Ikonopedia Follow-up Manager Guide
· From the Ikonopedia worklist
o For user roles other than Admin
o Click the “Gear” icon (upper right corner next to your name)
o Click “Follow-up Manager” option
· If signed in as Admin
o Click “Follow-up” on the navigation bar
o Recommendations, based on BI-RADS (some customized), are created, and tracked
o Steps (aka: Ticklers) are for tracking the scheduling attempts and/or reminder letters
o Duration of time is set up between steps that will prompt when the next “tickler” needs attention
o Duration of time is dependent on the BI-RADS, and customizable (examples below)
· BI-RADS-1/2 and BI-RADS-3 Tabs
o Recommendations will appear under the tab 30 days prior to when the exam is due
o Recommendations appear under the tab(s) immediately after a report is signed
o Immediate duration means the recommendation stays on the list until steps are completed or the recommended follow-ups are reported and signed
o Pathology ticklers are created when a signed report is given a BI-RADS 4/5 for biopsy
o Ticklers will be “auto-completed” when pathology results are entered into the “Resolution Manager” and an addendum added to the procedure report with the results
o Print patient result letters (one step - see separate workflow guide)
o Can print individually, by “Batch” printing, or IF configurable, by a printing service
· Ref-Doc Notify Tab
o Communicate results/report to the referring doctor
o Can print individually or by “Batch” printing
o Can be disabled if the printing of reports is done through RIS/PACS
· Configuration options for completing recommended follow-up exams
o Complete steps manually but the follow-up signed report will auto complete the ticklers
o The exam is scheduled with an order received auto completing the ticklers
Note: if patient cancels or is a no-show the tickler(s) become “active” again
· Working through steps/ticklers
o Highlight the patient’s recommended follow up(s) under the BI-RADS tab
o Click on the “number” under the “Step #” column
o Steps will vary per patient and per BI-RADS
o Can add status options and/or notes by clicking the drop-down arrow or note icon
o Steps to be completed in order until overall “auto completion” happens
o Once overall completed the follow-up recommendation(s) will be removed from the list
o The “Step #” will also update
o Depending on the tickler’s duration, it may drop from or remain on the list
o Depending on the customers configuration, steps will overall complete with signed reports and/or scheduled exams
o All efforts have been exhausted to bring the patient back for the recommended follow-up
o Patient refused service, moved away, went to another facility, or patient deceased
o Add a note for reason of “Lost to Follow-up” at the most current step and/or within the last step “Lost to Follow-up” option
o If not already done so, check all “Completed” boxes to include the “Lost to Follow-up” box
o Lists will refresh when you return to or update “Follow-up Manager”
· If the patient is “Lost to Follow-up” before previous steps are completed
o Complete the most current step with a note
o Check “Completed” column boxes for remaining steps in order
o Add same note to the final or “Lost to Follow-up” step
o Can add a status or “Flag” to a recommendation to keep “watch” over
o Will remain under both the BI-RADS and the “Watch” tab until completed
o Up to the customer to add the meaning or significance for each flag color