MED SPECS - HEART FAILURE & TRANSPLANT 0162

 

INSTRUCTIONS

- REMINDER 

   - pt can have multiple dx & multiple providers 

   - very important to ask reason for visit  

   - ASK: which provider do you need to see? 

 

 

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0162-01: DIAGNOSIS BY PROVIDER

- advanced heart failure  

- amyloid clinic 

- cardiac clearance for surgery / procedures/ etc 

- CHF Congestive Heart Failure  

- chronic HF  

- diastolic HF  

- genetics  

- heart biopsy eval  

- heart failure / HF all kinds  

- heart transplant  

- heart transplant consults  

- HF Heart Failure all kinds  

- left-sided HF  

- LVAD - Left Ventricular Assist Device  

- poor pumping functions  

- POTS

     - new pt: follow 0726 AUTONOMIC CLINIC

     - est. pt: follow 0162-06: FU PATIENT GUIDELINES

- right-sided HF

- systolic heart failure  

- systolic HF  

  

  

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0162-02: INSURANCE/INS REFERRALS/COPAYS

- for detailed list of insurance types accepted at VCUHS

     - see PAC INSURANCE help screen

 

 

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0162-03: WORKERS COMP/ PRSNL INJ/ LEGAL / IME

- WORKERS' COMPENSATION

    - does not see

   

- ATTORNEY CALLS / CALLS FROM ATTORNEY / PERSONAL INJURY / LEGAL / IME    

     - follow guidelines on PAC RISK MANAGEMENT help screen 

 

 

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0162-04: PROVIDERS

- ATTENDING / FACULTY       

     - Cooke, Richard Henry, MD  

     - Patel, Hamang M, MD  

     - Peberdy, Mary Ann, MD  

     - Pillai, Ajay, MD (M)

          - if pt referred to provider: 

               - sch 1st available w/ any provider based on diagnosis

     - Rao, Krishnasree K, MD  

     - Shah, Keyur Bharat, MD 

     - Smallfield, Melissa, MD  

     - Tchoukina, Inna F, MD  

  

- NP / PA    

     - Bird, Elizabeth, NP

     - Marzouk, Carolin, NP   

     - Paciulli, Sarah C, NP  

     - Roschinger, Heidi Marie, NP 

     - Rudisill, Kristyn, PA

     - Venable, Rachel, NP  

  

- PROVIDERS NO LONGER W/ PRACTICE 

     - Harman, Kelsey Anna, NP (May 30, 2023)  

     - OBerry, Rosmond Adams, NP (March 1, 2023)  

  

  

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0162-05: NEW PATIENT GUIDELINES

- ADULT: 18 years & older 

  

- PED: birth to 18, follow 0425 PED CARDIOLOGY 

  

- NEW: not seen in 3 years

   

- MD REFERRAL 

     - not required (except genetics) 

              

- GUIDED SCHEDULING 

     - DEPARTMENT: 1001890 VV MC PT APPT CENTER 

     - VISIT TYPE: .CARD

 

     - REMINDER: do NOT sch SAME-DAY appts

  

- LOCATION  

     - MC ACC STRUCT HRT DIS (Ambulatory Care Clinic) 

     - MCVP CLSQ CARDIOLOGY (Colonial Square)  

          - READ to caller: "This appt is at Colonial Square, which is 25-30 minutes

            south of Richmond in Colonial Heights, VA" 

     - MC RYL CARDIOLOGY (Reynolds Crossing)

     - MCVP SNW CARDIOLOGY (Snowden - Fredericksburg)  

     - MC 9000 HEARTCTR GENMD (Stony Point) 

     - MCVP WBRG CARDIOLOGY (Williamsburg)

 

- CONSULT REFERRAL   

     - send only if external referral & if MD office calling  

     - fax recs to 804-828-7710  

 

- WHAT TO BRING  

     - arrive 20 minutes early & BRING:  

     - insurance referral (if needed) fax 804-628-6099   

          - your appt may be RSC if no insurance referral has been obtained  

     - insurance card  

     - co-pay  

     - photo ID  

     - list of medications or bottles (including over-the-counter meds)  

 

- EARLIER APPT  

     - if appt is more than 14 days out, sch appt & send msg to: 

