PAC Notes: Taxonomy I Section Part VI-C

 

NATIONAL PROJECT ON THE COMMUNITY BENEFITS OF FAMILY MEDICINE RESIDENCY PROGRAMS

 

CUMULATIVE QUESTIONNAIRE RESPONSES

Taxonomy Section I Part VI-C

Pulmonary Medicine

(Reviewed by the Policy Analysis Committee Team Task Force April 28, 2006, San Francisco)

Present: Henley, Ross, Burnett, Wilke, Jafri

The atrium of the Hyatt Regency San Francisco
The atrium of the Hyatt Regency San Francisco

The following series of iterative questions were last discussed in the PAC Notes for the review of Taxonomy I Part II  on April 11, 2005.  The first set of questions appears in Site Visit Surveys between September, 2004 and March, 2005.

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

SD I.13k(5.2)  If you do provide pulmonary medicine, are these services provided as normal family medicine center appointments? Yes __ No __

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?

The following question appeared in Site Visit Surveys conducted between September, 2004 and April, 2006.  The PAC subcommittee replaced this question (and the succeeding one) with a new group of iterative questions, below:

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):

The following question appeared in Site Visit Surveys conducted between July, 2005 and April, 2006.  The PAC subcommittee replaced this question (and the preceding one) with a new group of iterative questions, below:

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?

At the suggestion of Doctors Henley and Pugno, the open-ended questions for each of the specialties being reviewed at this time, should be replaced by iterative questions that reflect “systems of care” and management by the family medicine residency programs of their patients’ health care needs.  The following set of questions, developed for the Cardiology section, was also modified in subsequent subcommittee meetings for Gastroenterology, Pulmonary Medicine, Nephrology, ENT, Ophthalmology and Pain Medicine.  It is the intention of the subcommittee, after field-testing these new questions in May, 2006 Survey Site Visits, that they be administered by electronic survey to all Profiled Residency Programs in the National Project:

*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 __

b.      Pneumonia?  Yes __ No __

c.      Asthma? Yes __ No __

d.      Pulmonary Hypertension? Yes __ No __

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

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

*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 __

b.      Advanced Pulmonary Hypertension? Yes __ No __

*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 __

b.      Chest CT? Yes __ No __

c.      Sleep Studies? Yes __ No __