ACAPSACUTE

CARE &

AMBULATORY

PROCEDURES

SERVICE

UNCLASSIFIED

ACAPS Mission

• Active Duty Acute Care (Sick Call)• Urgent Care• Referrals from Emergency Dept.• Sports Medicine / Office Orthopedics• Ambulatory Minor Surgical Services• Dermatology Services• Women’s Health Services• Curbside Consults

Medical Home

• 12 “Teams”– 3 Physicians, 2 PA/NP– 3 Residents, 1-2 RN, 2 LPN, 2 HM

• 75,000 enrollees• 6,500 AD personnel + 8,000 dependents• Foreign Military, DoD, State Dept• USUHS, TDY, training, visitors• 100,000 outpatient visits / year

Medical Home

• METC• Nutritional Service• Behavioral Health• Diabetes Care• ACAPS

16-24 AD Acute Care (Sick Call)

8-10 Urgent Care

3-4 ER Transfers

6-8 Scheduled Procedures

6-8 Urgent Procedures

Here to Serve our Patients

Minor Surgical Services

• Skin biopsies• Excision of skin lesions• I&D (Abscess, Hemorrhoids)• Ganglion Cyst

Aspiration/Injection• Heel Spurs, Plantar Warts,

Ingrown Toenail• Skin Foreign Bodies• Genital Lesions• Oral lesions• Vasectomy

Sports MedicineOffice Orthopedics

• Ganglion Cysts• Trigger Points• Joint Effusions• Joint Injections• Sprains/Strains• Minor Fractures

Women’s Health

• Colposcopy

• Cervical Polyp

• Endometrial Biopsy

• IUD

• Breast Cyst Aspiration

• Vaginal Lesion Biopsy

• Bartholin Abscess

Average Week in ACAPS(a few selected procedures)

20 Joint / TP Injections 18 Skin biopsy/excisions 8 I&D 10 Ultrasounds 5 Toenail Procedures 2 Vasectomies 4 IUD insertions 6 Colpo/EB/Cx Polyp 10 Fracture/splints/casts 15 IV hydrations 2 Breast cyst asp / FNA 2 I&D Thrombosed Hemorrhoid 4 Corneal Abrasion / FB 4 Ear Wax Removals

Additional Services

• Travel Medicine

• FAA Flight Physicals

ACAPS GOALS

• Protect the Fighting Force

• Prompt and convenient Care for our Patients

• Education of Attending Staff, Residents, Corpsmen/Medics, Nurses & Students

MEDICAL EDUCATION

• Transitional Year Residents

• General Medical Officers

• Mini ER Residency

• Minor Surgery

• Operational Medicine

• Readiness Standards

Focus on Common Procedures

Some of our graduates

How to Refer?

• Stop by Rm 2715

• Call us 295-7763

Comparison

Typical Medical Home Team

• 3 Physicians• 2 PA/NP• 1 Resident/day

• Avg 48 patients / day• Avg enc 1.3 RVU• Avg 4000 RVU / qtr

A C A P S

• 1.5 Physician• 1 PA• 2 Residents

• Avg 36 patients /day• Avg enc 2.5 RVU• Avg 5800 RVU / qtr

Advantages of EstablishingACAPS

For Patients

• Faster Care• Less ER Visits• Fewer Appointments• Lower costs• Familiar Clinical Setting

For Family Med Dept

• Reduce Dx to Tx time• Fewer ER Visits• More Training• Better Patient Satisfaction• Better Resident Satisfaction• Better Reimbursement

FOR THE HOSPITAL:Less upstreaming of low revenue proceduresLess cost of patient intakesBetter overall patient satisfaction

Questions ?

Thank You