and "beta testers" of these changes. We aspire to combine the best of traditional methods (e.g. interviewing, physical examination, telephone follow-up to parents, pre-visit planning) with the enhancements of current technology (e.g., FAXed pre-visit records, electronic medical records, rapid transcription and on-line editing, literature searches and feedback to in-house consultants and referring physicians). We evaluate almost 400 patients per year in the center. The ten most common presenting complaints:
- Pain
- Fatigue
- Rash
- Growth
- Spells
- Multiple organ symptoms
|
- School absenteeism
- Vomiting
- Fever
- Abnormal test
- Complex illnesses, second opinion
|
Coordination of other physician consultation services is required in 40% of the patients seen, and 10% become long-term patients of one or more pediatric subspecialty and/or surgical groups in our institution.
The Diagnostic Center program facilitates the delivery of care traditionally rendered in hospital in an enhanced ambulatory setting. This has required the development of new, and the modification of old, concepts and systems of patient flow, documentation, registration, scheduling, and communication. Diagnostic Center personnel were originators of ideas, creators of some of the systems, and "beta testers" of these changes. We aspire to combine the best of traditional methods (e.g. interviewing, physical examination, telephone follow-up to parents, pre-visit planning) with the enhancements of current technology (e.g., FAXed pre-visit records, electronic medical records, rapid transcription and on-line editing, literature searches and feedback to in-house consultants and referring physicians). We evaluate almost 400 patients per year in the center. The ten most common presenting complaints:
- Pain
- Fatigue
- Rash
- Growth
- Spells
- Multiple organ symptoms
|
- School absenteeism
- Vomiting
- Fever
- Abnormal test
- Complex illnesses, second opinion
|
Coordination of other physician consultation services is required in 40% of the patients seen, and 10% become long-term patients of one or more pediatric subspecialty and/or surgical groups in our institution.