the problem with MTM

[xiphoid2010]

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You at an LTAC?

No, small community hospital. But lots of our patients do get sent over from surrounding nursing homes.

 

[Its Z]

You have an ED? How do you capture those patients who visit ED and receive drugs but not admitted and not captured on the daily census? What about day surgery/outpatient procedure patients who aren't admitted therefore not captured in daily census count?

 

[Its Z]

But lots of our patients do get sent over from surrounding nursing homes.

That's nothing new for a community hospital. Every community hospital in the US has lots of patients sent over from surrounding nursing homes.

Typical patient in a hospital certainly isn't a young healthy individual, right?

 

[xiphoid2010]

You have an ED? How do you capture those patients who visit ED and receive drugs but not admitted and not captured on the daily census? What about day surgery/outpatient procedure patients who aren't admitted therefore not captured in daily census count?

We don't really have bona fide ED. There isn't really a good way to capture a lot of those data and we are still using paper charts. So I have only been able to look at patients that are admitted. I am spoiled by the all electronic systems of my internship and residency sites, and it was a culture shock at first. Doing ID, and trying to learn management on the side right now. Wish the DOP is around more to show me how to do the management side of things, but he's now officially promoted to corporate and is more out than in.

 

[Sparda29]

On an MTM rotation right now where we call people with Med Part D who have Aetna. One major issue that comes up is that people think that I am from Aetna and ask me why their plan doesn't cover drug A, B, etc.

 

[spacecowgirl]

had that issue with Outcomes TIPS. Didn't take long for me to decide it was not a worthwhile endeavor.