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