This workflow illustrates the end-to-end patient journey through The Sandusky Dyslipidemia Model clinic, from referral receipt to ongoing management. For detailed documentation of each step, see the corresponding clinical documents linked below.
Master Clinic Workflow
flowchart TD
classDef entry fill:#2d6a4f,stroke:#1b4332,color:#ffffff
classDef assess fill:#264653,stroke:#1d3557,color:#ffffff
classDef caution fill:#e76f51,stroke:#c1440e,color:#ffffff
classDef urgent fill:#d62828,stroke:#9d0208,color:#ffffff
classDef admin fill:#6c757d,stroke:#495057,color:#ffffff
classDef outcome fill:#2196F3,stroke:#1565C0,color:#ffffff
A[Referral Received]:::entry --> B{Eligibility\nScreen}
B -->|Meets criteria| C[Schedule New\nPatient Visit]:::admin
B -->|Does not meet\ncriteria| D[Return to Referring\nProvider with Explanation]:::admin
C --> E{Priority\nAssessment}
E -->|Urgent:\nLDL ≥190, post-ACS,\nTG ≥500| F[Schedule within\n2 weeks]:::urgent
E -->|Standard| G[Schedule within\n4–6 weeks]:::admin
F --> H[Pre-Visit:\nPatient Instructions]:::admin
G --> H
H --> I[Nursing Intake\n10 min]:::admin
I --> J[Provider Encounter\n25 min]:::assess
J --> K[History &\nPhysical Exam]:::assess
K --> L[Review Available\nLabs & Records]:::assess
L --> M[Document Risk\nFactors & Enhancers]:::assess
M --> N{PREVENT Risk\nCalculation}:::assess
N --> O{Risk Category\nAssignment}
O -->|Low risk\nCAC=0 + ApoB neg| P[Consider\nDe-risking]:::entry
O -->|Borderline/\nIntermediate| Q[Evaluate Risk\nEnhancers]:::caution
O -->|High/Very High\nor ASCVD| R[Aggressive\nTreatment]:::urgent
P --> S[Lifestyle\nCounseling]:::assess
Q --> T{Advanced Testing\nIndicated?}
R --> U[Initiate/Optimize\nPharmacotherapy]:::outcome
T -->|Yes| V[Order Advanced\nTools]:::outcome
T -->|No| U
V --> W[ApoB / NMR /\nLp*a* / CAC]:::assess
W --> X[Reassess Risk\nCategory]:::assess
X --> U
U --> Y[Treatment Plan\nDocumented]:::outcome
S --> Y
Y --> Z[Order Labs for\nNext Visit]:::admin
Z --> AA[Schedule\nFollow-Up]:::admin
AA --> AB{Follow-Up\nType}
AB -->|New med or\ndose change| AC[4–8 weeks]:::admin
AB -->|Titrating,\nnot stable| AD[3–6 months]:::admin
AB -->|At goal,\nstable| AE[Annually]:::admin
AC --> AF[Follow-Up Visit\n20 min]:::assess
AD --> AF
AE --> AF
AF --> AG{At Treatment\nGoal?}
AG -->|Yes| AH[Continue Current\nTherapy]:::entry
AG -->|No| AI[Escalate per\nTreatment Pathway]:::caution
AH --> AA
AI --> U