Level 3 · Center & provider
Every patient on census with case management, outreach, appointment status and the next action.
Inpatient, obs, ED, SNF, home health
Case opened while in facility
Unresolved step in the loop
494 of 730 discharges
Target outcome
Admitted within 60 days of a prior discharge
Census and follow-up performance by PCP
| Provider | Census | Volume 30d | Case managed | Scheduled | No-show | Visit ≤7d | Open |
|---|---|---|---|---|---|---|---|
| Dr. R. Nakamura | 4 | 9 | 61.8% | 47.1% | 29.2% | 15.7% | 22 |
| Dr. J. Persaud | 6 | 11 | 84.1% | 54.4% | 19.4% | 19.3% | 14 |
| Dr. S. Brennan | 2 | 8 | 53.8% | 54% | 18.5% | 20% | 16 |
| Dr. D. Moreau | 7 | 13 | 67.7% | 56.9% | 12.1% | 20.7% | 22 |
| Dr. L. Castellanos | 2 | 10 | 62.7% | 46.6% | 2.9% | 21.9% | 23 |
| Dr. T. Lindqvist | 5 | 11 | 62.3% | 53.1% | 11.8% | 23.4% | 17 |
| Dr. M. Okonkwo | 6 | 12 | 68.8% | 56.8% | 11.9% | 24.3% | 17 |
| Dr. K. Vasquez | 2 | 8 | 75.4% | 62.7% | 8.1% | 25.4% | 15 |
| Dr. A. Whitfield | 6 | 10 | 69.7% | 63.3% | 7.9% | 26.7% | 15 |
| Dr. P. Aiyer | 4 | 10 | 66.2% | 60.7% | 10.8% | 34.4% | 15 |
| Dr. H. Kaur | 4 | 11 | 82.4% | 70% | 24.5% | 35.7% | 17 |
| Dr. E. Boateng | 2 | 4 | 72.7% | 64.2% | 14.7% | 35.8% | 8 |
201 records match the current filters
| Patient | Tier / Owner | Setting & facility | Case mgmt | Admit / Discharge | Outreach | Appointment | Window | Status / Next action |
|---|---|---|---|---|---|---|---|---|
Callum Petrov M468345 · 80y · Mesa Family Medicine (247) 883-895460d readmitReturned | Critical Nurse | Inpatient Valley Baptist | Case open Proj. DC Nov 8 | Oct 30 Nov 8 | Unable to reach Nurse case manager · 4 attempts | Not scheduled — | 292d past | Readmit — no appointment |
Rafael Tanaka M400896 · 64y · Mesa Family Medicine (489) 623-937760d readmit | Critical Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Dec 24 | Dec 18 Dec 24 | Contacted Nurse case manager · 1 attempt | No-show Jan 5 · 1 miss | 246d past | No-show recovery |
Delia Mbeki M496123 · 59y · Saguaro Care (341) 248-5979Returned | Critical Nurse | Inpatient Mercy General | Case open Proj. DC Aug 20 | Aug 15 Aug 19 | Contacted Nurse case manager · 3 attempts | Not scheduled — | 8d past | Readmit — no appointment |
Willie Chandler M434782 · 65y · Mesa Family Medicine (594) 225-3497Returned | Critical Nurse | Inpatient Northside Medical Center | No case No plan | Mar 5 Mar 8 | Attempted Nurse case manager · 1 attempt | Not scheduled — | 172d past | Readmit — no appointment |
Dwight Abernathy M410464 · 85y · Saguaro Care (564) 508-7474Returned | Critical Nurse | Inpatient Mercy General | Case open Proj. DC Nov 3 | Oct 29 Nov 3 | Attempted Nurse case manager · 2 attempts | Not scheduled — | 297d past | Readmit — no appointment |
Amir Haddad M473495 · 67y · Mesa Family Medicine (545) 683-8266Returned | Critical Nurse | Inpatient Northside Medical Center | No case No plan | Aug 20 Aug 26 | Not started — · 0 attempts | Not scheduled — | 1d past | Readmit — no appointment |
Ingrid Nguyen M436746 · 89y · Stonebridge Health (357) 649-939760d readmitReturned | Serious Nurse | ED St. Aldon Regional ED | Case open Proj. DC Apr 20 | Apr 20 Apr 20 | Contacted Nurse case manager · 2 attempts | Not scheduled — | 129d past | Readmit — no appointment |
Hattie Salazar M490356 · 58y · Mesa Family Medicine (288) 480-635760d readmitReturned | Serious Nurse | ED Northside Medical ED | No case No plan | Jul 29 Jul 29 | Contacted Nurse case manager · 2 attempts | Not scheduled — | 29d past | Readmit — no appointment |
Beatrice Mbeki M418184 · 61y · Harbor Family Care (654) 669-6458Returned | Critical Nurse | ED Valley Baptist ED | No case No plan | Aug 21 Aug 21 | Attempted Nurse case manager · 2 attempts | Not scheduled — | 6d past | Readmit — no appointment |
Beatrice Abernathy M442070 · 73y · Mesa Family Medicine (579) 886-441860d readmit | Serious Nurse | Inpatient Mercy General | No case No plan | May 1 May 11 | Contacted Nurse case manager · 2 attempts | No-show May 20 · 1 miss | 108d past | No-show recovery |
Callum Guillory M486687 · 67y · Lakeview Internal (414) 245-432060d readmit | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Aug 9 | Aug 2 Aug 9 | Contacted Care coordinator · 2 attempts | Cancelled Aug 11 · 1 miss | 18d past | No-show recovery |
Jonas Haddad M450014 · 76y · Saguaro Care (674) 855-7072 | Critical Nurse | Inpatient Mercy General | Case open Proj. DC Jun 5 | May 30 Jun 5 | Contacted Nurse case manager · 2 attempts | No-show Jun 10 · 1 miss | 83d past | No-show recovery |
