Title: Colorado Physician Health Program Annual Report July 2005 - June 2006
1Colorado Physician Health ProgramAnnual Report
July 2005 - June 2006
- Executive Director Sarah R. Early, PsyD
- Medical Director Michael H. Gendel, MD
-
The mission of Colorado Physician Health Program
is to assist physicians, residents, medical
students, physician assistants and physician
assistant students who may have health problems
which if left untreated, could adversely effect
their ability to practice medicine safely.
2Table of ContentsAnnual ReportJuly 2005 - June
2006
- Referral Summary Page 3
- Number of New Referrals - Program History Page 4
- Source of New Referrals - Year-to-Date Page 5
- Primary Presenting Problem -Year-to-Date Page 6
- Specialty of New Referrals - Year-to-Date Page 7
- License Status of New Referrals -
Year-to-Date Page 8 - New Referrals Geographical Area -
Year-to-Date Page 9 - Referrals Reactivations 1993 - 2006 Page 10
- Reactivations - Year-to-Date Page 11
- Inactivations (Reasons/Outcome) -
Year-to-Date Page 12 - Participants Documentation Requests Page 13
- Program Highlights Page 14
- Community Outreach Page 15
- Services Provided by CPHP Page 16
- CPHP Board of Directors and Staff Page 17
- APPENDIX
- Definition of Terms Page 19
3Referral Summary July 2005 - June 2006
- New Referrals Fiscal Year 2005-2006 represents
the highest number of New Referrals in CPHP
history. While CPHP projected an increase number
of referrals due to the fact that 2005 was a
Colorado Board of Medical Examiners (BME) renewal
year, the referrals exceeded the expectations.
When compared to the 2004-05 Fiscal Year CPHP
realized a 34 increase in referrals. This is an
actual growth of 74 cases. - Caseload The average active caseload at any
given period during Fiscal Year 2005-06 was 403
clients. This represents an increase of 8
compared to Fiscal Year 2004-05 (373 active
client caseload). - Overview Significantly, 52 of New Referrals
came to CPHP voluntarily. 48 were mandatory
referrals. This is a slight increase (5) of
voluntary New Referrals when compared to Fiscal
Year 2004-05 (with 47 voluntary New Referrals).
Of the total New Referrals this year, 64 had an
active Colorado license, 11 had a Colorado
Training License and 5 held Physician Assistant
licenses. 19 did not hold any license which
includes 10 Applicants, 6 students and 3
out-of-state clients. CPHP served New Referral
clients from 24 counties of residence throughout
Colorado during Fiscal Year 2005-06. - Referral Source The highest single source of New
Referrals was Self referrals, representing 32 of
New Referrals. The second highest source of New
Referrals was the BME (24). Administration
(12) was the third highest category of referral
source. - Primary Presenting Problem of New Referrals The
three most common primary presenting problems
were Psychiatric at 26, followed by Legal at
17 and lastly tied were Substance Abuse and
Behavioral each at 14. - Specialty of New Referrals For Fiscal Year
2005-06 Family Practice (16) is the most
frequent specialty of New Referrals, followed by
Internal Medicine (14) and Anesthesiology (10).
- Reactivations Of the 290 New Referrals, 56 were
Reactivations. This represents 19 of the total
New Referrals. - Outcome For Fiscal Year 2005-06, CPHP
inactivated 243 participants and opened 290 new
cases, resulting in a net gain of 47 cases. Of
243 inactivations, 61 (25) Declined Evaluation,
9 Relocated, 1 was Referred in Error and 1 was
incarcerated therefore, 171 clients were
evaluated. Of the 171 evaluated, 160 (94) were
inactivated with an outcome considered successful
and/or satisfactory. CPHP is pleased with our
continued high rate of satisfactory outcomes! - Documentation Requests CPHP processed 1170
report requests during Fiscal Year 2005-06. - Total Participants in CPHP History Since the
inception of the program in 1986, CPHP has served
2,496 participants.
