Harbor:ED follow-up options

REFER TO

  • File:AED followup flowchart 8-23-21.pdf
  • File:PED followup flowchart 8-23-21.pdf
  • Outpatient Follow up is based on patient’s insurance network
  • Out of Plan (OOP), means the patient has Non-DHS insurance network, Private insurance, Other Medi-Cal HMOs, or could be out of County/Country.
  • MHLA, MyHealthLA, are > 18yo, “uninsurable,” community clinic PCP that can e-consult to get subspecialty & inpatient care through DHS
  • DHS means LA County Department of Health Services network eligible
  • Patient Relations Representatives (PRR) 3p-2a, 7days a week – call Registration for PRR who can help empanel into DHS or change empanelment/network in real time in the ED. PRR can come to bedside to meet with patient or send patient to Registration Windows. During business hours, send patient to Patient Relations Office in Rm 1-B-1.

Same/Next Day Specialty Clinic Follow up

  • Sending or discharging directly to specialty clinic

RESULTS/SYMPTOM FOLLOW-UP

  • OOP, MHLA, DHS can all have phone follow up for results (labs or imaging), symptoms checks
  • Adults results/symptom phone follow up
  • Peds results/symptom phone follow up
  • Follow-up of outpatient labs/imaging
    • Any imaging/labs requested by a consultant in the ED that will NOT be resulted during the patient's stay in the ED should be ordered by the consultant making the request.
    • Follow-up of outpatient tests can be either performed by the consultant OR by the CCC

OOP follow up options

DHS eligible patients

Urgent Specialty Follow-up for DHS or MHLA Patients

NERF

Patient wants to switch to Harbor

Instructions for clerk requesting/booking an appointment

Pediatrics CCS Follow up

CCC

  • Bridges DHS eligible patients to primary care until empaneled (still need to NERF)
  • Refer all DHS patients with substance use disorder (SUD) started on medication assisted treatment (MAT) to CCC for enrollment in Dr. Brown's addiction clinic

MAT/BUP/Opiate Withdrawal

Follow up In Other Clinics

For DHS eligible patients only: Clerk will book into appointment slot, or if unable, will place a request into the scheduling queue for Patient Access Center/Call Center to take over. Patients can also call PAC to schedule appointments (Rather than calling the clinic directly)


DHS Patients Lost to Follow-up

  • If the patient has previously been followed at Harbor, but was lost to follow-up, you can message the following clinic-specific message pools and they will arrange for routine follow-up for the patient:
    • HAR-OP-Anesthesiology: Pain Management-Clerical
    • HAR-OP-Cardiology: Anticoagulation-Clerical
    • HAR-OP-Cardiology: General Cardiology-Clerical
    • HAR-OP-Cardiology: HFDMP-Clerical
    • HAR-OP-Cardiology: Pulmonary Hypertension-Clerical
    • HAR-OP-Dermatology-Clerical
    • HAR-OP-Endocrine: Diabetes-Clerical
    • HAR-OP-Endocrine: General-Clerical
    • HAR-OP-Endocrine: Pituitary-Clerical
    • HAR-OP-Endocrine: Thyroid-Clerical
    • HAR-OP-Endocrinology: Diabetes Specialty-Clerical
    • HAR-OP-Endocrinology: General Endocrinology-Clerical
    • HAR-OP-Gastroenterology-Clerical
    • HAR-OP-Hematology/Oncology-Clerical
    • HAR-OP-Infectious Disease-Clerical
    • HAR-OP-Neurology-Clerical
    • HAR-OP-OB/Gyn: Gyn Oncology-Clerical
    • HAR-OP-OB/Gyn: Gyn Urgent Care-Clerical
    • HAR-OP-OB/Gyn: Reproductive Endo/Infertility-Clerical
    • HAR-OP-OB/Gyn: UroGyn-Clerical
    • HAR-OP-OB/Gyn: Women's Health-Clerical
    • HAR-OP-Pulmonology-Clerical
    • HAR-OP-Renal: General Nephrology-Clerical
    • HAR-OP-Renal: Renal Hypertension-Clerical
    • HAR-OP-Renal: Renal Transplant - Clerical
    • HAR-OP-Rheumatology-Clerical
    • HAR-OP-Surgery: Bariatric Surgery-Clerical
    • HAR-OP-Surgery: Breast Surgery-Clerical
    • HAR-OP-Surgery: Cardiothoracic Surgery-Clerical
    • HAR-OP-Surgery: Colorectal Surgery-Clerical
    • HAR-OP-Surgery: Dentistry-Clerical
    • HAR-OP-Surgery: Neurosurgery-Clerical
    • HAR-OP-Surgery: Ophthalmology-Clerical
    • HAR-OP-Surgery: Oral and Maxillofacial Surgery-Clerical
    • HAR-OP-Surgery: Orthopedic Surgery-Clerical
    • HAR-OP-Surgery: Otolaryngology-Clerical
    • HAR-OP-Surgery: Plastic Surgery-Clerical
    • HAR-OP-Surgery: Surgical Oncology-Clerical
    • HAR-OP-Surgery: Trauma Surgery-Clerical
    • HAR-OP-Surgery: Urology-Clerical
    • HAR-OP-Surgery: Vascular Surgery-Clerical