Dwight Baptiste M471184 · 91y · Saguaro Care (394) 735-2877 | Critical Nurse | Inpatient Northside Medical Center | No case No plan | Nov 12 Nov 16 | Contacted Care coordinator · 1 attempt | No-show Nov 18 · 1 miss | 284d past | No-show recovery |
Terrance Ferreira M465335 · 79y · Saguaro Care (505) 755-1409 | Critical Nurse | Inpatient St. Aldon Regional | No case No plan | Nov 24 Nov 29 | Contacted Nurse case manager · 1 attempt | No-show Dec 4 · 1 miss | 271d past | No-show recovery |
Rafael Rios M480554 · 91y · Stonebridge Health (495) 876-6441 | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC Jan 18 | Jan 8 Jan 18 | Contacted Care coordinator · 1 attempt | No-show Jan 21 · 1 miss | 221d past | No-show recovery |
Willie Delgado M439206 · 59y · Stonebridge Health (488) 648-4220Returned | Critical Nurse | Inpatient Mercy General | Case open Proj. DC Aug 25 | Aug 20 Aug 25 | Contacted Nurse case manager · 3 attempts | Cancelled Aug 31 · 1 miss | 2d past | No-show recovery |
Priya Ferreira M496179 · 66y · Millbrook Clinic (399) 431-501960d readmitReturned | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC Apr 21 | Apr 14 Apr 22 | Contacted Nurse case manager · 2 attempts | Completed Apr 26 · 4d | Met | Readmit — visit completed |
Imani Rios M486109 · 72y · Lakeview Internal (438) 596-683160d readmitReturned | Critical Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Jul 10 | Jun 30 Jul 9 | Contacted Care coordinator · 1 attempt | Completed Jul 14 · 5d | Met | Readmit — visit completed |
Hattie Abernathy M474845 · 68y · Harbor Family Care (491) 431-694360d readmit | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Aug 13 | Aug 4 Aug 13 | Not started — · 0 attempts | Not scheduled — | 14d past | No outreach yet |
Harold Nguyen M463119 · 62y · Saguaro Care (373) 321-861860d readmit | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Aug 6 | Jul 29 Aug 6 | Not started — · 0 attempts | Not scheduled — | 21d past | No outreach yet |
Jonas Guillory M460429 · 60y · Saguaro Care (313) 574-199160d readmit | Good Care coordinator | Inpatient St. Aldon Regional | No case No plan | Aug 26 Sep 2 | Not started — · 0 attempts | Not scheduled — | 6d left | No outreach yet |
Rosa Okafor M454007 · 61y · Mesa Family Medicine (478) 531-7053 | Critical Nurse | Inpatient Valley Baptist | No case No plan | Aug 24 Sep 3 | Attempted Nurse case manager · 2 attempts | Not scheduled — | 7d left | Contacted, no appointment |
Dwight Chandler M455735 · 63y · Harbor Family Care (538) 741-2145 | Critical Nurse | SNF Ridgeway LTAC | Case open Proj. DC Jan 7 | Dec 28 Jan 8 | Contacted Nurse case manager · 1 attempt | Cancelled Jan 12 · 1 miss | 231d past | No-show recovery |
Priya Chandler M401044 · 83y · Redwood Primary (571) 285-8648 | Critical Nurse | SNF Willowbrook SNF | Case open Proj. DC May 3 | Apr 18 May 3 | Contacted Nurse case manager · 1 attempt | Cancelled May 8 · 1 miss | 116d past | No-show recovery |
Frank Abernathy M477904 · 66y · Saguaro Care (359) 554-279060d readmitReturned | Serious Nurse | ED Mercy General ED | Case open Proj. DC Feb 6 | Feb 6 Feb 6 | Contacted Nurse case manager · 3 attempts | No-show Feb 12 · 1 miss | 202d past | No-show recovery |
Marcus Whitmore M466959 · 63y · Foxfield Primary (386) 380-6627 | Critical Nurse | SNF Ridgeway LTAC | Case open Proj. DC Jul 12 | Jul 5 Jul 13 | Contacted Nurse case manager · 2 attempts | Cancelled Jul 19 · 1 miss | 45d past | No-show recovery |
Imani Nguyen M462420 · 89y · Stonebridge Health (249) 663-4539Returned | Serious Nurse | Inpatient Northside Medical Center | No case No plan | Oct 1 Oct 9 | Attempted Nurse case manager · 1 attempt | Not scheduled — | 322d past | Readmit — no appointment |
Otis Lindstrom M400053 · 74y · Stonebridge Health (681) 317-4386 | Serious Nurse | ED Northside Medical ED | No case No plan | Aug 19 Aug 19 | Not started — · 0 attempts | Not scheduled — | 8d past | No outreach yet |
Terrance Haddad M442225 · 59y · Cedar Hills Family (605) 328-748060d readmitReturned | Critical Nurse | SNF Willowbrook SNF | Case open Proj. DC Jul 20 | Jul 4 Jul 19 | Contacted Nurse case manager · 1 attempt | Completed Jul 23 · 4d | Met | Readmit — visit completed |
Ruth Mbeki M417900 · 84y · Lakeview Internal (590) 593-375160d readmitReturned | Good Care coordinator | Inpatient St. Aldon Regional | No case No plan | May 8 May 16 | Not started — · 0 attempts | Not scheduled — | 103d past | Readmit — no appointment |
Rafael Chandler M491987 · 60y · Harbor Family Care (643) 262-260760d readmitReturned | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC May 26 | May 22 May 26 | Contacted Care coordinator · 3 attempts | Not scheduled — | 93d past | Readmit — no appointment |
