Individual physician supervision of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living facility) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care pl
CPT4 code
Name of the Procedure:
Individual Physician Supervision of a Patient in Home, Domiciliary or Rest Home
Summary
This procedure involves a physician overseeing a patient's care without the patient being physically present. It is designed for patients living at home, in a domiciliary, or in an assisted living facility, who require complex and multidisciplinary care. The physician regularly develops and revises care plans to ensure the patient's health needs are met.
Purpose
- Medical Condition/Problem: Long-term illness, disability, or complex medical conditions needing ongoing management.
- Goals/Expected Outcomes: To provide coordinated care, ensure proper medication management, and address the multifaceted needs of the patient, enhancing their quality of life.
Indications
- Complex chronic conditions (e.g., diabetes, heart disease).
- Patients requiring multidisciplinary care involving various healthcare specialists.
- Situations necessitating regular updates to care plans.
Preparation
- No need for patient preparation as the patient is not present.
- Healthcare professionals may review patient records and recent diagnostic tests.
Procedure Description
- Review of patient's medical history, current condition, and care plan.
- Coordination with other healthcare providers (e.g., nurses, therapists) to gather information.
- Development or revision of a comprehensive care plan.
- Ongoing communication with patient and/or caregivers to adjust care as needed.
- Utilization of electronic health records and telecommunication tools.
Duration
The duration can vary but typically ranges from 30 minutes to an hour per session.
Setting
Performed remotely; the physician typically operates from their office or remotely, using telecommunication tools to interact with other healthcare providers and caregivers.
Personnel
- Primary physician responsible for the patient's care.
- Collaborating healthcare providers (e.g., nurses, therapists) who contribute to information gathering and plan execution.
Risks and Complications
- Minimal risk as it does not involve direct patient interaction.
- Potential for miscommunication among healthcare professionals.
- Possibility of incomplete care due to lack of direct patient observation.
Benefits
- Ensures ongoing, comprehensive management of complex medical conditions.
- Timely updates to care plans improve patient health outcomes.
- Enhanced coordination among multiple healthcare providers.
Recovery
- Not applicable as this is a supervisory procedure without physical intervention.
- Continuous monitoring and follow-up as specified in the care plan.
Alternatives
- Direct patient visits by the physician.
- Utilization of home healthcare services for in-person assessments.
- Pros: Direct visits may provide more immediate insights.
- Cons: Logistically more challenging and may not be feasible for all patients.
Patient Experience
- Patients might experience better-coordinated care and quicker adjustments to their treatment plans.
- Communication is key; patients and caregivers should feel comfortable maintaining regular updates with the physician.
This markdown guide offers a structured overview of the "Individual Physician Supervision of a Patient" procedure, highlighting its complexity, potential benefits, and areas for attention to ensure optimal patient care.