{"id":248,"date":"2018-07-26T14:52:46","date_gmt":"2018-07-26T14:52:46","guid":{"rendered":"http:\/\/dev.uchealthsites.com\/perioperative\/?page_id=248"},"modified":"2018-07-26T14:55:42","modified_gmt":"2018-07-26T14:55:42","slug":"types-of-cpc-visits","status":"publish","type":"page","link":"https:\/\/www.uchealth.com\/perioperative\/types-of-cpc-visits\/","title":{"rendered":"Types of CPC Visits"},"content":{"rendered":"<p>1. Anesthesia consult (C visit): an anesthesia attending will see the patient.<\/p>\n<ul>\n<li>ASA 3 or 4 patients \u2013 chronic, unstable illness, medically complex given co-morbidities; poor functional status<br \/>\n(needs better risk stratification); prior difficulties with anesthesia.<\/li>\n<li>High procedure-related risk\/complex surgery.<\/li>\n<\/ul>\n<p>2. NP\/PA H&amp;P only (B visit): seen by a MA who does the intake, then a NP\/PA that completes an H&amp;P.<\/p>\n<ul>\n<li>ASA 1 or 2 patients \u2013 low comorbidity patients, but they need an H&amp;P (JCAHO requirement within 30 days<br \/>\nof surgery), labs, etc.<\/li>\n<\/ul>\n<p>3. RN visit only: RN will complete all intake questions, med rec, preop instructions; will also obtain any lab work and\/or<br \/>\nECG ordered by surgeon.<\/p>\n<ul>\n<li>No visit with NP, PA or Anesthesiologist, therefore surgeon (or primary care provider) responsible for preoperative<br \/>\nevaluation and surgical H&amp;P.<\/li>\n<\/ul>\n<p>4. Phone screen (A visit): not an actual visit, a phone questionnaire<br \/>\nthat an RN does over the phone to rule out significant medical<br \/>\nor anesthesia-related problems.<\/p>\n<ul>\n<li>For low risk patients with straight forward surgeries.<\/li>\n<li>An anesthesiologist will review pts chart and make sure there<br \/>\nisn\u2019t glaring red flags that would cause a delay or cancellation<br \/>\non day of surgery.<\/li>\n<li>No visit with NP, PA or Anesthesiologist, therefore surgeon<br \/>\n(or primary care provider) responsible for preoperative<br \/>\nevaluation and surgical H&amp;P.<\/li>\n<\/ul>\n<p><em>** If in doubt of which kind of visit is necessary, please select<\/em><br \/>\n<em>Anesthesia Consult (C visit).<\/em><\/p>\n<p>Please use this as a simplified guide as to which type of CPC Visit is appropriate for the type of surgery being performed<br \/>\nand the complexity of the patient:<\/p>\n<ul>\n<li>The CPC process matches clinical resources and needs by means of the following an algorithm that incorporates<br \/>\nestimates of both patient comorbidity and procedure-specific risk.<\/li>\n<li>These variables are combined into a \u201crisk grid\u201d that forms the basis of the three levels of a CPC visit so that the<br \/>\npreoperative process can meet the needs of each patient.<\/li>\n<li>The surgeon can select any level of visit for the patient, but this table may serve as a guide to help delineate what may<br \/>\nbe the most appropriate for the given surgical procedure.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-253\" src=\"\/wp-content\/uploads\/sites\/25\/2018\/07\/Capture.jpg\" alt=\"\" width=\"795\" height=\"695\" srcset=\"\/wp-content\/uploads\/sites\/25\/2018\/07\/Capture.jpg 795w, \/wp-content\/uploads\/sites\/25\/2018\/07\/Capture-300x262.jpg 300w, \/wp-content\/uploads\/sites\/25\/2018\/07\/Capture-768x671.jpg 768w\" sizes=\"auto, (max-width: 795px) 100vw, 795px\" \/><\/p>\n<div class=\"clear\"><\/div>","protected":false},"excerpt":{"rendered":"<p>1. Anesthesia consult (C visit): an anesthesia attending will see the patient. ASA 3 or 4 patients \u2013 chronic, unstable [&hellip;]<\/p>\n","protected":false},"author":63,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-248","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.uchealth.com\/perioperative\/wp-json\/wp\/v2\/pages\/248","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.uchealth.com\/perioperative\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.uchealth.com\/perioperative\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.uchealth.com\/perioperative\/wp-json\/wp\/v2\/users\/63"}],"replies":[{"embeddable":true,"href":"https:\/\/www.uchealth.com\/perioperative\/wp-json\/wp\/v2\/comments?post=248"}],"version-history":[{"count":3,"href":"https:\/\/www.uchealth.com\/perioperative\/wp-json\/wp\/v2\/pages\/248\/revisions"}],"predecessor-version":[{"id":252,"href":"https:\/\/www.uchealth.com\/perioperative\/wp-json\/wp\/v2\/pages\/248\/revisions\/252"}],"wp:attachment":[{"href":"https:\/\/www.uchealth.com\/perioperative\/wp-json\/wp\/v2\/media?parent=248"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}