Yuki Delgado M477234 · 67y · Bayside Medical (659) 484-191260d readmit | Good Care coordinator | ED Mercy General ED | No case No plan | Aug 17 Aug 17 | Not started — · 0 attempts | Not scheduled — | 10d past | No outreach yet |
Otis Petrov M463338 · 59y · Saguaro Care (465) 269-1560Returned | Serious Nurse | Home Health Anchor Home Services | Case open Proj. DC Oct 15 | Sep 15 Oct 15 | Unable to reach Nurse case manager · 3 attempts | Not scheduled — | 316d past | Readmit — no appointment |
Callum Haddad M425877 · 73y · Saguaro Care (248) 456-3910Returned | Serious Nurse | SNF Ridgeway LTAC | No case No plan | Jun 1 Jun 9 | Not started — · 0 attempts | Not scheduled — | 79d past | Readmit — no appointment |
Jonas Chandler M469648 · 58y · Harbor Family Care (667) 726-6808Returned | Serious Nurse | Home Health BrightPath Home Health | Case open Proj. DC Mar 14 | Feb 23 Mar 13 | Attempted Care coordinator · 1 attempt | Not scheduled — | 167d past | Readmit — no appointment |
Imani Ionescu M421864 · 84y · Bayside Medical (599) 492-7416Returned | Serious Nurse | Home Health BrightPath Home Health | Case open Proj. DC Apr 1 | Mar 6 Apr 2 | Attempted Nurse case manager · 1 attempt | Not scheduled — | 147d past | Readmit — no appointment |
Rosa Kowalski M494852 · 77y · Saguaro Care (279) 268-7022Returned | Serious Nurse | Home Health BrightPath Home Health | No case No plan | Oct 15 Nov 4 | Unable to reach Nurse case manager · 4 attempts | Not scheduled — | 296d past | Readmit — no appointment |
Terrance Okafor M431153 · 70y · Mesa Family Medicine (376) 552-5908 | Serious Nurse | Inpatient Northside Medical Center | No case No plan | Mar 10 Mar 20 | Contacted Care coordinator · 2 attempts | No-show Mar 26 · 1 miss | 160d past | No-show recovery |
Terrance Delgado M410664 · 62y · Saguaro Care (262) 282-8296 | Serious Nurse | Inpatient Valley Baptist | Case open Proj. DC Jul 31 | Jul 20 Jul 30 | Contacted Nurse case manager · 3 attempts | No-show Aug 1 · 1 miss | 28d past | No-show recovery |
Gerald Ionescu M468485 · 75y · Cedar Hills Family (571) 889-3688 | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Aug 22 | Aug 14 Aug 23 | Contacted Nurse case manager · 2 attempts | Cancelled Aug 29 · 1 miss | 4d past | No-show recovery |
Otis Guillory M488451 · 61y · Saguaro Care (679) 701-452560d readmitReturned | Good Care coordinator | SNF Ridgeway LTAC | Case open Proj. DC Feb 26 | Feb 7 Feb 26 | Contacted Care coordinator · 1 attempt | Not scheduled — | 182d past | Readmit — no appointment |
Frank Ionescu M464107 · 80y · Harbor Family Care (214) 675-164560d readmitReturned | Good Care coordinator | SNF Golden Oaks Rehab | No case No plan | Oct 8 Nov 2 | Unable to reach Care coordinator · 5 attempts | Not scheduled — | 298d past | Readmit — no appointment |
Ruth Rios M405675 · 83y · Bayside Medical (555) 406-640560d readmit | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Mar 2 | Feb 28 Mar 3 | Contacted Care coordinator · 1 attempt | No-show Mar 19 · 1 miss | 177d past | No-show recovery |
Nadia Rios M406629 · 90y · Millbrook Clinic (687) 422-7611Returned | Critical Nurse | Inpatient Mercy General | Case open Proj. DC Nov 6 | Nov 3 Nov 7 | Contacted Nurse case manager · 2 attempts | Completed Nov 12 · 5d | Met | Readmit — visit completed |
Simone Abernathy M494012 · 76y · Mesa Family Medicine (480) 589-7701Returned | Critical Nurse | Inpatient St. Aldon Regional | No case No plan | Aug 9 Aug 16 | Contacted Nurse case manager · 3 attempts | Completed Aug 20 · 4d | Met | Readmit — visit completed |
Milton Salazar M443698 · 77y · Saguaro Care (463) 712-7743 | Serious Nurse | SNF Golden Oaks Rehab | No case No plan | Sep 2 LOS 1d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Milton Sorensen M432687 · 59y · Mesa Family Medicine (216) 552-2766 | Good Care coordinator | Inpatient St. Aldon Regional | No case No plan | Aug 14 Aug 19 | Not started — · 0 attempts | Not scheduled — | 8d past | No outreach yet |
Lena Marsden M426455 · 58y · Saguaro Care (373) 425-3283 | Good Care coordinator | Inpatient Northside Medical Center | No case No plan | Aug 25 Aug 31 | Not started — · 0 attempts | Not scheduled — | 4d left | No outreach yet |
Otis Ferreira M442154 · 89y · Bayside Medical (268) 261-2258 | Good Care coordinator | Inpatient St. Aldon Regional | No case No plan | Aug 25 Aug 31 | Not started — · 0 attempts | Not scheduled — | 4d left | No outreach yet |
Dwight Lindstrom M494692 · 67y · Saguaro Care (613) 295-9180 | Good Care coordinator | Inpatient St. Aldon Regional | No case No plan | Aug 18 Aug 21 | Not started — · 0 attempts | Not scheduled — | 6d past | No outreach yet |
