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Post by fkalala on Nov 1, 2016 13:28:09 GMT -5
I would like to know how to continue with a patient who has been transferred out for care but would like to come to Centering group? Can she continue with the group?
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Post by John Craine on Nov 2, 2016 6:15:42 GMT -5
What a great question. And it is wonderful to hear when a patient loves her Centering care so much that she wants to stay with her group after her care is transferred.
There is nothing with regard to Centering process that would prevent this; we at CHI would say by all means let her continue with her group if the group agrees. But I am sure there are also important business and legal / liability considerations that should be discussed with your administration. My initial thought is that her legal classification might be no different from that of a support person; presumably she would not be receiving a physical assessment and would simply participate in the educational and social elements of the group visit. It's unknown to me if her status as a former patient affects this nor is it clear to me where that line would be drawn. For example, is her status impacted when she takes her blood pressure and weight? What if she receives assistance from a facilitator?
From a productivity perspective, there will be an incremental increase in staff time for followup and record keeping compared to the smaller group though I suspect the difference would be inconsequential.
I really hope some of our other contributors chime in about what their practice guidelines are with regard to this.
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hknoll
NC - North Carolina Centering Consortium
Posts: 5
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Post by hknoll on Nov 2, 2016 9:39:06 GMT -5
interested in others' responses. we had a patient ask for the same in a centering parenting group. i encouraged her to stay in contact with group members outside of the clinic via phone/social media but decided that since a key part of the group is her child's medical care, that we couldn't have her come to the group unless her child was still going to be a patient of our clinic. it would be nice from the standpoint of having more people in a fairly small group, and i might look at it differently in the future depending on circumstances and what others think here. i think she would have needed to get cleared as a "volunteer" through our organization to be in the group not as a patient for privacy compliance reasons. in this case she had transferred care because she had had a less positive experience with a non-Centering acute visit with one other provider in the clinic and i was admittedly disappointed that she left for that reason.
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Post by ktrotter on Nov 2, 2016 16:51:45 GMT -5
I would like to know how to continue with a patient who has been transferred out for care but would like to come to Centering group? Can she continue with the group? I would lean towards not coming to group because of the conflict that would occur as John mentions. She could come your a reunion and also be in touch w the members outside of group as Heidi mentions. The worst part of a new insurance carrier is when u have to switch providers ! |
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