How Troy Medical Works
This is an example to demonstrate how the Troy Medical process works in real life. The example is for a cardiologist working in a rural health clinic (RHC) but the same process can be used for any field in medicine, from medical to surgical. The most important step to take is the first one...see the patient where they are and get the process started.
01
Scheduling
Cardiology clinic is held Tuesdays from 1:00–3:00 PM at a rural health clinic (RHC). This time is found by matching the physician availability with the RCH space availability and the volume needed in that rural community.
02
A Referral is Made
A patient is seen by their primary care provider and a cardiology evaluation is needed. The referral is sent through Troy Medical, who handles this referral processing to ensure that the patient is seen in the correct clinic location at the appropriate time. The referral then goes through the Urban Hospital system for insurance verification, authorization, etc.
03
Check-In
On appointment day, the patient arrives at the RHC, is checked into the Urban Hospital physician’s EMR by the RHC receptionist, and completes required forms (e.g., HIPAA, COB, etc).
04
Rooming the Patient
A local RHC assistant rooms the patient, records vitals, and sets up the telehealth platform. This crucial step solves for connectivity, technology gaps, and provides any needed local support.
05
Pre-Visit Intake
Troy Medical’s remote medical assistant begins the visit via the telehealth platform, gathering history and background for the physician, just like any normal visit.
06
Telehealth Visit
The physician joins via telehealth for the consultation. Devices like the EKO stethoscope allow virtual auscultation of heart and lung sounds (no PHI transmitted) to allow a robust virtual physical exam. The physician documents the encounter in the EMR and places orders for labs, radiology, medications, etc., just like any normal visit.
07
Post-Visit Support
The medical assistant returns to review the care plan, answer questions, and schedule follow-ups. Eligible patients are enrolled in programs like Principal Care Management (PCM) or Remote Patient Monitoring (RPM), and Troy Medical handles all follow-up coordination.
08
Procedures/Surgeries
If advanced diagnostics or procedures (e.g., cardiac cath, nuclear study, CABG) are needed, the medical assistant works with the physician or hospital's coordinator to schedule them.