Marcus Salazar M486929 · 91y · Harbor Family Care (608) 469-210560d readmitReturned | Fair Care coordinator | Inpatient St. Aldon Regional | No case No plan | Jul 25 Jul 28 | Not started — · 0 attempts | Not scheduled — | 30d past | Readmit — no appointment |
Gerald Abernathy M467805 · 64y · Saguaro Care (288) 386-4554 | Serious Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Aug 31 | Aug 26 Aug 31 | Contacted Nurse case manager · 3 attempts | Not scheduled — | 4d left | Contacted, no appointment |
Imani Whitmore M453496 · 65y · Mesa Family Medicine (584) 323-6144 | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Aug 31 | Aug 25 Aug 31 | Contacted Nurse case manager · 3 attempts | Not scheduled — | 4d left | Contacted, no appointment |
Jonas Lindstrom M458699 · 87y · Stonebridge Health (242) 401-7907 | Serious Nurse | SNF Ridgeway LTAC | Case open Proj. DC Sep 30 | Sep 12 Sep 30 | Contacted Nurse case manager · 2 attempts | Cancelled Oct 5 · 1 miss | 331d past | No-show recovery |
Gerald Abernathy M449223 · 88y · Millbrook Clinic (484) 623-3620 | Serious Nurse | Home Health Anchor Home Services | Case open Proj. DC Feb 16 | Jan 31 Feb 16 | Contacted Nurse case manager · 3 attempts | Cancelled Mar 4 · 1 miss | 192d past | No-show recovery |
Harold Salazar M444693 · 75y · Mesa Family Medicine (282) 344-6894 | Serious Nurse | ED St. Aldon Regional ED | No case No plan | Jul 13 Jul 13 | Contacted Nurse case manager · 2 attempts | Cancelled Jul 17 · 1 miss | 45d past | No-show recovery |
Eleanor Whitmore M403477 · 59y · Saguaro Care (701) 441-5908 | Serious Nurse | SNF Willowbrook SNF | No case No plan | May 26 Jun 16 | Contacted Nurse case manager · 2 attempts | No-show Jun 18 · 1 miss | 72d past | No-show recovery |
Yuki Lindstrom M455797 · 81y · Cedar Hills Family (400) 297-6753 | Serious Nurse | ED Northside Medical ED | Case open Proj. DC Aug 5 | Aug 5 Aug 5 | Contacted Nurse case manager · 2 attempts | Cancelled Aug 9 · 1 miss | 22d past | No-show recovery |
Bernard Chandler M401279 · 84y · Foxfield Primary (437) 303-3608 | Serious Nurse | Home Health Anchor Home Services | Case open Proj. DC Dec 13 | Nov 26 Dec 12 | Contacted Care coordinator · 3 attempts | Cancelled Dec 17 · 1 miss | 258d past | No-show recovery |
Marcus Sorensen M468118 · 77y · Harbor Family Care (274) 471-6681 | Serious Nurse | SNF Golden Oaks Rehab | Case open Proj. DC Oct 9 | Sep 16 Oct 9 | Contacted Nurse case manager · 3 attempts | Cancelled Oct 12 · 1 miss | 322d past | No-show recovery |
Amir Kowalski M446419 · 78y · Cedar Hills Family (339) 523-7456Returned | Serious Nurse | Home Health Anchor Home Services | Case open Proj. DC Apr 8 | Mar 14 Apr 8 | Contacted Nurse case manager · 3 attempts | Cancelled Apr 18 · 1 miss | 141d past | No-show recovery |
Xiomara Kowalski M497697 · 61y · Cedar Hills Family (659) 407-898460d readmit | Good Care coordinator | SNF Ridgeway LTAC | Case open Proj. DC Apr 8 | Mar 27 Apr 7 | Contacted Care coordinator · 2 attempts | Cancelled Apr 13 · 1 miss | 142d past | No-show recovery |
Nadia Baptiste M437611 · 89y · Cedar Hills Family (670) 351-995660d readmitReturned | Serious Nurse | SNF Riverstone Post-Acute | No case No plan | Feb 23 Mar 11 | Contacted Nurse case manager · 3 attempts | Completed Mar 15 · 4d | Met | Readmit — visit completed |
Hattie Salazar M451358 · 83y · Cedar Hills Family (694) 449-3390Returned | Critical Nurse | Home Health Comfort Care at Home | Case open Proj. DC Aug 26 | Jul 23 Aug 26 | Contacted Nurse case manager · 2 attempts | Completed Aug 31 · 5d | Met | Readmit — visit completed |
Imani Whitmore M485117 · 74y · Foxfield Primary (572) 399-1402Returned | Critical Nurse | SNF Riverstone Post-Acute | Case open Proj. DC Aug 22 | Aug 10 Aug 23 | Contacted Nurse case manager · 1 attempt | Completed Aug 26 · 3d | Met | Readmit — visit completed |
Milton Okafor M410778 · 71y · Harbor Family Care (457) 812-547060d readmitReturned | Serious Nurse | ED Mercy General ED | Case open Proj. DC Dec 5 | Dec 5 Dec 5 | Contacted Nurse case manager · 2 attempts | Completed Dec 7 · 2d | Met | Readmit — visit completed |
Dwight Kowalski M443432 · 65y · Mesa Family Medicine (518) 773-710260d readmit | Good Care coordinator | SNF Riverstone Post-Acute | Case open Proj. DC May 21 | May 8 May 20 | Contacted Front desk · 1 attempt | No-show May 24 · 1 miss | 99d past | No-show recovery |
Marcus Sorensen M465961 · 83y · Foxfield Primary (470) 320-613360d readmit | Fair Care coordinator | ED Northside Medical ED | No case No plan | Aug 29 Aug 29 | Unable to reach PCP office · 4 attempts | Not scheduled — | 2d left | Window closing |
