RE: [Histonet] Patient slide send-out

From:"Richard Cartun"

Today, patients are more educated regarding health care issues and no
longer settle for what their physician tells them.  Here in the East,
many patients want their diagnoses confirmed by major cancer centers in
New York and Boston.  Also, they may be looking for alternative
treatments.

Richard

Richard W. Cartun, Ph.D.
Director, Immunopathology & Histology
Assistant Director, Anatomic Pathology
Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596
(860) 545-0174 Fax

>>> "Molinari, Betsy"  08/23/06 6:37 AM
>>>
Just curious..why this increase in patients asking for a second
opinion?

Betsy Molinari HT (ASCP)
Texas Heart Institute
Cardiovascular Pathology
6770 Bertner Ave.
Houston,TX 77030
832-355-6524
832-355-6812 (fax)


-----Original Message-----
From: histonet-bounces@lists.utsouthwestern.edu 
[mailto:histonet-bounces@lists.utsouthwestern.edu] On Behalf Of Zajic
Kari
Sent: Tuesday, August 22, 2006 2:05 PM
To: Richard Cartun; histonet@lists.utsouthwestern.edu 
Subject: RE: [Histonet] Patient slide send-out

Richard, you are not alone! We have also seen an increase in patient
and
physician requests for "send-outs". I am not sure of charging, but I
have made a "send-out" policy for our department that all requests be
put in writing (scripts for physicians)and faxed,inform the
patient/office that it will at least be 48 hours before it can be sent
out, they must provide a shipping service account (FEDEX, UPS) or
physically pick up the slides. We have also been being charged for
these
consults by the other facility so we also inform them that if the
insurance cannot be charged, they are responsible for the bill. It
seems
to work but we do run into some problems now and again. If they cannot
provide an overnight shipping service, we will USPS mail them
certified
but that seems to take too long for their liking (here it's around a
week).
Not having enough staff to handle the sendouts is always a problem,
hence the 48 hours..helps slightly.

Kari :) 

Kari Marie Zajic HTL,MLT
Histology Supervisor
Palms West Hospital
Pathology Department
13001 State Road Eighty
Loxahatchee, Florida 33470
phone:      (561)798-6036
telefax:     (561)753-4298
voicemail: (561)753-4299
pager:       (561)610-4949
email: Kari.Zajic@HCAHealthcare.com 

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-----Original Message-----
From: histonet-bounces@lists.utsouthwestern.edu 
[mailto:histonet-bounces@lists.utsouthwestern.edu]On Behalf Of Richard
Cartun
Sent: Tuesday, August 22, 2006 2:49 PM
To: histonet@lists.utsouthwestern.edu 
Subject: [Histonet] Patient slide send-out


Our Anatomic Pathology Office is overwhelmed with requests from
patients
asking for their pathology slides to be sent to another medical
institution (for second opinion, additional surgery or therapy, etc.).

Is it legal to charge patients for this service?  We don't have the
personnel to handle these requests in a timely fashion and we can no
longer afford to "eat" the shipping costs.  Thank you.

Richard

Richard W. Cartun, Ph.D.
Director, Immunopathology & Histology
Assistant Director, Anatomic Pathology
Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596
(860) 545-0174 Fax


                                        


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