| 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 |