4Annual Number of New Referrals Program History
1986 - Present
- This graph shows the continued overall growth of
New Referrals in the history of the program.
Fiscal Year 2005-2006 represents the highest
number of New Referrals in CPHP history. While
CPHP projected an increase number of referrals
due to the fact that 2005 was a Colorado Board of
Medical Examiners (BME) renewal year, the
referrals exceeded the expectations. When
compared to the 2004-05 Fiscal Year CPHP realized
a 34 increase in referrals. This is an actual
growth of 74 cases. - When compared to Fiscal Year 2003-04 (the last
fiscal year that was a BME license renewal year),
CPHP experienced an actual growth of 68 cases, an
increase of 31. - The average active caseload at any given period
during Fiscal Year 2005-06 was 403 clients. This
represents an increase of 8 compared to Fiscal
Year 2004-05 (373 active client caseload). - BME License Renewal Years
5Source of New Referrals July 2005 - June 2006
Continued High Self Voluntary Referrals
Client Medical Profession
Other DPM, PhD
N290
Other Attorney, PHP
- During Fiscal Year 2005-06, the highest single
source of New Referrals was Self referrals,
representing 32 of New Referrals. This is a
decrease (7) when compared to last year (39).
CPHP continues to be proud of the number of Self
Referrals to the program demonstrating trust and
confidence in CPHP. This decrease in self
referrals appears to correlate with the addition
of the referral source category Proactive which
encompassed 10 of the New Referrals. CPHP
created this referral source category to more
accurately reflect client circumstances. - Significantly, 52 of New Referrals came to CPHP
voluntarily. 48 were mandatory referrals. This
is a slight increase (5) of voluntary New
Referrals when compared to Fiscal Year 2004-05
(with 47 voluntary New Referrals). CPHP is
proud of the high percentage of referrals that
are voluntary, as this reflects the respect for
the program among physicians within the state and
medical community. CPHP attributes this high
level of voluntary referrals to the relationship
building efforts made in the community, the
positive and caring approach of CPHPs staff and
provision of educational materials that
normalizes physician experiences and illness. - The second highest source of New Referrals was
the BME (24). Administration (12) was the third
highest category of referral source. This is
consistent with 2004-05 percentage of BME New
Referrals also at 24 and Administrative New
Referrals at 13. CPHP appreciates the referrals
received from the BME to assist physicians in
evaluating potential health issues that may
effect their ability to practice medicine safely.
The other significant change in New Referral
source this Fiscal Year was the addition of the
referral source category Proactive which
encompassed 10 of the New Referrals. - Please note updated definitions in referral
source categories. See page 19. - The pie chart on the right reflects the medical
profession of CPHP clients. The majority of
clients are Physicians without a resident status
(67). Residents (16) comprise the second
largest group served and Physician Assistants
(7) comprise the third largest group.
6Primary Presenting Problem of New Referrals
July 2005 - June 2006
Other Career, Emotional
N208
- In an effort to better understand the relevancy
of the primary presenting problem data, CPHP has
removed cases that are in process or have not
yet been assigned a primary presenting problem.
Of the 290 New Referrals received during Fiscal
Year 2005-06, 82 were in process at the time of
this report, thus 208 were assigned a primary
presenting problem. - A primary presenting problem area which best
represents the participant is identified by the
clinical team following the completion of the
initial intake interview. This does not mean
that other problem areas are not present or being
addressed with the participant at CPHP. Rather,
the primary presenting problem is identified for
data collection and reporting purposes. - The three most common primary presenting problems
among the 208 New Referrals were Psychiatric at
26, followed by Legal at 17 and lastly tied
were Substance Abuse and Behavioral each at 14. - Using the same methodology of data collection,
this representation has varied from Fiscal Year
2004-05 with the top three categories of
Psychiatric (21), Substance Abuse (21) and
Behavioral (20). When compared to last fiscal
year, the primary presenting problem of
Psychiatric increased 5, Substance Abuse
decreased 7 and Behavioral decreased 6. Legal
issues, which was not in the top three primary
presenting problems last fiscal year, increased
10. There was a significant increase in clients
seeking assistance for legal problems which
included a variety of issues, with a predominance
of Driving Under the Influence and Domestic
Violence charges.
