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Table 1 Centralized intake providers and potential alternative providers

From: Optimizing the interprofessional workforce for centralized intake of patients with osteoarthritis and rheumatoid disease: case study

  Providers involved Potential alternative providers
Stage of process Clinic 1: rheumatic disease (RD) Clinic 2: hip and knee osteoarthritis (OA) Clinic 3: hip and knee osteoarthritis (OA)
Receiving referral Unit clerk Executive assistant Medical office assistant Optimal providersa in place for this stage of the process
Review referral for completeness Nurse with RD experience Referral clerk Medical office assistant Optimal providers in place for this stage of the process
Data entry Nurse with RD experience Referral clerk Medical office assistant Optimal providers in place for this stage of the process
Triage Nurse with RD experience Referral clerk Medical office assistant Optimal providers in place for this stage of the processb
Unit clerk
Screening N/A Surgeon Surgeon OA:
  The clinic only triages referrals; patients are seen by a rheumatologist and allied health team at the rheumatology clinics.   General practice physician  Physiotherapist
 Chiropractor
 Advanced practice nurse
RD: interprofessional MSK team
Assessment N/A Surgeon Surgeon OA:
Assessment process out of scope. Staff would like the rheumatologist to see patients for initial diagnosis and development of a treatment plan. An interprofessional team would be responsible for case management and ongoing assessment of stable patients. Medical office assistant Medical office assistant  Occupational therapist
Nurse Nurse  Kinesiologist
Dietician Dietician  Chiropractor
Kinesiologist and/or physiotherapist Physiotherapist RD: interprofessional MSK team
Occupational Therapist
  1. aOptimal providers are those operating at the right level; these providers are not overqualified but have the appropriate level of knowledge and skills to complete the task
  2. bOptimal providers include a nurse required for RD but referral clerk or medical office assistant for OA given the clinical distinction between RD and OA. There are over 100 different rheumatic diseases with a multitude of presenting symptoms thus making the referral review challenging
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