Good letter Brian.
> From: Brian Hembling <[log in to unmask]>
> Reply-To: UVM Flownet <[log in to unmask]>
> Date: Thu, 27 Feb 2003 11:43:54 -0600
> To: [log in to unmask]
> Subject: Re: follow up visits
> What a spectacular question!
> This is something that I am keenly interested in and would go so far, as to
> say: follow-up should be done at EVERY quality oriented vascular lab.
> Lets start by agreeing that vascular disease is a chronic illness with
> complications that can be prevented with aggressive diagnostic follow up and
> treatment. However, there are a lot of patients that are lost to follow
> up.especially in a hospital based lab. So, what can a hospital based lab do
> to prevent stroke, kidney failure and amputations?
> At my Hospital, we saw the example of the Cancer Center's chronic disease
> registry. We realized that we needed chronic disease registry for vascular
> Typically patients with severe disease are referred on to a vascular
> specialist of some sort (vascular surgery, vascular medicine, cardiology
> etc.) But what happens to the patient with mild to moderate disease? That
> 40-59% carotid stenosis may not be significant now, but it should not be
> forgotten, it should be followed.
> The goals of a Vascular Disease Registry are simple:
> 1) Monitor and document the progression of Vascular Disease.
> 2) Prevent unnecessary complications of Vascular Disease.
> 2) Decrease the cost to society of treating Vascular Disease. (example: CEA
> is Cheaper that CVA)
> 4) Make General Physicians and public more aware of all types of Vascular
> Disease and the complications (amputation, stroke etc)
> For a physician or clinic based lab, follow-up can be easy, since the
> patient is usually under the treatment of the physician associated with that
> lab and they can be recalled directly by that physician.
> However, as you point out, being a hospital based lab makes follow-up more
> complex since, we cannot call the patient back. So how do hospital based
> labs get these patients followed up?
> Simply put: we send reminders to the original referring physician (whether
> is was an in-patient or and out-patient). But, it is a little more complex
> than that. First, you will need medical director support. Then you will have
> to set a follow up schedule for all different disease severity and exam
> type. Finally you will need a database that is able to generate these
> reminders, based on your criteria. It took some effort, but we basically
> have this whole process automated now with the help of Savant Data Systems:
> I hope that answers you questions.we had asked those same questions about a
> year ago, and that was our solution.
> Now, in order to avoid advertising on FlowNet, (and the flaming that would
> follow) if you have specific questions about the database that we use,
> please direct them to me privately, as I also work with the company that
> developed the Vascular Disease Registry.
> Brian P. Hembling, BS, RVT
> Technical Director;
> Baptist Vascular Center of San Antonio
> (210) 297-8603
> [log in to unmask]
> ----- Original Message -----
> From: "Connie Mccoy" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, February 26, 2003 1:38 PM
> Subject: follow up visits
>> Do you any hospital based vascular labs send follow up reminder notes or
>> postcards to patients in the mail or phone calls? If so, what methods and
>> guidelines to you use to select and notify these patinets? Do you do this
>> through the referring physicians?
>> Connie Mccoy, RVT
>> Mercy Franciscan Western Hills
>> Cincinnati, Ohio
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