Harbor:Options for follow-up (peds) - Revision history

Kyoung: /* Can be seen at Harbor */

2018-04-14T05:31:53Z

Can be seen at Harbor

← Older revision		Revision as of 05:31, 14 April 2018
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	*For subspecialty clinics where the patient can wait > 2 weeks		*For subspecialty clinics where the patient can wait > 2 weeks
	**If empaneled to DHS, refer patient back to their PMD to get subspecialty referral, including for MRI		**If empaneled to DHS, refer patient back to their PMD to get subspecialty referral, including for MRI
	***Patients empaneled to Harbor Dept of Pediatrics can call 222-1225 or 222-1227 for ~~a same day~~ appt		***Patients empaneled to Harbor Dept of Pediatrics can call 222-1225 or 222-1227 for an appt within 1-5 days
	***Patients empaneled to Harbor Dept of Pediatrics who ~~just~~ want to schedule an appt ~~(not same day)~~ can call 222-1220		***Patients empaneled to Harbor Dept of Pediatrics who want to schedule an appt > 5 days can call 222-1220
	***Patients empaneled to Lomita FM can call 310-534-7600		***Patients empaneled to Lomita FM can call 310-534-7600
	**If DHS eligible but not empaneled to a DHS provider, give patient a Community Health Partners handout to obtain a PMD and then a referral		**If DHS eligible but not empaneled to a DHS provider, give patient a Community Health Partners handout to obtain a PMD and then a referral
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	**Else, call OB/Gyn for f/u or send to Gyn urgent care within a few days		**Else, call OB/Gyn for f/u or send to Gyn urgent care within a few days
	*For regular pediatric well-child care		*For regular pediatric well-child care
	**~~Family medicine has given us a few slots per day to assign kids to their clinic~~		**If DHS empaneled but no PMD, have patient call 222-1220
	***They would like actual kids though - ~~please don't put adults seen in PED into these slots~~		**If DHS eligible but no PMD, give Community Health Partners handout
	**If ~~not OOP~~, ~~clerk can book Pediatric Primary Care Clinic 1st Appointment~~		**For adults 18yo and older needing primary physician, go to pemsource.org, Harbor only page, Patient handouts, and print the appropriate page of "PCP Referral 18-20 years" handout
	***Do not give 20 year olds this type of appointment
	*For adults 18yo and older needing primary physician, go to pemsource.org, Harbor only page, Patient handouts, and print the appropriate page of "PCP Referral 18-20 years)" handout

	[[Category:Admin]]		[[Category:Admin]]

Kyoung: /* "OOP" (Out-of-plan) */

2018-04-14T00:08:54Z

"OOP" (Out-of-plan)

← Older revision		Revision as of 00:08, 14 April 2018
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	**Utilization review may be trying to get authorization for select patients		**Utilization review may be trying to get authorization for select patients
	***IF you have authorization at the time of ED discharge, then you can make an appointment for an OOP patient in an authorized Harbor clinic		***IF you have authorization at the time of ED discharge, then you can make an appointment for an OOP patient in an authorized Harbor clinic
	*~~An orange sheet with the~~ OOP patient's health plan information and primary physician assigned / contact information is available from registration		*OOP patient's health plan information and primary physician assigned / contact information is available from registration
	**~~Look for it in the accordian file near~~ the ~~PED clerk~~		**It is on the Cerner ED Summary page under Additional Patient Information
	**~~If not there, ask the registration staff for it~~		**It often is printed automatically as part of the patient's discharge summary
	**You can give this sheet to the patient / family		**We no longer have orange and green sheets from registration
	*The OOP primary physician and contact information will also be automatically ~~printed on~~ the patient's discharge ~~paperwork in many cases~~
	*If subspecialist referral is needed, consider giving the patient/parent a copy of the subspecialist's consult note to take to their PMD		*If subspecialist referral is needed, consider giving the patient/parent a copy of the subspecialist's consult note to take to their PMD
	*For patients with imaging studies, ask the nurse/clerk to please have them placed on a CD to give to the patient/parent		*For patients with imaging studies, ask the nurse/clerk to please have them placed on a CD to give to the patient/parent

