Simple Problem Solving is Sometimes All We Need to Increase Quality and Reduce Costs

Date
April 5, 2012
Medical provider holds a cellphone in hands
October 2, 2020
Two new data sources for the Camden Coalition HIE broaden its impact and scope
New long-term care and hospital admission, discharge, and transfer data make the Camden Coalition HIE even more useful for providers in South Jersey.
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September 8, 2020
Tackling the “last mile” of safety-net food access during the COVID-19 pandemic
Collaborations in Camden leverage an NEMT provider's infrastructure to address food insecurity during the COVID-19 pandemic.
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August 13, 2020
Responding to COVID-19 by expanding the Camden Coalition’s HIE functionalities
New additions to the Camden Coalition HIE give South Jersey more insight into COVID-19 in the region.
Christine McBride, Audrey Hendricks, and Natasha Dravid
June 2, 2020
Note from our CEO on what is happening in our communities
Join us in not only denouncing racism and institutional violence, but in taking action to ensure equity as well.
Kathleen Noonan
New Jersey's The Road Back plan
May 13, 2020
New Jersey’s COVID-19 recovery plan is an opportunity to go forward on equity
New op-ed outlines six ways that New Jersey can move toward a more equitable New Jersey as we recover from the impact of COVID-19.
Kathleen Noonan and Allison Hamblin
April 23, 2020
Moving from parallel play to cooperative play in a time of COVID-19
Making deliberate decisions to work more cooperatively with local partners has proven critical to our COVID response.
Kathleen Noonan

Yesterday was a good day for Victoria and her patient.

Victoria is a nurse here at the Coalition and yesterday was her first case conference. Her patient has advanced COPD. He had been discharged from the hospital to a rehab center where he desperately needed physical therapy to help him recover some mobility and strength.

Her patient was very anxious about the mucus in his lungs choking him so he wasn’t getting enough sleep and while his wife knew how to suction him, she didn’t have a suction machine at home. That would mean a rushed trip to the Emergency Department (ED) if he needed help.

Victoria had spoken with his wife the day before and knew everything he would need at home to manage his condition once he left rehab. Her goal –manage him through rehab and try to keep him out of the ED once he got home.

As she listened to the care team, she realized they were discharging him that day because his wife couldn’t get his portable oxygen (O2) tanks to the rehab center. Without the O2 tanks, he couldn’t walk and if he couldn’t walk, the physical therapist wouldn’t be able to report any progress to the insurer. So his discharge papers were being signed as she watched.

Victoria is new and she didn’t want to overstep her bounds. But her patient was at risk of discharge, so she asked the simple question – “What if I go and pick up his tanks and bring them here – would that help?”

That question made the difference between discharge to the home and probably more visits to the hospital and weeks of therapy in a rehabilitation facility that will enable him to leave stronger and healthier and reduce his need for ED visits to manage his condition. The staff was grateful for the help. They are a good staff that will deliver great care during his stay.

Oh, and Victoria made sure he would get a suction machine delivered to his home after discharge.  Sometimes it’s just simple problem solving that can make all the difference.

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