EA_Questions and Answers_2020-08-25.pdf

Solicitation: 70Z02320 R P1C00000

External Accreditation – Questions and Answers

Questions: Answers:

1) Are all of the services (PCMH, aviation medicine, preventive medicine, physical therapy, optometry, dentistry, gynecology, occupational medicine & dental anesthesiology) offered at each of the 42 ambulatory health care clinics?

No, based on personnel, mission and location, offerings can change.

2) Will the health clinics pursue PCMH certification?

If it is a separate process, then no. If it is part of the overall survey, yes unless HEDIS measures are required as currently the Coast

Guard does not have a method to extract that information due to staffing and system limitations.

3) What are the current accreditation due dates for each health care clinic?

Please refer to ‘Attachment 3_Historical Data’ under TAB #1.

4) What are the annual patient visits/encounters for each clinic?

Please refer to ‘Attachment 3_Historical Data’ under TAB #1. Note that these numbers are estimates based on monthly input from clinics, as the Coast Guard does not currently have a reliable method to extract that data.

5) Is each clinic a single-site operation? If multiple sites are associated with a clinic, we request the clinic name and distance (in miles) from the main clinic.

We recently realigned our clinics. Each clinic operates independently for patient care;

however, administrative oversight is provided by larger clinics for smaller sites. Please refer to ‘Attachment 3_Historical Data’ under TAB

#1.

6) Training Center Cape May (TRACEN CM):

a) Describe the types of care provided at the

Training Center Cape May, New Jersey?

The Samuel J. Call Clinic provides outpatient and overnight care for Medical, Mental Health and Dental patients. Other services provided are; Medical Laboratory, Diagnostic Imaging, Physical Therapy, Optometry, and Pharmacy services.

b) What are examples of conditions, disease processes seen at this site? Provides routine primary care primarily centered on preventative care.

Many different pathologies are evaluated and treated here at the Samuel J. Call Clinic, some examples include, but are not limited to:

pneumonia, COVID-19, Influenza, URI, Mono, STIs, traumatic injuries, various types of headaches, syncope, allergic reactions, rhabdomyolysis, hypertension, hypothyroid, dehydration, tobacco dependence, panic attacks and anxiety.

c) What are criteria for patients to receive overnight care?

The Samuel J Call Health Services Clinic is an ambulatory care facility that provides overnight care for Active Duty and Recruits being treated or observed for non-critical illnesses.

A. The admission criteria for the UNIT is:

illness, injury or pre/post-surgery or procedure that requires additional support due to the berthing area of Recruits or Active

Duty members who reside on board a ship, squad bay or in single type berthing.

B. We are unable to accept patients with illness or injury requiring high levels of observation such as cardiac or respiratory monitoring, suction or ventilation.

C. Patients who require invasive procedures or advance diagnostic treatment are referred to the appropriate civilian or military treatment facilities.

d) Are the following services provided:

dressing changes, vital signs, oxygen, IVs, cardiac monitoring, pain management?

Dressing changes, vital signs, oxygen, IVs and pain management are provided at Samuel

J. Call Clinic. Cardiac monitoring is provided on emergent basis when awaiting Advanced

Life Support transport to definitive care.

e) Are the patients post-op patients? They can be if they had an outpatient surgical procedure or were discharged from an acute care facility following a surgical procedure and the requisite inpatient stay. Examples of cases include post-op ankle, knee and hip and jaw repair, appendectomy, wisdom teeth removal and hemorrhoidectomy. Please refer to ‘6(c)’ regarding the criteria for admission.

f) How is the site staffed (skill levels and access to higher skills if needed, specifically

MDs)?

The site is staffed with Physicians, Physician

Assistants, Registered Nurses, Pharmacist, Physical Therapist and Laboratory technician, Coast Guard Corpsmen and certified Medical

Assistants. Dental Coverage is provided by

Dentists, Dental Hygienists and Dental assistants. There is a Medical Officer

(MD/DO/PA) on-call to the clinic 24-7-365.

There is also a Dentist on-call 24-7-365.

g) Any relationships with hospitals if needed for changes in patient acuity?

Yes, we have a transfer agreement with Cape

Regional Medical Center, 10 miles north on the parkway.

h) Describe patient population, are pediatric patients seen there?

The patient population currently consists of adult Active Duty and Recruit personnel assigned to TRACEN CM or tenant units within the command. Recruit patients are the largest group empaneled to the Clinic during their indoctrination period or “Boot Camp” while assigned to TRACEN CM and make up the largest amount of patient encounters.

Pediatric patients are not treated here at

Samuel J. Call Health Services Clinic.

i) What types of emergency supplies and equipment are available onsite?

We have two Advanced Cardiac Life Support

“Crash” carts that are available for use in the

Samuel J. Call Clinic on a moment’s notice.

Each cart contains current American Heart

Association ACLS medications, Prehospital cardiopulmonary monitor that provides cardiac and respiratory rate monitoring, blood pressure, pulse oximetry, electrocardiogram and end-tidal Co2 capabilities. The Crash cart also contains emergency airway equipment, including oropharyngeal and nasopharyngeal airways, intubation supplies, bag-valve-mask, laryngoscopes, portable suction devices, intravenous access and fluid supplies.

7) Can you clarify that the same administration and governance bodies are used for the clinics with satellites?

The governance is the same for both clinics.

There is an assigned administrator for each, but that individual answers to the overseeing clinic who answers to the Regional Manager.

under TAB #2.

8) If yes, does the clinic and satellite desire one accreditation decision rather than individual/separate accreditation decisions?

(One decision combines all deficiencies and applies equally to each clinic).

Yes, the clinic and satellite desires one accreditation decision with a certificate being provided to both sites for display.

9) Can you provide additional information on locations that have not been accredited?

under TAB #1 and #2.