Kyoung: /* Can be seen at Harbor */

2018-04-14T00:03:44Z

Can be seen at Harbor

← Older revision		Revision as of 00:03, 14 April 2018
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	***Click "Schedule Follow-up Appointment" to make the star appear on the track so the clerk knows to schedule an appointment		***Click "Schedule Follow-up Appointment" to make the star appear on the track so the clerk knows to schedule an appointment
	*For subspecialty clinics where the patient can wait > 2 weeks		*For subspecialty clinics where the patient can wait > 2 weeks
	**~~Use the ED Post Visit Plan~~, ~~click Referral~~, ~~and type in what type~~ of ~~referral is needed and why~~		**If empaneled to DHS, refer patient back to their PMD to get subspecialty referral, including for MRI
	***~~The pediatric NPs will put in~~ an ~~eConsult~~		***Patients empaneled to Harbor Dept of Pediatrics can call 222-1225 or 222-1227 for a same day appt
	**~~For patients needing an MRI first and then subspecialty referral~~, ~~get the~~ patient a ~~primary care provider~~ to ~~order the MRI (see below for how)~~		***Patients empaneled to Harbor Dept of Pediatrics who just want to schedule an appt (not same day) can call 222-1220
	*For short term follow-up of a specific condition (eg wound check, asthma or pneumonia recheck, suture removal)~~, can use Acute Care Follow-up Clinic~~		***Patients empaneled to Lomita FM can call 310-534-7600
	**~~Put in~~ for ~~the~~ appointment ~~using "Follow-up Date" on the Depart Process: free text "Peds Acute Care Follow-~~up ~~Clinic"~~		**If DHS eligible but not empaneled to a DHS provider, give patient a Community Health Partners handout to obtain a PMD and then a referral
	***Click the "Schedule Follow-Up Appointment" pencil during the discharge process to ~~put~~ a ~~star on the track~~, ~~letting the clerk know~~ to ~~make an appointment~~		*For short term follow-up of a specific condition (eg abd pain recheck, wound check, asthma or pneumonia recheck, suture removal)
	**~~Patients can be seen in follow~~-up ~~clinic Monday through Friday (non-Holiday) during the day~~		**If empaneled to DHS, have patient call for a same day appointment to follow up
			**If DHS eligible but not empaneled to a DHS provider, must advise patient to return to ED for follow-up
			**There is no longer an Acute Care Follow-up Clinic
	*For pregnant patients		*For pregnant patients
	**OB intake appointment can be given to establish OB care if there are no significant medical issues		**OB intake appointment can be given to establish OB care if there are no significant medical issues

Kyoung: Added re: authorization

2017-12-02T00:30:17Z

Added re: authorization

← Older revision		Revision as of 00:30, 2 December 2017
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	**Patients seeing the subspecialty service the next morning (still within 24 hours of ED visit) can be discharged home to follow up in the appropriate subspecialty clinic		**Patients seeing the subspecialty service the next morning (still within 24 hours of ED visit) can be discharged home to follow up in the appropriate subspecialty clinic
	**OOP patients may NOT follow up in subspecialty clinics > 24 hours after the ED visit, even ortho patients that have been casted		**OOP patients may NOT follow up in subspecialty clinics > 24 hours after the ED visit, even ortho patients that have been casted
			*It is sometimes possible to get authorization from an OOP patient's insurance plan for them to be seen in subspecialty clinics at Harbor
			**Utilization review may be trying to get authorization for select patients
			***IF you have authorization at the time of ED discharge, then you can make an appointment for an OOP patient in an authorized Harbor clinic
	*An orange sheet with the OOP patient's health plan information and primary physician assigned / contact information is available from registration		*An orange sheet with the OOP patient's health plan information and primary physician assigned / contact information is available from registration
	**Look for it in the accordian file near the PED clerk		**Look for it in the accordian file near the PED clerk

Kyoung: Updated with info from Patricia's recent email

2017-12-02T00:10:32Z

Updated with info from Patricia's recent email

← Older revision		Revision as of 00:10, 2 December 2017
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	=="OOP" (Out-of-plan)==		=="OOP" (Out-of-plan)==
	''The patient cannot come to any Harbor clinics''		''The patient cannot come to any Harbor clinics, except for subspecialty clinics as a continuation of their ED visit within 24 hours of the ED visit''
			*Subspecialty service care ''as a continuation of the ED visit'' within 24 hours of the ED visit
			**For patients seeing subspecialty service immediately (eg ortho in cast room, ophtho/ENT in clinic), discharge the patient from the ED to go to appropriate location
			**Patients seeing the subspecialty service the next morning (still within 24 hours of ED visit) can be discharged home to follow up in the appropriate subspecialty clinic
			**OOP patients may NOT follow up in subspecialty clinics > 24 hours after the ED visit, even ortho patients that have been casted
	*An orange sheet with the OOP patient's health plan information and primary physician assigned / contact information is available from registration		*An orange sheet with the OOP patient's health plan information and primary physician assigned / contact information is available from registration
	**Look for it in the accordian file near the PED clerk		**Look for it in the accordian file near the PED clerk
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	**You can give this sheet to the patient / family		**You can give this sheet to the patient / family
	*The OOP primary physician and contact information will also be automatically printed on the patient's discharge paperwork in many cases		*The OOP primary physician and contact information will also be automatically printed on the patient's discharge paperwork in many cases
			*If subspecialist referral is needed, consider giving the patient/parent a copy of the subspecialist's consult note to take to their PMD
			*For patients with imaging studies, ask the nurse/clerk to please have them placed on a CD to give to the patient/parent

