Evans Premier Army Health Clinic - Family Medicine
Team #1                                              Team #2
                                               AMHMDPHCTM1: Lange and Quinn               AMHMDPHCTM2:  Farkas and Spence
                                                                                                                                                                                                                           Current as of:  28 June 2012
Clinic Location:   3920 North Union Blvd. (SW corner of Union and Austin Bluffs)
  Colorado Spring, CO 80907.
Hours of Operation:  Mon - Fri     0730-1600         (except holidays)
      Adult Immunizations (18 yrs+) at the Premier Immunization Clinic Mon-Fri between 0730-1200 and 1300-1530
Walk-in:   (Co-located with the Internal Medicine Clinic)  
      DO NOT book an appointment for Walk-in services. 
Consult   No
Required:
Self-Referral   No
Clinic:
Beneficiary   Evans Premier enrollees
 Types:  USAFA, Peterson, and Schriever enrollees.  See below for guidelines.
 
Appt Types: Detail Codes: Duration: Comments / Instructions
ACUTE Blank or Age Appropriate   PCM   Same Day / Next Day (within 24 hrs ONLY)
ALT Provider   Same Day Only
EST Blank or Age Appropriate As appropriate   Any care patient requires
      (routine, follow-up, initial visit, wellness except as listed below)
  Med Refill and F/U for pts under 65 years.
  Well Baby / School Physicals
EST Blank or Age Appropriate 30   New pts, Physical Exams, F\U for pts 65 years and over.   Join two 15/20 if needed.
PAP     PAP appointments (Please see 'PAP' instructions below)
Special Instructions for Patients:
TO BE READ VERBATIM TO THE PATIENT
 
  Children cannot be left unattended in the clinic waiting area.
  "Please arrive at your appointed time.  Early arrival is not necessary.  The first 10-15 minutes of your visit will be with your PCMs nurse
        who will screen you for Preventive Medical needs, health risks and review your expectations for your visit."
               
Special Instructions for CLERKS:  
USAFA, Peterson, and Schriever enrollees, DO NOT book with the following providers:
LINDQUIST    WATTERS    DAI
 
EVANS TEAM LISTING
(click for link)
  Provider Restrictions:
   PA Quinn may NOT see OB or GYN patients.
   PA Quinn only see patients 6mo-99yrs
   PA Spence:
          - Sees patients 6m-99
          - Will not see women for pregnancy related care.               
 
Multiple Issues / Concerns
  Book ONLY one appointment per patient per day, list ALL concerns - do not join.  
  Inform patient, not all concerns may be addressed in 1 visit
  EXCEPTION to this process is PAP appts.  They should NOT be scheduled with any other appt requests.
  If a patient requests a PAP and Physical, there should be a MINIMUM of 2 hrs between appts, or if possible, book on seperate days.
     
ACUTE Booking Priority
1.  PCM     (Same Day/Next Day)
2.  PCMs Team     (Same Day Only)
 
NON-ACUTE Booking Priority
1.  PCM
2.  PCMs Team
If there are NO ACUTE slots available then a SAME DAY EST slot may be used.
               
  Physical Exams:
  MUST FAST 12 HOURS PRIOR TO LABWORK – black coffee or water are okay.
  Wear shorts / sweats / t-shirt for checklist completion and actual physicals (AD wear PT uniform).
  Siblings MAY be booked back to back with the SAME PROVIDER.
  MUST bring school and daycare forms to the appointment.
Note:  If caller is unsure about where to get a school/sports physical form, suggest their school officer or school website.
 
Well Woman Exam / PAP / Post-partum PAP:
  PAP appts should NOT be scheduled with any other appt requests.
  If a patient requests a PAP and Physical, there should be a MINIMUM of 2 hours between appts, or if possible, book on seperate days.
  Premier assigned patients requiring a Well Woman Exam (PAP) Booking Priority:
      1.  PCM  - Lange, Spence, or Farkas (not Quinn)
      2.  NP Watters - BOOK IN 30 min EST SLOT ONLY
      3.  GYN Clinic
      4.  Hughes (Internal Medicine in a PAP detail coded EST. See EACH - IMC Protocol )
NOTE:  PAP smears for patient under 21 years of age are rarely performed and will only be done at the discretion of the provider.  
Patients will get a routine well woman exam with the omission of the PAP.
   Please follow the appt guidance for clinic you are booking into.
 
  Well Baby:
  Well baby appointments ( 2 weeks, 2 mos / 4 / 6 / 9 / 12 / 15 / 18 / 24 / 36 months)
  Make all attempts to book with their PCM.
  Early discharge appointments are to be booked into an EST appt type.
  Infant MUST be 72-120 hours (3-5 days) of birth on the day of their scheduled appointment.
  Book into 20/30 EST appt type.  Join two 15 minute slots if necessary. 
  Newborn Check (Early Discharge):
  An appointment is required for 0-5 day Newborn checks.
  Schedule through RN at clinic:  234#
 
Medication Refills / Renewals:
  If the patient requires a prescription RENEWAL
       (ie. their prescription has expired or out of refills) book in an EST appointment.
 
  If the patient requires a prescription REFILL
       (their prescription has refills left) continue with the following:
      - Ask the patient to have their prescription bottle present with them.
      - Explain to the patient that you will now transfer them to the Med Refill Line where they may follow the prompts to obtain a refill.
      - Give the patient the phone number and attempt to transfer the patient to: 719-524-4081
 
  Child Abuse Evaluations:
  MUST GO TO SOCIAL WORK SERVICES first.  
  May walk -in Mon - Fri 0730-1630 at bldg# 6236.
  For directions, transfer patient to:  719-526-5050
 
  Possible Communicable Diseases:  (Chicken Pox, Measles, etc.)
  Transfer to the clinic at for appointment booking:  234#
 
  Exceptional Family Member Program (EFMP) Guidelines:
  EFMP paperwork - book with patient’s PCM.  Join two 30 min EST appointments.
  Overseas Clearance – Transfer to EFMP office at:  237#
 
  ADHD:
  ADHD patients need 30 min EST for initial visit and 20 min EST for any follow-up visits. 
      NOTE:  If the provider does NOT have any 20 minute appointments, use a 30 min EST.
 
  Vasectomy:
  Vasectomy consultation appointments will be booked into an EST appt with Dr Lange or Farkas.
  Clinic nurse will book procedure appt.
 
  Intrauterine Device (IUD):
  IUD counseling - book with Dr Dan Lange or Farkas.
  Clinic Nurses will book IUD insertion.  Transfer to clinic:  234#
  IUD removal - book with Dr Dan Lange or Farkas.
 
  Colposcopy:
  Transfer call to clinic to leave message with PCM.  Nurse will book appt:  234#
 
  Procedures:
  Book EST appt if patient has not been evaluated in Premier.  Clinic nurse will book actual procedure appt.
Mental / Behavioral Health Requests
  Non-emergent requests for non-active duty Mental Health needs, transfer call to 1-888-TRIWEST, and instruct patient to say:
 'Mental Health'
 
Special Instructions for Lack of Availability:
  If there are no appointments available, transfer patient to clinic at:  234#
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