OpenPlacement Community > Questions

Patient Refuses to Leave!!!

asked May 13, 2013 | 0 followers | follow | 8 answers

What do you do when a patient refuses to leave although medically ready for discharge? Is there a a policy/protocol to follow?

Thanks in advance,
Kathleen Navarro

I have a 17 unit assisted Living community in the resort city of Gyula, in the country of Hungary One unit became available!

asked November 12, 2017 | 0 followers | follow | 0 answers

I have a 17 unit assisted Living community in the resort city of Gyula, in the country of Hungary. Our fee’s are very affordable since the dollar is very strong, our monthly self pay fee if 24 hr care is needed is $700.00 USA dollars, & less if less care is needed. (Purchase of unit is mandatory) if self reliant there is free parking on our 8500 sq meter property!
Resident who are able may come and go as they see fit.
Or enjoy our 1200 sq meter facility including library recreation room, social activities, ride to church, etc
Meals are 3 full meals a day plus snacks twice a day included.

To all case managers, discharge planners, nurses, etc. …..I have a small 7 bed home in Pok County TN in Turtletown, TN. I have vacancy for a male or female residents. I accept Medicaid, and Private pay. I will work with low income individuals if they are homeless, have no family and need a place to live. Please contact me if you know of anyone needing a home to live in while they age gracefully in place. I may be reached at 423-496-5010 thank you

asked October 18, 2016 | 0 followers | follow | 0 answers

I have a small assisted living home for the aging population in Turtletown TN. I am seeking placement for residents needing care. We have all around care with awake staff on premises, we provide 3 meals per day, laundry, housekeeping, medication monitoring, RN on Contract, transportation, socialization, life enrichment activities, religious services, and brain skills to keep the mine active. We have a full beauty salon for men and women on premises.

I have availability for male and female residents. We encourage the residents to decorate their own rooms to make their living quarters their own. We are seeking licensing with the state of TN. We are registered with the State of TN and licensed in Polk County TN. We are pending certification and licensing as a Medicaid Provider. We accept all income levels.

Need a Bd and Care near /in Fremont with highly personalized care

asked March 25, 2015 | 0 followers | follow | 1 answers

I am managing the care of a 69 year old male with advancing vascular dementia and the family would like to place him in a place where he could receive 1-1 from an A+ Bd and Care. Cost is not the deciding point. Quality of care is.
Please email me directly. Thank you so much. Emily White, LMSW, CMC

Transitional Case Manager Role

asked June 20, 2014 | 0 followers | follow | 4 answers

We are expanding our case management department to incorporate transitional case managers – to collaborate with physician offices, SNF’s, Assisted Living facilities in our community, with the goal of preventing re-admissions within 30 days of discharge. We are also looking at ways to decrease use of our E.D. as a source of “primary care” for those in the community without primary care physicians.
Please let me know if you have any experience with this aspect of case management, including your policy and procedures, etc.
Thank you very much.

U.R. Plan Requirements

asked July 23, 2014 | 0 followers | follow | 1 answers


May I ask how others have addressed the Medicare CoP requirement for
“medical necessity of professional services furnished, including drugs
and biologicals” in your U.R. plans? Have you made this a separate
component of medical necessity reviews? Are you working with Pharmacy
and Therapeutics Committees to obtain info?

Would appreciate hearing how others have covered this in their plans.

Many thanks,

Social Worker’s Taking Orders

asked April 22, 2014 | 0 followers | follow | 2 answers

Our Social Workers are our case managers/discharge planners. We recently implemented CPOE. As part of the implementation the question of Social Workers being able to take telephone/verbal orders was raised as this is something they had not done in the past. Does anyone else have provision for Social Workers to take orders and input them into the computer? If so, what types of orders fall into “scope of practice”? What type of training did Social Workers need on taking orders to be successful? Any help would be greatly appreciated

Where are acute reb facilities at San Mateo, cA

asked September 13, 2014 | 0 followers | follow | 1 answers

Listing of acute reb facilities in San Mateo, CA

Discharge for patients needing IV meds

asked July 21, 2014 | 0 followers | follow | 5 answers

We currently have several Patients at our Facility who are known IV Drug Users. They need to have about 6 weeks of IV antibiotics for endocarditis etc. The local SNF’s will not accept them because of their history. They have concerns about their liability of taking these Patient’s with an IV access. (What if a visitor brings in street drugs and something happens… get the picture.) I am also informed that the Pharmacies won’t supply the IV Meds for these Patients so they can get the meds at home. The Home Health Agencies are reluctant to take these Patient’s on as well….(liability). What is our Hospital’s liability if we send a known IV Drug User home with an IV Access? We are looking into the possibility of using our infusion center for the Patient to receive their IV antibiotic, yet the Patient would need to have the IV access restarted each time. Some Patients are receiving their antibiotic several times a day. Many times these Patients remain at our Facility until their treatment is completed….not the best plan! Many of these Patients have no Insurance or have Medical Assistance.
We are interested in hearing how others are managing the discharges on similar cases. Thank You!

Calling in reviews

asked July 14, 2014 | 0 followers | follow | 6 answers

Is anyone still calling in reviews to insurance companies or are you doing it all via fax/computer? We are still spending 8 hours per day doing call-ins. We’re a 300 bed hospital and I’ve got to believe there is a better way.


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