TOA Teamlet E by PCA NHGP https://padlet.com/pcanhgp/2c8c05yqes537ip4 Facilitators: Dr Predeebha, Goh Poh Suan, Dr Raja, Elaine Voo en-us 2020-10-07 02:59:34 UTC 2020-11-30 07:59:45 UTC hello@padlet.com Check patient’s blood pressure and weight before consult pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809022723 2020-10-07 03:05:57 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809022723 E-order mammograms and provide basic health education pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809023270 2020-10-07 03:06:19 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809023270 Teach patient how to measure and record blood pressure at home pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809024268 2020-10-07 03:06:53 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809024268 Teach patient how to measure and record blood pressure at home pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809025778 2020-10-07 03:07:47 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809025778 Review same day appointment availability for various healthcare providers before the start of the clinic session pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809026351 2020-10-07 03:08:08 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809026351 E-order Diabetic Eye and Foot screenings pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809026768 2020-10-07 03:08:24 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809026768 Review lab results and separate normal from abnormal pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809027449 2020-10-07 03:08:49 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809027449 Assist patient with asthma/COPD to complete ACT/CAT form pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809028138 2020-10-07 03:09:14 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809028138 Warfarin management pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809028535 2020-10-07 03:09:29 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809028535 Lead daily pre-clinic huddles pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809028747 2020-10-07 03:09:38 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809028747 Refill medications for well controlled chronic patients pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809029152 2020-10-07 03:09:54 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809029152 Inform patient of abnormal lab result pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809029400 2020-10-07 03:10:03 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809029400 Complete medication reconciliation for patients pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809029590 2020-10-07 03:10:11 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809029590 Perform PHQ2/9 (depression screening) pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809029818 2020-10-07 03:10:19 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809029818 Obtain smoking history pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809029994 2020-10-07 03:10:26 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809029994 Identify patients without medical visit in last 6 months and do outreach to bring patient into clinic pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809030220 2020-10-07 03:10:36 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809030220 Recall defaulters (no show) and reschedule appointments pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809030404 2020-10-07 03:10:43 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809030404 Screen patients who require vaccinations pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809030559 2020-10-07 03:10:50 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809030559 Treat uncomplicated urinary tract infections pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809030726 2020-10-07 03:10:57 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809030726 Inform patients of community resources and make referrals pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809030920 2020-10-07 03:11:05 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809030920 Identify patients overdue for HbA1c and e-order it pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809031087 2020-10-07 03:11:12 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809031087 Manage most patients with Hypertension pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809031336 2020-10-07 03:11:23 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809031336 Help patients to set health goals pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809031530 2020-10-07 03:11:31 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809031530 Track Emergency Department (ED) referrals to ensure completion pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809031706 2020-10-07 03:11:38 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809031706 Counsel patients on challenges managing their chronic condition(s) pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809031872 2020-10-07 03:11:45 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809031872 Manage most patients with Diabetes pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809032019 2020-10-07 03:11:51 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809032019 Monitor the empanelled patients and identify the high needs patients proactively pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809032180 2020-10-07 03:11:59 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809032180 Follow up with patients for community resource referrals (e.g. community nurse post) and ensure that patient/caregiver received the care. pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809032404 2020-10-07 03:12:07 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809032404 Follow up with depression screening pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809032610 2020-10-07 03:12:14 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809032610 Perform vision testing for patients pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809032814 2020-10-07 03:12:22 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809032814 Perform AMT for patients pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809033003 2020-10-07 03:12:29 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809033003 Teach patient how to measure and record blood glucose readings at home pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809033198 2020-10-07 03:12:37 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809033198 Coordinate multi-disciplinary team discussion pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809033378 2020-10-07 03:12:44 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809033378 Coordinate workshop/support groups pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809033537 2020-10-07 03:12:51 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809033537 Communicate with hospital inpatient team regarding patient post discharge plans pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809033711 2020-10-07 03:12:59 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809033711 Teach patient how to measure and record blood glucose monitoring pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809033887 2020-10-07 03:13:05 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809033887 Onboard patients for teleconsultation pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809034043 2020-10-07 03:13:12 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809034043 Obtain social history from patients pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809034204 2020-10-07 03:13:19 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809034204 Review ACE/ARB panel results for patient who was newly started on ACE/ARB pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809034386 2020-10-07 03:13:26 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809034386 Follow-up with patient with stable hypothyroidism pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809034550 2020-10-07 03:13:33 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809034550 Screen older patients for frailty and falls pcanhgp https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809034772 2020-10-07 03:13:42 UTC https://padlet.com/pcanhgp/2c8c05yqes537ip4/wish/809034772