Yuki Nguyen M459122 · 80y · Saguaro Care (309) 391-716260d readmit | Good Care coordinator | ED Mercy General ED | No case No plan | Nov 25 Nov 25 | Contacted PCP office · 2 attempts | No-show Nov 29 · 1 miss | 275d past | No-show recovery |
Amir Sorensen M411686 · 78y · Bayside Medical (277) 868-884960d readmit | Good Care coordinator | SNF Ridgeway LTAC | Case open Proj. DC May 28 | May 9 May 29 | Contacted Front desk · 2 attempts | No-show Jun 1 · 1 miss | 90d past | No-show recovery |
Xiomara Petrov M470800 · 86y · Redwood Primary (257) 432-7572Returned | Critical Nurse | ED Northside Medical ED | Case open Proj. DC May 22 | May 22 May 22 | Contacted Nurse case manager · 3 attempts | Completed May 25 · 3d | Met | Readmit — visit completed |
Ingrid Nguyen M417709 · 77y · Harbor Family Care (535) 477-321160d readmit | Good Care coordinator | SNF Ridgeway LTAC | Case open Proj. DC Aug 12 | Jul 27 Aug 12 | Contacted Care coordinator · 1 attempt | No-show Aug 27 · 1 miss | 15d past | No-show recovery |
Jonas Mbeki M442965 · 88y · Redwood Primary (531) 525-778560d readmit | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Jan 5 | Dec 18 Jan 4 | Contacted Care coordinator · 1 attempt | No-show Jan 20 · 1 miss | 235d past | No-show recovery |
Hattie Delgado M452294 · 70y · Harbor Family Care (251) 529-5851 | Good Care coordinator | ED St. Aldon Regional ED | Case open Proj. DC Aug 14 | Aug 14 Aug 14 | Not started — · 0 attempts | Not scheduled — | 13d past | No outreach yet |
Dwight Haddad M434710 · 82y · Foxfield Primary (495) 382-8525 | Good Care coordinator | ED Valley Baptist ED | No case No plan | Sep 1 Sep 1 | Not started — · 0 attempts | Not scheduled — | 5d left | No outreach yet |
Simone Rios M447565 · 74y · Mesa Family Medicine (235) 485-4600 | Serious Nurse | Inpatient Northside Medical Center | Case open Proj. DC Aug 2 | Jul 25 Aug 1 | Contacted Nurse case manager · 1 attempt | Not scheduled — | 26d past | Window missed |
Delia Mbeki M413912 · 59y · Cedar Hills Family (319) 592-6489Returned | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Apr 24 | Apr 14 Apr 24 | Attempted Front desk · 2 attempts | Not scheduled — | 125d past | Readmit — no appointment |
Priya Mbeki M455912 · 70y · Saguaro Care (487) 368-9288 | Good Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Aug 15 | Jul 18 Aug 15 | Not started — · 0 attempts | Not scheduled — | 12d past | No outreach yet |
Yuki Abernathy M443863 · 62y · Stonebridge Health (642) 210-7702 | Serious Nurse | Inpatient Northside Medical Center | No case No plan | Aug 18 Aug 26 | Attempted Nurse case manager · 1 attempt | Not scheduled — | 1d past | Window missed |
Lena Chandler M494542 · 88y · Bayside Medical (259) 716-6280 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Aug 23 | Aug 3 Aug 22 | Not started — · 0 attempts | Not scheduled — | 5d past | No outreach yet |
Dwight Chandler M439482 · 68y · Bayside Medical (348) 600-1058Returned | Good Care coordinator | Inpatient Northside Medical Center | No case No plan | Apr 19 Apr 29 | Not started — · 0 attempts | Not scheduled — | 120d past | Readmit — no appointment |
Simone Mbeki M498688 · 83y · Mesa Family Medicine (259) 863-7381Returned | Good Care coordinator | Inpatient St. Aldon Regional | No case No plan | Jul 19 Jul 22 | Not started — · 0 attempts | Not scheduled — | 36d past | Readmit — no appointment |
Bernard Mbeki M402511 · 67y · Mesa Family Medicine (490) 893-3358 | Good Care coordinator | Home Health Anchor Home Services | Case open Proj. DC Aug 16 | Jul 14 Aug 17 | Not started — · 0 attempts | Not scheduled — | 10d past | No outreach yet |
Xiomara Baptiste M449252 · 90y · Harbor Family Care (674) 640-4483 | Serious Nurse | Inpatient Valley Baptist | Case open Proj. DC Aug 2 | Jul 25 Aug 2 | Contacted Nurse case manager · 2 attempts | Not scheduled — | 25d past | Window missed |
Beatrice Abernathy M460837 · 82y · Mesa Family Medicine (232) 671-5129Returned | Good Care coordinator | Inpatient Northside Medical Center | No case No plan | Oct 3 Oct 7 | Not started — · 0 attempts | Not scheduled — | 324d past | Readmit — no appointment |
Ruth Ionescu M493013 · 61y · Millbrook Clinic (294) 806-4802Returned | Good Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Aug 13 | Aug 6 Aug 13 | Attempted Care coordinator · 2 attempts | Not scheduled — | 14d past | Readmit — no appointment |
Eleanor Lindstrom M403537 · 82y · Lakeview Internal (649) 721-9331Returned | Good Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Oct 24 | Oct 17 Oct 24 | Attempted Care coordinator · 2 attempts | Not scheduled — | 307d past | Readmit — no appointment |
