Taxonomy I Part VI-C (Pulmonary Medicine)

(23 April 2006 12:32)

NATIONAL PROJECT ON THE COMMUNITY BENEFITS

OF FAMILY MEDICINE RESIDENCY PROGRAMS

CUMULATIVE QUESTIONNAIRE RESPONSES

Taxonomy Section I Part VI-C

(Pulmonary Medicine)

SD I.13k(5.1) (new) Does your residency provide the following kinds of specialty care: k(5.1) Pulmonary Medicine? Yes __ No __

Yes:

Natividad

Klamath Falls

Lehigh Valley

Mercy Toledo

Kaiser LA

Tyler

Las Vegas

Fresno

Springfield

Glasgow

Lexington

OSHU Portland

SD I.13k(5.2)  If you do provide pulmonary medicine, 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(5.3)  If you do provide pulmonary medicine, are these services provided during special clinics? Yes __ No __

If the answer to SD I.13k(5.3) is yes, what is the number of patients seen?  What revenues are generated in each specialty service?

Yes:

Natividad                     (one of the FP faculty members runs a sleep clinic; clinic a week, seeing 5-6 patients; 200 visits/yr)

Fresno                          (asthma clinic 4-6/wk; $20-30/patient)

No:

Klamath Falls

Lehigh Valley

Mercy Toledo

Kaiser LA

Tyler

Las Vegas

Springfield

Glasgow

Lexington

OSHU Portland

NPCB P2 I.13.2k(30)(SD I.13k(5.4)) Describe the kinds of pulmonary medicine that typically takes place within the family medicine center (whether as normal appointments or during special clinics):

Natividad                     (COPD; pneumonia; we see all of textbook pulmonary medicine)

Klamath Falls               (spirometry; air flow assessment; testing for, treatment of asthma; COPD; any lung disease)

Lehigh Valley                (PFTs; pneumonia; COPD; asthma; cancer)

Mercy Toledo              (spirometry; pulsoximetry; general pulmonary care)

Kaiser LA                    (asthma; COPD; chronic lung disease; some exotic diseases)

Tyler                            (pulsoximetry; peak flow; nebulized breathing treatments; aerosol breathing treatments; COPD; coughs and colds)

Las Vegas                    (peak flows; nebulized treatments; pulsoximetry; COPD; lung cancer; smoking cessation)

Fresno                          (asthma; COPD; non-interventional pulmonary medicine; point of function tests)

Springfield                    (COPD; asthma; bronchitis; pneumonia; TB)

Glasgow                       (pulmonary function testing; COPD; asthma; pulmonary fibrosis; lung cancer)

Lexington                     (COPD; asthma; pneumonia; bronchitis; dyspnea; sarcoidosis; TB; lung cancer; chest mass evaluation)

OSHU Portland            (emphysema; pneumonia; bronchitis; cough; shortness of breath)

Phase 2 Responses:

Sparrow                       (Acute infections; bronchitis; pneumonia; workup of cough; blood in sputum; COPD and asthma management)

Huntsville                      (COPD; sleep apnea; asthma; chronic bronchitis; spirometry)

Ventura                        (COPD; asthma; interstitial lung disease; tuberculosis)

Long Beach                  (asthma management; smoking cessation; COPD; bronchitis; pneumonia)

U Penn                         (normal appointments)

Crozer-Keystone          (spirometry; pulsoximetry; COPD; asthma management)

Jefferson                       (asthma; COPD; bronchiectisis; URI; pneumonia)

McKeesport                 (nebulizer treatments; spirometry; smoking cessation; diagnosis and treatment of lung problems; allergy workup; kids and adults with asthma)

Oahu                            (asthma; COPD; pneumonia; smoking cessation; initial evaluation and screening for sleep apnea)

NPCB P2 I.13.2k(41)For what conditions would your residency program refer patients to pulmonary specialists? What is the expected wait time before the patient is seen?

Sparrow                       (Difficult asthma and non-responsive COPD patients; weird fungal infections; cancer; sarcoid; auto-immune diseases)

Huntsville                      (Pulmonary Function Tests; complicated cases of all of the above; bronchoscopies; metastinal masses; 1 week turnaround)

Ventura                        (Pulmonary hypertension; difficult to control interstitial lung disease; 2 weeks wait time)

Long Beach                  (We sometimes need a bronchial biopsy of some kind, diagnostic dilemmas, failed medical management)

U Penn                         (physician specific – 1 day to 1 month)

Crozer-Keystone          (formal PFTs; oxygen managements; end stage COPD; 2 weeks turnaround)

Jefferson                       (pulmonary fibrosis; interstitial lung disease; restrictive lung disease; PFTs; 1-2 months)

McKeesport                 (lung masses or nodules; bronchoscopy; severe COPD patients)

Oahu                            (refractory asthma and COPD; cancers; bronchoscopes; interstitial diseases; sleep apnea patients requiring supervisions; detailed spirometry and pulmonary tests)

*NPCB P2 I.VI.C1 Does your residency program manage the following pulmonary disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):

a.      COPD? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.VI.C1 Does your residency program manage the following pulmonary disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):

b.      Pneumonia?  Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.VI.C1 Does your residency program manage the following pulmonary disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):

c.       Asthma? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.VI.C1 Does your residency program manage the following pulmonary disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):

d.      Pulmonary Hypertension? Yes __ No __

Yes:

Johnstown

Altoona

St Margaret

Fairfax

Reading

York                            (co-managed with a pulmonologist)

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

No:

Shadyside                     (we do initial consultation and share care)

*NPCB P2 I.VI.C2.1 Does your residency program participate in asthma screening and surveillance programs consistent with professional guidelines? Yes __ No __

Yes:

Shadyside                     (we manage asthma, but do not have a surveillance program)

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa                   (we do surveillance, but are less involved with screening asthma)

Reading

York

Lebanon

Billings

Monroeville                  (we manage whether than screen for asthma; not sure whether guidelines exist for screening)

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.VI.C2.2 Does your residency program participate in exercise training for COPD consistent with professional guidelines? Yes __ No __

Yes:

Shadyside                     (we do pre-participation physicals; we refer for cardio-pulmonary rehabilitation, but can sign off on orders; this is done on the University of Pittsburgh campus, but not in our health system)

Johnstown

Altoona

Fairfax

Santa Rosa

York                            (we refer to our pulmonary rehabilitation center within the Wellspan system)

Lebanon                       (in consultation with pulmonologists)

Monroeville                  (we refer to a formal pulmonary rehabilitation program)

Beaver

No:

St Margaret

Reading                        (we refer to pulmonary rehabilitation)

Billings                          (rarely; we refer them to pulmonology programs)

Latrobe

Erie                              (we have tried to do it)

Lawton                         (we do not have respiratory rehabilitation in Lawton)

*NPCB P2 I.VI.C3 Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:

a.      Sleep Apnea? Yes  __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.VI.C3 Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:

b.      Advanced Pulmonary Hypertension? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax                          (through consultation)

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.VI.C4 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.      PFTs? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.VI.C4 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.      Chest CT? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.VI.C4 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?

c.       Sleep Studies? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Reading

York

Lebanon                       (we may have trouble accessing certain tests for uninusured patients, but we usually have no difficulty with insured patients that meet the qualifications for the test)

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

Last Updated (04 September 2006 11:26)