Mercy Gilbert Medical Center
Medicare
Social Work
Readmissions
Discharge Planning/LOS
100

Number of Licensed Beds at Mercy Gilbert Medical Center.

What is 198?

100

A federally funded medical insurance program created for those individuals who are over the age of 65 or disabled

What is Medicare?

100

In what year was the American Association of Hospital Social Workers founded?

1918

100

Patient well-being and experience, Financial Implications, Resource Utilization, Risk of HAI/Complications, & Healthcare Performance Measures

What are consequences and outcomes related to readmissions?

100

Upon admission to the hospital.

When does Discharge Planning begin?

200

The month and year that Mercy Gilbert Medical Center opened.

What is June 2006?

200

This CMS regulation seeks to provide in writing information that assures that patients in the hospital understand their right to appeal decisions to discharge that they do not agree with.

What is the Important Message from Medicare?

200

This social worker was the first woman to be appointed to the cabinet of a president (FDR)

Who is Frances Perkins?

200

The team that performs our follow up phone calls to every inpatient once discharged from the hospital.

What is Guideway Care?

Discharge Call Center

200

Optimizing the most appropriate timing for patient transition to the next level of care.

What is the goal of length of stay management?

300
The three types of Resident Physicians Programs in the East Valley.

What is Surgery, Internal Medicine, and Family Medicine?

300

Seeking to assure that Medicare patients understand the implications of being placed in observation services, what do the initials of the MOON stand for?

What is the Medicare Outpatient Observation Notification?

300

Also called MI, this an evidence based model originally developed to treat substance abuse. This intervention focuses on the clients willingness for change.

What is motivational interviewing

300

Medication-related issues: Adverse reactions, side effects, or non-compliance with prescribed medications.Social Factors: Housing insecurity, food & resource insecurity, no/non-coordinated transportation.Poor or no follow up care. Lack of patient education: Inadequate understanding of discharge instructions or failure to recognize warning signs. 

What are common causes for readmissions?

300

Our Charity Partner and Provider that serves underinsured and uninsured patients from charity DME to social work visits

What is ACTIVATE?

400

Our culture of ______ ___ ___, _____ ___ is achieving reliable high-performance across all our vital signs by modeling behaviors and actions that support our values, standards, universal skills and standard work.

What is Excellence Every Day, Every Way?

400

Utilization Review, Condition Code 44, Discharge Assessment, Patient Choice, Important Message from Medicare, and Utilization Review Committee.

What are the Conditions of Participation related to Case Management?

400

Mental health treatment that is ordered by the court for a person who is a danger to themselves or others and is unwilling or unable to accept voluntary treatment.

What is court mandated treatment/petition?

400

Our Clinic next to Chandler Regional Medical Center that sees complex medical patients, underinsured and uninsured patients, and spends up to and over an hour with patients to support post-hospital discharges and patient success staying home and coordinate a warm handoff to the patient's Primary Care Provider or will establish a new PCP.

What is our Transitional Care Clinic?

400
The result of the patient staying in the hospital longer than medically necessary (such as MRI, therapy, lab, consult/provider delays) and is documented in Cerner?

Avoidable Delay Day

500

The name of the Founding Sisters who came over in the early 1800s from Ireland by Sister Catherine McAuley?

What is the Sisters of Mercy?

500

Noon on the day after appeal denial determination notification.

During the Medicare appeal, when does the patient become financially liable for hospital services and charges?

500

What profession is the nation's largest providers of mental health services, providing more mental health services than psychologists, psychiatrists and psychiatric nurses combined?

What is Social Work?

500

Subject matter expert on home health and patients that are sitting on the fence between home and going to SNF that recently started at Mercy Gilbert? 

What is Mindy, our new Home Health Navigator?

500

Identify patients with conditions which may increase the LOS, engage providers, IDT/MDR, develop relationships with post-acute providers and "brainstorming" for ideas to overcome barriers.

How can we manage length of stay?