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Retina.html
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<!DOCTYPE html>
<html>
<head>
<title>Retina</title>
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="css/jquery.mobile-1.2.0.min.css" />
<link rel="stylesheet" href="css/app.css" />
<script src="js/jquery-1.8.2.min.js"></script>
<script src="js/jquery.mobile-1.2.0.min.js"></script>
<script src="js/app.js"></script>
</head>
<body>
<div data-role="page">
<div data-role="header"><h1>Retina Referrals</h1><a class="button slideup" id="infoButton" href="index.html">Back</a>
</div><!-- /header -->
<p><em>This referral requires charity care.</em></p>
<p>Jordlee on the 8th floor of IMA is the department manager and has helped out EHHOP patients in the past.</p>
<div data-role="footer" data-id="nav" data-position="fixed">
<div data-role="navbar">
<ul>
<li><a href="IThelp.html" data-icon="info">FAQ</a></li>
<li><a href="phone.html" data-icon="phone" >Contact</a></li>
<li><a href="index.html" data-icon="fahome">Home</a></li>
<li><a href="Formulary.html" data-icon="faplus">Rx</a></li>
<li><a href="documents.html" data-icon="file">Docs</a></li>
</ul>
</div><!-- /navbar -->
</div>
<div data-role="collapsible-set">
<div data-role="collapsible" ><h3><b> Senior Clinician</b></h3>
<fieldset data-role="controlgroup">
<input type="checkbox" name="checkbox-1" id="checkbox-1" class="custom" data-mini="true" />
<label for="checkbox-1">Place an order for the referral in Epic.</label>
<input type="checkbox" name="checkbox-2" id="checkbox-2" class="custom" data-mini="true" />
<label for="checkbox-2">Before clinic ends, communicate the necessity and urgency of the referral to the TS.</label>
<input type="checkbox" name="checkbox-3" id="checkbox-3" class="custom" data-mini="true" />
<label for="checkbox-3">Inform ACT about the referral and send the patient to ACT.</label>
</fieldset>
</div><!-- Senior Clinician -->
<div data-role="collapsible" data-collapsed="true"><h3><b> Teaching Senior</b></h3>
<fieldset data-role="controlgroup">
<input type="checkbox" name="checkbox-1a" id="checkbox-1a" class="custom" data-mini="true" />
<label for="checkbox-1a">Include the necessity and urgency of the referral in the weekly [email protected] email.</label>
</fieldset>
</div><!-- Teaching Senior -->
<div data-role="collapsible"><h3><b> Access to Care Team</b> </h3>
<fieldset data-role="controlgroup">
<input type="checkbox" name="checkbox-1b" id="checkbox-1b" class="custom" data-mini="true" />
<label for="checkbox-1b"> Make sure the patient has charity care.</label>
<input type="checkbox" name="checkbox-2b" id="checkbox-2b" class="custom" data-mini="true" />
<label for="checkbox-2b">If not, follow the process to obtain charity care for the patient.</label>
<input type="checkbox" name="checkbox-3b" id="checkbox-3b" class="custom" data-mini="true" />
<label for="checkbox-3b">Once the patient has charity care, contact Retina to make the appointment.</label>
<input type="checkbox" name="checkbox-4b" id="checkbox-4b" class="custom" data-mini="true" />
<label for="checkbox-4b">Then, call the patient to see if he/she can attend the appointment.</label>
<input type="checkbox" name="checkbox-5b" id="checkbox-5b" class="custom" data-mini="true" />
<label for="checkbox-5b">Then, email <a href="mailto:[email protected]">Kristen Ng</a> to confirm.</label>
<!--
<input type="checkbox" name="checkbox-2a" id="checkbox-2a" class="custom" data-mini="true" /><label for="checkbox-2a"> Explain that Financial Services is an office that patients must go to before they can receive specialty services.</label>
<input type="checkbox" name="checkbox-2z" id="checkbox-2z" class="custom" data-mini="true" /><label for="checkbox-2z"> Give your patient the 19.81 voucher (found on Referrals google site). Voucher can only be used if they attend first FS appointment.</label>
<input type="checkbox" name="checkbox-2b" id="checkbox-2b" class="custom" data-mini="true" /><label for="checkbox-2b"> Find mutually convenient time M-F 8-5 that week for you to go to FS with your patient.</label>
<input type="checkbox" name="checkbox-2c" id="checkbox-2c" class="custom" data-mini="true" /><label for="checkbox-2c"> Ask your patient to meet you at the front desk on the ground floor of CAM (the building EHHOP is in).</label>
<input type="checkbox" name="checkbox-2d" id="checkbox-2d" class="custom" data-mini="true" /><label for="checkbox-2d"> Update the problem list with the date you will go to FS with your patient.</label>
<input type="checkbox" name="checkbox-2e" id="checkbox-2e" class="custom" data-mini="true" /><label for="checkbox-2e"> Include this information in your sign out email to the Referrals Chair and ACT coordinator.</label>
<input type="checkbox" name="checkbox-2f" id="checkbox-2f" class="custom" data-mini="true" /><label for="checkbox-2f"> Call your patient with a reminder the night before their FS appointment.</label>
<input type="checkbox" name="checkbox-2g" id="checkbox-2g" class="custom" data-mini="true" /><label for="checkbox-2g"> Attend AND sit in on your patient's FS appointment.</label>
-->
</fieldset>
<br>
<p> Please click <a href="FS.html"> here </a> when you arrive at your patient's FS appointment for further directions.
</p>
<p> Once your patient has charity care, please contact the
<a href="mailto:[email protected];[email protected]"> Emerging Referrals Manager. </a>
The Emerging referrals manager will give you directions on how to schedule your patient for their specialty referral appointment.
</p>
</div>
<div data-role="collapsible"><h3><b>Cost</b></h3>
<p>The cost of an appointment for patients with charity care level 1 is $15.
Appointments will be more expensive for patients with a higher charity care level.
For these prices, contact <a href="mailto:[email protected]">Kristen Ng.</a>
</p>
<p>Outpatient Retina appointments cost ~300 in New York out of pocket.
</p>
<p>Appointment costs by charity care level are as follows:
</p>
<ul>
<li>CCL1 - $15</li>
<li>CCL2 - $18</li>
<li>CCL3 - $36</li>
<li>CCL4 - $90</li>
<li>CCL5 - $108</li>
<li>CCL6 - $135</li>
<li>CCL7 - $180</li>
</ul>
</div>
<div data-role="collapsible"><h3><b>Wait time</b></h3>
<p>It takes about 6 weeks after a patient has received charity care for a retina appointment to be scheduled. Urgent referrals can be expedited. Contact <a href="mailto:[email protected]">Kristen Ng</a> if the referral is urgent and needs to be expedited.
</p>
</div> <!-- Wait Time -->
<div data-role="collapsible"><h3><b>Contact Information</b></h3>
<p>IMA Retina 17 E 102nd St 8th floor Tel: <a href="callto:212-241-7676">212-241-7676</a>
</p>
<p><b>Hours: </b>Tuesday Morning 8am-10am
</p>
<p>Jordlee is the department manager and has helped schedule appointments in the past.
</p>
<!-- <p>Patient Financial Services: First floor, 17 East 102nd street (CAM) Tel: <a href="callto:212-824-7280">212-824-7280</a>
</p>
<p><b>EHHOP Retina Rep: <a href="mailto:[email protected]">Kristen Ng</a>
</p> -->
</div><!-- Contact Information -->
</div>
</body>
</html>