BHIP Update

As many of you know, Kendra Koeplin will be returning from her parental leave in March, and we are looking forward to welcoming her back to GIMC. We are working with Jo Knott, who has been doing an exceptional job covering BHIP in Kendra’s absence, on a plan to ensure a smooth transition.  Given a few constraints, we are currently facing an acute crunch in BHIP access. For the time being, BHIP will not be able to take on any new referrals. Additionally, there are a number of referrals that have been made over the past few weeks that may be beyond BHIP’s capacity and have not been processed or scheduled. We will work on reviewing these referrals and ensuring that each of these patients has a follow up plan. Apologies for the disruption to what we know is a valuable service for our patients.

Jake will update us all as we work through the specifics of BHIP access/continuity over the coming weeks, and will certainly notify everyone once BHIP is again able to take new referrals.

Retina Scanning is live at GIMC!

Retina scanning is live at GIMC! Screening for diabetic retinopathy saves patients’ vision, and we can now do it right in clinic. Barak sent an email this week with the how-to, here’s a quick review:

– Enter an order in Epic by typing “Retina.” Choose either:

              1. Screening (if no known retinopathy), or

              2. Monitoring (if  known retinopathy)

– MA walks the patient to the camera near the south hallway (next to exam rooms 1-3)

– Results are reported to the ordering provider’s Epic InBasket with clear instructions for next steps

A few reminders: 

– Retina screening should happen once every 1-2 years

– Retina screening at GIMC (without eye dilation!) is recommended if your patient:

                — doesn’t have eye symptoms of any kind

                — doesn’t have other eye conditions (ex. glaucoma, macular degeneration

– If your patient has any eye symptoms, or your patient has a chronic eye condition which needs eye clinic management:  then DO NOT order retina screen at GIMC.  Instead send a referral for the patient to have an in-person  evaluation in the Eye Center.

Quick primer on the stages of diabetic retinopathy:

1. Non-proliferative – this is the early stage. Non-proliferative can be mild, moderate, or severe.

2. Proliferative – this is vision-threatening (ischemia present) – Needs treatment.

3. Macular edema – can be present with either Non-prolif or Prolif. Needs treatment.

Typical follow-up recommendations by type of finding:

– If no retinopathy or mild/moderate-non-proliferative retinopathy: repeat scan in 1 year.

– If macular edema or severe non-proliferative or proliferative retinopathy: refer to Eye Clinic