          - P VCUH TXP CARDIO WEST 5 SOUTH CLERICAL POOL  

 

 

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0162-06: FU PATIENT GUIDELINES

== 

== 

- CARDIAC CLEARANCE for surgery 

     - sch w/ est. provider (even if unrelated to their issue) 

     - if provider does not populate in tree, add manually at pts preferred location 

== 

== 

 

 

- ADULT: 18 years & older    

    

- PED: birth to 18th birthday, follow 0425 PED CARDIOLOGY

    

- FU: seen in 3 years   

     - requests to switch provider, send msg to:   

          - P VCUH TXP CARDIO WEST 5 SOUTH CLERICAL POOL    

    

- GUIDED SCHEDULING    

     - DEPARTMENT: 1001890 VV MC PT APPT CENTER     

     - VISIT TYPE: .CARD     

   

     - REMINDER: do NOT sch SAME-DAY appts   

 

     - NOTE: if pt returning for the same diagnosis, keep w/ same provider   

          - if provider does not populate in tree, manually add provider w/ location seen   

               - if prompt in tree is deny scheduling, follow tree 

    

     - CAUTION: is pt est. at GB HEART / LUNG dept? 

          - yes: PAC DOES NOT sch / rsc / can 

               - see non urgent / urgent screen for messaging 

          - no: proceed 

 

- LOCATIONS    

     - MC ACC STRUCT HRT DIS (Ambulatory Care Clinic)   

     - MCVP CLSQ CARDIOLOGY (Colonial Square)   

          - READ to caller: "This appt is at Colonial Square, which is 25-30 minutes

            south of Richmond in Colonial Heights, VA"     

     - MC RYL CARDIOLOGY (Reynolds Crossing)

     - MCVP SNW CARDIOLOGY (Snowden - Fredericksburg)  

     - MC 9000 HEARTCTR GENMD (Stony Point)      

     - MCVP WBRG CARDIOLOGY (Williamsburg)

     

- WHAT TO BRING    

     - arrive 15 minutes early & BRING:    

     - insurance referral (if needed) fax 804-628-6099     

          - your appt may be RSC if no insurance referral has been obtained    

     - insurance card    

     - co-pay    

     - photo ID    

     - list of medications or bottles (including over-the-counter meds)    

    

- EARLIER APPT (CAUTION check URGENT)     

     - sch appt within 14 days    

     - if appt is more than 14 days out, sch appt & send msg to:   

          - P VCUH TXP CARDIO WEST 5 SOUTH CLERICAL POOL    

    

    

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0162-07: POST OP/ POST HOSPITAL / POST ER

- PAC does NOT sch any hospital discharge pts:

     - Colonial Square location

          - send msg to: P MCVP CLSQ CARDIOLOGY FRONT DESK STAFF       

     - all OTHER locations

          - send msg to: P VCUH TXP CARDIO WEST 5 SOUTH CLERICAL POOL 

  

 

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0162-08: NON-URGENT MSGS / RX / RESULTS/ RECS

==  

==  

- NEW PT: MEDICAL ADVICE / SYMPTOM-BASED messages  

     - do NOT send msg for NEW pt  

          - refer pt back to their PCP or last treating provider for assistance   

==  

== 

  

  

- MEDICAL RECORDS      

     - all inquiries, transfer to 804-828-4423  

      

- BILLING QUESTIONS      

     - give pt 804-523-7001 & transfer call      

      

- WORKQUEUE general requests for HF clinic      

     - send msg to: P VCUH TXP CARDIO WEST 5 SOUTH CLERICAL POOL     

- WORKQUEUE requests for HF diet education / weight loss education      

     - send msg to: P VCUH TXP HEART FAILURE COORDINATORS POOL       

- WORKQUEUE Post-Op, Post-Hosp, Post-ER      

     - send msg to: P VCUH TXP CARDIO WEST 5 SOUTH CLERICAL POOL    

- WORKQUEUE: VCU GOLD related online / WQ requests,   

     - refer to 0385-02: VCU GOLD WORKQUEUE / ONLINE REQUESTS     

      

- APPT. RELATED QUESTIONS / CONCERNS (non-symptom-based)      

