Patient Centered Medical Neighborhood
Specialty Definitions
Specialty
Definition & Timeframe
Diagnosis, Concern, signs/symptoms
Emergent:Text (within 1 hr)
Any patient who is bleeding, has pain, or considering
referral to ER. Text surgeon and he will triage concern and
advise PCP of next step.
Treated the same as emergent, determined by surgeon.
General Surgery
Urgent:Text (within 1 hr)
Routine:Next available (within 1
week)
Gynecology
Emergent:within 1 hr
Urgent:within 24-48 hours
Routine:next available
Acute abdominal pain , Dysfunctional bleeding, Hgb <8
Emergent:within 1 hr
Early pregnancy with acute low abd pain, OB patient with
bleeding, BP > 150/100, decreased fetal movement, no
prenatal care,
OB patient with spotting, Pregnant diabetic patients are on
insulin needing prenatal care,
Obstetrics
Urgent:within 24-48 hours
Routine:next available
Gastroenterology
Emergent:Immediately
Urgent:within 24-48 hours
Routine:4-6 weeks, next available
Any patient who is bleeding, has pain, or considering
referral to ER. Contact Dr Ahloy directly (no texting) and
he will advise if patient should be sent to office or ER.
PCP to contact Dr Ahloy directly (no texting)
Neurology
Emergent:Timeframe
Urgent:Timeframe
Determined by Provider, discharge from ER or hospital for
“stroke” or “seizure”
Determined by Provider who reviews all referrals sent to
his office. (Referral must include pertinent information to
be able to triage appropriately).Priority for mental
changes, syncope, “movement disorders”. Also uses EEG
Patient Centered Medical Neighborhood
Specialty Definitions
Routine:Timeframe
as triage mechanism and expedites evaluation based on
results.
Neuropathy,
Cardiology
Emergent:Timeframe
Urgent:Timeframe
Routine:Timeframe
NEXT STEPS:
1. CREATE DIRECTORY OF CONTACT NUMBERS AND MODE OF CONTACT FOR PARTICIPATING PROVIDERS
2. PILOT TEXTING BETWEEN DR DAWSON AND DR PARK WITH PDSA (attached)
3. ALERE DEMO FOR OTHER PROVIDERS