PAC Notes: Taxonomy Section II Part I

 NATIONAL PROJECT ON THE COMMUNITY BENEFITS

OF FAMILY PRACTICE RESIDENCY PROGRAMS

 

CUMULATIVE QUESTIONNAIRE RESPONSES

 

TAXONOMY SECTION II (HEALTH CARE ACCESS) PART I

Reviewed by Policy Analysis Committee Task Force 6-7-05

Kansas City, Missouri

 

Dr Wilke agreed to become Specialty Question Monitor for Taxonomy Section II Part I.

Question SD II.1 was from the Louisville Questionnaire and was asked of residency programs through July, 2004, when it was replaced by series of questions on whether the family center was the ?medical home? for patients in various categories.

 

Dr Ross noted the rich diversity of responses to Question SD II.1 and suggested that we enlist the involvement of a researcher in qualitative studies.  He said he would follow through on this.  The responses might provide an appropriate study for a summer intern or preceptor.

 

Dr Gillanders suggested that a Issue Paper be developed on the responses from residency programs that could be considered ?pure plays? on their community?s safety nets.  Mr Burnett suggested that among the programs that might be considered ?pure plays? were county hospital-based programs such as Arrowhead Regional Medical Center, Riverside Regional Medical Center and Natividad Medical Center and also the free-clinic based program at Saint Vincent de Paul Village.

 

SD II.1 (L7) Do you regard your residency program as a key access point for health care services to a disenfranchised population?  Yes __ No __

If yes, explain:  _____________________________________________________

 

 

The following ?medical home? questions were added in August, 2004:

 

*SD II.1.1a (new) Does your residency program provide the medical home for substantial numbers of patients in the following categories:

 

Medicaid patients in capitated systems? Yes __ No __

If yes, estimate percentage (of total patients) ___

 

Medicaid patients not enrolled in capitated systems? Yes __ No __

If yes, estimate the percentage (of total patients) ___

 

Medicare patients? Yes __ No __

If yes, estimate percentage (of total patients) ___

 

Medically indigents/uninsured/self-pay? Yes __ No __

If yes, estimate percentage (of total patients) ___

 

Private sector health insurance? Yes __ No __

If yes, estimate percentage (of total patients) ___

 

Other category? Yes __ No __

If yes, estimate the percentage __

Describe the category _________________________________

 

 

Question SD II.2, also from the original Louisville questionnaire, was asked of programs through March, 2004, then was split into three parts and asked in that form through July, 2004.

 

SD II.2 (L19) In what ways does your FP residency promote coordination of health care services so as to enhance patients? access to care, the process of care and/or outcomes of care?

 

SD II 2.1 (L19) In what ways does your FP residency promote coordination of health care services so as to enhance:

 

(a) patients? access to care

 

(b) and/or the process of care

 

(c) and/or the outcomes of care?

 

 

The following questions, added in August, 2004, were derived from responses from the Louisville Questionnaire?s SD II.1 and II.2 and the latter?s variant II.2.1:

 

*SD II.2.2 (new) Does your residency program have a mechanism in place to determine if uninsured patients are eligible for Medicaid or other sources of health care reimbursement? Yes __ No __ If yes, describe:

 

*SD II.2.3 (new) Does your residency program assist such patients in enrolling in such reimbursement systems? Yes __ No __ If yes, describe how this is done:

 

*SD II.2.4 (new) Does your residency program include a substantial portion of patient care that is eligible for ?federally qualified health center? reimbursement?

Yes __ No __

 

*SD II.2.5a (new) Does your residency program offer and provide long-term follow-up care to patients in the following circumstances: Patients without a regular physician discharged from the host hospital? Yes __ No __

 

*SD II.2.5b (new) Does your residency program offer and provide long-term follow-up care to patients in the following circumstances: Medically indigent or uninsured chronic disease patients? Yes __ No __

 

*SD II.2.5c (new) Does your residency program offer and provide long-term follow-up care to patients in the following circumstances: Medicaid chronic disease patients (non-capitated)? Yes __ No __

 

*SD II.2.5d (new) Does your residency program offer and provide long-term follow-up care to patients in the following circumstances: Medicaid chronic disease patients (capitated)? Yes __ No __

 

*SD II.2.5e (new) Does your residency program offer and provide long-term follow-up care to patients in the following circumstances: Medicare chronic disease patients? Yes __ No __

 

*SD II.2.5f (new) Does your residency program offer and provide long-term follow-up care to patients in the following circumstances: Tertiary care patients of public or safety net hospitals? Yes __ No __

 

*SD II.2.6 (new) Are there specified members of your residency faculty and staff who have responsibility for coordinating referral to subspecialty services? 

Yes __ No __ If yes, describe:

 

*SD II.2.7 (new) In your community, does your residency program encounter difficulty in finding referral specialists who will not see your Medicaid patients?

Yes __ No __ If yes, explain:

 

*SD II.2.8 (new) In your community, does the residency program encounter difficulty in finding referral specialists for uninsured, underinsured or indigent patients? Yes __ No __ If yes, explain:

 

*SD II.2.9a (new) If the answer to either SD II.2.7 or SD II.2.8 is yes, do you attempt to mitigate the problem of finding referral specialists for a given specialty by the following: Attempting to mange patients to the highest degree of competence of the residency program?s faculty and residents?

Yes __ No __

 

*SD II.2.9b (new) If the answer to either SD II.2.7 or SD II.2.8 is yes, do you attempt to mitigate the problem of finding referral specialists for a given specialty by the following: Developing specialty clinics within the residency program in which referral specialists are invited to assist? Yes __ No __

 

*SD II.2.9c (new) If the answer to either SD II.2.7 or SD II.2.8 is yes, do you attempt to mitigate the problem of finding referral specialists for a given specialty by the following: Other mechanisms for securing referral specialty services? Yes __ No __ Describe:

 

*SD II.2.10 (SD II.5.3) In what ways do the specialty services that your family practice center provides, including those provided in special clinics, promote access to these services from disenfranchised or vulnerable populations?

 

 

 

Last Updated (10 March 2006 17:03)