7Specialty of New Referrals July 2005 June
2006
Other Dermatology, Gastroenterology, Pathology,
Podiatry, Radiation/Oncology, Urology, None N/A
Student
N208
-
- In an effort to reflect the true representation
of specialties served, CPHP is reporting on cases
where specialty information has been collected.
The data on specialty is collected at the time of
intake. Of the 290 New Referrals received during
Fiscal Year 2005-05, 82 had not completed an
initial intake session at the time of this
report, thus for 208 New Referrals, specialty
information had been collected. - For Fiscal Year 2005-06 Family Practice (16) is
the most frequent specialty of New Referrals,
followed by Internal Medicine (14) and
Anesthesiology (10). - This representation is similar to Fiscal Year
2004-05 with the same three most frequent
specialties of Family Practice (21), Internal
Medicine (14) and Anesthesiology (15). However,
when compared to last fiscal year, this fiscal
year CPHP had an decrease of Family Practice
physicians by 5, the same percentage of Internal
Medicine physicians and a decrease of
Anesthesiologists by 5. - The specialty statistics among CPHP participants
are only meaningful if there is a deviation from
the specialty populations of practicing
physicians in Colorado. CPHP does not posses
current information to determine the significance
of this data.
8License Type of New Referrals July 2005 - June
2006
Other DPM, PhD
N290
-
- This pie chart shows the medical license type of
each New Referral to CPHP at the time of
referral. - Of the total New Referrals this year, 64 had an
active Colorado license, 11 had a Colorado
Training License and 5 held Physician Assistant
licenses. 19 did not hold any Colorado license
which includes 10 Applicants, 6 students and 3
out-of-state clients.
9Colorado Counties Served by CPHP July 2005 -
June 2006
N
Other Other includes counties that
contain less than 10 physicians, based on a BME
listing (obtained in September 2005) of Colorado
licensed physicians. These counties are grouped
into one category (Other) to protect the
confidentiality of clients residing in those
counties. Counties in this category include
Baca, Cheyenne, Conejos, Crowley, Custer,
Dolores, Hinsdale, Jackson, Kiowa, Mineral, Park,
Phillips, Rio Blanco, Saguache, San Juan and
Sedgwick.
County Served
Region Number Percent
Adams 5 3
Alamosa 1 .5
Arapahoe 36 17
Boulder 16 8
Broomfield 4 2
Denver 54 26
Douglas 7 3
El Paso 8 4
Fremont 1 .5
Region Number Percent
Garfield 3 1
Grand 1 .5
Jefferson 20 10
La Plata 1 .5
Larimer 7 3
Las Animas 1 .5
Mesa 6 3
Moffat 1 .5
Montrose 2 1
Region Number Percent
Pitkin 2 1
Prowers 2 1
Pueblo 6 3
Routt 1 .5
Summit 1 .5
Weld 3 1
Out-of-State 19 9
YTD N 208 100
In Process 82 -
- CPHP served New Referral clients from 24 counties
of residence throughout Colorado during the
Fiscal Year 2005-06. - The most frequent county of residence among New
Referrals was Denver County at 26.
10Referrals Reactivations1993 - 2006
- Of the 290 New Referrals, 56 were Reactivations.
This represents 19 of the total New Referrals.
This is a slight decrease (2) when compared to
Fiscal Year 2004-05 at 21.
