Taxonomy I Part VI-A (Cardiology)
Last Updated on April 16, 2022 by Lee Burnett, DO, FAAFP
(22 April 2006 19:01) | ||
NATIONAL PROJECT ON THE COMMUNITY BENEFITS OF FAMILY PRACTICE RESIDENCY PROGRAMS
CUMULATIVE QUESTIONNAIRE RESPONSES Cardiology
SD I.13k(2.1) (new) Does your residency provide the following kinds of specialty care. k(2.1) cardiology? Yes __ No __
Yes: Natividad Klamath Falls Lehigh Valley Mercy Toledo Kaiser LA Tyler Las Vegas Fresno Springfield Glasgow Lexington OHSU Portland
SD I.13k(2.2) If you do provide cardiology, are these services provided as normal family medicine center appointments? Yes __ No __
Yes: Natividad Klamath Falls Lehigh Valley Mercy Toledo Kaiser LA Tyler Las Vegas Fresno Springfield Glasgow Lexington OSHU Portland
SD I.13k(2.3) If you do provide cardiology, are these services provided during special clinics? Yes __ No __ If the answer to SD I.13k(2.3) is yes, what is the number of patients seen? What revenues are generated in each specialty service?
No: Natividad Klamath Falls Lehigh Valley Mercy Toledo Kaiser LA Tyler Las Vegas Fresno Springfield Glasgow Lexington OHSU Portland
NPCB P2 I.13.2k(20) (SD I.13k(2.4)) Describe the kinds of cardiology that typically takes place within the family medicine center (whether as normal appointments or during special clinics):
Natividad (chest pains; coronary artery disease; post-MI follow-up; heart failure; arrhythmia) Klamath Falls (mostly CAD; follow-up of angina; investigation and treatment of valvular heart disease; hypertension; assessment and treatment of peripheral vascular disease) Lehigh Valley (coronary heart disease; CHF; EKGs; do not do stress testing) Mercy Toledo (EKGs in office; no stress testing; all procedures sent to hospital) Kaiser LA (post-MI; CHF; arrhythmia) Tyler (EKGs; cardiac auscultation; auid Doppler sound for peripheral pulses; Doppler vascular exam; finger tick blood sugar testing (Accucheck); Coumadin clinic) Las Vegas (stress tests; EKGs; management of patients with CHF; CAD; cardio-myopathy; risk factor reduction) Fresno (full scope of non-interventional cardiology) Springfield (chest pain; atrial fibrillation; angina; CAD) Glasgow (EKG interpretation; 24-hour blood pressure monitoring; bio-impedence testing; management of chronic heart disease, CHF and arrhythmia) Lexington (evaluation and management of chest pain syndromes; CHR; arrhythmia; hypertension; valvular heart disease; post-operative valve management; pericorditis) OSHU Portland (EKG; diagnoses and treatment of angina; CHF; arrhythmia; chest pain)
Phase 2 Responses: Sparrow (Follow-up on CAD; arrhythmia management; valve disease; murmur evaluation; cardiac risk factor management – smokers, lipids; chest paid evaluation risk assessment) Huntsville (Management of hypertension; CHF; CAD; hyperlipidemia; anti-coagulation for patients with atrial fibrillation; valvular disease; post-MIs) Ventura (Evaluate cardiology patients of a wide variety of types: CHF, CAD, arrthymias, valvular disease) Long Beach (Everything: hypertension, lipids, arrhythmia management) U Penn (Normal appointments – physician specific) Crozer-Keystone (Chest pain evaluation and management; exercise stress testing; risk factor management) Jefferson (Hypertension; atrial fibrillation; chest paid; high cholesterol; CHF; CAD; valvular disease) McKeesport (EKGs; evaluate chest pain) Oahu (EKGs; routine history and physical; evaluation and treatment of hypertension, heart disease)
NPCB P2 I.13.2k21) For what conditions would your residency program refer patients to cardiologists? What is the expected wait time before the patient is seen?
