Primary care providers consult specialists in cardiology to improve outcomes and avoid long wait times for face-to-face appointments with a cardiologist. The PCP will evaluate a patient’s risk of cardiovascular diseases, including hypertension. When diagnosed early many cardiovascular conditions can be managed by lifestyle changes and medications. Many physician-to-physician consultations are requested for the management of care related to high cholesterol or hypertension as well as the selection of the most appropriate medication for a particular patient.
While many tests are routinely performed as part of a patient’s annual check-up with their primary care doctor, electronic consult specialists can assist the requesting physician, nurse practitioner, or physician assistant with a selection of appropriate follow-up tests if symptoms change or as a follow-up to a change in medication:
- Lipid Panel Test
- A1C Test
- Fasting Blood Sugar Test
- Exercise cardiac stress test
- Tilt table test
Next up, the primary care provider will send the test results back to the consult specialist for review and advisement.
COMMENTS TO SPECIALIST
71-year-old Hispanic female patient with a history of hypertension and type 2 diabetes. Pressures are still above goal. Patient reports taking her blood pressure medication daily. Denies cardiac complaints.
Her blood pressure in the office was 167/72. Three months ago, it was 146/83 and two weeks later it was 168/72. Patient reported at that time that her ranges at home were 130-150/70-90.
Can you offer advice on how the patient can keep blood pressure within the goal range?
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Improve patient access management and support advanced practitioners during the healthcare staffing crisis
Patient access management is a high priority currently, due to patients deferring care during COVID and a short supply of providers. Modern Healthcare reports that wellness visits declined 69% during 2020. With a flood of patients that are overdue for care, states are turning to nurse practitioners (NPs) and physician assistants (PAs) to improve access to primary care.