Low Risk Chest Pain Clinic Live NOW!!

High Level View

ED Portion

ED Portion Patient presents with chest pain complaint and you work them up like normal. Calculate a heart score (.procdoc) If score is 4 or greater admit to FIT. Place “erlanger 1 of 2” order set instead of transition order set If score is 3 or less we can send to the Low Risk Chest Pain Clinic IF the patient can exercise If patient cannot exercise, they are treated like 4 or greater

How to discharge Heart Score 3 or less In the discharge navigator you go to outpatient Rx/Referrals Place order for: ASA 81 MG Daily (unless allergic) Referral to Internal Med (REF 40) if no PMD May also refer to transition clinic (possibly only a temporary solution) Stress Test (Stress 118900)

How to discharge Heart Score 3 or less Ask HUC to call Centralized Scheduler to get appointment for patient in less than 72hrs. Clinic is open 3p-5p M-F. (soon HUC will be able to place on schedule by themselves- EPIC training pending) Stress test 253-573-7320 then 5, (730a-6p M-F) (45 min total) FMG 1-844-364-2778 (7a-6p M-F) Print heart score discharge instructions Clinic check in and registration is at DI (Walters Surgery Entrance)

Central Scheduling Monday-Friday 7am-6pm, and can schedule for all Primary Care Providers, Low Risk Stress test. 1-844-FMG-APPT (1-844-364-2778) Please let our call center agents know that this is a Low Risk Chest Pain ED Follow Up patient. FHSCallCenter2@catholichealth.net If you are trying to reach us outside of our business hours, you may send us an email. We will call the patient directly to schedule their follow-up appointment with a PCP. Please provide the following pieces of information in the email: In the subject line: “Low Risk Chest Pain ED Follow Up” In the body Patient first and last name Patient MRN Patient DOB Patient phone number Patient insurance coverage Diagnosis How soon the patient needs to be seen

Test Dishcarge instructions Being built, will be ready Mid Dec. Dotphrase……

Copy outpatient order preference You can save the necessary orders in your discharge preferences Click the “epic” tab on the top left and then click “copy user” bottom left

Copy outpatient order preferences Your name goes in “to user” You can “merge” if you have preferences already