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.
- Patient's that need outpatient HD chair, coordinate with the HD social worker as well (through SW consult)
- SW options: Housing for health, recup care, board and care, etc.