11Reactivations July 2005 - June 2006
Primary Presenting Problem
Referral Source
N56
- Reactivation refers to when a participant
returns to CPHP after having been inactivated. - Referral sources of reactivated clients are
depicted on the left pie chart. Of 56
participants who were reactivated, 28 Self
Referred. This represents a decrease when
compared to Fiscal Year 2004-05 when 34 of
Reactivations Self Referred. - The second most frequent referral source among
reactivated clients was the BME (23). This is a
decrease of 7 when compared to last fiscal year
in which BME Referrals comprised 30 of the
Reactivation sample. - 55 of Reactivations voluntarily returned to CPHP
during Fiscal Year 2005-06. There is a increase
of 18 when compared to Fiscal Year 2005-06 which
had 37 voluntary Reactivations. CPHP is pleased
with the increase in voluntary referrals as this
demonstrates trust and confidence in CPHP
services. - Primary presenting problems of reactivated
clients are illustrated on the right pie chart.
These statistics reflect that Reactivations most
commonly present with Psychiatric issues (27),
followed by Behavioral problems (22) and Legal
(16) issues. - This distribution is similar to the Annual New
Referrals (three largest categories Psychiatric,
Legal, and Substance Abuse and Behavioral). The
primary presenting problem of Psychiatric was
similar for Reactivations (27) compared to
Annual New Referrals (26). The primary
presenting problem of Behavioral was 8 higher
for Reactivations (22) compared to Annual New
Referrals (14). The primary presenting problem
of Legal was similar for Reactivations (16)
compared to Annual New Referrals (17).
12243 Participants Inactivated (Reasons/Outcome)
July 2005 - June 2006
Length of Active Status at CPHP
N243
Other Incarcerated, Referred in Error
- Inactivation refers to when a case is closed at
CPHP. Definitions of inactivation reasons are on
page 19. - For Fiscal Year 2005-06, CPHP inactivated 243
participants and opened 290 new cases, resulting
in a net gain of 47 cases. - Of 243 inactivations, 61 (25) Declined
Evaluation, 9 Relocated, 1 was Referred in Error
and 1 was incarcerated therefore, 171 clients
were evaluated. Of the 171 evaluated, 160 (94)
were inactivated with an outcome considered
successful and/or satisfactory. CPHP is pleased
with our continued high rate of satisfactory
outcomes! - Length of Active Status at CPHP is depicted on
the right pie chart. The majority of
participants (57) completed the necessary
involvement with CPHP in one year or less.
13Participants Documentation Requests July 2005
- June 2006
N 1170
-
- CPHP processed 1170 report requests during Fiscal
Year 2005-06. This is an increase of 25
compared to Fiscal Year 2004-05 at 939 report
requests!
14Program HighlightsJuly 2005 - June 2006
- CPHP Honors 20 Years of Service! 2006 is CPHPs
20th anniversary year! CPHP is proud of our
tradition of peer assistance and this year we are
taking the time to reflect on our history and
celebrate our achievements. We look forward to
honoring our anniversary year through several
venues including a CPHP newsletter tribute,
distribution of commemorative mementos state-wide
and hosting a tribute event for our medical
community colleagues and supporters. Thank you
to all, past and present, who have promoted
CPHPs mission! -
- CPHP Welcomed New CPHP Board Director Alfred
Gilchrist, Executive Director of Colorado Medical
Society, began his three year term on May 16,
2006 as a CPHP Board Director. CPHP appreciated
the caliber of experience and expertise that Mr.
Gilchrist brings to CPHP. Welcome! - Workplace Violence Prevention CPHP believes in
the utmost safety and protection of both its
employees and clients. Often, CPHP clients have
difficult and complex problems that occasionally
result in unfavorable behaviors. In an effort to
prevent or minimize volatile situations, it was
determined essential to develop workplace
violence prevention procedures. CPHP had
previously established workplace violence
policies yet recently expanded on these
guidelines with step-by-step procedures to follow
in the event of an emergency. CPHP Associate
Medical Directors who also are violence
prevention experts, Doris C. Gundersen, MD, and
David A. Iverson, MD, led an internal staff
committee to create procedures that are readily
accessible and specific. All CPHP staff are
trained on these procedures to best serve clients
in a safe environment. - Federation of State Physician Health Programs
(FSPHP) CPHP continued active national
involvement with the FSPHP during Fiscal Year
2005-06 with CPHP Medical Director, Michael H.
