Care Coordination Vol. 1

2. Electronic medical record
4. Personal hygiene and grooming, dressing, toileting, transferring or ambulating, and eating
7. A _____ assessment can be crucial when there is concern about a patient's ability to safely live at home
10. Daily meetings to discuss patient status and discharge planning needs
11. We should be submitting for ___ as often as we can.
12. We should be entering a ____ when we come across facesheet errors
14. Community partner who provides health care to underfunded folks
16. Any discharge barriers should be shared on the daily ____ call and/or escalated to leadership ASAP.
18. Report that should be completed going into the weekend or if you have a patient that transfers to another floor
20. EMS transportation
21. Should be entered daily when your patient has a discharge order but there are barriers that keep them from leaving
22. Snacks with ___

1. This kind of home care is not typically covered by insurance
3. referral portal
5. Assigned LMDM when patient has no NOK
6. Our department excels at ____
8. application used to communicate with the interdisciplinary team
9. Patients should not be discharged until ____ services are finalized
10. We should be eliciting _____ from patients as much as we can
13. This insurance requires a 3 midnight stay in inpatient status in order for post-acute rehab services to be covered by insurance
15. Refer to her if you want to provide your patient with behavioral health and substance use support and resources
17. Patients need this kind of care when they're unable to care for themselves or complete activities of daily living
19. Our department is fueled by free _____