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| ==Overview==
| | '''Welcome to the Outpatient Primary Care Resource Page.''' Please follow the links below to find information about caring for patients in our outpatient clinics. |
| YKHC Outpatient clinics provide care for approx. 6,000 Bethel patients as well as another 22,000 patients who come in from 48 surrounding villages. The outpatient clinics are busy and provide about 45, 000 visits a year. There are three hospital based outpatient clinics that are staffed by Family Medicine, Women’s Health, OB GYN, and Pediatric physicians, PA’s and NPs. There is also a [[:Category:IM_Specialty_Clinic|Specialty Clinic]] where a variety visiting specialists, who are each scheduled ‘field clinics’ 2-6 times a year. Specialty clinics include ENT, Surgery, and Ortho physicians who provide adult and pediatric care; adult and pediatric neurologists and cardiologists as well as pediatric endocrinologist and pulmonologist clinics. Clinics are scheduled M-F 9-5pm.
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| Approximately 50% of the clinic volume is made up of village patients who have arrived by plane, boat, snow machine, river taxi, or hovercraft. Village patients often arrive early or late for scheduled appts because of plane schedules and weather etc. Village patients do not get seen often in Bethel because they have less access to our Bethel clinics due to the cost of travel, weather, work or personal responsibilities in their village. Because it is harder for village patients to get into Bethel for care, often providers will try to get as much done as possible in each visit. The other 50% of the clinic appointments are Bethel patients, who are seen more frequently and come into clinic an average of 6 times a year.
| | ==GENERAL OUTPATIENT CLINIC INFORMATION== |
| | *[[Outpatient Clinic Introduction]] |
| | *[[Outpatient: Detailed Information|Pediatric Outpatient Introduction]] |
| | *[[Clinic Workflow]] |
| | *[[:Category:RAVEN|Electronic Health Record (EHR)]] |
| | *[[Outpatient Nursing]] |
| | *[[Bethel Regional High School Clinic]] |
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| Our clinic patients are generally sicker and have a higher acuity than patients normally seen in lower 48 outpatient clinic settings. This population is highly susceptible to bacterial and viral infections. We have ten times the rate of strep pneumococcus, which leads to more septic workups in neonates and increased amounts of pneumonia for the entire Delta. There is rampant TB in villages intermittently, invasive HiB and HiA infections, MRSA boils , RSV is a huge
| | ==COMMON OUTPATIENT ENCOUNTERS== |
| Health aides in villages have already prescreened 50% of the patients seen in the Bethel Clinics and only the sicker ones have been sent on to Bethel. These sicker patients are more complex and time consuming. They often require more evaluation and treatment than other clinic patients. It is not unusual for clinic providers to function like a specialist and find themselves needing to contact several sub specialists during the day. It is important to talk to other experienced Bethel providers and consult about complicated patients.
| | *[[Clinic Appointments/Encounters|Common Outpatient Encounters]] |
| | | *[[Specific Types of Appointments and Procedural Processes|Outpatient Pediatric Encounters]] |
| *[[Job Description / Duties (clinic)]]
| | *[[Common Outpatient Procedures]] |
| *[[Required and Recommended Meetings]]
| | *[[Immunizations/Well Child]] |
| *[[Preparing For and Navigating Daily Clinics]]
| | *[[Outpatient Clinic Introduction#Medication Refills|Medication Refills]] |
| *[[Clinic Appointments/Encounters]] | | *[[Regular (Outpatient) RMT|Outpatient RMT Common Scenarios]] |
| **[[Well Visits and Follow ups]]
| | *[[Outpatient RMT Workflow]] |
| **[[#Chronic_Pain|Chronic Pain]]
| | *[[:Category:YKHC Guidelines#Outpatient Guidelines|Outpatient YKHC Clinical Guidelines]] |
| **[[Behavioral Health]]
| | *[[INTRA and INTERhospital Transfers|Admissions and Transfers]] |
| **[[Domestic Violence]]
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| **[[Ortho]]
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| **[[Procedures]]
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| **[[Women’s Health]]
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| **[[Tobacco Cessation]]
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| **[[Pre-Ops]]
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| **[[Admitting a Patient From Clinic]]
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| **[[Clinic to ER Transfers]]
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| **[[Clinic Transfer/Medevac to Other Facility]]
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| *[[Pediatric Clinics]] | |
| **[[Overview]]
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| **[[Pediatrician Specific Encounters]]
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| *[[How to Obtain Consults in Clinic]]
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| *[[Case Management]] | |
| *[[Guidelines: Outpatient Medicine]]
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| *[[Documentation (RAVEN)]]
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| *[[RMT (Outpatient/Regular RMT from main menu)]]
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| *[[Bethel Specialty Clinic/Services]] | |
| **[[Overview of What is Available]]
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| **[[How to Refer]]
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| ***[[RAVEN]]
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| ***[[e-Referrals]]
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| ***[[Paper]]
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| *[[Outside Specialty Clinics/Services]]
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| **[[Overview of What is Avaliable]]
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| **[[How to Refer]]
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| ***[[RAVEN]]
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| ***[[e-Referrals]]
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| ***[[Paper]]
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| *[[Village Trips]]
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| *[[Telemedicine]]
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| *[[Lab]]
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| *[[Radiology]]
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| *[[Pharmacy]]
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