Taxonomy I Part VII-A (ENT)

(23 April 2006 13:50)

NATIONAL PROJECT ON THE COMMUNITY BENEFITS

OF FAMILY MEDICINE RESIDENCY PROGRAMS

CUMULATIVE QUESTIONNAIRE RESPONSES

Taxonomy Section I Part VII-A

ENT

SD I.13k(4.1) (new) Does your residency provide the following kinds of specialty care: k(4.1) ENT 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(4.2) If you do provide ENT 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(4.3) If you do provide ENT medicine, are these services provided during special clinics? Yes __ No __

If the answer to SD I.13k(4.3) is yes, what is the number of patients seen?  What revenues are generated in each specialty service?

Yes:

Fresno                          (Otolarynscopy Clinic 5 patients/yr @ $40/visit)

Glasgow                       (1-2 patients /week; $80-$120 revenues)

No:

Natividad

Klamath Falls

Lehigh Valley

Mercy Toledo

Kaiser LA

Tyler

Las Vegas

Springfield

Lexington

OSHU Portland

NPCB P2 I.13.2k(35) (SD I.13k(4.4)) Describe the kinds of ENT medicine that typically takes place within the family medicine center (whether as normal appointments or during special clinics):

Natividad                     (Ear infections; allergic rhinitis; hearing loss; sinus disease; NMJ syndrome)

Klamath Falls               (Allergic and other rhinitis; head and neck tumors; thyroid disease; flexible nasolaryngoscopy; airway obstruction; sleep apnea assessment)

Lehigh Valley                (otitis; sinuses; cancer screening; ear wax; hearing tests; vertigo)

Mercy Toledo              (general ENT; tympanometry; otoscopy; hearing screening; indirect larynoscopies; nasopharyngeal laryngoscopies)

Kaiser LA                    (full scope – nosebleeds; sinusitis; oral lesions)

Tyler                            (audiometry; rhinolaryngoscopy; tympanometry; ear irrigation; foreign body removals; epistaxis management; strep and other throat cultures; pneumatic otoscopy)

Las Vegas                    (removal of foreign bodies; ear wax; ENT infections; sleep apnea; hearing assessments; allergies)

Fresno                          (non-interventional ENT)

Springfield                    (otitis; strep; sinusitis; URI; dysphagia; allergies; tonsillitis)

Glasgow                       (laryngoscopy; chronic sinusitis; chronic laryngitis; chronic otitis; TMT; foreign body removal from ear; cerumin impaction)

Lexington                     (vertigo workup; sinusitis; otitis; all common ENT infections; earwax; hearing loss; epistaxis)

OHSU Portland            (otitis media; hearing loss; sinusitis; neck masses)

Phase 2 Responses:

Sparrow                       (otitis media; otitis externia; dysphagia; lymph node issues; salivary gland issues; allergies; sinus disease)

Huntsville                      (all kinds of pharyngitis; otitis media and externia; tonsillitis; allergic rhinitis)

Ventura                        (patients with allergic rhinitis; pharyngitis; otitis; sinusitis)

Long Beach                  (allergies; sinusitis; non-surgical polyps)

U Penn                         (normal appointments)

Crozer-Keystone          (NPL; audiometry; tympannometry; otitis media management; chronic cough; sinusitis)

Jefferson                       (sinusitis; allergic rhinitis; vertigo; laryngitis; otitis media)

McKeesport                 (routine care for kids and adults; vocal cord evaluation; tympanograms; audiometry; evaluation of hearing loss)

Oahu                            (otitis media; hearing loss; tinnitus; vertigo; sinus conditions; allergies; usual ambulatory, primary care)

NPCB P2 I.13.2k(38) Describe the kinds of ENT that typically takes place within the family medicine center (whether as normal appointments or during special clinics)

Sparrow                       (any condition needing surgery; difficult to manage sinusitis; neck lumps; hoarseness)

Huntsville                      (tube placement for inner ears; adenoidectomies; tonsillectomies; laser polyps; nasal septal deviation)

Ventura                        (head and neck tumors; patients who are candidates for PE tubes; ventilation tubes for otitis media; surgical management of sinus conditions; tonsillectomy; 2 weeks wait time)

Long Beach                  (any surgical condition; resistance to treatment; diagnostic dilemmas; if patient demands it; 4-6 week wait)

U Penn                         (physician specific; same day to 1 month)

Crozer-Keystone          (ENT surgery; some chronic sinusitis evaluation; hoarseness; 2 weeks turnaround)

Jefferson                       (hearing loss; Meniere’s disease; head and neck tumors; chronic sinusitis; 6-12 weeks)

McKeesport                 (tubes in kids; other surgical problems; abscesses; evaluation of severe hearing loss; hearing aids (1 month wait, except in emergency where patients are seen right away)

Oahu                            (suspicion of cancer; surgery; refractory dizziness; hearing aids; hearing loss; we have same day referrals)

*NPCB P2 I.VII.A1 Does your residency program manage the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):

a.      otitis media? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.VII.A1 Does your residency program manage the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):

b.      sinusitis? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.VII.A1 Does your residency program manage the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):

c     pharyngitis? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.VII.A1 Does your residency program manage the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):

d.       hearing loss? Yes __ No __

Yes:

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York                            (we refer to audiologists)

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

No:

Shadyside                     (we diagnose it, but do not manage it)

*NPCB P2 I.VII.A1 Does your residency program manage the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):

e.  vertigo? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.VII.A.2 Does your residency program utilize screening and surveillance procedures consistent with professional guidelines for the following conditions?

a.      otitis media? Yes __ No __

Yes:

Shadyside                     (you are not supposed to screen by guidelines)

Johnstown

Altoona

St Margaret

Santa Rosa

Reading

York

Lebanon

Billings              (are there screening and surveillance guidelines for otitis media?)

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.VII.A.2 Does your residency program utilize screening and surveillance procedures consistent with professional guidelines for the following conditions?

b.   pharyngitis? Yes __ No __

Yes:

Shadyside                     (we do cultures in the office; we diagnose and treat)

Johnstown

Altoona

St Margaret

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.VII.A.2 Does your residency program utilize screening and surveillance procedures consistent with professional guidelines for the following conditions?

c.   sinusitis? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

* NPCB P2 I.VII.A3 Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:

a)      ENT surgical procedures? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

* NPCB P2 I.VII.A3 Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:

b)      P-tubes? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Santa Rosa

Reading

York                            (tympanostomy tubes, yes)

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

* NPCB P2 I.VII.A3 Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:

c) hearing aids? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

* NPCB P2 I.VII.A4 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.      hearing tests? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver                         (we have sound booths for doing such tests at our FMC)

Latrobe

Erie

Lawton

* NPCB P2 I.VII.A4 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.      nasal laryngoscopy?  Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

Last Updated (04 September 2006 12:58)