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Elderly Patient Coalition . A TMC HealthCare Community Project L’Don Sawyer MA, Gerontology TMC Senior Services Ldon.sawyer@tmcaz.com. History . Strong leadership in Aging Service Collaborations Connection to Social Service Sector Community/Relationship Building .
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Elderly Patient Coalition A TMC HealthCare Community Project L’Don Sawyer MA, Gerontology TMC Senior Services Ldon.sawyer@tmcaz.com
History • Strong leadership in Aging Service Collaborations • Connection to Social Service Sector • Community/Relationship Building
Reasons for the Project • Patient Discharge Concerns • Unrealistic Expectations of the Acute Care Environment • Educational Opportunity
Why Collaborate? • Community Support • Community Needs • Implement Projects & Ideas that Stray from TMC Mission
Area Agency on Aging Elder Abuse Task Force Private Geriatric Case Management Social Services Case Management Pima Health System Community Services System Physician Group Long Term Care SNF Assisted Living Other Senior Housing EPC Steering Committee
Forums • Roles & Expectations in the Acute Care Environment • The Hospitalist Physician Role • Patients with Special Needs • Role of Insurance Case Management • Upcoming • Molly Mettler, Healthwise, Inc Older Consumers: Challenges for Providers
Defining the Hospitalist Role: Program Outline • Defining a Hospitalist • How do you define your role in a patient’s care? • Who employs? What is the Peer Review Process? • Case Studies: Emergency and Direct Admit • Interaction with PCP • When and under what circumstances do you contact PCP’s during the actual in-house episode • Flow of Communication • Role in Admit --- Role in Discharge • What do you see as the Greatest Challenge within the Hospitalist System?
Outcomes of the Coalition • Forum surveys • Wrap up sessions following events • Action taken