Transitioning to a Clinical Practice Model in Your Local Environment

ABSTRACT

Once the clinical practice model is established, transitioning is fairly easy. Office staff such as schedulers and nurse practitioners should understand that all elective therapeutic interventions are to be booked only by interventional radiologists once the interventionalist has done a thorough diagnostic evaluation, including a history and physical in an office environment. To optimize the interventionalist's workload and efficiency, some triaging of patients in the clinical office is necessary. Also, noninvasive testing will need to be made available in the clinical office.

KEYWORDS

Clinical practice model - consultation - triage - service line

REFERENCES

• 1 Aliyu Z Y, Yousif S B, Plantholt K, Salihu H, Erinle A, Plantholt S. Assessing compliance of cardiologists with the national cholesterol education program (NCEP) III guidelines in an ambulatory care setting.  Lipids Health Dis. 2004;  3 9
• 2 Alzahrani T, Marrat S, Haider A. Management of dyslipidemia in primary care.  Can J Cardiol. 2003;  19 1499-1502
• 3 Bishop P B, Wing P C. Compliance with clinical practice guidelines in family physicians managing worker's compensation board patients with acute lower back pain.  Spine J. 2003;  3 442-450
• 4 Frolkis J P, Zyzanski S J, Schwartz J M, Suhan P S. Physician noncompliance with the 1993 National Cholesterol Education Program (NCEP-ATPII) guidelines.  Circulation. 1998;  98 851-855
• 5 Henke P K, Blackburn S, Proctor M C et al.. Patients undergoing infrainguinal bypass to treat atherosclerotic vascular disease are underprescribed cardioprotective medications: effect on graft patency, limb salvage, and mortality.  J Vasc Surg. 2004;  39 357-365
• 6 McKerracher A. Treating to hypertension targets.  Heart. 2004;  90(suppl 4) 33-35
• 7 Siddiqui A K, Ahmed S, Delbeau H, Conner D, Mattana J. Lack of physician concordance with guidelines on the perioperative use of beta-blockers.  Arch Intern Med. 2004;  164 664-667
• 8 Sinclair S H, Delvecchio C. The internist's role in managing diabetic retinopathy: screening for early detection.  Cleve Clin J Med. 2004;  71 151-159
• 9 Toth E L, Majumdar S R, Guirguis L M, Lewanczuk R Z, Lee T K, Johnson J A. Compliance with clinical practice guidelines for type 2 diabetes in rural patients: treatment gaps and opportunities for improvement.  Pharmacotherapy. 2003;  23 659-665