Category:Outpatient: Difference between revisions

From Guide to YKHC Medical Practices

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[[:Category:RMT|Outpatient Radio Medical Traffic (RMT)]]
[[:Category:Radio Medical Traffic (RMT)|Radio Medical Traffic (RMT)]]
<br/>[[:Category:Telemedicine/AFCHAN|Outpatient Telemedicine]]
<br/>[[:Category:Telemedicine/AFCHAN|Outpatient Telemedicine]]
<br/>[[Video Teleconferencing (VTC)]]
<br/>[[Video Teleconferencing (VTC)]]

Revision as of 18:20, 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 COMMON OUTPATIENT ENCOUNTERS

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

Outpatient Visit Types
Outpatient Procedures
Outpatient RMT
Immunizations
Medication Refills

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 DIAGNOSTIC SERVICES

Community Health Aide Program
Subregional Clinics (SRCs)
Village Trips

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

Imaging Services
Laboratory Services
Respiratory/Cardiopulmonary Services

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.

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