03/11/2026
Update (1:20 PM):
I received a call a little while ago, from WGH, who informed me that it was desired by most of WMG providers to NOT get flooded with labs they didn't order. As of January 2026, the EMR was reprogramed such that P*Ps were no longer getting CC'ed on labs they didn't ordered.
When labs get CC'ed to a P*P, it helps keep them in the loops, and occasionally can see a pattern based on my data point when the specialist would otherwise only have one data point. And they may start picking up on early signs of danger, before it leads to an ER visit or a hospitalization.
I made the request to program it such that I would still get CC'ed on my patients' labs, but this was flat out denied. Ultimately it is NOT legally required that the P*P be CC'ed in the lab results in the state of PA, so I will have to think of work-arounds to help keep my patients safe.
One idea is faxing a gentle request to all providers that
1.) please send office visit note to me
2.) please send any related imaging and lab results to me.
Both can be faxed to 814 757 4310
And hope for the best. This relies on a professional courtesy by the ordering provider. Some providers with whom I form strong bonds has already been doing this without fail
-Dr Le
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“To whom it may concern,
I'm coming to discover that despite being listed as a patient's P*P, I no longer get CC'ed in their lab results whenever the labs are drawn on an outpatient basis; this was discovered incidentally, so this means all those other labs meant to be CC'ed to me I wouldn't even be aware of. This is next-level poor continuity of care I've never experienced from any hospital at any time point.
I get the sense that things falling through the crack are inadvertent and ultimately roots from systemic failure. However, a break in continuity of care is dangerous no matter how we try to dress it up. Please put yourself in the patient's perspective or their loved one. Telling them 'but, but we didn't mean it" doesn't make their deceased one... any less dead.
I understand that identifying the specific problem, and then implement a fix takes time... I hope we don't all have blood on our hands before we are able to get on top of this.
Please acknowledge that you have been made aware of this.
Sincerely,
Dr Le”