Marcus Ionescu M412078 · 75y · Bayside Medical (420) 541-3941Returned | Good Care coordinator | Inpatient St. Aldon Regional | No case No plan | Feb 1 Feb 9 | Attempted Care coordinator · 2 attempts | Not scheduled — | 199d past | Readmit — no appointment |
Frank Tanaka M407959 · 60y · Mesa Family Medicine (587) 709-7935 | Good Care coordinator | SNF Riverstone Post-Acute | No case No plan | Aug 20 Aug 30 | Not started — · 0 attempts | Not scheduled — | 3d left | No outreach yet |
Hattie Chandler M454226 · 63y · Mesa Family Medicine (390) 753-6050Returned | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Jan 28 | Jan 22 Jan 28 | Not started — · 0 attempts | Not scheduled — | 211d past | Readmit — no appointment |
Frank Petrov M440076 · 69y · Redwood Primary (302) 792-352760d readmitReturned | Fair Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Jul 8 | Jun 22 Jul 8 | Attempted PCP office · 1 attempt | Not scheduled — | 50d past | Readmit — no appointment |
Priya Haddad M487648 · 82y · Mesa Family Medicine (244) 778-8409 | Serious Nurse | Observation St. Aldon Regional | Case open Proj. DC Aug 31 | Aug 27 Aug 31 | Contacted Nurse case manager · 1 attempt | Not scheduled — | 4d left | Contacted, no appointment |
Yuki Lindstrom M417291 · 76y · Harbor Family Care (408) 356-431760d readmitReturned | Fair Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Oct 9 | Sep 13 Oct 8 | Not started — · 0 attempts | Not scheduled — | 323d past | Readmit — no appointment |
Nadia Haddad M404506 · 83y · Bayside Medical (430) 498-233460d readmit | Good Care coordinator | Inpatient Valley Baptist | No case No plan | Jul 30 Aug 6 | Attempted Care coordinator · 2 attempts | Not scheduled — | 21d past | Window missed |
Ingrid Tanaka M488266 · 87y · Harbor Family Care (340) 766-3631 | Fair Care coordinator | Inpatient Mercy General | No case No plan | Aug 3 Aug 9 | Not started — · 0 attempts | Not scheduled — | 18d past | No outreach yet |
Yuki Abernathy M489710 · 79y · Mesa Family Medicine (506) 638-1430 | Fair Care coordinator | Inpatient Valley Baptist | No case No plan | Aug 9 Aug 14 | Not started — · 0 attempts | Not scheduled — | 13d past | No outreach yet |
Ingrid Whitmore M423560 · 62y · Saguaro Care (258) 328-2585 | Fair Care coordinator | Inpatient Mercy General | Case open Proj. DC Sep 3 | Aug 28 Sep 3 | Not started — · 0 attempts | Not scheduled — | 7d left | No outreach yet |
Bernard Okafor M454699 · 64y · Mesa Family Medicine (223) 892-9564 | Fair Care coordinator | Inpatient Mercy General | No case No plan | Aug 10 Aug 19 | Not started — · 0 attempts | Not scheduled — | 8d past | No outreach yet |
Delia Lindstrom M437026 · 83y · Bayside Medical (520) 395-8620 | Fair Care coordinator | Inpatient Northside Medical Center | No case No plan | Aug 12 Aug 21 | Not started — · 0 attempts | Not scheduled — | 6d past | No outreach yet |
Ruth Tanaka M499691 · 82y · Bayside Medical (627) 214-2180 | Good Care coordinator | Inpatient St. Aldon Regional | No case No plan | Sep 2 LOS 1d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Lena Marsden M446959 · 76y · Cedar Hills Family (421) 211-2680 | Good Care coordinator | Inpatient Northside Medical Center | No case No plan | Sep 3 LOS 0d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Marcus Ferreira M487351 · 77y · Saguaro Care (519) 845-6666Returned | Good Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Aug 24 | Aug 9 Aug 25 | Not started — · 0 attempts | Not scheduled — | 2d past | Readmit — no appointment |
Alma Okafor M423232 · 73y · Saguaro Care (642) 716-4264Returned | Good Care coordinator | SNF Riverstone Post-Acute | No case No plan | Mar 27 Apr 17 | Not started — · 0 attempts | Not scheduled — | 132d past | Readmit — no appointment |
Callum Petrov M485832 · 82y · Saguaro Care (508) 753-5986Returned | Good Care coordinator | Home Health Anchor Home Services | No case No plan | May 27 Jun 10 | Not started — · 0 attempts | Not scheduled — | 78d past | Readmit — no appointment |
Alma Lindstrom M425076 · 89y · Saguaro Care (597) 322-5377Returned | Good Care coordinator | ED St. Aldon Regional ED | No case No plan | Feb 25 Feb 25 | Not started — · 0 attempts | Not scheduled — | 183d past | Readmit — no appointment |
Frank Kowalski M477449 · 58y · Foxfield Primary (622) 450-9370Returned | Good Care coordinator | ED Valley Baptist ED | No case No plan | Aug 12 Aug 12 | Attempted Front desk · 1 attempt | Not scheduled — | 15d past | Readmit — no appointment |
Xiomara Marsden M403117 · 71y · Harbor Family Care (309) 479-2815Returned | Good Care coordinator | Observation St. Aldon Regional | Case open Proj. DC Mar 23 | Mar 18 Mar 23 | Attempted Care coordinator · 1 attempt | Not scheduled — | 157d past | Readmit — no appointment |