    • HAR-OP-Pediatrics: Allergy/Asthma-Clerical
    • HAR-OP-Pediatrics : Cardiology - Clerical
    • HAR-OP-Pediatrics : Child Development - Clerical
    • HAR-OP-Pediatrics : Craniofacial - Clerical
    • HAR-OP-Pediatrics : Diabetes - Clerical
    • HAR-OP-Pediatrics : Endocrinology - Clerical
    • HAR-OP-Pediatrics : Failure to Thrive - Clerical
    • HAR-OP-Pediatrics : Gastroenterology - Clerical
    • HAR-OP-Pediatrics : Hematology - Clerical
    • HAR-OP-Pediatrics : High Risk Infant - Clerical
    • HAR-OP-Pediatrics : Immunology - Clerical
    • HAR-OP-Pediatrics : Infectious Disease - Clerical
    • HAR-OP-Pediatrics : Medical Genetics - Clerical
    • HAR-OP-Pediatrics : Nephrology - Clerical
    • HAR-OP-Pediatrics : Neurology - Clerical
    • HAR-OP-Pediatrics : Nursery - Clerical
    • HAR-OP-Pediatrics : Oncology - Clerical
    • HAR-OP-Pediatrics : Rheumatology - Clerical
    • HAR-OP-Pediatrics : Surgery - Clerical

Anticoagulation (Coumadin) Clinic

  • Book without consultant approval
  • Book at 7d post initiation of anticoagulation
  • M-F 8am-4pm Ext. 5159, M-F after hours 4-9pm pager 9995, S- Sun 8am-8pm Pager 9995

Breast Diagnostic Center (Radiology)

Breast Surgery Clinic

  • If the patient has previously been followed at Harbor, but was lost to follow-up, you can message the following clinic-specific message pools and they will arrange follow-up for the patient:
    • HAR-OP-Surgery: Breast Surgery-Clerical

BURN CENTER CLINIC

  • For DHS eligible patients that need Burn Center follow up at LAC+USC, please call over 24/7 to their Burn Unit Front Desk 323-409-7991 to get an appointment w/in 2-5d depending on your assessment of their acuity.
    • Inform the clerk there that you’d like to book a patient into the Burn Eval and Treatment area, which is in 5D in the Inpatient Tower (NOT their A5D Clinic).
    • Patients can also call if they have questions about their appointment logistics or want to change their appointment time.
    • If you are instructed to call the MAC to make an appointment (this is NOT a transfer), send Dr. Wu an email of the patient’s info, date/time, or use the QR code to submit an admin issue.
  • For OOP patients, they can go to Torrance Memorial

CARDIOLOGY

  • Daytime: Talk to CORE during the day, Afterhours: Talk to C-team Night fellow (listed on MedHub)
  • Book: with consultant approval - write name of approving doctor, time frame, and reason for follow up. (Cards will message Mariedel Morales and Sheila Walters IC, the Cardiology clerks, to book).
  • For ZioPatch (holter monitor) - message empaneled PCP or CCC for cardiology
  • If the patient has previously been followed at Harbor, but was lost to follow-up, you can message the following clinic-specific message pools and they will arrange follow-up for the patient:
    • HAR-OP-Cardiology: Anticoagulation-Clerical
    • HAR-OP-Cardiology: General Cardiology-Clerical
    • HAR-OP-Cardiology: HFDMP-Clerical
Stress Testing

DERM

  • Book: with consultant approval - write name of approving doctor, time frame, and reason for follow up
  • If the patient has previously been followed at Harbor, but was lost to follow-up, you can message the following clinic-specific message pools and they will arrange follow-up for the patient:
    • HAR-OP-Dermatology-Clerical

