S
I have not been feeling well for a few days.
Subjective.
Member reports they have shortness of breath.
Subjective
vs. Member is unable to talk without breathing deeply, and O2 sat is reading 89%- Objective
Member is angry and rude during initial contact.
Subjective - Member was mean to CM, hurtful. Member was screaming and acted crazy.
vs.
Objective: Member raised their voice, and stated "Why are you calling me?" " You don't know what I need!" CM spoke in calm quiet voice to attempt to de-escalate the member on the phone. CM listened and offered to call back the member another time. Member agreeable to another call.
Member reports lack of food to feed her children in home.
Subjective
How can we gather objective data r/t food?
Member reports "the provider does not listen to me".
subjective
Home Blood Pressure was high
Subjective. Does not note the actual value of BP.
The apartment is not fit for us to live in.
Subjective
vs. Objective
The apartment has mold growing in the bathroom and there is no electricity running at this time.
Member has DX of hypertension. BP in ED was 150/85 and at the last 2 office visits it was 160/80 and 155/90.
Objective
vs.
Member reports their BP runs high on occasion.
Symptoms are interfering with work.
Subjective
Member reports he feels sick.
subjective
vs.
What are signs of sickness? Are they showing these signs.
A1C 6.3%
Objective. Point of care testing.
Member is non adherent to medication regimen
Member skips doses every other day and there is no claim data to reflect recent refills.
Is this objective?
Member has missed their appointment to the PCP due to their neighbor having more important things to do than drive them.
Subjective
vs.
Member has not completed the last 2 PCP visits due to lack of transportation.
Member reported they having been drinking alcohol. They have had 10 drinks in the last 2 hours. Member is slurring words while on the call with CM.
Objective. State "Member is slurring words during call"
Member is showing signs of intoxication.
The member's echo showed an EF of 40%.
Objective
vs. Member reports they have chest pain. (subjective)