1. A day in the life of a hospital liaison and trends at our hospitals
Liaisons
A day in the life of a hospital liaison and trends at our hospitals

2. Hospitals covered Champaign/Urbana - Anita Reynolds
Peoria – Rich Sloan
Springfield – Angie Green
St. Louis – Craig Mentzer (interim – area CRC)

3. How Liaisons help you Eyes and ears for home (truth in paperwork?)
- verify “untolds,” assess behaviors,
provide redirection tips, etc.
Building CRCs round with Liaisons to provide greater access to multiple referral sources
Promote your home and share “What makes your home special?” Pathways Suites, Hemo-dialysis, Cardio/ Pulm Recovery, Success Stories, re-admission rates

4. How you can help liaisons
- Notification of residents hospitalized
- Sharing concerns regarding patient return 
- Prompt response to referral
Accurate communication about delays and concerns
Provide all questions on referral to liaison at one time
Notify the liaison immediately with acceptance or denial
Follow up with hospital per its protocol

5. Clinical concerns for acceptance
Do they have hepatitis? Not a dialysis patient
Patient is too young – under 65
PRN psych meds
Patient is full code – distance to a hospital
-- patient almost died here once
We have important people here so we can’t just admit “anyone.”
Patient has a diagnosis that may make them have behaviors

6. Red flags They are young, there must be a behavior
The referral is from a hospital we rarely work with – what’s wrong with them?
They don’t want to return to the SNF where they were before

7. Prior “bad” acts We heard they were needy
The family is a piece of work
They left there AMA 4 years ago
Suicidal ideation vs. suicide attempt

8. Barriers to liaisons The administrator is out of the building…
Everyone is in a meeting/in-service …
All of the managers have already left for the day…
We’re not taking patients right now…
State is in the building…
I don’t have time to look at the referral right now…

9. Trends in the hospitals
Some hospitals still do not use an electronic referral system. Presence is one of them.
Therefore they contact the facility first - they will
not give any info on a patient UNLESS you have a
bed available to consider the patient
They will not contact the liaison. They expect you to
contact the liaison. Let them know ASAP There is a great need for peritoneal dialysis There is an increase in the need for TPN

10. Trends continued Tracheotomy patients are increasing
Case managers dislikes multiple calls from the facilities.
Hospitals prefer a point person and want to address all questions at one time. IVs are a standard need of discharging patients.

11. Hospitals want to know what behaviors can be managed in our BH homes.
Trends continued
Hospitals want to know what behaviors can be managed in our BH homes.