ENT

  • Book: with consultant approval - write name of approving doctor, time frame, and reason for follow up
  • If the patient has previously been followed at Harbor, but was lost to follow-up, you can message the following clinic-specific message pools and they will arrange follow-up for the patient:
    • HAR-OP-Surgery: Otolaryngology-Clerical

Expedited Work-up Clinic (EWC)

GYN

  • Book: with consultant approval - write name of approving doctor, time frame, and reason for follow up
  • If the patient has previously been followed at Harbor, but was lost to follow-up, you can message the following clinic-specific message pools and they will arrange follow-up for the patient:
    • HAR-OP-OB/Gyn: Gyn Oncology-Clerical
    • HAR-OP-OB/Gyn: Gyn Urgent Care-Clerical
    • HAR-OP-OB/Gyn: Reproductive Endo/Infertility-Clerical
    • HAR-OP-OB/Gyn: UroGyn-Clerical
    • HAR-OP-OB/Gyn: Women's Health-Clerical

Gyn UCC

  • Book without consultant approval
  • 3-4d f/up for ALL DHS PID patients (cervical motion tenderness or adnexal tenderness, empirically treated)
  • If the patient has previously been followed at Harbor, but was lost to follow-up, you can message the following clinic-specific message pools and they will arrange follow-up for the patient:
    • HAR-OP-OB/Gyn: Gyn Urgent Care-Clerical

Interventional Radiology

Urgent Outpatient IR

Nephrology Clinic

  • For non-dialysis patients only: Don’t need Nephrology fellow approval per Sharon Adler, MD, Chief, Division of Nephrology and Hypertension, 7/28/17)
    • 3 slots a week specifically earmarked for ED use for Thursday morning Nephrology clinic (GN, diabetes, other CKD)
    • 2 “Discharge” slots for the Friday afternoon Hypertension (complex/resistant HTN, HTN with CKD, stones, PCKD, SLE)
  • If the patient has previously been followed at Harbor, but was lost to follow-up, you can message the following clinic-specific message pools and they will arrange follow-up for the patient:
    • HAR-OP-Renal: General Nephrology-Clerical
    • HAR-OP-Renal: Renal Hypertension-Clerical
    • HAR-OP-Renal: Renal Transplant - Clerical

Neurosurgery

  • Book: with consultant approval - write name of approving doctor, time frame, and reason for follow up
  • If the patient has previously been followed at Harbor, but was lost to follow-up, you can message the following clinic-specific message pools and they will arrange follow-up for the patient:
    • HAR-OP-Surgery: Neurosurgery-Clerical

Limb Salvage

  • Opting out of automatic 30-day automatic f/up consult
  • Weekdays 7a - 5p
    • If the patient seems stable for outpatient follow-up:
      • Page limb salvage p0847
      • After discussion with on-call resident/NP, initiate a TEAMS Chat with: ED attending, ED resident, LS on-call res/NP, LS on-call Attending and send a picture of the involved foot
      • The limb salvage team may respond with appropriate outpatient f/up timeframe or may notify you they will come see the patient in the ED if they feel it is necessary
  • Afterhours (5p - 7a weekdays, weekends, holidays)
    • Consult trauma if the patient needs surgical evaluation; trauma will liaise with limb salvage attending
      • Do NOT consult surgery for appointment
    • For appointment only, can directly contact limb salvage OR defer to PCP for e-consult to podiatry (at MLK) if appropriate (several weeks to f/up)
      • Book: with consultant approval - write name of approving doctor, time frame, and reason for follow up
        • Clerk books directly into HAR Surg VASC -> Podiatry New


A. Wu, MD - ED Director of Ops & A. Miller, DPM - Director of Limb Salvage, Co-Chair of DHS Podiatry Workgroup 3/30/22

OB

  • For new desired pregnancy w/out anticipated complications: discharge patient with OB clinic intake phone number (424-306-7200) so they can schedule appointment. OB intake is a medical assistant appt, NOT a provider
  • For patients with needing serial beta HCGs, patient should follow with Gyn UCC w/in 2-4 days
  • For patients considering pregnancy termination or interested in discussing options: discharge patient with general Gyn clinic phone number (424-306-4061), they can request appointment with ROC (reproductive options clinic)

ONCOLOGY

  • Book: with consultant approval - write name of approving doctor, time frame, and reason for follow up.
  • Newly diagnosed, metastatic cancer - discuss with oncology fellow p7862

