The BSA Case Management department wants to ensure that our patients have a quality health care experience.
Case managers are experienced professionals who work with patients, providers and payers to coordinate all services deemed necessary to provide the patient with a plan of appropriate health care. Your assigned case manager will be a registered nurse or a licensed social worker.
A case manager is available to assist with questions about discharge needs, insurance coverage, and to assist you with locating available resources outside the hospital setting. You most likely will meet a case manager soon after admission as they will assess your prior living arrangement and functional status before you were admitted. If you need to speak to a case manager, please ask your nurse or call 212-5162 for the case management administrative assistant.
The case managers work closely with your physician and health care team to determine the most appropriate discharge plan and disposition after your hospitalization.
Frequently Asked Questions
What if I have questions about my discharge?
Your physician is the one responsible for notifying you of your discharge from the hospital, but your case manager may be working with you or your family if you require discharge arrangements. Skilled Nursing, Acute Rehab, LTAC (Long-term Acute Care), Home Health Care, Hospice, Nursing Home or Assisted Living Placement, and DME (Durable Medical Equipment) are all examples of discharge arrangements. The case manager communicates with your physician when discharge arrangements are in place. Please ask to speak with your case manager if you have questions about discharge or your hospital stay.
What if I or my family do not feel that I am ready to leave the hospital?
An acute illness is difficult on you and your family, but if your care can be safely provided in the home or other setting, your case manager will work with you to make arrangements outside the hospital. Several years ago, a patient's stay in the hospital was considerably longer, but with improved technology, hospital stays are shorter. There are also many types of facilities outside the acute care hospital to continue to meet your needs. Your Case Manager will assist you or your family if you require continued care after discharge.
What is acute rehab and how do I qualify?
Acute rehabilitation is a service that is provided at BSA. It requires that a patient needs at least two types of therapy (physical, occupational, or speech) for a minimum of 3 hours/day. You will be evaluated by the Rehab Case Manager with support of the Rehab Physician and Interdisciplinary Team to determine if you qualify for acute rehab. Appropriate rehab diagnoses are stroke, head injury, brain tumor, spinal cord injury, hip fracture, amputation, and other neurological or orthopedic conditions.
What is skilled nursing care and where is it provided?
Skilled nursing care is a less intensive level of care that Medicare and some private insurance companies will cover after your hospitalization. Medicaid will not cover skilled care. In order to qualify for this type of skilled care, you must first have been hospitalized for three consecutive nights within the last 30 days. Skilled care is seen as a “step-down” type of care. Secondly, you must demonstrate a skilled need for continued monitoring. Examples of this would be the need for physical, occupational, and/or speech therapy, wound care that cannot be done in the home setting, or medication adjustments. Skilled nursing care is provided at a number of local nursing facilities in the Panhandle as well as at local hospitals in smaller towns that may not have a skilled unit. When the skilled care is provided at a local hospital, Medicare uses the term swing bed. Keep in mind this is the same type of skilled care. Your case manager will provide you with a list of skilled nursing facilities available in your area.
What is LTAC and why do I need to leave this facility to continue the same treatment?
LTAC is an acronym for Long Term Acute Care. This type of care is covered by Medicare and most private insurance policies. Medicaid LTAC facilities are not currently available in the Amarillo area. BSA is considered an Acute Care facility which means we are a hospital with more intensive patients who have shorter lengths of stay. The average length of stay for an LTAC is 25 days. Patients who qualify for LTAC hospital care must have a skilled need such as long-tem IV antibiotics, wound care, ventilator management, intensive therapy, and various other treatments. Amarillo has two LTAC hospitals: Plum Creek Specialty Hospital and Triumph (formerly SCCI) Hospital. Your case manager will assist in the process of referral and transfer when a stay at an LTAC hospital is indicated.