紧急和复杂情况患者的转移和临床讨论
As part of Johns Hopkins Medicine, 约翰霍普金斯健康系统旨在通过制定卓越标准和提供以患者为中心的预防医学来改善社区和世界的健康, diagnose and treat human illness. 约翰霍普金斯大学的医疗服务提供者和工作人员与全球各地的医疗保健专业人员合作,为时间紧迫或病情复杂的患者提供护理.
约翰霍普金斯访问线(HAL)医师转诊协调员与转诊和接受医生一起工作,以最好地满足患者的需求. HAL团队与经验丰富的临床加速员和医疗运输协调员密切合作,管理患者快速安全地转移到约翰霍普金斯卫生系统医院.
HAL允许外部医生或转诊医生与约翰霍普金斯卫生系统内任何部门的医生交谈,每天24小时, seven days a week.
To request a transfer evaluation, call 800-765-5447, 24 hours a day, seven days a week.
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霍普金斯访问线(HAL)是一个专门的资源,将提供者与约翰霍普金斯大学的医生联系起来,讨论患者护理和可能转移到约翰霍普金斯大学卫生系统设施.
The HAL team, 总部设在约翰霍普金斯医院的约翰霍普金斯能力指挥中心, 激活重症和复杂情况的护理团队,以及转移和入院过程,以满足患者的需求.
The HAL team will:
- Collect patient information on condition and diagnosis.
- Facilitate physician-to-physician communications.
- 收集医疗记录信息和图像,以减少重复测试和扫描.
- Provide real-time bed status for incoming patients.
- Activate the Johns Hopkins Lifeline critical care transport team.
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Health care providers should call the Hopkins Access Line in these instances:
- To refer a patient for inpatient care at The Johns Hopkins Hospital
- 如果你是约翰·霍普金斯医生之前治疗过的bst365的提供者,并且对该bst365有疑问
- 与约翰霍普金斯医院的医生就其他患者护理问题进行交谈
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When calling the Hopkins Access Line, a physician referral coordinator will ask for the following information:
- The attending physician name and specialty.
- Patient location. If the patient is at a hospital, please provide the floor, 楼层护士站的房间号码和电话(不是病房电话).
- Diagnosis and plan of treatment or procedure (e.g., cardiac catheterization, coronary artery bypass grafting, 心脏直视手术),bst365被转移到约翰霍普金斯医院或其他约翰霍普金斯健康系统医院接受.
Once this information is obtained, 医生转诊协调员将为转诊医生与约翰·霍普金斯大学合适的值班医生召开电话会议.
Next steps:
- 医生将被要求传真一份人口统计表到HAL办公室. This should include insurance information, which the utilization review nurse will use for financial certification. Fax demographic sheets to 410-367-2101.
- 生命线通讯工作人员将与患者将入住的楼层联系,以获取患者分诊和运输信息,并确定最佳的运输方法. (Factors such as acuity of patient, weather and distance will be considered.)
- While an air or ground transport team is en route to pick up the patient, 为了加快转院和限制在转院医院的床边时间,可能需要以下附加信息:
- Copy of the patient's chart
- Discharge summary from the transferring hospital/medical institution
- 紧急医疗和劳工法案(EMTALA)/综合预算和解法案(COBRA)转送表格已填写并在转送医院/医疗机构签署
- 医疗需要证明(CMN)/医生证明声明(PCS)表格已填写并签署
- 接收部门/医生需要的任何x光片/胶片的硬拷贝
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bst365的首要任务是确保所有患者得到所需的治疗和护理.
When patients do not have a time-critical condition or need emergency care, bst365对患者的临床需求和保险范围进行全面的病例审查. This evaluation explores medical necessity to transfer a patient.
At the direction of the Johns Hopkins provider accepting the patient, the HAL team will obtain medical records pertaining to the transfer. 约翰霍普金斯大学的医生团队将决定是否需要紧急转移,并可能提出有效的替代方案, such as a telemedicine consultation or comprehensive outpatient care. 这种审查是必要的,以保护患者免于支付不必要的医疗费用.
bst365也会提前评估保险范围,以帮助患者做出明智的决定,避免意外的负担, uncovered medical costs. 没有验证付款人覆盖的患者可以与bst365的财务顾问说话,如果他们希望继续转移过程.
Learn more about Johns Hopkins Medicine.
Patients:
For appointments, please call 410-955-5000 (adults) or 410-955-2000 (pediatrics) or 855-695-4872 (outside Maryland).