Case Management is defined as a collaborative process that assesses, plans, implements, coordinates, monitors and evaluates the options and services required to meet an individual’s health needs, using communication and available resources to promote excellence of care and quality of life. Case Management calls for compassionate listening, critical thinking and knowledge of needs combined with the ability to design and implement sound and workable solutions within a sometimes-complex family and health care systems. Quality of life concerns focus on what is best for you, or a loved one, with a view to creating a harmonious outcome, for all concerned.
CASE MANAGERS PROVIDE
CRISES INTERVENTION, URGENT CARE ADMISSION
A case manager will help translate and navigate the language and system of healthcare while providing oversight and support during the entire episode of illness. While focusing on the outcome of the experience your case manager will meet with internal staff and arrange for appropriate follow-up resources and care needed, once you go home. A Case Manager is a committed sentinel for quality assurance toward a successful outcome for you, your family and loved ones.
GOING HOME WITH A FULLY INTEGRATED MODEL OF CARE
In meeting with your physician, hospital social services and discharge staff your private duty case manager will review all discharge orders to insure communication between caregivers and follow-=up providers. With clear communication going home should provide a seamless extension of care to include an appointment (usually within a week) for follow-up with your primary care physician, a medication management review and a concise breakdown of what is needed to insure your safety and comfort toward successful healing.
RE-ADMISSION (RE-ADMISSION RESCUE)
Once at home the goal is to remain there. Readmissions to hospital occur for numerous reasons not the least of which can be a discharge with no solid continuum of care, in place. Re-admission Rescue programs are very much on Medicare’s radar and can trigger financial consequences. With quality Home Care* nutritional meals, frequent hydration, medication management, peaceful rest, compassion and loving company you will heal.
(*Home Health Care – Medicare with time limitations)