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 Assisted Living Facility
Summary
This procedure involves a physician overseeing the care of a patient who is not physically present with them. It is tailored for patients in their homes, domiciliary settings, or assisted living facilities, requiring complex and multidisciplinary care planning. The physician is responsible for developing and frequently revising the patient's care plan.
Purpose
This procedure addresses the needs of patients who require comprehensive care that involves multiple medical disciplines. The goal is to ensure that the care plan is continuously updated to address the evolving health conditions of the patient, providing high-quality and coordinated care.
Indications
- Patients with chronic illnesses or multiple medical conditions.
- Individuals requiring complex and coordinated care plans.
- Residents in home care, domiciliary, or assisted living facilities.
- Patients whose medical condition warrants regular monitoring and plan adjustments.
Preparation
- No specific preparation is required for the patient, as they are not physically present.
- Relevant medical records, treatment history, and current medications should be available for review.
- Pre-procedure diagnostic tests or assessments may include recent lab results, imaging studies, or specialist consultations.
Procedure Description
- Review of Medical History: The physician reviews the patient's comprehensive medical history, recent tests, and current health status.
- Multidisciplinary Input: Input from other healthcare professionals involved in the patient's care (e.g., nurses, social workers, specialists) is gathered.
- Care Plan Development: Based on the gathered information, the physician develops or revises the patient's care plan.
- Coordination and Communication: The plan is communicated to all relevant parties, including the patient, caregivers, and other healthcare providers.
Duration
The supervision and care plan development process typically takes between 1 to 2 hours. However, it can vary based on the complexity of the patient's condition.
Setting
This procedure is conducted remotely. The physician can perform this from their office, but the patient is in their home, domiciliary, or assisted living facility.
Personnel
- Primary Physician
- Multidisciplinary team members (nurses, social workers, specialists)
- Caregivers
Risks and Complications
- Risk of miscommunication or delays in implementing the care plan.
- Potential for incomplete information if all records and inputs are not available.
- Rarely, the revised care plan might not fully address the patient’s needs, requiring further adjustments.
Benefits
- Ensures continuous and coordinated care tailored to the patient's current health status.
- Supports the management of chronic and complex conditions effectively.
- Reduces the need for frequent hospital or clinic visits.
Recovery
Since the patient is not present, there is no physical recovery phase. Post-procedure instructions involve ensuring all parties understand and implement the revised care plan. Follow-up appointments may be scheduled to review the effectiveness of the plan and make further adjustments.
Alternatives
- In-person physician consultations, although this may not be as feasible for some patients due to mobility or health issues.
- Telemedicine consultations can serve as an alternative, providing real-time interaction between the physician and patient.
Patient Experience
The patient may feel comforted knowing that their care plan is regularly reviewed and updated by their physician without needing to leave their home. Communication with caregivers and healthcare providers ensures they feel heard and well-cared for. Pain management and comfort measures depend on the specifics of the care plan implemented.