Older Adult Care & Services
冰球突破的团队提供扩展服务，帮助那些可以从咨询中受益的老年人，以及那些由于功能或认知问题而无法前往医生办公室的老年人. Learn more about each of these services below.
CENTER FOR OLDER ADULTS
该中心为老年人提供综合门诊咨询服务与跨学科的团队, which includes medical, nursing, rehab, nutrition, 药剂学和行为医学是针对在过去一年中开始经历功能衰退和/或开始在家中挣扎的老年人的.
Our Comprehensive Geriatric Consults comprise of 2-3 visits with an evaluation, recommendations, and short-term follow up when appropriate. 老年人中心的服务提供者与患者的初级保健提供者保持密切沟通，目标是支持老年患者的综合护理. 在没有得到病人PCP的批准之前，他们不会执行会诊医生的建议.
Patient Criteria for Center of Older Adults:
- 在过去6-12个月内开始出现功能衰退的老年人-出现认知和功能缺陷和/或开始在家中挣扎的老年人.
- 老年成人患者需要更频繁的访问比可行的初级实践提供，可以受益于一个全面的老年咨询.
- Referrals made from Primary Care Provider offices directly to Center for Older Adults through eCW.
OLDER ADULTS HOUSE CALLS PROGRAM
老年人上门拜访计划为65岁及以上的老年人提供护士执业(NP)家访，这些老年人由于功能或认知限制而难以前往提供者的办公室. The NP works in collaboration with the patient’s primary care provider office, providing one-time acute type visits and in some cases a short-term follow up as needed.
Referrals for this program should be placed through eCW, using the outgoing referral function, and assigned directly to Amy Bartlett-Palmer, FNP-BC and Cassidy Abrahamson, MSN AGNP. 一旦收到患者，将在1-2个工作日内与患者联系并安排上门拜访. Evaluation notes are completed and forwarded to the patient’s PCP.
FREQUENTLY ASKED QUESTIONS
Are there specific criteria that a patient must meet to be eligible for the house calls program?
The Older Adult House Calls program aims to serve older adults who are 65 years and over, 由于功能或认知限制而难以前往医生办公室的患者. There should be an acute concern which requires evaluation by a nurse practitioner.
Currently, the Older Adult House Calls Program is available to patients living in Maine.
Does the patient have to be homebound?
No, patients do not need to be home bound to be seen by the Older Adult House Calls provider. The patient should however, have a functional or cognitive limitation that makes traveling into the office difficult.
How does the Older Adult House Calls Program collaborate with the patient’s primary care practice?
Older Adult House Call referrals are made through the patient’s primary provider office, YH walk-in or YH Emergency Department. The Older Adult House Calls provider will see the patient for a one time visit. In some instances, short term follow-up for acute medical issues. 评估和治疗记录在eCW中完成，并将转发给患者的初级保健提供者. If requested or deemed necessary based on clinical impression, 上门服务提供者可以在家访期间或之后通过电话联系提供者办公室，以协调患者的护理计划. 病人的初级保健办公室应提供持续的随访，病人应继续定期去看他们的初级保健提供者.
How do I make a referral to the Older Adult House Calls program?
Referrals for a house call can be placed through eCW, using the outgoing referral function. The referral should include the reason the visit is being requested, pertinent background information regarding the patient, goals of care if known, and any known safety concerns in the home. Referrals should be assigned directly to Erin Morgan AGPCNP.
Can I call to make a referral or send a telephone encounter?
电话和电话会面总是受欢迎的，可以提供额外的信息，可以帮助开始建立上门服务的过程. However, 还需要转介到eCW，因为这用于跟踪目的，并有助于确保所有转介都得到处理.
What should I expect once I make a referral?
Once a referral is received, the patient will be contacted by the Older Adult House Calls provider within 1 business day, and a patient house call visit will typically be scheduled within 1-2 business days. 访问的时间和日期将记录在转介中，以供参考和跟踪. Once the patient is seen, a note will be documented in eCW and then forwarded to the primary care provider. 任何需要的额外随访或护理协调将与初级保健办公室沟通.
Are there any circumstances that are not appropriate for a house call referral?
Acute psychiatric episodes do not fall under the scope of the House Calls Program. Also, 上门拜访的需要不应该仅仅基于交通的可用性或与天气相关的挑战. Labs can be collected at visits as part of the patient’s care plan, so long as an assessment is also occurring and the visit is not exclusively for lab collection.
Can the house calls NP administer vaccines?
如果上门服务提供者因为其他原因已经见过病人，则可以将疫苗作为就诊的一部分. The House Calls provider cannot make visits for the sole purpose of administering a vaccine.
Can I make a referral if the patient is followed by VNA?
Yes, the House Calls provider can see patients who are being followed by the VNA, 除了VNA之外，只要有明确的高级实践提供者参与的特定需求.
Can I make a referral for a transitional care management visit (hospital discharge follow up)?
On a case by case basis, 上门服务提供者在病人出院后进行随访探视可能是合适的. 初级诊所的病例管理人员或初级保健提供者可以联系上门服务的执业护士来讨论这些类型的就诊.
What happens when a patient calls the “Older Adult House Calls Line” phone number (207-646-HOME)?
老年人家庭电话热线电话号码由YH护理访问中心的护理访问代表接听. If the patient has an open referral to the house calls program, care access representatives will assist the patient in scheduling a home visit appointment. If there is no open referral, 病人将被引导到他们的初级保健办公室，讨论他们的症状，并确定是否适合出诊以满足他们的需要.
If you need help accessing your Telemedicine Visit on your Practice Patient Portal, please call (207) 361-6902 and we will be happy to assist you.
Frequently Asked Questions
What is a TeleVisit?
A TeleVisit is a virtual visit with a primary care provider or specialist at York Hospital. The visit will take place using your computer or smartphone. 您和您的提供商将能够通过视频看到对方，并在您的设备上使用音频进行通信. 你的医生仍然可以安排任何必要的实验室和放射检查，如果需要的话，还可以开药.
Where will the provider be during the TeleVisit?
您的提供者将能够从他们在诊所的办公室加入访问，或者偶尔他们可能从他们的家庭办公室加入访问. Just like you, they are able to connect with you wherever they have a video/audio connection. 在电视访问期间，冰球突破所有的供应商都将有一个安全的符合HIPAA的连接到您的健康记录.
Where will I be during the TeleVisit?
Because the visit is virtual, you can be anywhere! 只要你的电脑或智能手机上有互联网或wifi连接，就可以播放视频/音频, you will be able to connect with your provider. You are able to connect virtually without leaving your home!
How do I schedule a TeleVisit?
电视探视可以由医疗服务提供者的办公室工作人员安排，就像你在办公室预约一样.
Is there a cost to have a TeleVisit?
是的，冰球突破会给你的保险公司开账单，就像你来办公室拜访一样.