Nadia Okafor M464109 · 89y · Mesa Family Medicine (292) 863-4975Returned | Good Care coordinator | Home Health Anchor Home Services | No case No plan | Sep 12 Oct 12 | Not started — · 0 attempts | Not scheduled — | 319d past | Readmit — no appointment |
Otis Ionescu M448633 · 84y · Saguaro Care (292) 505-1401 | Serious Nurse | Home Health BrightPath Home Health | Case open Proj. DC Aug 12 | Jul 18 Aug 11 | Contacted Nurse case manager · 1 attempt | Not scheduled — | 16d past | Window missed |
Delia Delgado M495766 · 75y · Lakeview Internal (501) 850-3390Returned | Good Care coordinator | Home Health BrightPath Home Health | Case open Proj. DC Apr 20 | Mar 19 Apr 20 | Contacted Front desk · 2 attempts | Not scheduled — | 129d past | Readmit — no appointment |
Amir Petrov M455939 · 60y · Stonebridge Health (660) 714-5364Returned | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Jun 19 | Jun 3 Jun 20 | Contacted Care coordinator · 3 attempts | Not scheduled — | 68d past | Readmit — no appointment |
Imani Marsden M448092 · 91y · Lakeview Internal (543) 433-3348Returned | Good Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Mar 20 | Feb 24 Mar 21 | Attempted Care coordinator · 2 attempts | Not scheduled — | 159d past | Readmit — no appointment |
Rosa Whitmore M435004 · 61y · Saguaro Care (444) 712-8815Returned | Good Care coordinator | SNF Golden Oaks Rehab | No case No plan | Sep 27 Oct 21 | Not started — · 0 attempts | Not scheduled — | 310d past | Readmit — no appointment |
Milton Sorensen M430743 · 64y · Saguaro Care (215) 760-5274Returned | Good Care coordinator | Home Health Anchor Home Services | No case No plan | Apr 13 May 14 | Not started — · 0 attempts | Not scheduled — | 105d past | Readmit — no appointment |
Amir Tanaka M421679 · 87y · Harbor Family Care (654) 207-5499Returned | Good Care coordinator | ED St. Aldon Regional ED | No case No plan | Aug 2 Aug 2 | Unable to reach Care coordinator · 5 attempts | Not scheduled — | 25d past | Readmit — no appointment |
Ruth Tanaka M455483 · 85y · Foxfield Primary (258) 203-5944Returned | Good Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Nov 11 | Nov 1 Nov 10 | Not started — · 0 attempts | Not scheduled — | 290d past | Readmit — no appointment |
Harold Ferreira M481133 · 73y · Saguaro Care (661) 528-1142Returned | Good Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Nov 18 | Oct 28 Nov 18 | Not started — · 0 attempts | Not scheduled — | 282d past | Readmit — no appointment |
Hattie Abernathy M498823 · 77y · Mesa Family Medicine (416) 214-5239Returned | Good Care coordinator | Observation Northside Medical Center | Case open Proj. DC Jun 20 | Jun 12 Jun 21 | Contacted Care coordinator · 3 attempts | Not scheduled — | 67d past | Readmit — no appointment |
Jonas Sorensen M427072 · 91y · Saguaro Care (364) 875-4551Returned | Good Care coordinator | SNF Ridgeway LTAC | No case No plan | Mar 23 Apr 17 | Not started — · 0 attempts | Not scheduled — | 132d past | Readmit — no appointment |
Gerald Kowalski M407679 · 90y · Saguaro Care (455) 672-6408Returned | Good Care coordinator | ED Mercy General ED | No case No plan | Feb 8 Feb 8 | Not started — · 0 attempts | Not scheduled — | 200d past | Readmit — no appointment |
Willie Sorensen M467014 · 63y · Harbor Family Care (614) 369-3254Returned | Good Care coordinator | ED Mercy General ED | No case No plan | Oct 15 Oct 15 | Not started — · 0 attempts | Not scheduled — | 316d past | Readmit — no appointment |
Marcus Salazar M489479 · 65y · Harbor Family Care (450) 784-6615Returned | Good Care coordinator | ED St. Aldon Regional ED | No case No plan | Apr 14 Apr 14 | Contacted Care coordinator · 3 attempts | Not scheduled — | 135d past | Readmit — no appointment |
Ruth Rios M417655 · 59y · Harbor Family Care (263) 776-2603 | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Nov 7 | Oct 30 Nov 7 | Contacted PCP office · 2 attempts | No-show Nov 10 · 1 miss | 293d past | No-show recovery |
Alma Ionescu M416402 · 80y · Stonebridge Health (703) 281-1138Returned | Serious Nurse | Inpatient Valley Baptist | No case No plan | Jul 2 Jul 8 | Contacted Nurse case manager · 2 attempts | Completed Jul 14 · 6d | Met | Readmit — visit completed |
Priya Whitmore M434386 · 68y · Millbrook Clinic (270) 591-7478 | Good Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Aug 23 | Aug 20 Aug 24 | Contacted Care coordinator · 2 attempts | Cancelled Aug 26 · 1 miss | 3d past | No-show recovery |