     - NOTE: do NOT use for earlier appt. requests  

     - send msg to scheduled / last location seen:      

          - MC 9000 HEARTCTR GENMD:

               - P MC 9000 CARDIOLOGY FRONT DESK STAFF    

          - MC ACC STRUCT HRT DIS / HF & TRANSPLANT:     

               - P VCUH TXP CARDIO WEST 5 SOUTH CLERICAL POOL   

          - CLSQ CARDIO:     

               - P MCVP CLSQ CARDIOLOGY FRONT DESK STAFF     

          - MCVP SNW CARDIOLOGY:      

               - P MCVP SNW CARDIOLOGY FRONT DESK STAFF    

          - MCVP WBRG CARDIOLOGY:  

               - MCVP WBRG CARDIOLOGY FRONT DESK STAFF   

      

- NON-URGENT MESSAGES / LAB / TEST RESULTS      

     - pt states:       

          - NON-urgent OR URGENT or        

          - "I am returning call" & "they told me to tell you to transfer me"   

          - ASK: Are you being seen for Heart Transplant or VAD (ventricular assist device)?  

               - send msg to:  

                    - Heart transplant: P VCUH TXP HEART TRANSPLANT COORDINATORS      

                    - VAD: P VCUH TXP VAD COORDINATORS POOL  

                    - all others: P VCUH TXP HEART FAILURE COORDINATORS POOL   

   

- SURGERY inquiries, scheduling SURGERY, procedures, or tests      

     - send msg to:  

          - Heart Transplant: P VCUH TXP HEART TRANSPLANT COORDINATORS      

          - VAD: P VCUH TXP VAD COORDINATORS POOL  

          - all others: P VCUH TXP HEART FAILURE COORDINATORS POOL   

 

- COLONIAL SQUARE: any request to sch or cancel TEST / PROCEDURE (echo/stress) at   

  Colonial Square: WARM TRANSFER to 804-524-3713     

      

- PRESCRIPTIONS / REFILLS / PRIOR AUTHORIZATIONS          

- REMINDER: see MyChart below    

     - pharmacy to fax request to 804-828-7710   

     - Heart Transplant: P VCUH TXP HEART TRANSPLANT COORDINATORS

     - VAD: P VCUH TXP VAD COORDINATORS POOL

     - for ALL OTHERS, send msg to: P VCUH TXP HEART FAILURE COORDINATORS POOL     

     

- MyChart (patient portal)      

     - see PAC MY CHART help screen for invite instructions      

      

      

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0162-09: URGENT / MD TO MD CALLS

- MD to MD         

     - page requested MD        

        

- CRITICAL RESULTS       

     - see PAC CRITICAL RESULTS help screen for instructions  

        

- SUICIDE        

     - see PAC SUICIDE help screen for instructions          

   

- URGENT CRITERIA (EST. pts only)  

     - ASK: Are you being seen for Heart Failure, Heart Transplant, or VAD (ventricular assist device)?

          - CURRENTLY EXPERIENCING ONLY:    

               - pt states urgent  

               - black, dark, tarry stools        

               - bleeding       

                   - dark or bright red blood mixed w/ stool         

                   - bright red blood in vomit        

               - chest pain        

               - feeling tired        

               - heart racing again        

               - hematoma        

               - irregular heartbeat         

               - lightheaded        

               - looks pale        

               - medication reaction  

               - palpations        

               - passed out        

               - post op concerns / issues  

               - rapid heartbeat / pulse         

               - retaining fluid        

               - shortness of breath        

               - swelling in ankles / feet         

               - vomiting         

                    - blood        

                    - vomit that looks like coffee grounds       

               - weight gain        

               - seen in community ER      

      

               - 8:00 AM - 4:29 PM      

                    - Heart Failure: 

                         - WARM TRANSFER to 804-628-6655 (call twice - DO NOT leave a VM)      

                              - IF NO ANSWER, send HIGH-PRIORTY msg to:      

                                   - P VCUH TXP HEART FAILURE COORDINATORS POOL      

                    - Heart Transplant:     

                         - page HEART TRANSPLANT COORDINATOR ON CALL (pager 4248) AND  

                         - ALSO send HIGH-PRIORTY msg to:      

