Case management is a collaborative process that includes the assessment, planning and coordination of options and services to meet a patient’s medical care needs. Effective case management utilizes available resources to achieve high-quality and cost-effective outcomes.
Discharge planning is one function of case management. In the hospital setting, case managers assist patients and families in developing a discharge plan, including coordination of community based medical services and, when necessary, admission to a post-acute care facility, such as an acute rehabilitation unit or hospital, or skilled-nursing facility.
The California Department of Public Health (CDPH) has issued an All Facilities Letter (AFL) concerning the informed consent process for skilled-nursing facilities (SNFs). The AFL reaffirms that when SNFs admit a patient with “unchanged, preexisting orders for psychotherapeutic drugs, physical restraints, or the prolonged use of a device that may lead to the inability to regain use of a normal bodily function,” they must verify that the patient health records contain documentation that the patient gave informed consent for the order treatment. The AFL and updated FAQs are attached.
The CalVet Veteran’s Resource Book is a guide for all California veterans and their families to assist them in utilizing all their potential entitlements and assist their reintegration back into the community.