Evans Disease Management Clinic
DISEASE MANAGEMENT CLINIC-IM
Current as of:  1 Aug 2012
Clinic Location:		1st floor. Room 1300. Co-located with Dermatology Clinic.
		1650 Cochrane Circle. Bldg# 7500. Ft Carson, CO 80913.
Hours of Operation:  Mon - Thurs     0730-1200 and 1300-1600
Walk-in:		No
Consult		Yes
Required:
Self-Referral		No
Clinic:
Beneficiary		AD, EACH Prime, and EACH Tri-Care Plus
Types:
Appt Types:		Detail Codes:		Duration:		Comments / Instructions:
SPEC		Asthma / DM
						Initial Eval – Asthma or Diabetes.  Diede, Bankhead, or Betts.
GRP		CM				Yearly follow-up for Pre-Diabetics
GRP		RX				Blood-Sugar Log, Self Management
GRP		DM / EVAL				Diabetes Class Part 1
						(See GRP Diabetes or Pre-Diabetes Classes 1 through 4 information below)
GRP		DM / COUNS				Diabetes Class Part 2
						(See GRP Diabetes or Pre-Diabetes Classes 1 through 4 information below)
GRP		DM / EDU				Diabetes Class Part 3
						(See GRP Diabetes or Pre-Diabetes Classes 1 through 4 information below)
GRP		DM				Diabetes Class Part 4
						(See GRP Diabetes or Pre-Diabetes Classes 1 through 4 information below)
GRP		GDB				Gestational Diabetic Education.  Provider Ching.
		ASTHMA/DM
EST						Asthma or Diabetes Follow-up:  ONLY Diede, Bankhead, or Betts.
EST		DM				Diabetes follow-up AFTER completion of FOUR GRP classes - All Providers
Special Instructions for Patients:
TO BE READ VERBATIM TO THE PATIENT
► Only children with booked appointments allowed.
► Bring list of all meds and dosages to appointment.  Diabetics should bring glucometer and written log of readings.  Asthma patients should
bring peak flow meter, spacer and all inhalers.
► Inform patient that if they miss, no-show or cancel any one class, they MUST reschedule the missed class before continuing on with
the class sequence.
Special Instructions for CLERKS:
Provider Restrictions
► N/A
Age Restrictions:
► Diabetes:  Only ages 17 years and up.
► Asthma:    Only ages 6 years and up.
Class Requirements:
► Classes will be scheduled per the instructions on the referral.
► Group classes must be attended in sequence: Class 1=EVAL, Class 2= COUNS, Class 3=EDU, Class 4=DM
► Patients may be scheduled for A)  GRP classes only,  B)  GRP classes THEN a SPEC,  or  C)  a SPEC then the GRP classes.
Common examples (these are examples for illustration purposes ONLY):
Pre-Diabetes may have the GRP classes only.
Type II Diabetics may have the GRP classes then a SPEC
Bottom line – FOLLOW the instructions on the consult!
GRP Diabetes or Pre-Diabetes Classes 1 through 4:
► Group classes may be booked anytime within the ONE YEAR lifespan of the referral.
► Book all four classes for the patient to ensure placement in class.
► If patient misses, no-shows or cancels any one class, they MUST reschedule the missed class before
continuing on with the class sequence.
Referral Lifespan:
► If an existing patient is seen anytime during a 12-month period then a new referral is NOT needed.
► A new referral is NOT needed if the patient continues to be seen routinely after the 12-month period.
► If a Doctor gives a patient a new referral and it has been under a 12-month period then a SPEC appointment is NOT necessary, use EST.
► If an existing patient goes OVER a 12-month period between visits, a new referral IS needed along with a SPEC appointment.
Special Instructions for Lack of Availability:
► If there are no appointments available, transfer the patient to clinic for assistance:  27#