Active transitions
4 patients on your caseload
Active
4
Ready to discharge
0
Open referrals
9
Needs attention
- · 2 patients have been medically ready more than 48 hours
- · 1 referral needs additional documentation
- · 1 patient has an accepting option and are awaiting a family choice
- · 4 CarePlans need review
Susan Taylor
81 · Alzheimer's dementia, recurrent falls · Kaleida Hospital
Needs: Memory care
Family reviewing options
Discharge in 3 days
CarePlan needs review3 referrals:AcceptedFamily reviewingWaitlist
Maria Lopez
67 · Left MCA ischemic stroke · Kaleida Hospital
Needs: Acute inpatient rehabilitation
Awaiting insurance authorization
Discharge in 2 days
CarePlan needs reviewNo referrals sent yet
Robert Miller
72 · CHF exacerbation, deconditioning · Kaleida Hospital
Needs: Skilled nursing / sub-acute rehab
Medically ready
Discharge tomorrow
CarePlan needs review4 referrals:Needs more informationReviewingDeclinedViewed
James Brown
54 · Alcohol use disorder, withdrawal managed · Kaleida Hospital
Needs: Inpatient SUD treatment
Medically ready
Discharge today
CarePlan needs review3 referrals:ReviewingInsurance authorizationReviewing