OPHTHO

  • Book without consultant approval for next day follow up for orbital wall fractures w/o orbital injury concerns, ok per Dr. Prasad, Division Chief
  • All other cases: Book: with consultant approval - write name of approving doctor, time frame, and reason for follow up
  • If the patient has previously been followed at Harbor, but was lost to follow-up, you can message the following clinic-specific message pools and they will arrange follow-up for the patient:
    • HAR-OP-Surgery: Ophthalmology-Clerical
  • Ophtho Alphabet soup:
AAU: acute anterior uveitis
AFT: artificial tears
AGV: Ahmed glaucoma valve
ARMD or AMD: age-related macular degeneration
DR: diabetic retinopathy
BRAO: branch retinal artery occlusion
BRVO: branch retinal vein occlusion
BULB: bilateral upper lid blepharoplasty
BVS: borderline visually significant
C/D: cup-to-disc ratio
CEIOL: cataract extraction with insertion of intraocular lens
CME: cystoid macular edema
CRAO: central retinal artery occlusion
CRVO: central retinal vein occlusion
CSME: clinically significant macular edema
CS: cortical spoking (cataract)
CSR: central serous retinopathy
DES: dry eye syndrome
DME: diabetic macular edema
DWC: dense white cataract
ED: epithelial defect
EL: endolaser
ERM: epiretinal membrane
FML: focal macular laser
GS: glaucoma suspect
HST: horseshoe tear
HVF: Humphrey visual field
K: cornea
LH/WC/AFTs: lid hygiene, warm compresses, artificial tears
LPI: laser peripheral iridotomy
MMCR: Muller's muscle conjunctival resection
MP: membrane peel
NCVH: non-clearing vitreous hemorrhage
NPDR: non-proliferative diabetic retinopathy
NS: nuclear sclerosis (cataract)
NTG: normal tension glaucoma
NVG: neovascular glaucoma
NVS: not visually significant
OD: right eye
OHTN: ocular hypertension
OS: left eye
OU: both eyes
POAG: primary open angle glaucoma
PCO: posterior capsular opacity (aka, secondary cataract)
PDR: proliferative diabetic retinopathy
PKP: penetrating keratoplasty (aka corneal transplant)
PPV: pars plana vitrectomy
PRP: pan retinal photocoagulation
PSC: posterior subcapsular cataract
PTG: pterygium
PVD: posterior vitreous detachment
RRD: rhegmatogenous retinal detachment
RT: retinal tear
SB: scleral buckle
SRD: serous retinal detachment
Trab: trabeculectomy
TRD: tractional retinal detachment
VA: visual acuity
VH: vitreous hemorrhage
VS: visually significant
XT: exotropia
YAG cap: YAG capsulotomy

ORTHO

  • Book: with consultant approval - write name of approving doctor, time frame, and reason for follow up
  • If the patient has previously been followed at Harbor, but was lost to follow-up, you can message the following clinic-specific message pools and they will arrange follow-up for the patient:
    • HAR-OP-Surgery: Orthopedic Surgery-Clerical


  • Orthopedic conditions that can be managed in the ED with Orthopedic follow-up (must be neurovascular intact; ED clerk can book into orthopedic fracture clinic):
    • ADULT:
      • Clavicle: <5mm mid-shaft; sling, ortho in 2 weeks
      • Shoulder dislocation: after reduction, place in shoulder immobilizer, ortho 1 week
      • Humerus:
        • Proximal: non-displaced; sling, ortho in 1 week
        • Shaft: non-displaced; sugar tong/sling, ortho 1 week
      • Radius:
        • Non-displaced distal or shaft; volar splint, ortho 2 weeks
        • Non-displaced head with good ROM: sling, ortho in 2 weeks
      • Ulna: non-displaced; volar splint, ortho 2 weeks
      • Occult Scaphoid: thumb spica splint, ortho in 3 weeks
      • Metacarpal: non-displaced shaft and neck
        • MCP 4&5: Ulnar gutter splint, ortho 3 weeks
        • MCP 2&3: Radial gutter splint, ortho 3 weeks
      • PIP/DIP dislocations: simple, no fracture; buddy tape with padding between digits/splint, ortho 1 week
      • Hand: Distal Phalanx - buddy tape/alumiform splint, ortho in 3 weeks
      • Metatarsal 2/3/4 with <2mm displacement and no rotational deformity: post op shoe, ortho in 2 weeks
      • Foot: non-displaced phalanx fracture - buddy tape, ortho in 2 weeks
      • Chronic or non-healing fracture: CCC for e-consult (call ortho if needs closer follow-up)
    • PEDIATRIC
      • Radius, ulna, fibula, clavicle, tibia fractures
        • < 5mm displaced and < 15 degrees angulation
        • Pain controlled by oral meds
        • Normal neurovascular status
        • 5 years and older
      • Proximal humerus fractures with minimal displacement – place in sling
      • Elbow trauma with elevated posterior fat pad, no visible fracture
      • Foreign bodies not in bone or joint space
      • Salter Harris 1 fractures that are not displaced
      • Distal phalanx fractures not involving joint space
      • Tuft fractures


