Medical Respite Dashboard 1/17/2017-3/31/2017
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1 Page 1 of 5 REFERRALS Accepted Denied Withdrawn PROGRAM METRICS* * unaccomplished goals for clients who were discharged to hospital, left against medical advice, or with a status of AWOL, as well as uninsured clients who did not accomplish goal3 are not counted above Goal # Compl Min Max
2 Page 2 of 5 SERVED Gender Pct Tot F % M % # Enrollments # Unique Clients
3 Page 3 of 5 DISCHARGED Age Hospital % insured Female Male 21 76% 4 17 ephs 5 60% % % 6 23 Top 5 Diagnosis with longest by Hospital Hospital diagnoses num clients num delayd Target Schizophrenia / Wound dehiscence Anxiety disorder / Frostbite of feet, bilateral Gun shot wound of thigh/femur Adjustment disorder with depressed mood / Broken tibia Adjustment disorder with mixed disturbance of emotions and conduct / Tibial plateau fracture ephs Cecal cancer Facial fracture Hematemesis Influenza A Bipolar disorder, current episode depressed, severe, with psychotic features Hyperglycemia / Multiple sclerosis Hypoglycemia Asthma with acute exacerbation Destination at Discharge & Sufficently for Transfer Outcome % of Yes No UNK Hospital 7 24% LAMA* / AWOL 5 17% Emergency Shelter 4 14% Family or Friends 4 14% Transitional Housing 3 10% Inpatient Tx Facility 2 7% Perm Supp Housing 2 7% Permanent Housing 1 3% Streets 1 3% *Left Against Medical Advice
4 Page 4 of 5 SUPPLEMENTAL DETAIL DELAYED DISCHARGES Hospital Primary Diagnosis Referring Hospital # days over target Delay Description Schizophrenia / Wound dehiscence Hospital Medical Complications Anxiety disorder / Frostbite of feet, bilateral Hospital Other Gun shot wound of thigh/femur Hospital Medical Complications Adjustment disorder with mixed disturbance of emotions and conduct / Tibial plateau fracture Hospital Medical Complications Adjustment disorder with depressed mood / Broken tibia Hospital Placement Issues Chronic pain / Major depressive disorder, recurrent Hospital Placement Issues Suicidal ideation Hospital Placement Issues Depressive disorder / Substance abuse Hospital 18 9 Medical Complications Frostbite Hospital 14 8 Placement Issues Major depressive disorder, recurrent, in remission, unspecified Hospital 15 7 Placement Issues Viral illness Hospital 13 7 Placement Issues COPD (chronic obstructive pulmonary disease) Hospital 13 6 Placement Issues Cecal cancer eph's Hospital 13 5 Placement Issues Diabetes mellitus Hospital 20 3 Placement Issues Facial fracture eph's Hospital 8 2 Placement Issues Acute kidney injury / Uremia Hospital 9 2 Medical Complications Pneumonia Hospital 2 1 Other DENIED and Referring Hospital WITHDRAWN REFERRALS Date Reason Hospital 01/17/2017 Denied Does not meet criteria 01/20/2017 Denied Previously barred due to behavior 01/23/2017 Withdrawn Other - pt left hospital ama 02/03/2017 Withdrawn Client declined referral - Client went to stay with her daughter instead. 02/07/2017 Withdrawn Other - Discharged from hospital, no showed to Medical Respite. 02/15/2017 Withdrawn Client declined referral - Client showed but expressed unhappiness with respite unit- states she was not told where she was coming didn't know what to expect, was dissatisfied with room and unit. Staff encouraged client to stay and see if things improved and expressed willingness to meet her needs. Client was undeterred. Client made calls to family to find alternative. Left with belongings approx. 30 minutes after arrival "to catch a bus." 02/23/2017 Withdrawn Other - Pt sent in cab to HGSP, never showed up.
5 Page 5 of 5 DENIED and Referring Hospital WITHDRAWN REFERRALS Date Reason Hospital 03/14/2017 Denied Requires higher level of care 03/21/2017 Withdrawn Hospital staff person found client an alternative placement. 03/24/2017 Denied Previously barred due to behavior eph's Hospital 01/25/2017 Withdrawn Other - MRU RN spoke to SW on phone who agreed to walk pt up to MRU, instructions provided. SW only walked pt to front shelter door and pointed for him to go inside. Pt went in an asked for MR bed. When shelter staff asked if he was coming from the hospital pat answered no and was turned away to come back once shelter opened. Pt did not show up. Caseworker called by MRU who drove around looking for pt multiple times. Pt unenrolled from MRU until he is found, and then we will readdress 03/13/2017 Withdrawn Client declined referral 03/16/2017 Denied Requires higher level of care 03/22/2017 Denied Requires higher level of care 03/31/2017 Denied Does not meet criteria Hospital 02/10/2017 Withdrawn Other - Client came to MR after being accepted but left before being enrolled. 02/15/2017 Withdrawn Other - Client did not show after agreeing to program after discharge form hospital.
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