case management services a snapshot in time november 18, 2004
TRANSCRIPT
Case Management Services
A Snapshot in Time
November 18, 2004
Case Management Services
• What is Case Management?– Addressing the needs of our patients
• Social Services
• Subsistence Issues
• Access to Assistance Programs
• Other Individual Needs
Case Management Services
• Current Status:– A Loosely coordinated group of social service
functions partly funded by 4C’s and partly from the recently ended CAP grant.
– Two staff members, one who directs activities and supervises other programs and one Case Manager.
Case Management Services
• Case Management Supervisor
Jean Chipman, LSW
– Supervise Patient Assistance Program– Supervise Case Manager– Perform Case Management duties
Case Management Services
Case Manager, Alice Trevino
• Approximately two-thirds of the Case Manager’s time is spent with chronic disease patient referrals from Mainland Center Hospital and UTMB.
• One-third assisting 4C’s patients with social needs and problems.
Case Management Services
• ER referrals Feb-July 2004– Mainland Center UTMB
• Referred 357 Referred 800
• Contacted 298 Contacted 600
• Appt Made 114 Appt Made 113
• Appt Kept 102 Appt. Kept 104
Case Management Services
• Other Referrals:
– Jesse Tree 47– Recovery Ctr. 10– Rx. 173– Social Problems 143– Diabetic DNKA follow ups: 72
Case Management Services
Current 4C’s activities
• 79 4C’s patients seen on a recurring basis
• 148 Episodic interventions
• 19 referrals to other social service agencies
Case Management Services
• Budget Figures:– Total Budget: $91230– CAP Funding: 36039 (40%)– 4C’s Funding: 55191 (60%)
(Funding includes salaries for 2 FTE’s, benefits, operating supplies, and travel)
Case Management Services
• Future Goals of Program– Seek shared funding to cover two-thirds of
Case Manager time devoted to dealing with hospital referrals.
– Develop direct Provider to Case Manager referrals to address social needs of 4C’s patients.
Case Management Services
• Future Goals of Program (Cont’d)– Provide onsite Case Management support for
dealing with patient acute social problems.– Use Case Management as liaison between 4C’s
and other Social Services Organizations.– Utilize Case Managers to identify and facilitate
enrollment of 4C’s patients in Medicare, Medicaid and other third party programs where eligible.
Case Management Services
• Future Goals of Program (Cont’d)– Coordinate with support services to assist
patients in navigating the 4C’s system.– Develop detailed data capture system to
identify needs and activities that most benefit patients.
– Focus on the Priority Populations as identified in the 4C’s Competitive Renewal Grant Application
Priority Populations in 4C’s Grant
• Underserved Seniors • Women seeking family planning• Counseling for mental health conditions & substance
abuse• Prenatal and pediatric care• Managing chronic conditions• Preventing communicable diseases• Homeless• Uninsured small business employees• Persons needing acute care• Dental care for children
Case Management Services
Questions?