Harbor:Placement patients

For any potential placement needs, contact social work and UR ASAP

• DHS or MHLA patients may be admitted to the ED hospitalist service if unable to find timely placement from the ED.
• Non-DHS or OOP placement patients CANNOT be admitted to Harbor, if there is no acute medical need.
  • No longer have ‘obs status’ anymore so these patients can NOT be admitted to ED hospitalist on short stay unless the insurance plan gives authorization.
  • Some general tips to help get these patients placed from the ED.
    • Escalate DEM AOD (usually Andrea or Amy), have UR escalate to UR Director
    • Ensure home meds are initiated. It’s possible that the patient may need to stay in the ED overnight or longer. Don’t want anyone going into DKA or HTN crises.
      • SW options: Housing for health, recup care, board and care, etc.
        • Physician may need to fill out some paperwork to initiate process, please do so.
        • Upon discharge, will need prescriptions in hand of all home medications.
      • Insurance options: SNF, acute rehab, etc. will need PT/OT evals before placement.
        • Clarify if both are needed or just PT eval.
        • If in doubt, just place the order for PT eval and another order for OT eval, and then call Rehab Services x67395.
          • If any issues, can call Leslie Porter, Director of Rehab Services, 3xx-880-3247
          • ED PT/OT evals for placement are given priority given the urgent nature.
        • Do not need prescriptions at discharge.

See Also

• Harbor:Main