Gendel, MD, serving as Immediate Past President
of this organization. As always, CPHP welcomes
FSPHP meetings as a forum for education and
exchange of information among state physician
health programs. - Western Region of the Federation of State
Physician Health Programs (FSPHP) Annual Meeting
CPHP Medical Director, Executive Director, and
Associate Medical Directors attended the Western
Region of the FSPHP Annual Meeting in Honolulu,
Hawaii October 7-9, 2005. CPHP representatives
welcomed the opportunity to network with
colleagues from other Physician Health Programs
and gain valuable information about physician
health related issues. - Federation of State Physician Health Programs
(FSPHP) Annual Meeting The CPHP Executive
Director and Associate Medical Director attended
the FSPHP Annual Meeting in Boston, Massachusetts
April 21-24, 2006. Dr. Gundersen presented in a
joint panel session to both the FSPHP and the
Federation of State Medical Boards on Physician
Depression and Suicide. Sarah R. Early, PsyD
participated in a panel discussing the topic of
Gaining and Sustaining Funding. - Spirit of Medicine Fundraising Campaign CPHP
completed the annual Spirit of Medicine
fundraising campaign with successful results!
CPHP utilizes fundraising efforts to supplement
expenses that exceed the Peer Assistance Budget.
CPHP Board of Directors along with the
Development Specialist and Staff work together to
cultivate and extend fundraising efforts
throughout the Colorado medical community. We
appreciate all of our generous contributors. - Availability of Services In addition to CPHP
providing services to Colorado licensed
physicians and physician assistants, contracts
exist to provide services for residents, medical
students and physician assistant students
enrolled at University of Colorado Health
Sciences Center Residency Program, Medical
School, and Physician Assistant Program, St.
Josephs Residency Training Program, St.
Anthonys Residency Training Program, Red Rocks
Community College Physician Assistant Program and
Southern Colorado Family Residency Training
Program for the 2005-06 academic year. - Finance and Peer Assistance Budget CPHP finished
the fourth quarter and fiscal year with a
Year-to-Date Peer Assistance Net Loss of
40,863.31. Year-to-Date Revenue was higher
mainly due to an unanticipated increase in the
Peer Assistance Contract as approved beginning in
March, 2006. Year-to-Date expenses were largely
on target with Year-to-Date budget with the
exception of increased expense in physician hours
to meet clinical demands. The Net Loss was
supplemented with cash reserves from the annual
Spirit of Medicine campaign.
15Community Outreach Highlights July 2005 - June
2006
- Copic/CPHP Educational Seminars CPHP and Copic
successfully completed the fourth series of
educational seminars to educate physicians about
the importance of maintaining a healthy
lifestyle. These seminars were met with
overwhelming success throughout Colorado.
Locations of the fourth series of presentations
included Metro Denver, Boulder, Steamboat
Springs, Pueblo, Durango, Colorado Springs and
Fort Collins. The presentation topics for this
series included Work Stress Among Physicians,
Professional Boundaries, and Physicians in
Relationships and Families. The fifth series is
underway for 2006-07! - Targeted Community Outreach Initiatives
- Colorado Permanente Medical Group (CPMG)
Collaboration Sarah R. Early, PsyD joined
various CPMG representatives to explore the issue
of physician wellness and the relation to patient
safety. Issues of prevention, early
intervention, and methods of assistance have been
explored. CPHP is pleased to collaborate with
this large Health Maintenance Organization to
proactively support their clinical staff. - UCHSC Medical School Outreach On August 9-10,
2005, Sarah R. Early, PsyD and Mary Ellen Caiati,
MD, CPHP Associate Medical Director, were invited
by Maureen Garrity, PhD, to attend the
orientation for the UCHSC Medical School students
in Winter Park. Dr. Early presented on health
issues that physicians face throughout their
medical career and utilization of CPHP as a
resource. In addition, she co-facilitated two
voluntary discussion groups on the topic of life
balance. During the academic year, Dr. Early
collaborated with the Medical School Alliance to
address challenges faced during a physicians
career and preventative measures to promote a
healthy, balanced lifestyle. Lastly, during an
annual meeting with the Dean of the School of
Medicine, Michael Gendel, MD and Dr. Early
collaborated on student wellness issues and
future organizational areas of interest. CPHP
appreciates the opportunity to collaborate with
the future physicians of Colorado. - Anesthesiology Outreach On January 19, 2006,
CPHP representatives met with the Human Resources
Director of South Denver Anesthesiology to
discuss the best avenues to proactively serve
their physician staff. On January 23, 2006, Dr.
