A day in the life of a hospital liaison and trends at our hospitals Liaisons A day in the life of a hospital liaison and trends at our hospitals

Hospitals covered Champaign/Urbana - Anita Reynolds Peoria – Rich Sloan Springfield – Angie Green St. Louis – Craig Mentzer (interim – area CRC)

How Liaisons help you Eyes and ears for home (truth in paperwork?) - verify “untolds,” assess behaviors, provide redirection tips, etc. Building CRCs round with Liaisons to provide greater access to multiple referral sources Promote your home and share “What makes your home special?” Pathways Suites, Hemo-dialysis, Cardio/ Pulm Recovery, Success Stories, re-admission rates

How you can help liaisons - Notification of residents hospitalized - Sharing concerns regarding patient return  - Prompt response to referral Accurate communication about delays and concerns Provide all questions on referral to liaison at one time Notify the liaison immediately with acceptance or denial Follow up with hospital per its protocol

Clinical concerns for acceptance Do they have hepatitis? Not a dialysis patient Patient is too young – under 65 PRN psych meds Patient is full code – distance to a hospital -- patient almost died here once We have important people here so we can’t just admit “anyone.” Patient has a diagnosis that may make them have behaviors

Red flags They are young, there must be a behavior The referral is from a hospital we rarely work with – what’s wrong with them? They don’t want to return to the SNF where they were before

Prior “bad” acts We heard they were needy The family is a piece of work They left there AMA 4 years ago Suicidal ideation vs. suicide attempt

Barriers to liaisons The administrator is out of the building… Everyone is in a meeting/in-service … All of the managers have already left for the day… We’re not taking patients right now… State is in the building… I don’t have time to look at the referral right now…

Trends in the hospitals Some hospitals still do not use an electronic referral system. Presence is one of them. Therefore they contact the facility first - they will not give any info on a patient UNLESS you have a bed available to consider the patient They will not contact the liaison. They expect you to contact the liaison. Let them know ASAP There is a great need for peritoneal dialysis There is an increase in the need for TPN

Trends continued Tracheotomy patients are increasing Case managers dislikes multiple calls from the facilities. Hospitals prefer a point person and want to address all questions at one time. IVs are a standard need of discharging patients.

Hospitals want to know what behaviors can be managed in our BH homes. Trends continued Hospitals want to know what behaviors can be managed in our BH homes.