1. Low Risk Chest Pain Clinic
Live NOW!!

2. High Level View

3. ED Portion

4. 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

5. 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 )

6. 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 then 5, (730a-6p M-F) (45 min total)
FMG (7a-6p M-F)
Print heart score discharge instructions
Clinic check in and registration is at DI (Walters Surgery Entrance)

7. Central Scheduling
Monday-Friday 7am-6pm, and can schedule for all Primary Care Providers, Low Risk Stress test.
1-844-FMG-APPT ( )
Please let our call center agents know that this is a Low Risk Chest Pain ED Follow Up patient.
If you are trying to reach us outside of our business hours, you may send us an . We will call the patient directly to schedule their follow-up appointment with a PCP.
Please provide the following pieces of information in the
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

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

9. 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

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