By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or
[email protected] to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our
Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our
Terms of Use. for information about our privacy practices.
So say you come in with pneumonia. DRG will be, for instance, 2 days. They expect you out on day 2. If so the hospital breaks kind of even, does OK. If you are out in ONE day and then get pills, no IV and are home, hospital WINS and gets GOOD pay. If you are there for 5 days the hospital is a big loser.
You are coded at once. This man is in ICU with blood clot; he will have quite a number of days as will need perhaps surgery perhaps clot buster, perhaps IV blood thinners. So maybe 3 or 4 days. Hospital is a winner if they can get him out in that time. And a BIG WINNER if they can get him out earlier. And a loser if he is in for 8 days. See what I mean. That is MEDICARE payment and nothing really to do with insurance or advantage plans. They will charge you something for every day in but they don't depend on getting you out early. Only the hospital does.
Works much differently than MD office visits and etc.
Look up "What are DRGs" and look up "How do hospital DRGs work."
This basic from the internet:
"When you've been admitted as an inpatient to a hospital, that hospital assigns a DRG when you're discharged, basing it on the diagnosis you received and the treatment that you needed during your hospital stay. The hospital gets paid a fixed amount for that DRG, regardless of how much money it spent treating you."
This is the short and sweet about why the hospital wants you OUT fast.
So tell them you know all about DRGs and you know an "unsafe discharge and will inform JCAHO about it" and they will start shaking in their white shoes.
And yes, I've been through this recently, so feel free to ask.
If this is not an employer based insurance, I would consider getting on traditional Medicare withva supplemental. Your Office of Aging can help you.
To go home prior to being able to walk would be an unsafe discharge.
You may or may not need rehab transfer for a week or so, but you will certainly need some inhome care.
As BarbBrooklyn whose husband was recently in ICU can tell you, they come at you about discharge before they even see a patient come out of coma these days.
You should demand to speak to discharge planning and social services AT ONCE and tell them that you will not accept your husband returning home as an "unsafe discharge". Stress those words exactly as unsafe discharge is reportable to JCAHO and can lose a hospital its licensure.
I wish you good luck.
I hope Barb is around to talk with you; consider shooting her a private message if she doesn't pick up on this thread. She recently went through all of this.
Hope you will continue to update us and am wishing you good luck. You are going likely to need instruction on blood thinners, etc. and some patients return home with family responsible for lovenox injections and etc. This is all important stuff.
The OP has already started a new thread, same topic.
WHY?
"Should a patient be walking before leaving the hospital?"
"Walking before leaving hospital Asked 6 min ago by Betsysue2002
So your husband is one for whom the clotting problems happened secondarily to covid? That is one of the most dangerous problems they are seeing with covid. Are you suggesting that they have removed a "huge clot" as you say, and then, without progressing to a step-down unit he will be sent directly home, just discharged just like that?
How many days has he been in ICU?
Is he still testing positive for Covid?
What blood thinners have they put him on and what followup will he have?
How old is he?
What is his overall condition? That is to say does he have a history of clotting problems, heart problems, lung problems?
Do they even know if he CAN walk?
And are they WISHING him to walk for clot prevention?
I can't know your husband's condition at all. I can only say as an old retired RN that this wouldn't have happened in "my day". Cardiac stepdown was where I worked. There was no case EVER that I saw that went home from CCU or ICU without stepdown care.
I would be scared to death if I were you.
I honestly cannot assess what is happening here, or has happened; what you tell us is just to little to go on, but the removal of this clot does not sound good to me.
I wish you the very best. As I said, I would be scared. What, honestly, are they even wanting you to watch for, assess him for, act on "if"???
This seems pretty outrageous to me.
husband home yesterday monday afternoon and seems ok.
he went to “stepdown” unit … i dont know how familiar you are with that … the unit between icu and regular admit or discharge … and was able to walk 150 feet … apparently medicare criteria for discharge … so he came yesterday and seems/feels ok.
problem with all this for both of us is that it seemed like only a cold to suddenly hitting the extreme.
The only way to deal with this now … in addition to phone appts with docs … is to put it behind us and move on.
personally i couldnt tell difference between my own sickness and anxiety attacks.
HIS own extra problem was that “clot from hell” i mentioned … i have a picture too … almost-filled vein from lung to lung.
i did use words “unsafe discharge” tho to stop discharge just as it was getting dark sunday night.
thank you so much !
No fever present.
Proper home care or rehab planned.
No unsafe discharges on my watch!
We want to teach you a phrase. It's "unsafe discharge".
Your husband should be discharged not to your home, but to a rehab facility.