When you think it may be useful to include information in any of these categories in a Care Recommendation or Patient Background item, you should review the section in the Sensitive Information Policy applicable to the state in which your facility or clinic is located and strictly follow the applicable rule for that category of information. If you have any questions, you should feel free to call your Client Relations Manager, who can answer your questions and provide additional guidance.
Descriptions of or references to patients in Care Recommendations or Patient Background items should always be respectful, objective and nonjudgmental. Making disparaging statements or using pejorative labels when referencing a patient is inappropriate and …show more content…
PCPs who know their patients well are often in the best situation to take the lead writing Care Recommendations if they are connected to the network via PreManage.
3. Mental/Behavior Health case managers can provide significant value to ED providers by including crisis plans, summary diagnosis and treatment plan information and care coordination notes in M/BH specific Care Recommendations.
4. Health Plan or MCO case managers may consider writing Care Recommendations when no PCP relationship has yet been established for a patient or when they can provide other information which could be valuable to ED providers, but which may not be available to other case managers working with the patient.
These are simply guidelines for EDIE and PreManage users to consider and the best approach to follow will always depend on community and patient-specific circumstances. Where possible, it is often very valuable for key stakeholders in a community to meet together to determine how to coordinate case management efforts for patients and who will play what role in writing Care Recommendations. These efforts can help streamline use of scarce case management efforts and provide community-wide clarity on roles for writing Care Recommendations and coordinating care more
Descriptions of or references to patients in Care Recommendations or Patient Background items should always be respectful, objective and nonjudgmental. Making disparaging statements or using pejorative labels when referencing a patient is inappropriate and …show more content…
PCPs who know their patients well are often in the best situation to take the lead writing Care Recommendations if they are connected to the network via PreManage.
3. Mental/Behavior Health case managers can provide significant value to ED providers by including crisis plans, summary diagnosis and treatment plan information and care coordination notes in M/BH specific Care Recommendations.
4. Health Plan or MCO case managers may consider writing Care Recommendations when no PCP relationship has yet been established for a patient or when they can provide other information which could be valuable to ED providers, but which may not be available to other case managers working with the patient.
These are simply guidelines for EDIE and PreManage users to consider and the best approach to follow will always depend on community and patient-specific circumstances. Where possible, it is often very valuable for key stakeholders in a community to meet together to determine how to coordinate case management efforts for patients and who will play what role in writing Care Recommendations. These efforts can help streamline use of scarce case management efforts and provide community-wide clarity on roles for writing Care Recommendations and coordinating care more