Office Updates

Office Updates

Appointment Protocols

May 18, 2020

We have resumed normal business hours and have the following heightened safety measures in place. Also note that Flagstaff Medical Center and Forest Canyon have reopened for elective surgeries, and they are following all CDC guidelines to open. We are now allowed to schedule patients for surgery.

1. All patients must bring and wear a mask the entire time they are in the office (mask, bandana, scarf etc). Cloth or other home-made masks are acceptable. Due to limited supply, we cannot provide masks. Any patient who arrives without a mask will be turned away and rescheduled to a later appointment.

2. No patients will stay in our waiting room. Call the clinic when you arrive and someone will bring you straight back to the exam room after your intake questionnaire.

3. There will be a maximum of 1 new patient and 2 follow up patients per hour in the office. This should minimize delays.

4. New patients must do their intake paperwork ahead of time through the online portal or print at home. If this is not possible, you must arrive at least 30 minutes before the appointment time and fill out paperwork in your car.

5. Only the patient is allowed in the office. For children and adult patients who require a caretaker, one adult may accompany the patient.

6. Dr. Fratianni and staff will wear masks during all patient encounters. All staff and employees have tested negative for COVID-19.

7. We are performing diligent hand washing and extra cleaning precautions.

8. We have placed HEPA air scrubbers in each exam room. These will remove over 99.9% of respiratory droplets and other contaminants from the air.

9. All patients will be screened prior to appointment for fever, cough, shortness of breath, cold/flu symptoms, red eyes, loss of smell/taste, and body aches.  If those signs and symptoms are present you will be rescheduled for a telemedicine appointment.

10. Telemedicine appointments will be reserved for higher risk patients and for routine follow up issues (like test results, etc) for those of you who come from >100miles away.  The Health and Human Services have allowed telemedicine until July so far.

A Message From Dr. Fratianni

May 5, 2020

Hello patients and friends,

I wanted to give you all an update on the current plan to start seeing patients in my office again.

For the past month, I have mainly been seeing patients through video chat or over the phone, with a few exceptions for urgent problems. It has been an interesting experience, to say the least!

While I can learn a lot from a video chat, nothing replaces the ability to actually look in the ears, nose, and throat to confirm the diagnosis.

I think ENT is a particularly difficult specialty for telemedicine since so much of it involves looking into small dark holes. There is really no way to look in someone’s ears or nose over a video chat, and a blurry video of someone’s mouth and throat is definitely not the same as in person!

I am planning to start seeing more patients in the office the week of May 18, with the following heightened safety measures in place:

1. All patients must bring and wear a mask the entire time they are in the office. Cloth or other home-made masks are acceptable. We have a very limited supply and cannot provide masks. Any patient who arrives without a mask will be turned away and rescheduled to a later appointment.

2. No patients will stay in our waiting room. Call the clinic when you arrive and someone will bring you straight back to the exam room after your intake questionnaire.

3. There will be a maximum of 1 new patient and 2 follow up patients per hour in the office. This should minimize delays.

4. New patients must do their intake paperwork ahead of time through the online portal or print at home. If this is not possible, you must arrive at least 30 minutes before the appointment time and fill out paperwork in your car.

5. Only the patient is allowed in the office. For children and adult patients who require a caretaker, one adult may accompany the patient.

6. Dr. Fratianni and staff will wear masks during all patient encounters.

7. We are performing diligent hand washing and extra cleaning precautions.

8. We have placed HEPA air scrubbers in each exam room. These will remove over 99.9% of respiratory droplets and other contaminants from the air.

9. All patients will be screened prior to appointment for fever, cough, shortness of breath, cold/flu symptoms, red eyes, loss of smell/taste, and body aches.  If those signs and symptoms are present you will be rescheduled for a telemedicine appointment.

10. Telemedicine appointments will be reserved for higher risk patients and for routine follow up issues (like test results, etc) for those of you who come from >100miles away.  The Health and Human Services have allowed telemedicine until July so far.

Higher risk patients include:

  • Age >69
  • Hypertension, heart disease, history of heart attack or stroke
  • Lung disease-asthma, COPD
  • Cancer, except for skin cancer
  • Chronic kidney disease or chronic liver disease
  • Severe obesity
  • Immune system problems

I hope all of you and your families are staying safe and healthy during this troubling time.  Please call us with any questions at 928-774-1873.

Warm regards,
Dr. Tamarah Fratianni
Julie Maloney, P.A.-C
Sheila Navidi, F.N.P, BC

Please note: Our out-patient surgery facility, as well as the main operating room at Flagstaff Medical Center are still closed, so no surgery for now.

Covid-19 Risk Score

Prior to your appointment, our office will assign you a risk score (see below to calculate your own risk score).

  • Low risk patients can come into the office as usual (with heightened safety precautions as described above)
  • Medium risk patients can come into the office at their discretion.
  • High risk patients should only come in for urgent problems. We will do telemedicine visits if at all possible

COVID-19 Risk Score:

  • Low Risk = 3 or less
  • Medium Risk = 4-7
  • High Risk = 8 or more

Your Age:

  • 19 or under = Minus 2
  • 20-49 = 0
  • 50-59 = 1
  • 60-69 = 2
  • 70-79 = 5
  • 80 or older = 7

Do you have any of these medical problems?

  • High blood pressure = 2
  • Diabetes = 3
  • Heart disease = 4
  • Chronic lung disease (asthma, COPD, bronchitis, etc) = 4
  • Cancer (any type except for skin cancer) = 3
  • Chronic kidney disease = 4
  • Chronic liver disease = 4
  • Immune system problems = 4

Add up the total to find your risk score.

We hope all of you and your families are staying safe and healthy during these strange times. Please call us with any questions at  928-774-1873.

Video Conference Options

The following video conference software is Medicare approved:

  • FaceTime
  • Duo
  • Skype

If you are unfamiliar with these services, we’ve included helpful links below. Please call our office if you have any additional questions. 

FaceTime

This service is available on Apple products only such as iPhones, iPads, MacBooks or iMacs. For instructions on how to set up and use FaceTime, click here.

Duo

Google Duo video call app works on iPhone, Android, tablets, computers, and smart displays. To learn more about Duo or to start using the app, click here.

Skype

One of the most well-known video conferencing tools, Skype is available on most devices such as iPhone, Android, and computers. To learn more about Skype or to start using the app, click here