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How to set up Specialty Diabetes Clinic
Preparation One-to-two months before clinic, you will be asked to either run or have someone who knows how to run a search for Diabetes ICD-9 codes for the last 12 months We will send the codes and timeline, or we will do it by remote access to your system, if access is granted The results need to be mailed/sent back to us so that we can check it with the statewide diabetes registry The team will review any clarifications or changes during our site visits One-to-two months before scheduled clinic, ask the Alaska Area Diabetes Team for the lists of the diabetic and high risk patients With the rise in diabetes throughout Alaska, the Diabetes Specialty clinic only has time to see the diabetics The high-risk list is for you to follow-up Try to get your local Eye, Dental and Mammogram clinics to set time aside during diabetes clinic to see patients, so they can get everything done at one time Once you have the Diabetes list we send you, and have compared it to your local list, begin to schedule patients to be seen in clinic One-to-two months before clinic, have patients come in for labs: Draw fasting labs if not done in the past 2 months: BUN/CR,
GLUCOSE, AST/ALT, TRIG, CHOL, HDL, LDL, HgbA1C, CBC, U/A for microalbuminuria if negative or trace for protein Review diabetes flow sheet and try to get physical exams, immunizations dental, eye, paps, mammograms up to date on the local diabetics so theres room for village patients to get everything done during clinic Give appointments to patients Let them know to bring in meds and blood sugar machine Schedule one-hour blocks of time for three in services If food is provided please try to have healthy food choices available Patients with high-risk feet should be scheduled the day Dr Charles Edwards, Podiatrist comes He needs a clinical room for the foot appointments
One month before clinic, begin travel arrangements for the team For coordination or questions call the diabetes area program assistant, Joan Hastie, at 729-1125 For Clinic Each provider needs an exam room for clinic three rooms plus one more when Dr Charles Edwards, DPM comes for foot clinic
On each patients chart, have a check-off list As each patient is seen, mark what has already been done so the blanks guide the visit See the following example: Medical provider Dietitian/pt ed Eye Dental Mammogram EKG
Immunizations __ __ __ __ __ __ __
Vital Signs needed for clinic: manual B/P, height, weight, pulse, respirations, and temperature, and fingerstick - either fasting FBS or random RBS Appointments: - 1/2 hr for each patient with provider medical and educational - 1 hr for Charless foot visits Field Trip Report: Fill out data at end of each day team will bring CEU form: Fill out and process diabetes team will bring this Random chart audits: The diabetes team will be doing two of these at your facility One is for diabetes care and the other one is to update the statewide diabetes registry We will bring the two lists with us and will need assistance having the charts pulled We need a current Health Summary HS in each chart If you lab and med profile information is not filed in the chart, then we will need those printouts as well The audit is usually done in the evening
Source:bretmichaels.com
