Admission and Communication
Hospital Collaboration
Visits and Member Contact
Discharge and Medications
Follow through & documentation
100

This distribution list should be notified when a member is hospitalized? 

TSS SAC Hospital 

100

True or False. TSS psychiatrists are willing and interested in collaborating discharges with hospital physicians. 

True. 

100

The first visit should occur within this timeframe after admission, when permitted by the hospital.

within 48 hours 

100

Where should the hospital send all new prescriptions? 

Inform the hospital staff that all new prescriptions should be sent to Jefferson or the appropriate pharmacy, as we provide medication support to the clients.

100

What parts of this process require a progress note? 

ALL steps taken should live in a progress note. 

200

True or false. Hospitalization status is added to shift update. 

True. 

200

If barriers or questions arise in hospitalization coordination, who should be your first point of contact?

team lead/supervisor 

200

This is the general frequency for member visits during hospitalization.

once or twice a week, depending on the hospitalization timeline, member preference, and treatment plan. Being sure to use/explore alternative forms of communication. 

200

What records do we need from the hospital?

Discharge paperwork. Instruct the hospital to fax all the discharge information. If/when provided a hardcopy by hospital or member, scan in so provider and nursing staff have the information. 

300

Name three pieces of information that should be gathered and shared with the treatment team.

What are the unit number, room number, clinician, caseworker, contact information, and treating doctor?

300

In the absence of the assigned BH, who are individuals who can support with discharge coordination? 

Team lead, OD, program leadership. 

300

If an in-person visit is not possible and/or not permitted by the hospital, staff can use this alternative to maintain contact.

Phone calls

300

True or false. BH should ensure that discharge medications are faxed to the proper pharmacy, with adequate time for delivery on the day of the discharge. Ensure member is being discharged with a 30 day supply of medications.   

True.

400

TSS staff should introduce themselves to inpatient staff and explain this.

What is title/our role in member's care. 

400

What are some example of vital information to share with the hospital? 

recent psych history, med list, any concerns, recent problems or stressors, any issues that it would be helpful or crucial to address during the hospitalization.

400

If/when visits to the hospital are not possible or permitted, who can the bh contact to recieve updates on treatment planning/discharge planning etc

Hospital social worker, unit nurse, doctor, etc 

400

What should be scheduled promptly after discharge? 

A follow up psych appt 

500
The hospital may require these to communicate with TSS staff. 

Rois. Please ensure hospital has rois in order to communicate with tss staff and to provide hospital records if/when necessary. 

500

When should you make contact after learning a member has been hospitalized?

As soon as possible

500

what is one very critical element of discharge relating to client returning to their residence? 

Transportation. Provide or confirm means of transportation for the client to get home.