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Allied Health Adult Blood Pressure Visit (102.097)

Allied Health Adult Blood Pressure Visit (102.097) - Policies, Clinical, UWMF Clinical, UWMF-wide, Clinical Policies and Procedures, Patient Assessment

102.097


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UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
CLINICAL POLICY AND PROCEDURE

Title: Allied Health Adult Blood Pressure Visit

Effective Date: May, 2013 Approval: See Authorization
Supersedes Policy: Blood Pressure Check Only Visit Contact: Clinical Staff Education

Reviewed Nov, 2013


PURPOSE:
To provide guidelines for service and care to an adult person scheduled for a blood pressure only visit at a University of Wisconsin Medical
Foundation (UWMF) or Department of Family Medicine (DFM) clinic.

POLICY:
Established Adult Patients
Established adult patients can be scheduled for a BP only visit with a RN/LPN/MA.

Note: Patient may be seen at another primary care clinic location if arrangements are made ahead of time. The Primary Care Provider (PCP)
to communicate to receiving clinic what guidelines should be followed regarding management of the patient.
Note: If patient’s care is being coordinated by RN Care Coordinator, this visit type should be referred to a RN Coordinator

New Adult Patients
To provide optimal, quality care to our patients, any adult patient requesting a BP only check and is new to the clinic must have a scheduled
appointment with a provider. The new patient will be registered and billed the appropriate charge based on the care rendered.

Urgent Care
All adult patients presenting to Urgent Care (regardless if they are new or established) will be registered and managed by a provider. An encounter
will be started and the patient billed for the visit.

GUIDELINES:

The following algorithm guideline will be followed. Clinical staff will utilize the UWMF Blood pressure and Pulse policies during this visit.





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Allied Health Blood Pressure Visit Algorithm for Established Patients
BP and Pulse
Results
BP/Pulse within goal parameters as established by the PCP or UW
Health Clinical Practice Guidelines for Hypertension – Adult
SBP <140 and/or DBP <90
BP/Pulse outside of goal parameters as established by PCP or UW Health Clinical
Practice Guidelines for Hypertension – Adult
SBP <140 and/or DBP <90)
Action Steps Provide patient with BP/Pulse reading, any lab orders or refills
needed based on protocols, along with any education handouts and
instructions on when to return to the clinic.
RN/LPN/MA reviews reading and patient’s presenting symptoms with MD, PA, or
NP.
Allied Health visit documentation forwarded to provider for recommendations/orders.
Documentation Chief Complaint: Blood Pressure F/U
Smart Set: HTN #84
Smart Text/Phrase: .nnbpcheck

If provider recommends provider visit, scheduling staff should use ‘Change’ button to
change visit type from NUR to OFV and from Nurse to MD, PA, NP

Provider can utilize the following:
Chief Complaint: Blood Pressure F/U
Progress Note: Provider may use SmartSet #46: HTN, Primary
Billing
Procedure
Nurse appointment
09211
Nurse appointment 09211(as indicated)
Billable Provider Charge

REVISED BY: LaVay Morrison, RN, Clinical Staff Educator
REVIEWED BY: Jill Lindwall, RN, MS, Clinical Staff Educator


REFERENCES:
1. JNC 7 Report. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood
Pressure. JAMA 2003;289;2560-2572.
2. UW Health Clinical Practice Guidelines for Hypertension – Adult, 2012

AUTHORIZED BY: Richard Welnick, MD, Medical Director, Ambulatory Clinic Operations, UWMF
Sandra A. Kamnetz M.D., Vice Chair, Department of Family Medicine

__________________________________________________________________________________________________________________
Medical Director, UWMF Date

__________________________________________________________________________________________________________________
Vice Chair, Department of Family Medicine Date