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Referral

Process

Map

Patient is assigned to Case Manager

Case manager immediately begins working with patient's medical team and social worker to make patient's discharge plan

Communication

Communication between a patient's case manager, social worker, and medical team happens during huddles and complex care meetings

All communications between Case Managers and CAS take place on ECIN

When looking to discharge a patient to an outside facility, CAS works to send potential locations the patient's insurance, medical updates, etc.

When looking to discharge a patient home, CAS communicates via ECIN with the IU Health Home Pharmacy Intake Team to set up patient education, equipment, etc.

Intake Team communicates with pharmacy via their preferred method to fill patient needs

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