Section · 25 guides
Clinical Protocols
Standard primary care treatments.
Supplemental HPI (AWE, Mental Health, Weight Loss)
🗺️ Overview This guideline is to help us better understand what should be included in the HPI and plan of a Patient encounter regarding the following visits: AWE Depression / Anxiety Wei…
GuideClinical Documentation & Supervision Protocol
🌐 Purpose This protocol outlines the standard operating procedure for clinical chart completion, compliance, and the supervisory review process for new providers at BESA Health. 🔑 Key P…
GuideProtocol: Termination of the Physician-Patient Relationship (Patient Discharge)
🚨 Patient Release Form Patient Dismissal Letter .pdf 1️⃣ Legally Defensible Reasons for Patient Discharge To minimize malpractice exposure, the reason for discharge must be objective, me…
GuideProtocol: Informed Consent and Documentation of Treatment Refusal
🚨 Treatment Refusal Form Informed Refusal of Recommended Medical Care.pdf 1️⃣ The Core Standard: The Three-Part Informed Consent Process Informed consent is not a single administrative e…
GuideClinical Policy & Policy: Developing a Culture of Safety
1️⃣ Core Philosophy: The "Just Culture" Model To successfully reduce liability, BESA Health rejects both an overly punitive culture (which drives errors underground) and a blame-free cult…
GuidePreventive Screening & Chronic Disease Follow-Up Cadence
1️⃣ Preventive Screening Guidelines & Follow-Up This section outlines the standard screening intervals for asymptomatic, average-risk patients. Any high-risk factors (e.g., genetic mutati…
GuideLower GI Bleed
📚 Definition LGIB = hematochezia/bright red blood per rectum from a colorectal source; small‑bowel bleeding is a separate pathway 🗂️ Etiology Heterogenous group of etiologies Diverticul…
GuideSinusitis Clinical Protocol
📚 Etiology Viral (most common): Rhinovirus, influenza, parainfluenza; typically follows URI. Acute viral rhinosinusitis (AVRS) begins with viral inoculation via direct contact with the c…
GuideTelemedicine UTI Protocol
🎓 Patient Eligibility Inclusion Criteria: Adult women (age 18–65) Classic symptoms: dysuria, urinary frequency, urgency, suprapubic discomfort No vaginal discharge or irritation No fever…
GuideWeight Loss Protocol
1️⃣ Initial Visit Vitals Signs Obtain and record height and weight at every visit in the vital signs section. Calculate and document BMI. Exception: If the patient screens positive for an…
GuideAWE Protocol & Checklist
📢 Patient Notification Inform Patient: Discuss that only services deemed ‘preventative’ by insurance are covered. Any additional labs, tests, or procedures not classified as preventative…
GuideWeight Loss Tips
Guide provided by Sheyanne Espiritu 🗺️ Overview Weight management has become one of the most frequent reasons new patients seek care. Because treatment in this area often requires prior…
GuideMedication Refills
📚 Definitions Temporary Bridge Patient : A patient new to the platform or requiring a short-term refill to bridge care until further evaluation or transfer of care. Established/Recurring…
GuideAnnual Wellness Appointment (AWE)
📚Definitions AWE: Annual Wellness Appointment 🔑 Key Points Patient History: We need to get a full understanding of the Patients medical history. Vitals: Even if just reported by the Pat…
GuideAcute Upper Respiratory Infection
📚Definitions Upper Respiratory Infection (URI) : Otherwise known as the “common cold, ” URIs are self-limited inflammation of the upper airways characterized by nasal congestion and disc…
GuideHypertension
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GuideAllergic Rhinitis
📚Definitions Allergic Rhinitis: Inflammatory nasal condition caused by immune hypersensitivity to allergens (e.g., pollen, dust mites), characterized by: Sneezing, nasal congestion, rhino…
GuideBacterial Rhinosinusitis
📚Definitions Acute Rhinosinusitis (ARS): Symptomatic inflammation of the nasal cavity and paranasal sinuses lasting <4 weeks . Acute Bacterial Rhinosinusitis (ABRS): Bacterial infectio…
GuideConjunctivitis
📚Definitions Conjunctiva : Mucous membrane that lines the inside surface of the lids and covers the surface of the globe up to the limbus (the junction of the sclera and the cornea). The…
GuideConstipation
📚Definitions Constipation is generally characterized by two or more of the following: Fewer than three bowel movements per week. Hard, dry, or lumpy stools. Difficulty or pain when passing…
GuideHeadache Management
📚Definitions Primary Headache : Headache without underlying pathology (migraine, tension-type, cluster) Secondary Headache : Symptom of another condition (infection, trauma, vascular dis…
GuideHyperlipidemia
📚Definitions Hyperlipidemia: Elevated serum LDL-C (≥130 mg/dL) or triglycerides (TG ≥150 mg/dL). Metabolic Syndrome: Presence of ≥3 of: Abdominal obesity (waist >40" men, >35" wome…
GuideLow Back Pain
📚Definitions Spondylosis : Arthritis of the spine, seen as disc space narrowing and facet joint changes. Anterolisthesis : Anterior displacement of a vertebral body. Spondylolisthesis :…
GuideNausea and Vomiting
📚Definitions Nausea : Unpleasant sensation of impending vomiting. Vomiting : Forceful expulsion of gastric contents. 🗺️ Overview This guideline addresses the diagnosis and management of…
GuidePharyngitis
📚Definitions Pharyngitis: Inflammation of the pharynx, presenting as sore throat. 🗺️ Overview Viral causes (most common): Rhinovirus, adenovirus, influenza, EBV, CMV. Bacterial causes (15…