                              - P VCUH TXP HEART TRANSPLANT COORDINATORS        

                              - add to msg: "coordinator paged"      

                    - VAD (ventricular assist device):      

                         - page VAD COORDINATOR ON CALL (pager 9058) AND      

                         - ALSO send HIGH-PRIORTY msg to:     

                              - P VCUH TXP VAD COORDINATORS POOL      

      

               - after 4:30 PM      

                    - page CARD TX-VAD ATTENDING (pager 9934) AND    

                    - ALSO send HIGH-PRIORITY msg to:      

                         - P VCUH TXP HEART FAILURE COORDINATORS POOL      

                         - add to msg: "on-call provider paged"      

         

      

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0162-10: STAFF

- PROGRAM MANAGER 

     - Flattery, Maureen P, NP

 

- HEART TRANSPLANT COORDINATOR

     - Martha Lowe, RN 

     - Sarah Witthoefft, RN 

 

- HEART FAILURE NURSE 

     - Charity Belton, RN 

     - Kenley Wickham, RN 

     - Nicole Myers, RN 

 

- LVAD COORDINATOR 

     - Kathryn Abernathy, RN 

     - Tyna Justice, RN 

     - Rachel Hoffpauir, RN 

     - Katie Sayen, RN 

 

 

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0162-11: LOCATIONS

- MAILING ADDRESS  

     - VCU Pauley Heart Center Heart Failure & Transplant 

     - Box 980204 

     - Richmond, VA 23298

 

- CLINIC LOCATIONS  

     - A4A ACC-4A / CARDIOLOGY MED SPEC/INF (Ambulatory Care Center)  

          - 417 N. 11th St.  

          - 4th Floor

          - Richmond, VA 23298   

 

     - CLSQ (Colonial Square)

          - 2905 Boulevard 

          - Colonial Heights, VA  23834 

 

     - FAS Fredericksburg (Snowden - Fredericksburg)

          - VCU Health at The Park at Snowden

          - 321 Park Hill Dr. 

          - Fredericksburg, VA 22401 

          - Phone: 540-891-1122 

 

     - GB (Gateway Building)  

          - 1200 E. Marshall St. 

          - 7th Floor 

          - Richmond, VA 23219 

 

     - MCVP SNW CARDIOLOGY (Snowden - Fredericksburg)

          - VCU Health at The Park at Snowden

          - 321 Park Hill Dr.

          - Fredericksburg, VA 22401

          - Phone: 540-891-1126 

 

     - MC RYL CARDIOLOGY (Reynolds Crossing)

          - 6605 W Broad St

          - Henrico, VA 23228

          - Phone: 804-346-4141

 

     - SPH SP-PAULEY HEART (Stony Point)

     - "We have 3 Stony Point locations & your appt. is at the 9000 bldg." 

          - 9000 Stony Point Pkwy. 

          - 2nd Floor 

          - Richmond, VA  23235  

 

     - TAO WSC VCUHS (Waterside Commons) (aka Temple Avenue Office)

          - MCV Physicians at TEMPLE 

          - 2035 Waterside Dr.  

          - Suite 100 

          - Prince George, VA  23875 

          - Fax: 804-957-9724 

 

 

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0162-12: LATE ARRIVALS

- ACC  

     - 20-minute grace period  

     - "If you will be later than 20 minutes, I can connect you to the front desk for additional help"

          - WARM TRANSFER to 804-828-7626  

               - if no answer,   

                    - inform pt they can choose to come to appt & pts provider will decide if pt   

                      will be seen     

                            OR   

                    - pt can choose to RSC  

  

- COLONIAL SQUARE  

     - 20-minute grace period  

     - "If you will be later than 20 minutes, I can connect you to the front desk for additional help"

          - WARM TRANSFER to 804-524-3713  

  

- SNW

     - WARM TRANSFER to 540-891-1126

 

- SPH     

     - WARM TRANSFER to 804-998-1240  

 

- WSC   

     - 20-minute grace period  

          - if later than 20 minutes, RSC appt  

  

  

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0162-13: MISC

- blank screen

 

 

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0162-14: MISC

- blank screen

 

 

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Last update: 06/04/2025 ewm