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Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; 2-4 patients

CPT4 code

Name of the Procedure:

Patient Self-Management Education and Training (PSMET) with a Qualified Nonphysician Health Care Professional

Summary

Patient Self-Management Education and Training (PSMET) involves face-to-face sessions with a qualified nonphysician healthcare professional. These sessions are designed to educate and train patients on how to manage their own health conditions effectively. Each session can include two to four patients, along with their caregivers or family members, and lasts approximately 30 minutes.

Purpose

PSMET addresses chronic health conditions such as diabetes, hypertension, asthma, and other long-term illnesses. The goal is to empower patients with the knowledge and skills necessary to manage their health, which can lead to improved health outcomes and quality of life.

Indications

  • Chronic illness management (e.g., diabetes, heart disease, asthma)
  • Poorly controlled chronic conditions
  • Recent diagnosis of a chronic condition
  • Desire to improve health management skills
  • Recommendation by a primary care physician or specialist

Preparation

  • No special preparation is needed.
  • Patients may need to bring their medical records or a list of medications.
  • It's advisable to come with a caregiver/family member if needed.

Procedure Description

  1. Introduction and Assessment: The session begins with an introduction and an assessment of the patient's current knowledge and skills.
  2. Educational Component: The healthcare professional uses a standardized curriculum to teach self-management skills. This may include nutrition, exercise, medication management, and monitoring.
  3. Interactive Activities: Patients participate in interactive discussions, demonstrations, and practice exercises.
  4. Q&A Session: Time is allocated for patients to ask questions and get personalized advice.
  5. Summary and Follow-up: The session concludes with a summary of key points and recommendations for follow-up sessions or other resources.

Tools and Equipment:

  • Educational materials (e.g., pamphlets, videos)
  • Demonstration tools (e.g., glucose meters, inhalers)
  • Whiteboards or presentation software

No Anesthesia or Sedation Required.

Duration

Each session lasts approximately 30 minutes.

Setting

Typically conducted in outpatient clinics, community health centers, or private practice offices.

Personnel

  • Qualified nonphysician healthcare professionals such as nurses, dietitians, or certified diabetes educators.

Risks and Complications

  • Minimal to no risks involved.
  • Rarely, misinformation or misunderstanding can occur, which can be addressed through follow-up sessions.

Benefits

  • Improved self-management skills for chronic conditions
  • Better disease control and reduced complications
  • Increased patient confidence and empowerment
  • Support from peers facing similar health challenges

Recovery

  • No recovery time needed.
  • Follow-up sessions or continuous education might be recommended.

Alternatives

  • Online self-management programs
  • Telehealth education sessions
  • Group workshops or community programs
  • Individual consultations with healthcare professionals

Pros of Alternatives:

  • Accessibility and convenience of online resources
  • Potential for more personalized attention in individual consultations

Cons of Alternatives:

  • Lack of face-to-face interaction and immediate feedback
  • Possible lower engagement in non-group settings

Patient Experience

Patients can expect to feel supported and engaged during the sessions. Learning takes place in an interactive group setting, fostering a sense of community and shared experience. Pain management is not applicable as the procedure is educational in nature.

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