PAC Notes: Taxonomy Section I Part IV

NATIONAL PROJECT ON THE COMMUNITY BENEFITS

OF FAMILY PRACTICE RESIDENCY PROGRAMS

 

CUMULATIVE QUESTIONNAIRE RESPONSES

Taxonomy Section I Part IV

Reviewed by Policy Analysis Committee April 12, 2005

San Diego, California

 

Policy Analysis Committee Breakfast Group W (April 12, 2005) proposed replacing the term “separately defined geographic area designated for women’s health” in the following question SD 1.2a with broader concepts of clinics, programs or entities.

 

SD I.2a (CEH) Does your residency program have a separately defined geographic area designated for women?s health? Yes __ No __

 

*SD 1.2a.1 (CEH) If the answer to SD I.2a is yes, is the area within your family medicine center? Yes __ No __ If no, explain:

 

Dr Henley, as Specialty Question Monitor for Women’s Health, revised the question as follows:

 

*SD I.2.01 (CEH) Is there an element of your residency program that you define as a “women’s health center”?  Yes __ No __

 

*SD I.2.02 (CEH) If the answer to SD I.2.01 is yes, is there a geographic space within your family medicine center that has such a designation? Yes __ No __

 

*SD I.2b (CEH) Does your residency program include obstetrical care as part of a women?s health program? Yes __ No __

 

*SD 1.2c (CEH) Do your OB patients come from your practice (i.e. are continuity patients of your family medicine center), or are they from an outside agency?

 

From practice:  Yes __ No __

 

*SD 1.2c (CEH) Do your OB patients come from your practice (i.e. are continuity patients of your family medicine center), or are they from an outside agency?

 

From outside agency: Yes __ No __

 

*SD 1.2d (CEH) Are residents in your program required to follow continuity OB patients? Yes __ No __

 

Policy Analysis Breakfast Working Group W proposed the addition of the phrase “leading to specialized privileges” to the following question.  Dr Henley added a question (bolded) to incorporate this concept.

 

*SD 1.2e (CEH) Is there an “OB track” in your program? Yes __ No __

 

*SD I.2e(1) (CEH) If the answer to SD 1.2 e is yes, does the track lead to specialized privileges? Yes __ No __

 

Policy Analysis Breakfast Working Group W proposed the addition of the phrase “in your institution” to the following question.  Dr Henley added a question (bolded) to incorporate this concept.

 

*SD 1.2f (CEH) Can residents in your program become credentialed to do

C-sections? Yes __ No __

 

*If the answer to SD 1.2(f) is yes, can such residents be credentialed to do C-sections within your institution? Yes __ No __

 

Policy Analysis Breakfast Working Group W proposed the division of the following question.  The new form of the question (bolded) follows:

 

SD 1.2g (CEH) Does your Women’s Health program include the following services:

 

(1)   Pap Smears and Pelvic Exams? Yes __ No __

 

*SD 1.2g (CEH) Does your Women’s Health program include the following services:

 

(1.1)         Pap Smears? Yes __ No __

 

*SD 1.2g (CEH) Does your Women’s Health program include the following services:

 

(1.2)         Pelvic Exams? Yes __ No __

 

Policy Analysis Breakfast Working Group W proposed dividing the following questions into two parts.  The new form of the question (bolded) follows:

 

SD 1.2g (CEH) Does your Women’s Health program include the following services:

 

(2)   Mammography? Yes __ No __

 

*SD 1.2g (CEH) Does your Women’s Health program include the following services:

 

(2.1)         Mammography performed within your center? Yes __ No __

 

 

*SD 1.2g (CEH) Does your Women’s Health program include the following services:

 

(2.2)         Mammography referred out of your center? Yes __ No __

 

*SD 1.2g (CEH) Does your Women’s Health program include the following services:

 

(3) Screening for Osteoporosis? Yes __ No __

 

*SD 1.2g (CEH) Does your Women’s Health program include the following services:

 

(4)   Mental health services? Yes __ No __

 

*SD 1.2g (CEH) Does your Women’s Health program include the following services:

 

(5)   Weight loss programs? Yes __ No __

 

*SD 1.2g (CEH) Does your Women’s Health program include the following services:

 

(6)   Adolescent programs? Yes __ No __

 

*SD 1.2g (CEH) Does your Women’s Health program include the following services:

 

(7)   Pre-pregnancy wellness programs? Yes __ No __

 

*SD 1.2g (CEH) Does your Women’s Health program include the following services:

 

(8)   Exercise or aerobic programs? Yes __ No __

 

Previous Gynecologic Procedures Questions

 

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 25, 2005 version of the Policy Analysis Committee notes for Taxonomy Section I Part II:

 

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

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

 

(Are gynecologic procedures listed?)

 

Site-visited profiled residencies:

 

SD I.13f(1) (L32) Does your residency program provide the following kinds of specialty care?   f. Gynecologic procedures? 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.13f(1.1) (SD I.13f(2) (L32)) Does your residency program provide the following kinds of specialty care?  f (1). Gynecologic procedures? 

