Health Checkup Camp

8/16/2019 Health Checkup Camp

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This Patient Registry is intended to provide physicians the opportunity to start managing their patient population.

The guidelines described for each condition are of descriptive nature and for illustrative purposes only.

It is the physician's choice to track one or more conditions.

The Patient Centered Care Consultant will gather the guidelines you would like to use for the chosen condition and deliv

Once this tool is implemented and conditions tracked the Patient Centered Care Consultant will help identify areas of im

Please contact your Patient"Centered Care Consultant

Take Action Identify values outside parameters discuss if campaign to improve outcomes is needed. Consider holding specific clinic

Approach #olistic$ while condition focused.

Value #elp organi%e physicians$ to sort patients' conditions to identify gaps. These gaps may or may not mimic &nthem reports

Critical Condition Element Critical Condition Element Critical Condition Element

Diabetes Abnormal when: CHF Abnormal when: CAD A

P ()*+!,+ P ()*+!,+ ()-+!,+over + P ()

/asting lipid profile date () year /asting lipid profile date () year /asting lipid profile date ()

/asting lipid profile " 232 .() yr /asting lipid profile " 232 .() yr /asting lipid profile " 232 .(

4tatin 1o 4tatin 1o 4tatin 1o

0I (5*., 0I (5*., 0I (50edication use counsel 1o 0edication use counsel 1o 0edication use counsel 1o

8/ documented 1o

1o 8/9*+: &C8I!&R 1o

1o 8/9*+: blocker 1o &spirin 1o

&IC ( ; &spirin 1o

&IC date ( months

Increased

3yneaorthopnea Increased

Retinal 86am 3ate ( ) year 8dema Increased

( ) year

?rine 0icroalbumin date () year

?rine 0icroalbumin =alue ( @+mg!5*hr

4erum Creatinine 3ate () year

9 5 < eA/R9+>

8R #ospitali%ation 7es 8R #ospitali%ation 7es 8R #ospitali%ation 7e

&C8!&R if P and!or urinemicroalb abnl

&spirinB!or Clopidigrel

3aily Deight! Change(E*lbs over Ftarget wtF

/oot 2esion!1europathy 86am3ate

4erum Creatinine$ nephrologistreferral


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Patient name Gender DOB Clinician BP Statin BMI

!astin" lipid

pro#ile date

Medication

$se Counsel


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AIC AIC date

Aspirinand /orClopi"rel%i#DM & CVD

isk'

etinal E(am

Date

!oot )esion/*europath+ E(am

Date

Urine

Microalbum

in Value

$rineMicroal,umin

date

SerumCreatinine

Date

SerumCreatinine*ephrolo"istre#erral -.

%eG!-0'


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To,acco $se

E/

1ospitali2ation

Dietar+

Counsel

E(ercise

Counsel

DM Sel# M"mteducation3

monitor BG

!lu Vaccine

Date 4earl+

PneumoVaccine%consider

repeat i# 56'

1ep BVaccine

series


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atient name Gender DOB Clinician To,acco usePeak !lo7Measurement

BaselineSpirometr+

AsthmaAction Plan

1ome/En8ironmentalcounsel

Medicationusecounsel

E/1ospitali2ation


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u9 +earl+Pneumo8a(9once9%consider repeat i#56'


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Gender DOB Clinician Date

atient

ame

Baseline

Spirometr+

Peak !lo7

Measurement

O(+"ensaturation

:

O(+"en

Dependent

Medication

use counsel

Compliance7ith (

o(+"en

E(er

coun


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To,acco $se

E /ospitali2a

tion

!lu Vaccine

Date


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atient *ame Gender DOB Clinician Statin BMI AspirinBloodPressure

!astin")ipidPro#ile

Medication$se Counsel

E/1ospitali2ation

DieCo


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o,accose

E(erciseCounsel

!luVaccine

4earl+

Pneumo8a(%Considerrepeat i# 56'

