Iron Horse (Warrior) Family Medicine Clinic
AMHFPWFMTM1
Current as of:  20 July  2012
Clinic Location:		2nd floor of Evan's Hospital. Adjacent to Urology and the Pain Clinic.
		1650 Cochrane Circle. Bldg# 7500. Ft Carson, CO 80913.
Hours of Operation:  Mon-Fri    0730-1600 (except holidays)
Walk-in:		Pregnancy and Strep testing;  Immunizations, Monday thru Friday from 0700-1500
		Also 2nd and 3rd HPV shots after initial injection (see HPV instructions below).
		(No FORSCOM)
Consult		No
Required:
Self-Referral		No
Clinic
Beneficiary		Warrior AD and Prime
Types:
Appt Types:		Detail Codes:		Duration:		Comments / Instructions
ACUTE		Blank or Age Appropriate		15 / 20		PCM	Same Day / Next Day
						ALT Provider	Same day only
EST		Blank or Age Appropriate				Any type of patient care (i.e. routine / follow-up / wellness).
						Any type of physical (annual / school / daycare / sports / adult)
						DO NOT BOOK FLU SHOTS
EST		PAP				Paps are to be booked into these slots first.
						(See PAP instructions below)
Special Instructions for Patients:
TO BE READ VERBATIM TO THE PATIENT
► Do not bring children to pap appointments unless they are under the age of 6 weeks old.
► Children cannot be left unattended in the clinic waiting area.
► Patients under the age of 18 must be accompanied by a parent or legal guardian unless the appointment is for birth control,
or any GYN or OB issues to include STDs.
► Bring in all medications that you take to your appointment including over-the-counter, herbals, vitamins, and supplements.
► "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:
EVANS TEAM LISTING
(click for link)
Provider Restrictions
► Deighton:  Book these patients with any Team 1 provider with access.
► Farley:  Will not see women for pregnancy related care.
► Gray, Charles:  Only sees patients 6mos-99 yrs and no pregnancy related care.
► Hehe:  Only sees patients 2-99 yrs.
Will not see women for pregnancy related care.
► Houglanadkins,Elizabeth:  Float provider.  Only sees patients 13-99 yrs.
► Sciandra, Robert:  Float provider.  Only sees patients 2-99 yrs.
► Dependants are ONLY booked with Team #1 providers listed above.
► If the soldier’s PCM is NOT listed on Team #1 , see the Evans FORSCOM Provider Instruction Protocol.
All Appointment Type Booking Priority
1.  PCM     (Same Day/Next Day - all appts)
2.  PCMs Team     (Same Day Only for ACUTE appts)
Note: Houglandadkins on Tm 1 may be used as overflow for ANY provider, any team at Ironhorse FMC.
If there are NO ACUTE slots available then a SAME DAY EST slot may be used.
If a patient has a NON-ACUTE PROBLEM and REQUESTS a same day appointment, you may book them into a 20 min ACUTE with
their PCM (20 min ONLY) if there are no available same day EST appointments. (Not to be used for PAP or ADHD).
Multiple Issues / Concerns
► Book ONLY one appointment per patient per day, list ALL concerns - do not join.
► EXCEPTION to this process is PAP appts.  They should NOT be scheduled with any other appt requests.
► If a patient is requests a PAP and Physical, there should be a MINIMUM of 2 hours between appts, or if possible, book on seperate days.
DO NOT TELL THE PATIENT THERE ARE ANY LIMITATIONS OR RESTRICTIONS
Pre-Operative
► Book with PCM (if PCM is a physician).  If PCM is NOT a physician, book with PCM team physician.
Well Baby
► Well baby EST appointments (2 weeks, 2 / 4 / 6 / 9 / 12 / 15 / 18 / 24 months).
► Early discharge appointments are to be booked into an appt slot.
► Infants MUST be into appointment no sooner than 48-72 hours after discharge.
Physical Exam Guidelines
MILITARY, Active Duty, and MEB ( Med Eval Board )
► All Active Duty Physicals, Part 1 are to be booked with Evans Physical Exams Clinic  (See that protocol for instructions).