	==Can be seen at Harbor==		==Can be seen at Harbor==

Kyoung: /* Can be seen at Harbor */

2017-07-25T17:46:58Z

Can be seen at Harbor

← Older revision		Revision as of 17:46, 25 July 2017
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	***Click the "Schedule Follow-Up Appointment" pencil during the discharge process to put a star on the track, letting the clerk know to make an appointment		***Click the "Schedule Follow-Up Appointment" pencil during the discharge process to put a star on the track, letting the clerk know to make an appointment
	**Patients can be seen in follow-up clinic Monday through Friday (non-Holiday) during the day		**Patients can be seen in follow-up clinic Monday through Friday (non-Holiday) during the day
			*For pregnant patients
			**OB intake appointment can be given to establish OB care if there are no significant medical issues
			***This will NOT be an MD/NP visit; it will only be an administrative intake visit
			**Else, call OB/Gyn for f/u or send to Gyn urgent care within a few days
	*For regular pediatric well-child care		*For regular pediatric well-child care
	**Family medicine has given us a few slots per day to assign kids to their clinic		**Family medicine has given us a few slots per day to assign kids to their clinic

Kyoung: updated based on patricia's email

2017-01-15T09:25:02Z

updated based on patricia's email

← Older revision		Revision as of 09:25, 15 January 2017
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	**Use the ED Post Visit Plan, click Referral, and type in what type of referral is needed and why		**Use the ED Post Visit Plan, click Referral, and type in what type of referral is needed and why
	***The pediatric NPs will put in an eConsult		***The pediatric NPs will put in an eConsult
			**For patients needing an MRI first and then subspecialty referral, get the patient a primary care provider to order the MRI (see below for how)
	*For short term follow-up of a specific condition (eg wound check, asthma or pneumonia recheck, suture removal), can use Acute Care Follow-up Clinic		*For short term follow-up of a specific condition (eg wound check, asthma or pneumonia recheck, suture removal), can use Acute Care Follow-up Clinic
	**Put in for the appointment using "Follow-up Date" on the Depart Process: free text "Peds Acute Care Follow-up Clinic"		**Put in for the appointment using "Follow-up Date" on the Depart Process: free text "Peds Acute Care Follow-up Clinic"
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	**Family medicine has given us a few slots per day to assign kids to their clinic		**Family medicine has given us a few slots per day to assign kids to their clinic
	***They would like actual kids though - please don't put adults seen in PED into these slots		***They would like actual kids though - please don't put adults seen in PED into these slots
	**~~Can use ED Post Visit Plan referral process and put in for continuity clinic referral~~		**If not OOP, clerk can book Pediatric Primary Care Clinic 1st Appointment
			***Do not give 20 year olds this type of appointment
	*For adults 18yo and older needing primary physician, go to pemsource.org, Harbor only page, Patient handouts, and print the appropriate page of "PCP Referral 18-20 years)" handout		*For adults 18yo and older needing primary physician, go to pemsource.org, Harbor only page, Patient handouts, and print the appropriate page of "PCP Referral 18-20 years)" handout

	[[Category:Admin]]		[[Category:Admin]]

Kyoung: OOP PCP info on d/c paperwork

2017-01-15T09:20:41Z

OOP PCP info on d/c paperwork

← Older revision		Revision as of 09:20, 15 January 2017
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	**If not there, ask the registration staff for it		**If not there, ask the registration staff for it
	**You can give this sheet to the patient / family		**You can give this sheet to the patient / family
			*The OOP primary physician and contact information will also be automatically printed on the patient's discharge paperwork in many cases

	==Can be seen at Harbor==		==Can be seen at Harbor==

Kyoung: update based on patricia's email

2017-01-15T09:19:45Z

update based on patricia's email

← Older revision		Revision as of 09:19, 15 January 2017
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	;First determine whether the patient can be seen at Harbor		;First determine whether the patient can be seen at Harbor
	*Patients who have LA Care DHS 644 or Health Net DHS 615 are followed by us and can be seen in our clinics		*Patients who have LA Care DHS 644 or Health Net DHS 615 are followed by us and can be seen in our clinics
	*Patients with no insurance at all or ~~straight~~ Medi-Cal can be seen in our clinics		*Patients with no insurance at all, straight or emergency Medi-Cal, or CCS can be seen in our clinics

	=="OOP" (Out-of-plan)==		=="OOP" (Out-of-plan)==

Rossdonaldson1 at 04:25, 25 September 2016

2016-09-25T04:25:42Z

← Older revision		Revision as of 04:25, 25 September 2016
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	**Can use ED Post Visit Plan referral process and put in for continuity clinic referral		**Can use ED Post Visit Plan referral process and put in for continuity clinic referral
	*For adults 18yo and older needing primary physician, go to pemsource.org, Harbor only page, Patient handouts, and print the appropriate page of "PCP Referral 18-20 years)" handout		*For adults 18yo and older needing primary physician, go to pemsource.org, Harbor only page, Patient handouts, and print the appropriate page of "PCP Referral 18-20 years)" handout

			[[Category:Admin]]