Early, and Ms. Carol Goddard, CPHP Board
Director, met with the President of the Colorado
Society of Anesthesiology to collaborate on
mutual issues of concern namely, providing
education of the risk factors specific to
Anesthesiologists and useful resources. Future
joint ventures were discussed. - Physician Assistant Outreach CPHP provided
targeted education and outreach to physician
assistants this year. CPHP exhibited at the
Colorado Academy of Physician Assistant Regional
Meeting at St. Josephs Hospital on August 26,
2005 and on January 14-16, 2006, at the
Mid-Winter conference at Copper Mountain. In
addition, Elizabeth Libby Stuyt, MD, CPHP
Associate Medical Director presented to the
Advanced Practice Nurses Physician Assistant
Alliance of Southern Colorado on Healthcare
Provider Stress Management on September 24, 2005
in Pueblo. CPHP was delighted with the
opportunity to outreach and inform the physician
assistant population. - Additional Community Presentations In addition
to the presentations on Work Stress Among
Physicians, CPHP conducted presentations and
exhibits about CPHP and related physician health
topics. Audiences included Residency Programs,
Medical and Physician Assistant Programs, Medical
and Professional Societies, Spouse Alliance
Groups, Medical Staff Offices, Group Practices
and Treatment Providers. CPHP was pleased to
exhibit at the annual meetings/conferences for
Colorado Medical Society, Colorado Society of
Osteopathic Medicine, Colorado Health and
Hospital Association, and Colorado Rural Health. - Community Meetings Referral source meetings were
held with community entities including hospital
administration and medical staff offices medical
and physician assistant training programs
residency programs and affiliate organizations.
Issues addressed included how CPHP and the
organization may work best together, building
relationships with referral sources and improving
CPHP services. Workplace consultation continues
to be an important element of CPHP services.
CPHP participants and/or participants potential
workplaces seek assistance from CPHP on
identifying problems, intervention strategies,
how to make referrals, and documentation. - Participant Monitoring Visits CPHP Medical
Director and Associate Medical Directors traveled
to various areas in the state for client
appointments outside of Metro Denver including
Boulder, Fort Collins, Grand Junction, Durango
and Pueblo.
16Services Provided by CPHP
- Client Services
- Assessment
- Treatment referral
- Monitoring and support
- Family support
- Documentation
- Workplace and Referral Source Services
- Consultation on identifying physicians who need
assistance - Consultation on making referrals
- Workplace consultations
- Educational presentations
- Medical Community Services
- Promote physician health awareness
- Educational presentations
- Partnership with organizations to meet special
needs - Develop meaningful research on physician health
17CPHP Board of Directors and Staff
Board of Directors Board of Directors-
continued Medical Director and Associate
Medical Directors Officers Board
Directors Chair James Borgstede, MD George
Dikeou, Esq Michael H. Gendel, MD Penrad
Imaging Executive Vice President Medical
Director Radiology Copic Companies Colorado
Springs Denver Mary Ellen Caiati,
MD Associate Medical Director Vice Chair
Alfred Gilchrist Stephen Dilts, MD
Executive Director Doris C. Gundersen,
MD Retired Colorado Medical Society Associate
Medical Director CPHP Medical Director Emeritus
Denver Denver David A. Iverson,
MD Carol Goddard Associate Medical
Director Immediate-Past Chair Owner and CEO
Bruce Wilson, MD Goddard Associates Jay H.
