On Demand: Inside the Numbers: MedAxiom's 2026 APP Compensation and Utilization Survey Report Review-Handout

Handout - Provider-Patient Care Model Sample

Pdf Summary

The document outlines a provider-patient care model for cardiology follow-up, describing how often different patient types should be seen and by whom.

Key themes:
- <strong>Stable chronic patients</strong> such as CAD, low-risk valve disease, arrhythmias, PAD, and patients with diabetes/PVD as CAD equivalents are generally seen <strong>every 6 months</strong>, alternating between the <strong>primary cardiologist</strong> and an <strong>APP</strong>.
- <strong>Higher-risk valve disease</strong> requires more frequent follow-up, typically <strong>every 3–6 months</strong> or sooner if symptoms develop, often with echocardiography.
- <strong>Patients with a change in condition</strong> should be stabilized and seen quickly, with an initial visit within <strong>48–72 hours</strong>, then reassessed in <strong>3–6 months</strong> before returning to routine management if stable.
- <strong>New patient referrals</strong> are prioritized to the <strong>primary cardiologist first available</strong>, with follow-up depending on diagnostic testing plans.
- <strong>Post-hospitalization follow-up</strong> is emphasized for conditions like <strong>heart failure, MI, or CAD</strong>, usually with an <strong>APP visit within 2–5 days</strong>, followed by cardiologist follow-up within weeks or months depending on risk, EF, and prior care relationships.
- <strong>High-risk post-MI patients</strong> or those with cardiomyopathy/complicated hospitalization need close management, including <strong>frequent APP medication titration visits</strong> and cardiologist review once optimized.
- <strong>Urgent established-patient visits</strong> should occur within <strong>24–48 hours</strong>, ideally with the primary cardiologist, or an APP if unavailable.
- <strong>Elective intervention follow-up</strong> varies based on whether care is with a general cardiologist or interventionalist, usually with visits at <strong>1 month</strong> and then <strong>6 months</strong>.

Overall, the model uses a mix of cardiologist and APP visits to support timely follow-up, medication titration, and continuity of care.

Keywords

cardiology follow-up

primary cardiologist

advanced practice provider

stable chronic patients

valve disease

post-hospitalization follow-up

heart failure

myocardial infarction

urgent patient visit

medication titration