Yes__ No __

 

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

Yes __ No __

 

SD I.13f(1.3) (SD I.13f(4)) If you do provide gynecologic procedures, 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.13f(1.4) (SD I.13f(5)) Describe the kinds of gynecologic procedures that typically take place within the family health center (whether as normal appointments or during special clinics):

 

Breakfast Group W proposed eliminating the term “in your family medicine center or women’s health clinic” in the following question and each of its iterations:

 

*SD 1.2g.1 (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:

 

PAP Smears Yes__ No __

Previous Colposcopy Questions

 

SD 1.2g.1.1 (SD I.13e (L32)) Does your residency provide specialty care?

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

 

(Is colposcopy listed?)

 

SD 1.2g.1.2 (SD I.13e(1) (L32)) Does your residency program provide the following kinds of specialty care?   e. Colposcopy? 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 1.2g1.3 (SD I.13e(1.1) (SD I.13e(2) (L32)) Does your residency program provide the following kinds of specialty care?  e. Colposcopy?  Yes__ No __

 

SD I .2g.1.4 (SD I.13e(1.2) ((SD I.13e(3)) If you do provide colposcopy, are these services provided as normal family health center appointments?

Yes __ No __

 

SD I.2g.1.5 (SD I.13e(1.3) (SD I.13e(4)) If you do provide colposcopy, 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 1.2g.1 (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:

 

2.      Colposcopy Yes __ No __

 

*SD 1.2g.1 (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:

 

3.      Cryotherapy Yes __ No __

 

*SD 1.2g.1 (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:

 

4.      LEEPs Yes __ No __

 

*SD 1.2g.1 (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:

 

5.      Endometrial Biopsies Yes __ No __

 

Previous Ultrasound Questions

 

SD 1.2 h(0.1) (SD I.13g(1.0) (SD I.13s (1) (L32))) Does your residency program provide the following kinds of specialty care?   g(1.0). Level 3 Ultrasound for Obstetrics? 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 1.2h(0.2) ((SD I.13g(1.0.1) (SD I.13s(2) (L32)) Does your residency program provide the following kinds of specialty care?  Level 3 Ultrasound for Obstetrics?  Yes__ No __

 

SD 1.2h(0.3) ((SD I.13g(1.02) (SD I.13s(3)) If you do provide Level 3 Ultrasound for Obstetrics, are these services provided as normal family health center appointments? Yes __ No __

 

SD 1.2h(0.4) ((SD I.13g(1.0.3) (SD I.13s (4)) If you do provide Level 3 Ultrasound for Obstetrics, are these services provided during special clinics? If so, what is the number of patients seen?  What revenues are generated in each specialty service?

 

SD 1.2h(1) ((SD I.13g(1.1) (SD I.13u(2) (L32)) Does your residency program provide the following kinds of specialty care?  Ultrasound for Obstetrics?  Yes__ No __   (If yes, identify level)

 

SD I.13g(1.2) (SD I.13u(3)) If you do provide Ultrasound for Obstetrics, are these services provided as normal family health center appointments?

Yes __ No __

 

SD I.13g(1.3) (SD I.13u(4)) If you do provide Ultrasound for Obstetrics, 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 1.2g.1 (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:

 

6.      OB Ultrasound Yes __ No __   What Level(s)?

 

*SD 1.2g.1 (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:

 

7.      NSTs   Yes __ No __ 

 

*SD 1.2g.1 (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:

 

8.      IUD Insertion Yes __ No __  

 

*SD 1.2g.1 (CEH) Indicate which of the following procedures are performed in your family medicine center or women’s health clinic:

 

9.      Birth Control Advice Yes __ No __  

 

*SD I.2g.10 Describe any other kinds of gynecologic procedures that typically take place within the family medicine center (whether as normal appointments or during special clinics):

 

*SD I.13f(2) Does your residency program provide the following kinds of specialty care? f(2) Pre-natal care? Yes __ No __

 

*SD I.13f(2.1) If you do provide pre-natal care, are those services provided as normal family medicine center appointments? Yes __ No __

 

*SD I.13f(2.2) If you do provide pre-natal care, are those services provided during special clinics?  Yes __ No __

 

*If the answer to SD I.13f(2.2) is yes, what is the number of patients seen?  What revenues are generated in each specialty service?

 

Breakfast Working Group W proposed re-working the following question to specify patients of particular interest, i.e., high risk patients:

 

*Describe the kinds of pre-natal care that typically takes place within the family medicine center (whether as normal appointments or during special clinics:

 

*SD I.h(2) Do you incorporate ultrasound training for the residents?

Yes __ No __

 

Previous Contraception Questions

 

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

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

 

(Is contraception listed?)

 

SD I.13h(1) (L32) Does your residency program provide the following kinds of specialty care?   h. Contraception? 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.13h(1.1) (SD I.13h(2) (L32)) Does your residency program provide the following kinds of specialty care?  h. contraception?  Yes__ No __

 

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

Yes __ No __

 

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

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

 

*SD I.13h(1.4) (SD I.13h(5)) Describe the kinds of contraception services that typically take place within the family health center (whether as normal appointments or during special clinics):

 

Breakfast Working Group W proposed the addition of the following questions:

 

Do you have an OB fellowship? Yes __ No __

 

Do you have in-house consultation in OB/GYN? Yes __ No __

 

Last Updated (04 May 2006 10:26)