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Family Medicine Clinic Case Study

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Request to explore the timeliness of services and referrals assisted by his SW case manager, Ms. Tondalaio Sears in the Family Medicine Clinic NHP. 1. Findings of Fact T-con dated on the 8 September 2015, Mother of patient could benefit from pediatric s case manager. On 9 Sept, Case Manager met with Mother of patient and documents that this visit was an extensive late visit; at the conclusion of this visit case manager stated that she would contact specialty providers and ultimately secure appointments. On the 23 Sept, the case manager had received two TCON’s regarding assistance with medication management. The case manager documents that she left a message on Mother’s phone, that she should contact he child’s psychiatrist for appointment …show more content…

Not all consults are accepted for case management, even if there is action by the case manager pertaining to the consult, these consults would fall into the criteria of care coordination which are episodic cases. That being said, this case would meet the criteria for case management due to the multiple specialty providers and multiple health conditions requiring the case manager to make at least monthly follow-up and as needed by the case manager and the Mother. From the initial note, the case manager did not enroll patient into case management at the start of the initial interaction possibly due to the review of his clinical notes and specialty referrals; it appears that Brady has had the necessary approved authorizations and referrals in place for Developmental Pediatrician, Psychologist, ABA evaluation and Speech along with the prescribed medication for his ADHD management. Case manager had provided Mother with contact information and to contact her as needed. During the time frame of 23 Sept until 20 January, Mother had not made contact with Ms Sears, despite her 4 interactions, via T-Con and appointments with providers. After the extensive 1st meeting, one could assume that the Mother was aware of the Ms’ Sear’s role, had her contact information and the instruction to call as needed. This was documented in both encounters on 9 and 23

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