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

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

• DEXA

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 hours, 503-331-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.

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.

Interstate

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