Family Medicine Admissions - University of California, Irvine
Admissions to the Family Medicine Service from the ED of UCI Medical Center -------- July 2004
Family Medicine Patient Defined
A family medicine patient is a patient who identifies a family medicine provider as their primary provider. This will need to include the first and last name of the provider to allow for common provider last names. And, the patient must intend on following up with this provider upon hospital discharge.
A family medicine patient is a patient who has been seen on 2 visits during the previous 2 years by any family medicine resident or attending at our out patient family medicine sites (FHC Santa Ana, Anaheim, Westminster, Orange or Irvine). These 2 visits are to be continuity visits and not just urgent care visits. Regrettably, at this time, the ER can not differentiate an urgent care visit from a continuity visit.
Patients specifically assigned to a family medicine primary care physician according to insurance protocols, such as Cal Optima, is a family medicine patient, unless that patient identifies another provider as their primary treating physician.
Family Medicine Service Cap
The Family Medicine Service will stop taking admissions of family medicine patients when the service reaches 12 patients (the service, complexity of the patients permitting, will remain open for our Pediatric and OB patients).
Once the 12 patient maximum is reached, any additional family medicine continuity patients will be admitted to the appropriate on call team. The family medicine attending will call the ED and notify them that the family medicine service is capped.
From time to time, patients may need to be distributed across all inpatient teams depending on various work loads. This will be an attending level decision and at the discretion of the involved attending physicians or the Hospitalist Program director.
Agreed to by the family medicine faculty, the emergency department, the department of internal medicine residency program and the hospitalist program.
8/2//04
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