Name of the Procedure:

Federally Qualified Health Center (FQHC) Visit, New Patient

• Common name: Initial FQHC Visit
• Medical term: G0466

Summary

An FQHC visit for a new patient involves a medically-necessary, face-to-face encounter between the patient and an FQHC practitioner. During this encounter, one or more FQHC services are provided. The visit includes a typical bundle of services that are essential for addressing the patient's health needs.

Purpose

This procedure addresses a wide range of medical conditions, from acute illnesses to chronic disease management and preventive care. The main goal is to establish an initial healthcare plan tailored to the new patient’s needs.

Indications

FQHC visits are indicated for:

• New patients seeking primary care services
• Individuals requiring chronic disease management
• Patients needing preventive care, such as vaccinations or screenings
• Those experiencing acute illness or injury

Preparation

• Patients should bring their medical records and a list of current medications.
• No special preparation like fasting is typically required unless specified for a particular test.
• Diagnostic tests may be conducted during the visit based on initial assessments.

Procedure Description

1. Patient Registration: Complete necessary paperwork and insurance verification.
2. History Taking: The practitioner will gather a detailed medical history.
3. Vital Signs Assessment: Measurement of blood pressure, temperature, heart rate, and respiration.
4. Physical Examination: A general assessment, and specialized examinations as needed.
5. Diagnostic Tests: If indicated, lab tests or imaging may be performed.
6. Discussion and Planning: The practitioner discusses findings and develops a care plan.
   • Tools used include stethoscopes, blood pressure cuffs, thermometer, and basic lab equipment.
   • Anesthesia or sedation is not usually involved.

Duration

The visit typically lasts between 30 minutes to an hour, depending on the complexity of the patient's needs.

Setting

The procedure is performed in Federally Qualified Health Centers or similar outpatient clinic settings.

Personnel

• Primary care practitioner (doctor, nurse practitioner, or physician assistant)
• Nurses and medical assistants
• Administrative staff for registration and billing

Risks and Complications

• Minimal risks as it is a consultative visit.
• Potential minor discomfort from diagnostic tests (e.g., blood draw).
• Miscommunication leading to incomplete medical history.

Benefits

• Establishes a healthcare baseline for new patients.
• Develops a personalized care plan.
• Facilitates early identification and management of health issues.
• Patients receive a comprehensive evaluation tailored to their health needs.

Recovery

• No recovery period is needed.
• Patients should follow the care plan and any instructions provided by the practitioner.
• Follow-up appointments may be scheduled to manage ongoing health conditions or review test results.

Alternatives

• Visiting other primary care providers, such as private practices.
• Emergency room visits for acute issues, though not ideal for routine care.
  • FQHC visits are generally more comprehensive and community-focused compared to alternatives.

Patient Experience

• Patients can expect a thorough and attentive consultation.
• Possible minor discomfort during physical exams or diagnostic tests.
• Comfort measures include clear communication, friendly staff, and supportive care.