PAC Notes: Taxonomy Section I Part III

NATIONAL PROJECT ON THE COMMUNITY BENEFITS

OF FAMILY PRACTICE RESIDENCY PROGRAMS

 

CUMULATIVE QUESTIONNAIRE RESPONSES

Taxonomy Section I Part III

Reviewed by Policy Analysis Committee April 12, 2005

San Diego, California

 

The following are former versions of iterative questions by specialty.  For discussion of the current forms of iterative questions (all current question forms are asterisked), refer to the April 11, 2005 version of the Policy Analysis Committee notes for Taxonomy Section I Part II:

 

SD I.13c(5.0.1) (SD I.13g (L32)) Does your residency provide specialty care? Yes __ No __

If yes, list these services in approximate order of volume or revenue.

 

Second National Workshop Questionnaire Responses:

 

(Is vasectomy listed?)

 

SD I.13c(5.0.2) (SD I.13g (1) (L32)) Does your residency program provide the following kinds of specialty care?   g. Vasectomy? 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?

 

*SD I.13c(5.1) (SD I.13g (2) (L32)) Does your residency program provide the following kinds of specialty care?  g. Vasectomy?  Yes__ No __

 

*SD I.13c(5.2) (SD I.13g (3)) If you do perform vasectomies, are these services provided as normal family health center appointments?

Yes __ No __

 

*SD I.13c(5.3) (SD I.13g (4))  If you do perform vasectomies, are these services provided during special clinics? Yes __ No __

If yes, what is the number of patients seen?  What revenues are generated in each specialty service?

 

SD I.13d (L32) Does your residency provide specialty care?

SD I.13d (0) If yes, list these services in approximate order of volume or revenue.

 

Second National Workshop Questionnaire Responses:

 

(Is urology clinic listed?)

 

SD I.13d(1) (L32) Does your residency program provide the following kinds of specialty care?   d. Urology clinic 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?

 

Policy Analysis Committee Breakfast Group V (April 12, 2005) proposed that the Urology and Neurology sections (and by analogy other sections) be reviewed with the idea of developing specific questions that related to the characteristics of high prevalence services.

 

Dr Wright agreed to work on developing such high prevalence topics, with the assistance of his department at the University of Louisville.

 

Policy Analysis Committee Breakfast Group W (April 12, 2005) proposed eliminating the term ?urology (urologic) care? and replacing it with ?erectile dysfunction? and ?prostate exams?).

 

*SD I.13d(1.1) (SD I.13d(2) (L32)) Does your residency program provide the following kinds of specialty care?  d. Urology (urologic) care?  Yes__ No __

 

*SD I.13d(1.2) (SD I.13d(3)) If you do provide urology (urologic) care, are these services provided as normal family health center appointments? Yes __ No __

 

*SD I.13d(1.3) (SD I.13d(4)) If you do provide urology (urologic) care, are these services provided during special clinics? Yes __ No __

 If yes, what is the number of patients seen?  What revenues are generated in each specialty service?

 

*SD I.13d(1.31) (PP) Do you diagnose and treat urinary tract infections within your family medicine center? Yes __ No __

 

Breakfast Group V (April 12, 2005) proposed eliminating the word ?hypertrophy? and leaving ?BPH?:

 

*SD I.13d(1.32) Do you diagnose and treat hypertrophy (BPH) within your family medicine center? (PP) Yes __ No __

 

*SD I.13d(1.33) (PP) Do you diagnose and treat sexually transmitted diseases of the genito-urinary system within the family medicine center? Yes __ No __

 

*SD I.13d(1.34) (PP) Do you provide non-surgical management of kidney stones within your family medicine center? Yes __ No __

 

*SD I.13d(1.35) (PP) Do you evaluate and manage bladder incontinence within your family medicine center? Yes __ No __

 

Breakfast Group W proposed adding ?testosterone management? to the list of urology questions.

 

SD I.13d(1.4) Describe the kinds of urologic care that typically take place within the family health center (whether as normal appointments or during special clinics):

 

*SD I.13d(5.1) Describe other kinds of urologic care that typically take place within the family health center (whether as normal appointments or during special clinics):

 

SD I.13k (L32) Does your residency provide specialty care?

SD I.13k(0) If yes, list these services in approximate order of volume or revenue.

 

(Is neurology listed?)

 

SD I.13k(1.0) (SD I.13k(1) (L32)) Does your residency program provide the following kinds of specialty care?   k. Neurology? 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?

 

Breakfast Group W found the term ?neurology? to be ?too broad? and preferred a check-off list of services, such as headaches, seizures, etc.

 

*SD I.13k(1.1) (SD I.13k(2) (L32)) Does your residency program provide the following kinds of specialty care?  k. Neurology?  Yes__ No __

 

*SD I. 13k(1.2) (SD I.13k(3)) If you do provide neurology, are these services provided as normal family health center appointments?

Yes __ No __

 

*SD I.13k(1.3) (SD I.13k(4)) If you do provide neurology, are these services provided during special clinics? Yes __ No __

If yes, what is the number of patients seen?  What revenues are generated in each specialty service?

 

Breakfast Group W proposed that the next five questions (which are part of E-mail questionnaire 2005-1 and numbered 1.31 through 1.34) be eliminated:

 

*SD I.13k(1.31) (AJ) Do you refer all patients with new onset severe headache to neurologists? Yes __ No __

 

SD I.13k(1.32) (AJ) If the answer to SD I.13k(1.31) is no, do your residents routinely order CT scans for new onset headaches? Yes __ No __

 

*SD I.13k(1.32.1) (AJ) If the answer to SD I.13k(1.31) is no, do your residents routinely order CT scans for new onset severe headaches?

Yes __ No __

 

*SD I.13k(1.33) (AJ) Do you routinely refer all new onset seizures to neurology? Yes __ No __

 

*SD I.13k(1.34) (AJ) If the answer to SD I.13k(1.33) is no, do you order CT scans routinely for new onset seizures? Yes __ No __

 

*SD I.13k(1.35) (AJ) Do you routinely refer carpal tunnel syndrome patients to neurology? Yes __ No __

 

*SD I.13k(1.36) (AJ) Do you provide follow-up care for seizures in your family medicine center? Yes __ No __

 

Breakfast Group W proposed revising this question to ask if the family medicine center is the primary provider of care (for diagnosis, management and treatment) of MS patients.  It also suggesting asking whether the family medicine center would refuse to see MS patients:

 

*SD I.13k(1.37) (AJ) Do you care for multiple sclerosis patients in the family medicine center? Yes __ No __

 

Breakfast Group W proposed deleting the following question and developing iterative questions that ask ?How long is the normal wait for patients to see these referral specialist ? neurologists, etc.? referencing the patient?s condition.

 

*SD I.13k(1.38) (AJ) Would you expect that a neurology referral from your residency program would be seen by a neurologist within two weeks? Yes __ No __

 

Breakfast Group W proposed eliminating the following question as ?too broad?:

 

*SD I.13k(1.39.1) (AJ) If a neurological cause of syncope is suspected, do you care for the patient in the family medicine center? Yes __ No __

 

*SD I.13k(1.39.2) (AJ) Are stroke inpatients discharged to your family medicine center for follow-up care? Yes __ No __

 

Breakfast Group W proposed adding a special question on dementia.

 

SD I.13k(1.4) (SD I.13k(5)) Describe the kinds of neurology that typically takes place within the family health center (whether as normal appointments or during special clinics):

 

*SD I.13k(1.4.1) (SD I.13k(5)) Describe any other kinds of neurology that typically takes place within the family health center (whether as normal appointments or during special clinics):

 

Last Updated (10 March 2006 17:23)