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Practical guidelines for developing an office-based program for outpatient intravenous therapy.

S L Green1

  • 1Department of Medicine, Riverside Regional Medical Center, Newport News; Virginia.

Reviews of Infectious Diseases
|January 1, 1991
PubMed
Summary
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Physicians can establish office-based outpatient intravenous (IV) therapy programs to provide cost-effective care. Key elements include skilled nursing, pharmacist collaboration, patient education, and insurance pre-approval for successful program implementation.

Area of Science:

  • Healthcare Management
  • Outpatient Care Services
  • Intravenous Therapy

Background:

  • Increasing early hospital discharge rates necessitate efficient outpatient care models.
  • Physician reimbursement challenges for outpatient intravenous (IV) therapy require innovative solutions.
  • Establishing office-based IV therapy programs offers a viable alternative for cost-effective patient management.

Framework:

  • Develop a program with skilled nursing staff for IV antibiotic administration.
  • Collaborate with a pharmacist for medication management and support.
  • Implement standardized treatment consent forms and patient education materials.

Implementation:

  • Ensure 7-day-per-week nursing availability for continuous patient support.
  • Establish clear protocols for immediate hospitalization of patients experiencing complications.

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  • Secure written pre-approval from insurance medical directors for program participation.
  • Implications:

    • Office-based IV therapy programs can improve patient access to care while managing costs.
    • Understanding third-party payer procedural terminology codes is crucial for financial viability.
    • Successful program implementation requires a multidisciplinary approach involving physicians, nurses, pharmacists, and insurers.