Taxonomy I Part VI-D (Nephrology)

(05 May 2006 11:23)

NATIONAL PROJECT ON THE COMMUNITY BENEFITS

OF FAMILY MEDICINE RESIDENCY PROGRAMS

CUMULATIVE QUESTIONNAIRE RESPONSES

Taxonomy Section I Part VI-D

(Nephrology)

SD I.13k(7.1) (new) Does your residency provide the following kinds of specialty care: k(7.1) nephrology? Yes __ No __

Yes:

Natividad

Klamath Falls

Lehigh Valley

Mercy Toledo

Kaiser LA

Tyler

Las Vegas

Fresno

Springfield

Glasgow

Lexington

OSHU Portland

SD I.13k(7.2)  If you do provide nephrology, 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(7.3)  If you do provide nephrology, are these services provided during special clinics? Yes __ No __

If the answer to SD I.13k(7.3) is yes, what is the number of patients seen?  What revenues are generated in each specialty service?

No:

Natividad

Klamath Falls

Lehigh Valley

Mercy Toledo

Kaiser LA

Tyler

Las Vegas

Fresno

Springfield

Glasgow

Lexington

OSHU Portland

NPCB P2 I.13.2k(35) (SD I.13k(7.4)) Describe the kinds of nephrology that typically takes place within the family medicine center (whether as normal appointments or during special clinics):

Natividad                     (the gamut: chronic renal disease; liver related hypertension; sometimes acute renal failure)

Klamath Falls               (diabetic renal disease; insufficient hypertensive nephropathy; initial coverage for renal failure)

Lehigh Valley                (renal failure)

Mercy Toledo              (urinalysis; post void residual)

Kaiser LA                    (we take care of the primary care of renal patients, who have a dialysis unit within the medical center)

Tyler                            (urine microscopy; diagnosing various ailments)

Las Vegas                    (renal insufficiency; renal failure)

Fresno                          (renal failure; full scope of nephrology)

Springfield                    (kidney stones; pyelonephritis)

Glasgow                       (diabetic nephropathy; stones management; renal arteriostenosis; gall bladder disease)

Lexington                     (chronic renal insufficiency; urinary tract infection; prostatitis; BPH; prostrate cancer screening; ED; premature ejaculation; kidney stone; nephrolithiasis)

OHSU Portland            (chronic renal failure; hyponephrosis; reflux; polycystic kidney)

Phase 2 responses:

Sparrow                       (kidney infections; bladder infections; stone diagnosis and initial management; hematuria of various causes; co-management of renal failure)

Huntsville                      (management of chronic renal failure; acute renal failure; hypocholemia; renal artery stenasis; polycystic kidney disease)

Ventura                        (patients with chronic renal insufficiency; proteinuria; diabetic nephropathy)

Long Beach                  (UTI; polynepthritis; non-surgical stones; chronic renal insufficiency)

U Penn                         (normal appointments)

Crozer-Keystone          (urinalysis and microscopy; acute renal and chronic renal insufficiency management)

Jefferson                       (pyelonephritis; UTIs; prostititis (urology), chronic renal insufficiency; nephrotic syndrome)

McKeesport                 (catherizations (urology); monitoring renal function, GFR; microscopic urinalysis)

Oahu                            (A lot: chronic renal failure; dialysis and pre-dialysis; diabetes-related management)

NPCB P2 I.13.2k(36) For what conditions would your residency program refer patients to nephrologists? What is the expected wait time before the patient is seen?

Sparrow                       (inflmmatory kidney problems; unexplained bleeding; significant renal failure)

Huntsville                      (dialysis; patients with worsening renal problems)

Ventura                        (patients with chronic renal insufficiency; proteinuria; diabetic nephropathy)

Long Beach                  (patients needing dialysis; stone removal (may be referred to urology or nephrology as appropriate); kidney biopsy; 4-6 week wait for nephrology)

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

Crozer-Keystone          (dialysis; some unstable hypertension management)

Jefferson                       (nephritis; acute renal failure; hydropnephrosis; end stage renal disease; 4-8 weeks)

McKeesport                 (unresolved hemoturia; procedures; deteriorating renal function; a week to 10 days)

Oahu                            (if they are at the dialysis stage; biopsies; glomerulonephritis)

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

a.      Renal Failure? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

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

b.      UTI? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

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

c     Renal Stones? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.VI.C2.1 Does your residency program utilize UTI screening and surveillance procedures consistent with professional guidelines? Yes __ No __

Yes:

Shadyside                     (for well child and prenatal visits)

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading                        (for appropriate patients, such as obstetrical)

York

Lebanon

Monroeville

Beaver

Latrobe

Erie

Lawton

No:

Billings                          (do not think universally accepted guidelines exist for such procedures)

*NPCB P2 I.VI.C2.2 Does your residency program utilize stone management procedures consistent with professional guidelines? Yes __ No __

Yes:

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

No:

Shadyside                     (probably not formally)

* NPCB P2 I.VI.D3 Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:

a.      Dialysis? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

* NPCB P2 I.VI.D3 Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:

b.      End stage renal disease? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

* NPCB P2 I.VI.D3 Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:

c.       Renal transplants? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie                              (they go to Pittsburgh)

Lawton

* NPCB P2 I.VI.D4 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.      Imaging? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon                       (not a problem for insured meeting qualifications for test; much more difficult for uninsured patients)

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

* NPCB P2 I.VI.D4 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.      Ultrasound?  Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon                       (not a problem for insured meeting qualifications for test; much more difficult for uninsured patients)

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

* NPCB P2 I.VI.D4 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.       CT? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon                       (not a problem for insured meeting qualifications for test; much more difficult for uninsured patients)

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

* NPCB P2 I.VI.D4 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?

d.      Cystoscopy? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa                   (sometimes a stretch to get this)

Reading

York

Lebanon                       (not a problem for insured meeting qualifications for test; much more difficult for uninsured patients)

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

* NPCB P2 I.VI.D4 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?

e.      Renal biopsy?  Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon                       (not a problem for insured meeting qualifications for test; much more difficult for uninsured patients)

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

Last Updated (04 September 2006 11:59)