So, we’re starting to look at the logistics of setting up an ostomy clinic.
HOW would it work? Would an ostomate make appointments, or be referred from other places like home health, hospitals, emergency rooms, primary care physicians, other medical personnel? or any or all of the above?
WHAT services would be offered? general ostomy check up? emergency services? solutions for leakage? fitting a pouching system? counseling? small support sessions? nutrition information? education, such as irrigation, or answering questions for those who just found out they will have an ostomy, or their caregivers, or families?
We’d like to hear the services you feel should be offered, and also the services that other clinics actually do offer.
WHO would staff it, in general? Okay, a receptionist, and a CWOCN. Are those a given? Are more people needed? What about a nutritionist? Custodial staff?
WHEN would it be open? Is this something that would work if it were open once a week, say on Saturday or Wednesday afternoon, when the space might be used the rest of the week by a doctor, but usually be closed to patients on Wednesday afternoon? Does it need to be open more that a half day a week? It would be a beginning, but would leave the emergencies, like the Easter Sunday episode out in the cold, still with nowhere to go for help.
and HOW IN THE WORLD would we handle insurance, payment, etc. Gratis would be a dream, but the clinic would have staff, rent, supplies, phone, and on and on to provide funds for. And that would also mean an accounts manager or bookkeeper, or that receptionist is quickly becoming a general manager/bookkeeper.
These things make my head swim. I’m glad I opted for a career in education as opposed to business.
So come on all of you smart people!! How would an ostomy clinic handle all of these things?