Dr. Advice Line This will only be for outpatient pulmonary questions (when other physicians might have a question about patient being seen in clinic.) Any inpatient pulmonary questions should be directed to the ipd consult team (pager 2003). MICU-related calls will continue to the triage phone and to ICU on-call/WBH overnight staff. Secretaries to forward […]
Category: Clinic
Narcotic Script Handling
How to handle narcotic prescription: Nurses to verify contract on file à If no contract, patient can be referred back to primary care while physician is out. Patient will be sent a contract to review and bring to next visit. If contract in place, ok to refill short-term until primary pulmonary returns. Goal is for […]
Level of Service Preferences and Modifiers for PFTs or Vaccines
For any CLINIC VISIT WITH PFTs OR IMMUNIZATION on the same day, please add the Modifier ‘25’. Please see attached for how to do this. I have created favorites (I already asked, I cannot just share this with everyone) for established and new visits with and without the modifer. Adding LOS codes PFT or Immunization […]
Quitter’s Circle – Another resource for smoking cessation
For those patients who may not have access to HF’s smoking cessation program, see below. Sent on behalf of Rick. Quitter’s Circle was successfully launched on June 23, and has already earned positive media attention. Quitter’s Circle is a multi-platform “social” community anchored by a mobile application, designed to help address some common smoking cessation […]
Role of inbox coverage – posted on behalf of Thavarajah
For inbox coverage see here. Role of covering doc: Co-sign scripts, triage inbasket, review test results Anything you would normally send to the clinic staff to take care of (appointment changes, help w refills, prior auths) can be forwarded Triage calls requiring immediate attention will still be referred to the checker. Please email the covering […]
Asthma Severity Reference
Quick Reference when entering ICD-10 diagnoses
Pulmonary Clinic Direct Admissions and ER Transfers
Direct Admission from Clinic Physician/APP enters EPIC order and notifies Nurse Physician/APP calls ATMO, will be transferred to medical officer to approve direct admission Bed assignment***, then Physician/APP and Nurse give SIGNOUT Patient will be accompanied by a physician/APP if being directly admitted to the ICU (NOT required for GPU or ER) ***If no bed is available immediately, […]
COPD Assessment Test (CAT) – Questionnaire and How to Add to Note
The COPD Assessment Test is a simple form that provides a standardized way to assess symptoms and impact of COPD symptoms on daily life on our patients. It focuses on CURRENT symptoms (Asthma Control Test looks at past 4 weeks). Our goal is to incorporate this into pulmonary clinic and ambulatory pharmacist visits with our […]
New Lung Cancer Referrals
In the past, lung cancer referrals may have been delayed if done ONLY through RPO. It is now requested that you a) Place a consult request for an appointment via the RPO. AND b) Refer via Epic There is a pool in EPIC named “JFCI Thoracic Oncology Clinic”. Forward your note and the referral […]
Pneumococcal immunization recommendations
Pneumonia Immunization PDF Relevant EPIC orders: PPSV23 =’Pneumococcal Polysaccharide PPSV-23’ = ‘Pneumovax’ = ‘IMM53’ PCV13 = ‘Pneumocococcal Conjugate PCV 13’ = ‘Prevnar-13’ = ‘IMM78’ Please link to appropriate diagnosis: 1. ‘need for prophylactic vaccination against strep pneumococcus’ (Z23) added to Quick Dx section 2. also associate relevant diagnosis (asthma, copd, chronic immunosuppression) if <65 […]