Patient Experience Week: Should you go to the doctor right now?

April 29, 2020

Author: Mountain Pacific

Patient Experience Week Should you go to the doctor right now.

Our health care systems are flooded with people who have the new coronavirus disease (COVID-19) or are experiencing symptoms and need to get tested. So what should you do if you need to get in to see a doctor for non-COVID-19 reasons? Or what if you or a loved one has a health emergency amid the outbreak?

It’s Patient Experience Week, which celebrates the experience health care providers give their patients every day. The patient experience might look a little differently right now, as health care providers juggle the surge of COVID-19 patients on top of “normal” treatment and care. But here’s what you need to know about how to get the health care you need during a pandemic.

What do the national guidelines say?

Last month at the White House Task Force press briefing, the Centers for Medicare & Medicaid Services (CMS) recommended delaying all elective surgeries and nonessential procedures. These recommendations were made to try to ease health care professionals’ patient load, so they can focus on managing the pandemic. The Task Force also hoped to free up medical supplies and equipment to avoid shortages, if possible. Rescheduling also supports physical distancing practices, minimizing the number of patients in a waiting room or clinic.

What types of surgeries, appointments and procedures fall into “elective” and “nonessential?”

Elective does not necessarily mean optional. An elective surgery or procedure can still be life-changing, but it doesn’t treat or manage something life-threatening. Elective means it is not an emergency and can be scheduled for later—and therefore, rescheduled for later still during COVID-19. Examples of elective surgeries or procedures are knee or hip replacements, cataract surgery or laser surgery for vision correction. Routine appointments also fall under this recommendation. Think eye exams, mammograms, dental check-ups or annual wellness visits.

What’s happening with my local health care providers?

This month, CMS updated recommendations to allow facilities to start scheduling these delayed elective and nonessential procedures. However, providers are still encouraged to work with local and state public health officials and their leadership and staff to assess their ability to provide different types of care to their patients. They must consider things like: How many current and projected COVID-19 cases are in the area? How much personal protective equipment (PPE) is available to ensure patient and provider safety? How much staff is available to provide care?

Based on these assessments, local providers can decide for themselves when and how to see patients and when to keep or reschedule standing appointments.

So should I go see my doctor?

The short answer is: It depends.

You may have already been contacted by your health care provider(s) to cancel or postpone any standing appointments. If you have not heard from your provider, make sure you call before going in for the appointment.

If you do not have an appointment, but you would like to talk with your doctor, ask yourself these questions:

  • Am I high risk? If you have an underlying chronic condition, are over the age of 60 or your immune system is compromised because of medications or illness, you should stay home. Call your doctor to get help weighing the risks and benefits of an appointment.
  • Do I have a new concern? If you are newly ill or experiencing new symptoms that have you worried, call your doctor or closest urgent care clinic to get advice.
  • Am I running out of a prescription? If the answer is yes, call, email or use your patient portal to see if your doctor can authorize a refill without an appointment. You can also ask if the prescription can be sent electronically to your pharmacy.
  • Am I comfortable with a virtual visit? Many medical practices are using telehealth or telemedicine to support their patients. These are remote appointments where you and your doctor can talk over the phone or by video chat. Ask your doctor if you can keep or schedule your appointment with an online or virtual visit.

For certain chronic conditions or other reasons, your doctor may want to see you in person. Providers are changing their procedures to increase patient safety and reduce your risk for exposure to COVID-19. If you are headed to a face-to-face visit, ask the person scheduling your appointment whether you should use a different entrance and about other changes you can expect when you get there. To stay safe while you’re at the office or clinic:

  • Keep a safe distance from other people (at least 6 feet).
  • Do not touch your face.
  • Avoid touching surfaces.
  • Take advantage of any hand sanitizer stations or bottles in the waiting or exam rooms. If you can, wash your hands with soap and water right away when you get home. You may also want to change and wash your clothes.

What should I do if it’s an emergency?

If a health care emergency happens, of course you need to get care. Call 911 or go to the hospital’s emergency department. If you can, try to call before you leave or when you are on your way to let them know you’re coming. Reasons you should go to the emergency room include:

  • Trouble breathing
  • Chest pains
  • Deep wound or heavy bleeding
  • Serious burn
  • Severe pain anywhere in your body
  • High fever that is not going away with medicine
  • Seizure
  • Sudden slurred speech
  • Sudden weakness or drooping on one side of the body
  • Sudden inability to speak, see, walk or move

Hospitals have also made accommodations, especially to keep people with COVID-19 separate from other patients. They are also limiting visitors. Be prepared to cooperate with any new steps they’ve taken to ensure your safety.

If you have Medicare and would like more information, including Medicare coverage for telehealth services, visit the Medicare.gov coronavirus webpage. This page also includes general information that is useful to people without Medicare.

 


Developed by Mountain-Pacific Quality Health, the Medicare Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Montana, Wyoming, Alaska, Hawaii and the U.S. Pacific Territories of Guam and American Samoa and the Commonwealth of the Northern Mariana Islands, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. Contents presented do not necessarily reflect CMS policy. 12SOW-MPQHF-AS-CC-20-21

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