Kaiser

Internal Links

• Reimbursement
• Training
• HR
• Imaging Sharepoint
  • Imaging Phone List

Rotations

• KP Rotations
• Weekend Reads Update 5/29/25

Institutional Guidelines

• Iliac Artery Aneurysms
• US Update 6/2025

PACS

• Command line application `swe` can completely kill the application if it freezes.

Up To Date

• Login via Epic to accrue CME

Kaiser Radiology

• KP Rotations
• Imaging Sharepoint
• QC Form

Track Recs

Some report templates contain specific codes embedded in fill-in fields that trigger entries in databases to ensure appropriate follow-up, but this is not apparent in the macro. The pertinent system macros are:

• "yellow dot" - triggers follow-up of an incidental finding that could be cancer. Encouraged to use the "FollowUp" icon at the top of powerscribe to input specific recs.
• "red dot" - same as "yellow dot" but in cases that are definitely cancer.
• "yellow dot not" - removes a yellow dot case from the track recs system.
• "red dot not" - removes a yellow dot case from the track recs system.
• "AAA" - just contains "AAA" at the very top of the report, which triggers follow-up. The macro also contains recommendations specific to Kaiser, but these are not necessary for the Track Recs system.
• "Lung Rads" - this macro is included at the end of the system LDCT Screening macro and contains necessary codes.

For reference, the embedded codes are put in fill-in fields like so:

Powerscribe Findings Codes

Picky System Templates and Reporting

Some providers have strong preferences about report format. Those reports include:

• DEXA

Calling severe coronary arterial calcific atherosclerosis triggers cardiology consultation (according to Chip Robertson, cardiology lead)

Overnight Prelims

• All over-reads go to the RTMC in-basket. So, unless a discrepancy is extremely time-sensitive, you probably don't need to call them about it. It'll be reviewed.
• If there is a major discrepancy and the ordering provider is not available, the RTMC line is the appropriate resource.

Incidental Follow-up

• See the Track Recs section above
• Incidental findings require follow-up are handled with "yellow dot" (possible cancer) and "red dot" (definite cancer).
• The yellow dot case autotext will flag the study so that administrators ensure the patient gets follow-up.
• The yellow dot can be removed on a subsequent exam with a different autotext.
• The red dot autotext will flag the finding as definitely cancer and (presumbably) trigger referrals.
• There is also a "blue flag" in Powerscribe that helps "yellow dot" cases.

Nuclear Medicine

• Procedure Manual

Workflows

Coronary CTA

Logistics

• TIE Lines
  • Sunnyside: 31-XXXX in house, 503-571-XXXX from outside
  • Westside: 24-XXXX in house, 971-310-XXXX from outside
  • Interstate: 16-XXXX in house, 503-331-XXXX from outside
  • Salmon Creek: 69-XXXX in house, 360-571-XXXX from outside
  • Longview-Kelso: 23-XXXX in house, 360-575-XXXX from outside

Imaging Services

Imaging Phone Directory

See Outlook or Teams for additional contact information.

• PACS Support Line - For workstation, PACS software, or desk help
• File room - For questions about studies and worklists
• IT Tie Line - Overall KP IT

Policies and Practices

FAQ on FTE and Leave

• Tumor Boards
  • Worklists are in the "Workqueue List" in Epic. There are many, and you'll have to search for them. Here are two examples:
    • Chest Conference: ID 71818, Name ONC CASE CONF CHEST/THORACIC
    • GI Tumor Board: ID 71810, Name ONC CASE CONF GI
  • Compensated by removing studies from your worklist for the day. There's a precedent for 10 CTs for a tumor board. I asked for 6 PETs for a tumor board on my NM days.
    • Helwig clarified that the precedent/agreement is that hours of work should translate to Ws. So, if prep+conference takes 4 hours, that'd be 0.5 W worth of work off the list.
• Call Bonus
  • After 60 CT+MRI studies on Reg Call shifts, additional studies can be claimed for SRs.

Scheduling

Lightning Bolt

Requests are closed for the next unassigned month as it is being built. Radiologists should be available for 2 Fridays, 2 Saturdays, and 2 Sundays per month to facilitate scheduling.

Extra compensation:

• Log shift in Lightning Bolt with "Create Fill"
• Assignment: EXTRA COMP
• Custom Time: 4 hours for every W (make sure it doesn't overlap with a shift worked that day)
• Reason: 2 EXTRA CLINIC
• Location: Wherever it was worked (usually home)
• Notes
  • If consulted regarding a specific patient, put MRN in
  • If just an extra stack, put in "1W - SR READS"

Requests predominantly first come first serve except time around major holidays (Spring Break, Thanksgiving, Christmas)

Request Codes

• EDU ALL DAY - Educational Leave (2 weeks/year for 0.9 FTE)
• OUT OF OFFICE - Self Care
  • Must include "Reason" field as 0 SELF CARE
• VAC PTO ALL DAY - PTO

Determining remaining PTO, EDU leave, and Self-Care days

• Workdays are 9 hours, so figuring the number of self-care days and educational leave remaining based on what's in the pay statement requires that conversion.
• Don't forget to look ahead in the schedule to determine how many have been requested but not accounted for on payroll.

Facilities

Sunnyside (SMC)

• Physician parking is on the roof of the parking garage
• There are other physician parking areas (see the facility map)
• The physician lounge is near 3 South. Go up the F elevator or stairs and the door is nearby.

Westside (WMC)

• Physician parking is on the top floors of the garage (4 and up).

Interstate

• Physician parking is on the bottom floor of the garage.