TotalCholesterol

1ep BImmuni2ationSeries


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atient *ame Gender DOB Clinician Blood Pressure Statin BMI

!astin")ipidPro#ile

Medication$seCounsel

E!Documented

E! -;ACE/


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Aspirin Edema Dietar+ Counsel To,acco $se!-;0:,locker

TotalCholesterol

Dail+7ei"ht/chan"e5;l,s o8er


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lcohol use 5 .er da+

E(erciseCounsel

!luVaccine

4earl+

Pneumo8a(%considerrepeat i#56'



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atient name Gender DOB Clinician Contact Date B1 e#erralP1=.Score

P1=>Score %Must

,e completedi# P1=. ispositi8e'

GAD ?Score

B1Pro8ider


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1

escreenate

A$DIT @Su,stance

$se ScreenScore

Su,stance

$see#erral Su,stance $se!ollo7 $p Date Su,stance $seescreen Date Medication $seCounsel Co@Mor,idCondition

On Medical

Conditione"istr+


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Patient *ame Gender DOB Clinician

Tar"etBloodPressure

CurrentBloodPressure

Presenceo# risk#actors

)a, DataSerum&

SerumCreatinine%eG!'


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1,Ac CBC BMICholesteroland )D)

$rine/al,umincreatinine

Medication $seCounsel

E/1ospitali2ation

DietCounsel


21/24

To,acco$se

E(erciseCounsel

!luVaccine 4earl+

Pneumo8a(%Considerrepeat i#56'



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References

&sthma "

COP3 "

Aold COP3 Retrieved from httpG!!www.goldcopd.org!uploads!users!files!AO23H&t&AlanceH5+)@H/eb5+.pdf

ReferenceGhttpG!!www.ndei.org!&3&"5+)*"guidelines"diabetes"diagnosis"&)C"testing.asp6

httpG!!circ.ahaournals.org!content!)5)!5*!5,*.full.pdf

ehavioral #ealth "

Debsite instructional manual on P#J and A&3 screeners for 3epression and &n6iety " link also on our Provider Toolk

Provides a variety of screening tools available " depression an6iety drug!alcohol use bipolar suicide risk and trauma

#ealth Team Dorks &sthma Care /lowsheet. Retrieved from httpG!!healthteamworks"media.precis-.com!)*+f,,d-5)@fd+ece+@)*Ke5e*)e

#ealth Team Dorks &sthma Care /lowsheet. Retrieved from httpG!!healthteamworks"media.precis-.com!c@@-;@*dbc+b)ded;*5)cfc));-+

C&3 " httpsG!!collaborate.wellpoint.com!sites!PCPCHTeam!Transformation:5+4trategy!PC5:5+Change:5+Package:5+Package!C&3:5+Provider:5+Resources!Cardiovascular:5+Care:5+/low:5+sheet.pdf

httpG!!www.phLscreeners.com!overview.asp6M4creenerE+@HA&3";

httpG!!www.integration.samhsa.gov!clinical"practice!screening"tools

N/or depression

NPatient #ealth Juestionnaire or P#J. & score of @ or higher on the P#J"5 suggests the need for additional would then administer Luestions @", of the P#J",. The P#J", rates the level of depressive symptoms as 0i0oderately 4evere or 4evere.

-", is 0inimal symptoms " offer support educate to call if worse return in one month)+")* is 0inor depression 3ysthymia 0aor 3epression mild " support watchful wating$ anti"depressant and)-"), is 0aor depression moderately severe " antidepressant and!or psychotherapy5+ or greater is 0aor depression severe " antidepressant and psychotherapy


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httpG!!www.nchealthliteracy.org!hfselfmanage.html

httpG!!www.cardiology.org!recentpapers!susiechfc.pdf

httpG!!circ.ahaournals.org!content!)),!)*!),;;.full.pdf

Documents

Health Checkup Camp