ASGE Peroral Endoscopic Myotomy (POEM) Pearls to Practice: (On-Demand) | July 2022-Yang ASGE POEM Referral Practice

Yang ASGE POEM Referral Practice

Pdf Summary

This document provides guidance on setting up a POEM (Peroral Endoscopic Myotomy) referral practice. The author emphasizes the importance of institutional support and the development of a multidisciplinary team. Training and credentialing are crucial, with hands-on training being imperative. The document suggests keeping track of training records, contacting previous employers for references, and obtaining attendance certificates and procedure logs. In terms of referrals, it is recommended to establish a system for referring physicians and ensure adequate support for prompt patient care. The document advises against having a cumbersome referral system and emphasizes the importance of being present and involved after the procedure. The referral process involves reviewing the case, checking for missing studies, and coordinating studies with the patient and referring physician. Scheduling should take into account room turnover time. Billing and coding challenges should be anticipated, and the document suggests using the dedicated POEM CPT code. When setting up the endoscopy unit, a standardized protocol should be established, and parameters such as PIP and end-tidal CO2 should be monitored. The document also provides suggestions for immediate post-op care and follow-up procedures. After the procedure, it is important to make a phone call to assess symptoms and adverse events and provide education and assistance. Quality metrics and IRB protocols should be considered, and ongoing institutional support and resources are essential for a successful practice. The document emphasizes the importance of patient and physician satisfaction and the delivery of high-quality care.

Keywords

POEM referral practice

institutional support

multidisciplinary team

training and credentialing

referring physicians

prompt patient care

billing and coding challenges

endoscopy unit

post-op care

high-quality care