Practice Management

  • 1.  Outpatient care in setting of COVID-19 staffing shortage

    Posted 03-11-2020 20:04

    Hi all -

    My hospital has asked that our division  develop a contingency staffing plan for physicians and APPs based upon a potential reduction in clinical workforce at 10%, 25%, and 50% as a result of anticipated absences from COVID-19.  

    I wanted to reach out to see whether others have considered how they might triage services for outpatient maternal-fetal medicine in the event of a large reduction in staff. We are looking into video visits for consults / prenatal care. I'm also curious about how we might prioritize imaging studies if we have a large reduction in capacity.

    Thanks in advance for your thoughts!


    -Alison



    ------------------------------
    Alison Stuebe
    ------------------------------


  • 2.  RE: Outpatient care in setting of COVID-19 staffing shortage

    Posted 03-12-2020 21:00
    We have been providing virtual visits for patients. The program provides a doppler and blood pressure cuff so that the majority of the prenatal care can be done using their smart phone or lap top. There seems to be an increase in interest. 





  • 3.  RE: Outpatient care in setting of COVID-19 staffing shortage

    Posted 03-12-2020 21:28
    What time of Doppler device do you provide? How well does it work?

    ------------------------------
    Alison Stuebe
    ------------------------------



  • 4.  RE: Outpatient care in setting of COVID-19 staffing shortage

    Posted 03-13-2020 09:32
    Offered through Medline Industries. Similar to hand held office dopplers that we you used in your office. Fairly cheap. We require people to leave a deposit and return when the pregnancy is over and they return the equipment. 





  • 5.  RE: Outpatient care in setting of COVID-19 staffing shortage

    Posted 03-13-2020 19:30
    Look into Baby scripts . They have a very good prenatal visit program at home. Dan

    Dan O'Keeffe, MD
    602-791-0176
    42530 N. 108th Street
    Scottsdale, AZ 85262





  • 6.  RE: Outpatient care in setting of COVID-19 staffing shortage

    Posted 03-14-2020 09:43
    We are increasing the use of phone interactions when possible and developing telehealth options through websites and phone apps that are HIPPA compliant. We have an app product originally meant for patients to ask questions from their providers now transitioning to be used for telehealth purposes when an in-person visit is not crucial. Non-urgent consults are also pushed back a bit (e.g. preconception consults). I would suggest implementing without much consideration on reimbursement. However, telehealth was always a good option for patients and now is a good time to contact your State representatives and push for telehealth coverage legislation in your State.

    ------------------------------
    Fadi Bsat, MD
    Past Chair, SMFM Coding Committee
    ------------------------------