ABSTRACT
The current trend among interventional radiologists is to be actively involved in
the pre- and post-procedure care that surrounds many of our procedures. For this to
occur, defined office space that is set up in such a way that is conducive to outpatient
consultation and post-procedure visits is required. In addition, appropriate support
staff such as midlevel providers (including nurse practitioners and physician assistants)
and a receptionist are needed to make the entire system work. Finally, dedicated time
to focus on direct patient care is mandatory. Equally important is understanding the
processes that occur in the background of a typical procedural encounter, including
generating referrals, obtaining insurance pre-authorization, managing medical records,
and communicating with referring physicians, all of which are expected to take place
when managing patients in an outpatient setting. When these components are in place,
it becomes possible for an interventionalist to successfully develop an outpatient
office and to meet the expectation that patients will be seen before and after procedures
by the practitioner performing that procedure.
KEYWORDS
Outpatient medical practice - interventional radiology - midlevel providers
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Gary SiskinM.D.
Professor and Chairman, Department of Radiology, MC-113, Albany Medical Center
47 New Scotland Avenue, Albany, NY 12208