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| | '''Welcome to the Outpatient Primary Care Resource Page.''' Please follow the links below to find information about caring for patients in our outpatient clinics. |
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| {|style="width: 100%; margin: auto:"
| | ==GENERAL OUTPATIENT CLINIC INFORMATION== |
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| | *[[Outpatient Clinic Introduction]] |
| |style="vertical-align:top;height:80px" colspan="4"|'''Welcome to the Outpatient Primary Care Resource Page.''' Please follow the links below to find information about caring for patients in our outpatient clinics.
| | *[[Outpatient: Detailed Information|Pediatric Outpatient Introduction]] |
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| | *[[Clinic Workflow]] |
| !colspan="3"|GENERAL INFORMATION AND ORIENTATION
| | *[[:Category:RAVEN|Electronic Health Record (EHR)]] |
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| | *[[Outpatient Nursing]] |
| !style="text-align:center; width: 25%;"|CLINICAL RESOURCES
| | *[[Bethel Regional High School Clinic]] |
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| !style="text-align:left; width: 25%;"|GENERAL CLINIC INFORMATION
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| !style="text-align:left;width: 25%;"|COMMON OUTPATIENT ENCOUNTERS
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| |style="text-align:center;width: 25%;" rowspan="2"|
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| Antibiogram
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| <br/>[[Practicing Medicine in Bush Alaska—Some ABCs|Common/Unique Medical Diagnoses]]
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| <br/>[[Forms]]
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| <br/>[[:Category:Formularies|Formularies]]
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| <br/>[[:category: YKHC Guidelines #Outpatient Guidelines|YKHC Outpatient Guidelines and Protocols]]
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| <br/>[[Policies – Clinical]]
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| <br/>[[:Category:Medical Staff Policies|Policies-Medical Staff]]
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| <br/>[[:Category:Patient Care References|Presentations and Articles]]
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| [[Outpatient Clinic Introduction]]
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| <br/>[[Clinic Workflow]]
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| <br/>[[Outpatient Nursing]]
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| [[Clinic Appointments/Encounters|Outpatient Visit Types]]
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| <br/>[[Clinic Appointments/Encounters#Procedures|Outpatient Procedures]]
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| <br/>[[:category:Radio Medical Traffic (RMT)#Regular/Outpatient RMT|Outpatient RMT]]
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| <br/>[[Immunizations]]
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| <br/>[[Outpatient Clinic Introduction#Medication Refills|Medication Refills]]
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| [[Meetings]]
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| <br/>[[Tiger Connect|Paging (TigerConnect)]]
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| <br/>[[Process Improvement]]
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| <br/>[[Outpatient RAVEN Charting|RAVEN(EHR) (Outpatient)]]
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| <br/>[[Systems Access]]
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| !colspan="3"|CLINICAL SERVICES, WORKFLOW, AND RESOURCES
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| !style="text-align:left; width: 25%;"|EMERGENCY/HOSPITAL SERVICES
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| !style="text-align:left;width: 25%;"|PRIMARY CARE SERVICES
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| !style="text-align:left;width: 25%;"|SPECIALTY CARE SERVICES
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| !style="text-align:center;width: 25%;"|SUPPORT SERVICES
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| [[Clinic Appointments/Encounters#Transferring a patient from Clinic to Emergency Dept|Transfers to Emergency Department]]
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| <br/>[[Clinic Appointments/Encounters#Transferring a Patient from clinic to Anchorage via Commercial Flight or Medevac|Medevacs and Transports from Clinic]]
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| <br/>[[SART|Sexual Abuse Response Unit]]
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| [[Audiology]]
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| <br/>[[:Category:Dental|Dental]]
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| <br/>Nurse Clinic
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| <br/>[[:Category:Optometry|Optometry]]
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| <br/>[[Pharmacy]]
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| <br/>[[Physical Therapy]]
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| <br/>[[:Category:Women's Health|Women’s Health]]
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| [[:Category:Behavioral Health#Behavioral Health Outpatient Resources|Behavioral Health (Outpatient)]]
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| <br/>[[Bethel Regional High School Clinic|Bethel Youth Clinic]]
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| <br/>[[:Category:Consults|Consults and Sub-Specialty Services]]
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| <br/>Infusion Clinic
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| <br/>[[LTC|Long Term Care (YK Elders Home)]]
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| <br/>[[:Category:Pediatrics|Pediatrics]]
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| <br/>[[Specialty Referrals#Introduction|Specialty Referrals]]
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| |style="text-align:center;" rowspan="10" |
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| [[Case Management]]
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| <br/>[[Community Relations/Translation]]
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| <br/>[[Diabetes]]
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| <br/>[[Dietary]]
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| <br/>[[Endoscopy Lab]]
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| <br/>[[Family Infant Toddler (FIT)]]
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| <br/>[[Immunizations/Well Child]]
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| <br/>[[Infection Control|Infection Control / Employee Health]]
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| <br/>[[McCann Treatment Center]]
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| <br/>[[Morgue]]
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| <br/>[[Office of Environmental Health (OEH)]]
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| <br/>[[Prematernal Home]]
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| <br/>[[Qavartarvik Hostel]]
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| <br/>[[Social Services]]
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| <br/>[[Technology]]
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| <br/>[[Tobacco Cessation]]
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| <br/>[[Women Infant Children (WIC)]]
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| <br/>[[Wound Care]]
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| <br/>'''[[Community Resources]]'''
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| | ==COMMON OUTPATIENT ENCOUNTERS== |
| !style="text-align:left;width: 25%;"|VILLAGE HEALTH
| | *[[Clinic Appointments/Encounters|Common Outpatient Encounters]] |
| !style="text-align:left;width: 25%;"|TELEHEALTH SERVICES
| | *[[Specific Types of Appointments and Procedural Processes|Outpatient Pediatric Encounters]] |
| !style="text-align:left;width: 25%;"|
| | *[[Common Outpatient Procedures]] |
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| | *[[Immunizations/Well Child]] |
| |style="width: 25%; text-align:left;"|
| | *[[Outpatient Clinic Introduction#Medication Refills|Medication Refills]] |
| [[Community Health Aide Training|Community Health Aide Program]] | | *[[Regular (Outpatient) RMT|Outpatient RMT Common Scenarios]] |
| <br/>[[:category:SRC Clinic Provider Orientation|Subregional Clinics (SRCs)]]
| | *[[Outpatient RMT Workflow]] |
| <br/>[[Village Trips]]
| | *[[:Category:YKHC Guidelines#Outpatient Guidelines|Outpatient YKHC Clinical Guidelines]] |
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| | *[[INTRA and INTERhospital Transfers|Admissions and Transfers]] |
| [[:Category:RMT|Outpatient Radio Medical Traffic (RMT)]]
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| <br/>[[:Category:Telemedicine/AFCHAN|Outpatient Telemedicine]]
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| <br/>[[Video Teleconferencing (VTC)]]
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| !style="text-align:left; width: 25%;"|DIAGNOSTIC SERVICES
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| [[Radiology|Imaging Services]] | |
| <br/>[[Lab|Laboratory Services]]
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| <br/>[[Respiratory/Cardiopulmonary Services]]
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| |}
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| ==[[:category: Radio Medical Traffic (RMT)|Radio Medical Traffic (RMT)]]==
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| 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).
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| 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.
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| 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.
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| 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.
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| 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).
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| :"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.
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| :Diagnosis: _
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| :Plan: _
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| :Please give immunizations that are due."
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| 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.
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