  • Call Orthopedics for the following fractures
    • Displaced radius, humerus, ulna, tibia, fibula fractures
      • >5mm displaced or >15 degrees of angulation all ages
    • All elbow and femur fractures (unless only posterior fat pad)
    • Open fractures or concern for
    • Fractures entering a joint space or concern for
    • Suspected septic joint
    • Fractures with suspected neurologic or vascular injury or pain not controlled by oral pain meds
    • Excessive swelling or ecchymosis suggesting risk for compartment syndrome
    • Scaphoid fractures
    • All fractures in children less than 5 years
    • Any fracture > or = to 10 days that may need reduction
    • Anytime unsure of what to do or if fracture not included on any of this protocol


  • Peds Specifics
    • OK to Splint; DHS Eligible
      • Call ortho and ask for approval to book in clinic the next Tuesday for Pediatric fracture clinic.
      • Ortho does not have to see the patient or write a consultation
    • OK to splint; OOP (these will not qualify for CCS)
      • D/c patient with copies of films
      • Specific instructions to family to call and get ortho referral
      • Hand-out available with options for families (PMD, Shriner’s, Orthopedic institute)
    • Patients Seen at OH splinted and referred to Harbor; Call ortho if:
      • DHS eligible or empaneled
      • Believe urgent/emergent intervention needed
      • Needs a reduction
      • Patient having difficulty getting into empaneled orthopedist (can give hand-out of other options).
        • Ortho attempts to get CCS and if not able helps get care
          • Ortho and CCS (California Children’s Services)
            • Ortho has hired Anna Contreras ( Daisy) to help get CCS for many of the OOP ortho patients
            • If patient is OOP and ortho requests to see them after they splint or cast send a communication to Anna Contreras through Cerner and she gets back to families within 1 business day.
            • Instructions on each computer in PED doc box
            • If the patient doesn’t qualify for CCS, they will help the family get into their orthopedist

PEDIATRICS

  • Book: with consultant approval - write name of approving doctor, time frame, and reason for follow up
  • If the patient has previously been followed at Harbor, but was lost to follow-up, you can message the following clinic-specific message pools and they will arrange follow-up for the patient:
    • HAR-OP-Pediatrics: Allergy/Asthma-Clerical
    • HAR-OP-Pediatrics : Cardiology - Clerical
    • HAR-OP-Pediatrics : Child Development - Clerical
    • HAR-OP-Pediatrics : Craniofacial - Clerical
    • HAR-OP-Pediatrics : Diabetes - Clerical
    • HAR-OP-Pediatrics : Endocrinology - Clerical
    • HAR-OP-Pediatrics : Failure to Thrive - Clerical
    • HAR-OP-Pediatrics : Gastroenterology - Clerical
    • HAR-OP-Pediatrics : Hematology - Clerical
    • HAR-OP-Pediatrics : High Risk Infant - Clerical
    • HAR-OP-Pediatrics : Immunology - Clerical
    • HAR-OP-Pediatrics : Infectious Disease - Clerical
    • HAR-OP-Pediatrics : Medical Genetics - Clerical
    • HAR-OP-Pediatrics : Nephrology - Clerical
    • HAR-OP-Pediatrics : Neurology - Clerical
    • HAR-OP-Pediatrics : Nursery - Clerical
    • HAR-OP-Pediatrics : Oncology - Clerical
    • HAR-OP-Pediatrics : Rheumatology - Clerical
    • HAR-OP-Pediatrics : Surgery - Clerical

Pediatric Adolescent Clinic

  • Book: with consultant approval - write name of approving doctor, time frame, and reason for follow up

Pediatric Cardiology

  • Book: with consultant approval - write name of approving doctor, time frame, and reason for follow up
  • If the patient has previously been followed at Harbor, but was lost to follow-up, you can message the following clinic-specific message pools and they will arrange follow-up for the patient:
    • HAR-OP-Pediatrics : Cardiology - Clerical

