Guardianship
True or False? Patient lacks capacity, no AD/POA/POLST/NOK and needs an urgent procedure, two physicians can provide consent.
FALSE. Only in emergent life saving situations can physicians proceed with life saving measures in the absence of an AD/POA/POLST/NOK
This must be provided to patient or patient representative within 24-48 hours of anticipated date of discharge?
What is a follow up Important Message from Medicare?
What is PATHS?
Shelter that opens in the winter when the temperature drops below freezing.
What is Code Blue?
Individuals can call 211 to confirm activation of code blue shelters.
When a Medicare recipient is filing an appeal of their hospital discharge, which Inspira team members should the following social worker or RN care coordinator notify?
Who are the administrative assistants, leadership, UR team and the interdisciplinary team?
A physician's, psychiatrist's or psychologist's opinion on an individual's ability to manage own personal, medical and/or financial matters.
What is capacity?
What is Commence Health information (formerly Livanta)?
What is MLTSS (Managed long term supports and services)? Note: will need to email the referral template to Farrah Metzger (MetzgerF@ihn.org), Tena Bailey (tena.bailey@hcpaths.com), and Jennifer Spadoni (jennifer.spadoni@hcpaths.com) and copy ComplexCaseSocialWorker-VE@ihn.org.
Patient is need of nursing home placement. Patient has a community spouse, owns multiple properties and has a significant income. Patient and spouse are worried about preserving assets. What resource could be provided?
What is an elder law attorney?
Inspira team that puts safety plans in place for patients at risk of displaying dangerous behaviors.
What is workplace violence?
A judge's ruling on an individual's ability to manage own personal, medical and/or financial matters.
What is competency?
Patient admitted from a mental health group home and is over age 18. There is suspected abuse. What entity or entities need to contacted?
What is Adult Protective Services and DCP&P? Note: in special circumstances, DCP&P may be involved when there is a developmental delay until patient is age 21.
True or False: Medicaid MLTSS programs only cover nursing home placement.
False. Medicaid MLTSS members can receive services in home or at an assisted living.
What program provides senior health services that empower seniors to live independently in the comfort of their homes? The program allows individuals ages 55 and older who live in Cumberland, Gloucester and Salem counties to access essential health care and social support resources.
What is Inspira LIFE?
Pharmacy program available at Inspira for individuals without Rx coverage.
What is Dispensary of Hope?
Who can file for guardianship?
Anyone - as long as there are two certifications. Note: Inspira can provide guidance to patients, families and community entities, but they too can file independently. Note there are special circumstances in which you want to review with leadership.
Patient admitted from DDD sponsored group home and social work is consulted for suspect abuse at the group home. What entity needs to be notified?
What is Department of Human Services DDD Hotline? Phone: 1-800-832-9173
This is an account that social security funds are distributed to when an individual does not have a bank account.
What is Direct Express?
What agency can assist individuals with applications for NJ State Respite in Cumberland County?
What is Resources for Independent Living?
State office that assesses an individual's clinical eligibility for nursing home level of care.
What is OCCO (The Office of Community Choice and Options)?
Remember to check your EARC PAS log in to keep it active!
Explain the difference between an emergent vs. urgent procedure
Emergency is life saving that can not wait until a special medical guardian or decision maker to be established (i.e. coding in the ED)
Urgent is medically necessary and would cause harm to patient if not addressed within a few days.
In circumstances where an adult patient lacks decision-making capacity and there is no AD/Power of Attorney or Guardian, who does the interdisciplinary team reach out to for guidance?
What is Social Services or hospital legal counsel? Policy Determination of Healthcare Decision Making Capacity ADM.011
True or False. A married individual needs placement in a nursing home. The community spouse lives at home and is not in need of long term care services. The spouse applying for Medicaid and going to the nursing home will need to sign all of their income over to the nursing home.
False. Medicaid has a Community Spousal Maintenance, Shelter and Utility Allocation Adjustments letter that is updated annually specifying what the community spouse may be entitled to keep.
Home visiting provider for wound care as an alternative to Elmer wound care center for home bound individuals (hint: not home care).
What is Restore First Health? What is United Woundcare?
A medical treatment that involves breathing 100% oxygen in a pressurized chamber that can be recommended for treatment of chronic wounds.
What is Hyperbaric Oxygen Therapy? Inspira has a unit located at Inspira Medical Center in Elmer.