Sparrow (CAD workup for tests; 3 weeks turnaround) Huntsville (stress tests; unstable angina; electrocardiogram, invasive cardiology; a week turnaround) Ventura (Difficult to control cardiology problems; patients needing cardiac catherization; operative interventions; difficult arrhythmia; valvular disease management; a week or less) Long Beach (If someone has a high-risk rhythm, or if there is a need for angiogram, echos; those who fail medical management; 4-6 weeks) U Penn (Physician specific; same day to 1 month) Crozer-Keystone (catherizations; arrhythmia; chronic CHF management; 2 weeks) Jefferson (we refer out some CAD, CHF; 4 weeks) McKeesport (arrhythmia; stress tests; within a couple of days to a week) Oahu (cardiac procedures – stress tests, cardiac catherization, cardioversion; cardiac disease refractory to routine management; disease of severe states; within one day if urgent) *NPCB P2 I I.VI-A 1 Does your residency program manage the following cardiac disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):
a) congestive heart failure? Yes __ No __
Yes: Shadyside Johnstown Altoona St Margaret Fairfax Santa Rosa Reading York Lebanon Billings Monroeville Beaver Latrobe Erie Lawton
*NPCB P2 I I.VI-A 1 Does your residency program manage the following cardiac disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):
b) coronary heart disease? Yes __ No __
Yes: Shadyside Johnstown Altoona St Margaret Fairfax Santa Rosa Reading York Lebanon Billings Monroeville Beaver Latrobe Erie Lawton
*NPCB P2 I I.VI-A 1 Does your residency program manage the following cardiac disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):
c) hypertension? Yes __ No __
Yes: Shadyside Johnstown Altoona St Margaret Fairfax Santa Rosa Reading York Lebanon Billings Monroeville Beaver Latrobe Erie Lawton
*NPCB P2 I I.VI-A 1 Does your residency program manage the following cardiac disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):
d) common arrhythmias? Yes __ No __
Yes: Shadyside Johnstown Altoona St Margaret Fairfax Santa Rosa Reading York Lebanon Billings Monroeville Beaver Latrobe Erie Lawton
*NPCB P2 I.VI-A 2 Does your residency program participate in cardiac wellness and surveillance programs consistent with professional guidelines? Yes __ No __
Yes: Shadyside (wellness programs, yes; we do not have formal surveillance programs) Johnstown Altoona Reading York (we actually have a cardiac rehabilitation center that we would refer the appropriate patients to) Lebanon Billings Monroeville (not sure what is meant by “programs”; we do community information programs and screening, mostly through “one on one” screening) Beaver Latrobe Erie (we kind of do it; we have a lipids nurse that manages these conditions) Lawton Fairfax
No: St Margaret
No Response Recorded: Santa Rosa
*NPCB P2 I.VI-A 3 Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:
a. CABG? Yes __ No __
Yes: Shadyside Johnstown Altoona St Margaret Fairfax Santa Rosa Reading York Lebanon Billings Monroeville Beaver Latrobe Erie Lawton
*NPCB P2 I.VI-A 3 Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:
b. valve replacement? Yes __ No __
Yes: Shadyside Johnstown Altoona St Margaret Fairfax Santa Rosa Reading York Lebanon Billings Monroeville Beaver Latrobe Erie Lawton
*NPCB P2 I.VI-A 3 Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:
c. aneurism repair? Yes __ No __
Yes: Shadyside Johnstown Altoona St Margaret Fairfax Santa Rosa Reading York Lebanon Billings Monroeville Beaver Latrobe Erie Lawton
*NPCB P2 I.VI-A 3 Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:
d. peripheral vascular disease? Yes __ No __
Yes: Shadyside Johnstown Altoona St Margaret Fairfax Santa Rosa Reading York Lebanon Billings Monroeville Beaver Latrobe Erie Lawton *NPCB P2 I.VI-A4 Are you able to assure that your family medicine patients have access to the following diagnostic tests, either within your family medicine center or through a process of referral or consultation?
a. EKG? Yes __ No __
Yes: Shadyside Johnstown Altoona (Both in the family medicine center and the hospital) St Margaret Fairfax Santa Rosa Reading York Lebanon Billings Monroeville Beaver Latrobe Erie Lawton
Previous Questions About Exercise Stress Tests
SD I.13q(1) (L32) Does your residency program provide the following kinds of specialty care? q. Exercise Stress Tests? Yes __ No __ Additional Info: If yes, are these services provided during special clinics? What is the number of patients seen? What are the revenues that are generated?
Yes: Durant (on occasion, in adjoining clinic) OSU Tulsa USC Univ & SG (in family medicine centers) Modesto Indiana U Methodist
No: Saints (exposed to it in an office used in rotations)
SD I.13q(1.1) )SD I.13q(2) (L32)) Does your residency program provide the following kinds of specialty care? q. Exercise Stress Tests? Yes__ No __
Yes: Arrowhead Loma Linda Stockton OU Tulsa OU Oklahoma City Mercer Klamath Falls Las Vegas
No: Whittier Pomona Louisville MCE Birmingham Glendale Dayton Community Miami Valley Decatur Natividad Lehigh Valley Mercy Toledo Kaiser LA Tyler Fresno Springfield Glasgow Lexington OHSU Portland
SD I.13q(1.2) (SD I.13q (3)) If you do provide exercise stress tests, are these services provided as normal family medicine center appointments? Yes __ No __
Yes: Loma Linda Mercer
No: Arrowhead Stockton OU Tulsa OU Oklahoma City Klamath Falls Las Vegas
SD I.13q(1.3) (SD I.13q(4)) If you do provide exercise stress tests, are these services provided during special clinics? Yes __ No __ If the answer to SD I.13q(1.3) is yes, what is the number of patients seen? What revenues are generated in each specialty service?
Yes: Arrowhead (150/year) Loma Linda (150/year) Stockton (6/clinic; revenues are generated) OU Tulsa (2-3 per half-day clinic) OU Oklahoma City (3-4 clinic; 4 clinics a week; will provide estimate of revenues) Klamath Falls (2 a week; $250/week) Las Vegas (2-4 per clinic; revenues to be generated unknown)
No: Mercer
*NPCB P2 I.VI-A4 Are you able to assure that your family medicine patients have access to the following diagnostic tests, either within your family medicine center or through a process of referral or consultation?
b. stress testing? Yes __ No __
Yes: Shadyside (one of our faculty does stress testing) Johnstown Altoona (in the hospital and in cardiologists’ offices) St Margaret Fairfax Santa Rosa Reading York Lebanon Billings Monroeville Beaver Latrobe Erie Lawton
| ||
Last Updated (03 September 2006 19:16) |