Difference between revisions of "Category:Outpatient"

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[[:Category:RMT|Outpatient Radio Medical Traffic (RMT)]]
 
[[:Category:RMT|Outpatient Radio Medical Traffic (RMT)]]
 
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<br/>[[:Category:Telemedicine/AFCHAN|Outpatient Telemedicine]]
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[[Clinic Appointments/Encounters|Outpatient Visit Types]]
 
[[Clinic Appointments/Encounters|Outpatient Visit Types]]

Revision as of 10:49, 12 June 2019

Welcome to the Outpatient Primary Care Resource Page. Please follow the links below to find information about caring for patients in our outpatient clinics.
GENERAL INFORMATION AND ORIENTATION
CLINICAL RESOURCES
GENERAL CLINIC INFORMATION

Antibiogram
Common/Unique Medical Diagnoses
Forms
Formularies
YKHC Outpatient Guidelines and Protocols
Policies – Clinical
Policies-Medical Staff
Presentations and Articles

Outpatient Clinic Introduction
Clinic Workflow
Outpatient Nursing

Meetings
Paging (TigerConnect)
Process Improvement
RAVEN(EHR) (Outpatient)
Systems Access

CLINICAL SERVICES, WORKFLOW, AND RESOURCES
EMERGENCY/HOSPITAL SERVICES PRIMARY CARE SERVICES SPECIALTY CARE SERVICES SUPPORT SERVICES

Transfers to Emergency Department
Medevacs and Transports from Clinic
Sexual Abuse Response Unit

Audiology
Dental
Nurse Clinic
Optometry
Pharmacy
Physical Therapy
Women’s Health

Behavioral Health (Outpatient)
Bethel Youth Clinic
Consults and Sub-Specialty Services
Infusion Clinic
Long Term Care (YK Elders Home)
Pediatrics
Specialty Referrals

Case Management
Community Relations/Translation
Diabetes
Dietary
Endoscopy Lab
Family Infant Toddler (FIT)
Immunizations/Well Child
Infection Control / Employee Health
McCann Treatment Center
Morgue
Office of Environmental Health (OEH)
Prematernal Home
Qavartarvik Hostel
Social Services
Technology
Tobacco Cessation
Women Infant Children (WIC)
Wound Care
Community Resources

VILLAGE HEALTH TELEHEALTH SERVICES COMMON OUTPATIENT ENCOUNTERS

Community Health Aide Program
Subregional Clinics (SRCs)
Village Trips

Outpatient Radio Medical Traffic (RMT)
Outpatient Telemedicine
Video Teleconferencing (VTC)

Outpatient Visit Types
Outpatient Procedures
Outpatient RMT
Immunizations

DIAGNOSTIC SERVICES

Imaging Services
Laboratory Services
Respiratory/Cardiopulmonary Services

Medication Refills

Medication refills are part of your daily clinic responsibilities.

Request for refills will arrive in your Message Center in PowerChart/FirstNet. Our pharmacists have a medication refill protocol that will allow them to refill meds for 6 months if they meet certain criteria, as well as allow them to order labs in your name for your review. Please review the labs and if able, give 6-11 months of refills.

If a controlled medication is ordered, and the provider has access to the EPCS (Electronically Prescribed Controlled Substances), the process will be paper-less. Providers without access to EPCS (locums), will need to print the prescription, sign it, and deliver it to pharmacy.

Currently we are rotating C2 refills through outpatient providers with assistance from pharmacists checking PDMP. If someone is on vacation, you may be asked to refill medications for patients from their panel. Please review the patient's labs and refill them as needed. If they are on a chronic pain agreement, please refill them as well. Part of our obligation in doing a pain agreement with a patient, is that when that provider is out, someone will fulfill their agreement and refill their pain medications.

At times, when doing RMTs with the villages, you may need to order medication refills. Once you have verified that it is appropriate for them to get the refill, order it in PowerChart/FirstNet by right clicking over the medication.

Radio Medical Traffic (RMT)

In the villages, patients are taken care of mostly by Health Aides (HAs) who consult with their assigned outpatient providers when patient care falls outside of their standing orders or expertise. These communications are called RMT’s (Radio Medical Traffic).

RMT’s are sent in by Health Aides through PowerChart/FirstNet where they come into message centers under the Proxies Tab as panels (i.e., Chronic Peds, Emergency, Kusko or Yukon). These proxies are set up for providers by IT, usually as part of the initial onboarding process.

At any given time there are assigned providers (some internal at YKHC and some remote providers) for each panel who will review the cases submitted and either discuss the care plan with the Health Aide via telephone, or send back the form with assessment/instructions. They will read the encounter, review orders from the appropriate power plan, modify the orders as needed, submit an addendum to the encounter with their plan, and send it back to the Health Aides.

Emergency cases who need Medevac or immediate attention to Bethel, are called in to the on-call Ward Docs in North Wing and sent to the Emergency Proxy panel.

When Telemed (media files) are reviewed as part of the RMT, providers should add a charge by selecting the order "Telemed Consult Level 1" and insert "..rmtmediareview" autotext (sampled below).

"Appreciate the photos of the _ that were sent to the Bethel provider so that the Health aide could get some help with the diagnosis and treatment plan.
Diagnosis: _
Plan: _
Please give immunizations that are due."

For more details about the process of RMT, urgent RMT, emergency RMT, and different scenarios, click on the Radio Medical Traffic Link at the top of this section.

Pages in category "Outpatient"

The following 5 pages are in this category, out of 5 total.