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CSMC Successfully Implements Veriphy

Department of Imaging is First to Use New Critical Test Management System

By Barry D. Pressman, M.D.
Chair, Department of Imaging

Veriphy, the critical results reporting system, has been successfully rolled out to the CSMC medical staff, with over 45 percent enrollment. It is our goal to have 100 percent participation by the end of the year. The feedback received from those of you who have used the system has been overwhelmingly positive.

We have listened to your suggestions and have responded with some changes to our notification categories:

Red - Critical result that requires immediate attention

Orange - Wet Reads, both positive and negative findings

Yellow - Significant abnormalities as well as incidental findings. After the initial notification, subsequent notifications will now go out daily for four days.

Please be aware that if the initial notification is not retrieved, the second and subsequent notifications will alert back-up devices listed on your profile. In addition, Vocada Support will begin making live outbound calls directly to your office. If the answering service answers, instructions will be left with them on how to retrieve the message.

If you have any questions, I would appreciate an e-mail to: PressmanB@cshs.org. Thank you for your assistance.

For more detailed information on how Veriphy works, including changes to Yellow notification times, please see below:

How Veriphy Works:Veriphy creates a direct messaging channel between the S. Mark Taper Foundation Imaging Department and the ordering physician. Each ordering physician chooses how he or she wants to be notified of critical test results:

  • Pager
  • Cell phone text message
  • Fax and/or e-mail
  • Or any combination of alert devices preferred by each physician
Veriphy routes a text-alert in real-time, based on the physician's alert preferences, with a callback number and a 6-digit message I.D. This allows the ordering physician to access a voice message containing a report of the finding from the Imaging Physician who interpreted the study, in his or her own voice.

An alert might read "Critical Result sent by Dr. Pressman from the Imaging Department. Please call 888-555-1212 and enter the access code 123456 to retrieve the result."

The alert devices are as follows:

  • Red/Critical Result - primary device is a pager or a cell phone text message and the back up device is a fax. The first notification will be sent immediately, with subsequent notifications every 10 minutes for 40 minutes. These notifications will be sent during evenings and weekends if necessary.
  • Orange/Wet Read - primary device is a pager or a cell phone text message and the back up device is a fax. The first notification will go out immediately, with the four following notifications at hourly intervals. These notifications will be sent during evenings and weekends as they arise. They will include both positive and negative wet reads.
  • Yellow/Incidental Finding - the recommended primary device is a fax or e-mail. The first notification will go out immediately, with four more notifications every day for four days. These notifications will not go out from 6 p.m. - 8 a.m., or on the weekends.
Veriphy will first contact the primary device. If the message is not retrieved after the second attempt, the system will automatically escalate to alternative contact methods, including contacting your office by phone. If the communication is still not retrieved following escalation to the back up devices, the Imaging Department will be notified and will activate a "failsafe" procedure to ensure that the critical test results are communicated as quickly as possible.

Every physician on staff at Cedars-Sinai Medical Center has now been contacted and asked to complete and return a Veriphy Profile sheet. Your timely cooperation in this important project is greatly appreciated. If you have not received a profile by fax, please contact George Depaolis at (310) 423-2709 or via e-mail at depaolisg@cshs.org.