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. 2024 Dec 6;2024(1):382-387. doi: 10.1182/hematology.2024000562

Table 1.

Other clinic examples

Example Clinic A Example Clinic B Example Clinic C Example Clinic D
Provider team Pediatric hematologist + adolescent medicine NP HTC NP + adolescent medicine physician HTC pediatric hematologist + adolescent gynecologist HTC pediatric hematologist + adolescent medicine physician
Location HTC clinic Adolescent medicine clinic HTC clinic and gynecology clinic HTC clinic
Clinic frequency Two half-days/month Four half-days/month Asynchronous visits One half-day/quarter in combination with HTC comprehensive clinic
Patient populations Anyone diagnosed with IBD and HMB Anyone with HMB needing evaluation for underlying bleeding disorder Each provider sees patient with HMB, either with or without diagnosed IBD Anyone with HMB needing evaluation for an underlying IBD; anyone diagnosed with IBD and HMB
Bonus features Access to nutritionist on-site On-site/day-of visit; intrauterine device insertion HTC social worker evaluates each patient for underlying anxiety/depression Access to all HTC services; space for IV infusions
Challenges Growing patient population; no clinic rooms to expand to Getting coagulation lab work, since coagulation lab is off-site Visits are asynchronous; specialists consult with one another via multiple platforms No access to gynecologic procedures
Opportunity Add telehealth option; consider outreach clinic Arrange labs to be done at HTC; coordinate referrals to other HTC services as needed Organize pre- and post-clinic time to discuss patients, create treatment plans, and assign follow-up tasks Arrange for procedures with a gynecologist who primarily sees adolescents

HMB, heavy menstrual bleeding; HTC, Hemophilia Treatment Center; IBD, inherited bleeding disorder; NP, nurse practitioner.