Kayeboss

Does anyone know of where I can obtain information on this topic. Have new nurses and some who have been doing homehealth for less than a year and they are struggling with the case managers concept. They are great task nurse but need to help them understand the entire role. Thanks

We are having problems getting referrals from the local community hospital. This hospital has a management contract with the facility that owns our homehealth agency but the community hospital does everything they can think of to avoid sending patients to us. Have doctors who want to specifically write for our agency but they tell them they will ignore the order because the patient has the right to choose their agency. Had one doctor whose office called our agency with a list of admitted hospital patients that the MD wanted the Hospital Coordinator to review for HH needs. Hospital Coordinator was told she could not review the charts. Discharge planners will pull charts out of the coordinators hands and write order for the for profit home health agency. We cannot get an answer as to why the act this way. Our outcomes are higher than any other agency. Our patient sat. is 98 percent. Anyone have an ideas.