Shore, MD Retired Englewood Associate Medical
Director Grand Junction Warren Johnson,
MD Michael S. Sturges, MD Secretary Private
Practice Associate Medical Director Caroline
Gellrick, MD Family Practice Exempla
Occupational Medicine Brighton Elizabeth
Libby B. Stuyt, MD Wheat Ridge Associate
Medical Director Debbie Lazarus Treasurer
Colo. Medical Society Alliance Theodore
Zerwin, MSW Greenwood Village Professional and
Administrative Staff Retired, President
Arthritis Foundation Michael Michalek, MD
Westminster Retired Sarah R. Early, PsyD
Lakewood Executive Director Director-at-Large
Maureen Garrity, PhD Dennis OMalley Cae
Allison, LCSW Associate Dean, Student Affairs
President Director of Clinical Services Univ.
of Colo Health Science Ctr Craig
Hospital Denver Englewood Teresa Bajorek,
CPCS Executive Assistant/Office
Administrator Director-at-Large Lawrence Varner,
DO Larry Schafer, MD Private Practice
Karen Chipley, MBA Private Practice Orthopedic
Surgery Director of Finance Oncology/Hematology
Aurora Wheat Ridge Brian
Ellis Receptionist/Program Assistant
Lynne Klaus, LCSW Clinician Shari
Lewinski, LPC Clinician Sally
Moody, MSW Clinician Naomi Richards,
LCSW Clinician Jill Sample,
BS Clinical Coordinator Todd Weiss,
BA Development Specialist
18APPENDIX
19Definition of Terms
REFERRAL SOURCES For the purpose of this report,
the following definitions are applied Self
Voluntary referrals who request services on their
own and there are not consequences with other
entities or organizations if they do not follow
through. Proactive Self referral who request
services who will have or would likely have
consequences with other entities or organizations
if they do not follow through. Board of Medical
Examiners (BME) Any written referral made by
the BME or required evaluations as part of the
application or renewal process to
Colorado Administrative (Admin) Dept. Heads,
Directors, Partners, Presidents, CEOs (which are
not part of a hospital system). For example, Vail
Clinic, CFO of a Radiology group, managed care
such as Kaiser Permanente Hospital MEC,
Medical Staff Offices, Quality Management, Chief
of Staff, Credentialing Committees Resident
Program (Res Prog) Any referrals made by
Residency Directors and personnel Peer Any
MD, DO, or PA that does not fit into another
category Treatment Provider (Tx Prov)
Professionals in community that provide treatment
to CPHP participants Malpractice A
malpractice company Attorney Referrals made
by a physicians attorney Medical School Any
referrals made by the Medical School Faculty,
administration and personnel Physician
Assistant Program Any referrals made by a
Physician Assistant School Faculty,
administration and personnel REASONS FOR
INACTIVATION Monitoring Completed (Mon Comp)
Client has followed CPHP recommendations for
treatment, and/or monitoring. Monitoring no
longer warranted. Evaluation Completed (Eval
Comp) Client completed evaluation, no treatment
or monitoring recommended. Also used for out of
state clients that will follow-up with treatment
and/or monitoring in own state. Evaluation
Declined (Eval Declined) Client referred for
evaluation. Refused or declined to have
evaluation or cannot be located. No patient
safety issues identified. Relocated Client
relocated after evaluation completed. No patient
safety issues identified. Monitoring Declined
(Mon Declined) Client completed evaluation.
Client declined CPHP recommendations for
treatment and/or monitoring. No patient safety
issues identified. Other Any reason that
does not fit another category. Non-Compliance
Client did not comply with the completion of CPHP
evaluation and/or did not comply with CPHP
treatment and/or monitoring recommendations.
Potential safety or patient safety issues
identified. Deceased Client deceased.