► Part II are to be booked with PCM.  For Part II of an MEB Physical, join two EST slots.
► If there is no access within the PCM clinic when booking a Part II, book in Physical Exams in a SPEC appointment type.
NON-MILITARY: Annual / School / Camp / Sports / Daycare
► Adult / annual / school / sports / daycare physicals book in an appropriate EST appointment.
► Siblings MAY be booked back to back with the SAME PROVIDER.  If siblings are booked with SEPARATE PROVIDERS
they MUST be booked no closer than 40 minutes apart, NO exceptions.
► Patients over the age of 65 requesting physicals require 40 minutes.  Join two EST slots.
PHAs
► Patients calling to schedule a Periodic Health Assessment (PHA), should be directed to call the Fort Carson SRP Site:  719-526-2014
Pre-Op Physicals
► Pre-OP physicals are to be done with PCM in a 40 min appt ( join two 20 appts).
Female / Gyn Concerns
PAP/Post-partum PAP Booking
► PAP appts should NOT be scheduled with any other appt requests.
► If a patient is requesting a PAP and Physical, there should be a MINIMUM of 2 hours between appts, or if possible, book on separate days.
► All PAP appts should be booked in the following priority and following the appt guidance for clinic you are booking into:
1. PCM
2.  GYN (click for protocol)
3.  Hughes (Internal Medicine in a PAP detail coded EST. See E IMC Protocol )
4. OB - (see EACH OB 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.
OB (Obstetrics)
► ALL NEW OB patients require a KEPT appt for NPCL class.
► Initial OB physicals will be booked by the clinic.
► OB patients who require non OB related care can be scheduled with any provider.
► Follow-up OB visits will be booked into an EST appointment. Transfer patient to clinic if  an EST appointment is not available
within timeframe specified by patient.
IUD (Intrauterine Device) and Colposcopies
► Colposcopies and procedure consultation appointments (IUD and Implanon insertion/removal)  transfer to clinic:  243#
Birth Control
► All patients requesting birth control are to be booked in a EST for the initial consultation with provider Meyers.
► Birth Control Pill Refills require a current pap smear on record (within the last year).
► If the patient requires a Birth Control Rx refill prior to their scheduled PAP appointment refer them to the front desk to leave
a telephone consult with their PCM.
► Do not allow patient to run out of medication because an appointment is not available!  Transfer the patient to the clinic to leave
a message for the PCM.
General Clinic Information
Medications Refills / Renewals
► If the patient requires a prescription RENEWAL
(ie. their prescription has expired or out of refills - NO CHANGES) transfer to clinic to leave a telephone consult for PCM.
If patient experiencing a medical problem/change, an appointment must be booked.
If patient has not been seen in the past six months, an appointment must be booked.
Do not allow patient to run out of medication because an appointment is not available!
Transfer the patient to clinic to leave a message for the PCM.
► 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
Vasectomy
► All patients requesting a vasectomy are to be booked in a EST for the initial consultation with provider Meyers.
EFMP (Exceptional Family Member Program)
► Book EFMP enrollment, updates, and disenrollment with PCM only.  Book with patient’s PCM in one EST slot.
► If PCM does not have access, book with any other provider in one EST slot.
► AD family members only - NO Active Duty.
► Patient needs to pick-up Form DD2792 from the EFMP Office and bring to PCM appointment.  Form must be brought back to the
EFMP office following appointment.
► Requests for any other EFMP reasons - transfer to clinic:  243#
Lab Work
► STD test:  book any available appointment
► Pregnancy Test and Strep Test:  Walk-in
► For cholesterol testing, patient must fast for 12 hours.
HPV Immunizations
► HPV injections are a series of three injections.
► The first injection requires an appt.
► The two subsequent injections, at two months and again at six months are on a Walk-In basis.
Communicable Diseases (Chicken pox, measles, etc.)
► Instruct patients with potential communicable diseases (i.e. chicken pox, measles, etc.) to identify themselves to the receptionist.
Stress Tests
► Patients requesting a stress test (treadmill) should be transferred to the clinic for booking:  243#
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 for assistance at:  243#
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