Name of the Procedure:

Telephone Assessment and Management Service (Nonphysician)

Summary

A telephone assessment and management service is provided by a qualified nonphysician healthcare professional to assess and manage an established patient, parent, or guardian's health concern. This service is conducted over the phone and does not stem from a related service provided within the past 7 days.

Purpose

The purpose of this telephonic service is to address minor health concerns, provide follow-up care, or manage ongoing health conditions without the need for an in-person visit. The goal is to offer timely medical advice, manage minor symptoms, and provide ongoing support for established patients.

Indications

• Mild symptoms or minor health concerns
• Follow-up on previously discussed treatment plans
• Management of chronic conditions
• Health advice and recommendations
• Patients or guardians needing advice without the ability to visit in person

Preparation

• Ensure the phone number is up-to-date and the patient can take the call at the agreed time
• Have a list of symptoms, medications, and recent changes in health status ready
• No specific diagnostic tests required beforehand unless already scheduled

Procedure Description

1. The patient, parent, or guardian receives a call from the healthcare professional at the scheduled time.
2. The professional reviews the patient's symptoms, health status, and concerns.
3. Assessment and management advice, which may include changes to medications, lifestyle recommendations, or follow-up appointments, is provided.
4. Documentation of the conversation and any recommendations or actions is completed.

Duration

Typically ranges from 5 to 30 minutes depending on the complexity of the issues discussed.

Setting

This procedure is conducted over the phone, allowing the patient to be at home or any other convenient location.

Personnel

• Qualified nonphysician healthcare professionals such as nurse practitioners, physician assistants, or registered nurses.

Risks and Complications

• Miscommunication or misunderstanding of instructions
• Inaccurate assessment if symptoms are more severe than described
• Missed diagnosis that might require in-person evaluation

Benefits

• Convenience and accessibility
• Timely medical advice and management
• Continuity of care for established patients

Recovery

• No physical recovery required
• Follow-up instructions are provided, which may include scheduling an in-person visit if necessary

Alternatives

• In-person visit with a healthcare professional
• Video telehealth appointments
• Urgent care or emergency room visits if symptoms are acute or severe

Pros of the Telephone Service:

• Convenience
• Quick access to medical advice
• Cost-effective

Cons of the Telephone Service:

• Limited by the inability to perform physical examinations
• May not be suitable for complex or severe medical issues

Patient Experience

Patients can expect a focused, concise conversation aimed at addressing specific concerns. There may be limits to what can be assessed over the phone, but the professional will provide clear guidance on next steps, including any need for further in-person evaluation. Pain management and comfort should not be a significant issue for most telephone assessments, as they are typically intended for non-emergency management and minor health guidance.