Denver HLC Console
Hospital Liaison Committee
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Denver HLC Console
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YTD Visits
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Basic Information
First Name
*
Last Name
*
Middle Name
Preferred Name
Status
*
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Category
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Specialty & Practice
Specialty
*
Other Areas of Practice
Hospital(s)
Center/Clinic
Contact Information
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Office(s) Address
Web Page
Additional Details
Language(s)
Insurance
Notes
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Hospital Information
Hospital Name
*
System
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PVG Group
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Contact & Location
Phone
Website
Address
Details
# Beds
Trauma Level
Specialties
Notable Features
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Contact Type
Hospital Contact
HLC/PVG Contact
Hospital Contact Info
Name (Last, First)
*
Position / Department
Mobile Phone
Office Phone
Email
Office Location
Hospital
Notes
HLC/PVG Contact Info
First Name
*
Last Name
*
Category
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Position
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Mobile Phone
Home Phone
Address
JWPUB Email
Regular Email
Hospital(s)
Congregation
Notes
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Resources
Schedule an Event
📋
Service Day
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Hospital talks
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On-Call Week
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HLC sessions
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Date
*
Hospital
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Doctor
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Specialty
HLC Lead
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Office
Notes / Leads
Title
*
Date
*
Hospital
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Presenter
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Audience
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Medical Staff
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Admin
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Materials Link
Notes
Week Start (Monday 7 AM)
*
Week End (Following Monday 7 AM)
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Member 2
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Member 3
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Notes
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Date
*
Time
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Location
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Notes
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← Cases
New Case
What is this call about?
Immediate Need
Patient is currently in hospital or facing urgent medical situation
Future Appointment
Patient has upcoming surgery, procedure, or consultation
Call Information
▼
Date of Call
Time of Call
Caller Name
Relationship to Patient
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Self
Spouse
Parent
Child
Elder
Medical Staff
Other
Caller Phone
Caller Email
Has the patient requested HLC assistance?
Yes
No
Patient Information
▼
Patient Name
*
Gender
Male
Female
Age
Phone
Email
Representative
Rep Name
Rep Phone
Rep Relationship
Rep Email
Congregation & Contacts
Congregation
Local Elder Contact
Local Elder Phone
Spiritual & Legal Status
Spiritual Status
Baptized, in good standing
Unbaptized but believing
Other
Has DPA?
Yes
No
Is the Patient a Minor?
No
Yes
Pediatric Details
Father
Father Name
Father Phone
Father Email
Baptized?
Yes
No
Comments
Mother
Mother Name
Mother Phone
Mother Email
Baptized?
Yes
No
Comments
This is a Newborn
Newborn Details
Date of Birth
Time of Birth
Birth Weight
APGAR at Birth
APGAR at 5 Min
Gestational Age
Medical Situation
▼
Facility
Hospital / Facility
Facility Phone
Room Number
Attending Physician
Physician Name
Specialty
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Physician Phone
Physician Email
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Staff & Status
Medical Staff Notified?
Yes
No
Physician Willing to Treat?
Yes
No
Key Non-Physician Personnel
Medical History
Medical History / Current Condition
Lab Results
Lab Set #1
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Date
Time
Hgb
Hct
Plts
Retic
TSAT
Other
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Consulting Physicians
Consultant Name
Specialty
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Phone
Email
Contact Preferences
Additional Info
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Doctor-to-Doctor Consultation?
No
Yes
D2D Details
D2D Notes
Treatment & Advocacy
▼
Physician Treatment Strategy
HLC Treatment Strategies / Alternatives
Medical Articles Provided
Legal
Legal Action Threatened?
No
Yes
Legal Threat
Has HID Been Contacted?
Yes
No
Transfer
Transfer Required?
No
Yes
Maybe
Transfer Details
Receiving Hospital
Receiving Physician
Staff Willing to Assist?
Yes
No
Maybe
Transfer Urgency
Urgent (ASAP)
Within 24 hours
Delay Reasons
Arrangements Confirmed?
Yes
No
Appointment Details
▼
Appointment Date
*
Appointment Time
*
Hospital / Clinic
Physician
Physician Specialty
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Procedure Description
Have Elders Provided Forms?
S-407
S-401
S-55
HLC Presence Requested?
*
Yes
No
HLC Presence Requested
Specific Assistance Requested
HLC Contact Assigned
Select HLC member...
Outcome
▼
PVG Visits
Yes, PVG informed
Not Needed
Outcome / Next Steps
Case Status
Open
Pending
Closed
Closing anonymizes all patient information. Cannot be undone.
Intake Notes
▼
Notes
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Immediate — Adult
Immediate — Minor/Newborn
Future — Adult
Future — Minor
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Email Doctor Info
Email Doctor Info
Send selected doctor contact information to a caller
Recipient Email
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Manage On-Call Teams
Create pre-defined groups of 3 members for quick scheduling
Add New Team
Team Name
*
Member 1
*
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Member 2
*
Select...
Member 3
*
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Create Team
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Create New PVG Group
Add a new Patient Visitation Group and assign it to hospitals
Group Name
*
Full Name / Description
Notes
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Create Group