PLASTIC SURGERY

  • Book: with consultant approval - write name of approving doctor, time frame, and reason for follow up
  • If the patient has previously been followed at Harbor, but was lost to follow-up, you can message the following clinic-specific message pools and they will arrange follow-up for the patient:
    • HAR-OP-Surgery: Plastic Surgery-Clerical

PULMONARY

  • Book: with consultant approval - write name of approving doctor, time frame, and reason for follow up


PROCEDURE CLINIC

  • For patient needing recurrent paracentesis
  • From Dr. Anshu Abhat:
  • only available for patients who are empaneled to Harbor-UCLA Internal Medicine or Geriatrics clinic.
  • If an ED provider thinks a patient could benefit from procedure clinic, they should include this in the ER note/documentation (ideal) or message the empaneled provider. Referrals to procedure clinic should only come from PCP's (not from ER providers).

RHEUM

  • Book: with consultant approval - write name of approving doctor, time frame, and reason for follow up
  • If the patient has previously been followed at Harbor, but was lost to follow-up, you can message the following clinic-specific message pools and they will arrange follow-up for the patient:
    • HAR-OP-Rheumatology-Clerical

SURGERY

  • Book: with consultant approval - write name of approving doctor, time frame, and reason for follow up
  • If the patient has previously been followed at Harbor, but was lost to follow-up, you can message the following clinic-specific message pools and they will arrange follow-up for the patient:
    • HAR-OP-Surgery: Bariatric Surgery-Clerical
    • HAR-OP-Surgery: Cardiothoracic Surgery-Clerical
    • HAR-OP-Surgery: Colorectal Surgery-Clerical
    • HAR-OP-Surgery: Plastic Surgery-Clerical
    • HAR-OP-Surgery: Surgical Oncology-Clerical
    • HAR-OP-Surgery: Trauma Surgery-Clerical
    • HAR-OP-Surgery: Vascular Surgery-Clerical

UROLOGY

  • Nephrolithiasis
    • OK for clerk to book per Dr. Blumberg within 7-10d without calling urology consultant if meet below criteria
      • New Dx Nephrolithiasis
        • BMP, UA, consider CT for size/location/hydro (US if pregnant), have patients strain urine
      • Established Nephrolithiasis
        • BMP, UA, bedside US for hydro
  • CALL urology consult for patients with UTI (infected stone), h/o DM, solitary kidney, pregnancy
    • PCP follow-up if not already established, then can NERF when appropriate.
    • PCP for non-obstructive <5mm stones
  • Ureteral stent or percutaneous nephrostomy tube pain without concern for infection, otherwise uncomplicated course, follow-up in urology clinic in 7 days
    • Send Urine culture
  • Acute urinary retention
    • OK to book in Urology Clinic in 10-14 days WITHOUT consult approval per Dr. Blumberg if near baseline Cr, no significant electrolyte derangements, no evidence of post-obstructive diuresis, pain is controlled, and tolerating PO's
    • Place foley, send UA, BMP; do NOT sent PSA (falsely elevated with acute retention)
      • If <200ml output, remove catheter
      • If >400ml out, maintain catheter
      • Monitor for post obstructive diuresis. If >200ml/hr for 2 hours (not counting the initial output), consider further observation and IVF resusc
      • Discharge with tamsulosin 0.4 mg daily
  • All other Urologic conditions: book with consultant approval - write name of approving doctor, time frame, and reason for follow up
  • Epididymitis/orchitis just needs PCP f/up
  • If the patient has previously been followed at Harbor, but was lost to follow-up, you can message the following clinic-specific message pools and they will arrange follow-up for the patient:
    • HAR-OP-Surgery: Urology-Clerical

Per Dr. Blumberg (Urology) & Dr. Wu 2/8/22

FOLLOW-UP FOR OUT-OF-COUNTY/OUT-OF-COUNTRY (OOC) PATIENTS

Per DHS Policy 516.1, Out of County/Country Patients who need an urgent follow-up for an emergency medical condition may be provided such follow-up at Harbor

  1. Emergent Conditions:
    1. Places health in serious jeopardy
    2. Threatens serious impairment to bodily functions
    3. Threatens serious dysfunction to any organ or body part
  2. If they are from a county close by - consider referring them to their home county. Call 2-1-1 social services hotline.
  3. Do not arrange follow-up for NON-EMERGENT/URGENT issues
  • If patient is no longer Out of Country/County, they can go to Registration Rm 108, 1st floor main hospital), ext 8101 to change their address.

Dir AED, Dir OPS, DHS Policy 516.1 9/25/17

See Also