Marcus Salazar M471092 · 90y · Mesa Family Medicine (565) 460-4994 | Good Care coordinator | Inpatient Northside Medical Center | No case No plan | Apr 4 Apr 7 | Contacted Care coordinator · 1 attempt | No-show Apr 9 · 1 miss | 142d past | No-show recovery |
Yuki Lindstrom M432648 · 85y · Mesa Family Medicine (555) 276-6006Returned | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Jan 19 | Jan 11 Jan 19 | Contacted Care coordinator · 2 attempts | No-show Jan 21 · 1 miss | 220d past | No-show recovery |
Terrance Whitmore M486111 · 77y · Foxfield Primary (594) 273-2513 | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Mar 27 | Mar 16 Mar 26 | Contacted Front desk · 1 attempt | Cancelled Apr 1 · 1 miss | 154d past | No-show recovery |
Xiomara Delgado M461509 · 86y · Saguaro Care (481) 588-2902 | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Dec 2 | Nov 25 Dec 1 | Contacted Care coordinator · 1 attempt | No-show Dec 6 · 1 miss | 269d past | No-show recovery |
Terrance Kowalski M493861 · 63y · Redwood Primary (491) 772-3577Returned | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Dec 2 | Nov 29 Dec 2 | Contacted Nurse case manager · 2 attempts | Completed Dec 7 · 5d | Met | Readmit — visit completed |
Amir Ionescu M488059 · 59y · Saguaro Care (686) 205-5493Returned | Good Care coordinator | Inpatient Valley Baptist | No case No plan | Jan 16 Jan 26 | Contacted PCP office · 3 attempts | No-show Jan 31 · 1 miss | 213d past | No-show recovery |
Imani Chandler M491878 · 74y · Millbrook Clinic (676) 393-3864 | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Oct 25 | Oct 18 Oct 25 | Contacted Care coordinator · 3 attempts | No-show Nov 8 · 1 miss | 306d past | No-show recovery |
Simone Whitmore M453485 · 72y · Lakeview Internal (354) 846-5374Returned | Serious Nurse | Inpatient Northside Medical Center | Case open Proj. DC Jan 21 | Jan 16 Jan 21 | Contacted Nurse case manager · 2 attempts | Completed Jan 26 · 5d | Met | Readmit — visit completed |
Yuki Kowalski M448628 · 73y · Stonebridge Health (670) 637-279360d readmitReturned | Fair Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Jun 1 | May 8 Jun 1 | Contacted Care coordinator · 1 attempt | Cancelled Jun 10 · 1 miss | 87d past | No-show recovery |
Harold Rios M443407 · 78y · Saguaro Care (544) 788-839660d readmit | Fair Care coordinator | SNF Riverstone Post-Acute | Case open Proj. DC Nov 12 | Oct 29 Nov 12 | Contacted Care coordinator · 2 attempts | No-show Nov 24 · 1 miss | 288d past | No-show recovery |
Jonas Nguyen M432064 · 78y · Foxfield Primary (524) 379-157860d readmit | Good Care coordinator | ED Northside Medical ED | No case No plan | Aug 24 Aug 24 | Contacted Care coordinator · 2 attempts | Not scheduled — | 3d past | Window missed |
Delia Marsden M444652 · 90y · Mesa Family Medicine (223) 558-7933 | Fair Care coordinator | ED St. Aldon Regional ED | No case No plan | Aug 10 Aug 10 | Not started — · 0 attempts | Not scheduled — | 17d past | No outreach yet |
Otis Salazar M491263 · 81y · Foxfield Primary (698) 698-8245Returned | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Dec 21 | Dec 12 Dec 21 | Not started — · 0 attempts | Not scheduled — | 249d past | Readmit — no appointment |
Amir Delgado M436446 · 84y · Mesa Family Medicine (508) 623-7435Returned | Fair Care coordinator | Inpatient Valley Baptist | No case No plan | Jan 5 Jan 8 | Contacted Care coordinator · 2 attempts | Not scheduled — | 231d past | Readmit — no appointment |
Gerald Rios M459965 · 84y · Millbrook Clinic (642) 631-7428Returned | Fair Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Jun 3 | May 29 Jun 4 | Contacted Front desk · 1 attempt | Not scheduled — | 84d past | Readmit — no appointment |
Alma Kowalski M419270 · 77y · Saguaro Care (563) 400-3087 | Fair Care coordinator | ED Northside Medical ED | Case open Proj. DC Aug 13 | Aug 13 Aug 13 | Not started — · 0 attempts | Not scheduled — | 14d past | No outreach yet |
Marcus Chandler M480595 · 89y · Mesa Family Medicine (411) 458-3296Returned | Fair Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Dec 7 | Dec 5 Dec 8 | Not started — · 0 attempts | Not scheduled — | 262d past | Readmit — no appointment |
Willie Abernathy M464415 · 80y · Redwood Primary (258) 837-1205 | Good Care coordinator | Home Health Comfort Care at Home | No case No plan | Aug 20 LOS 14d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Ruth Petrov M424446 · 71y · Lakeview Internal (532) 528-5334 | Good Care coordinator | SNF Riverstone Post-Acute | No case No plan | Aug 17 LOS 17d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Ruth Marsden M481938 · 78y · Lakeview Internal (206) 465-6385 | Good Care coordinator | Observation Northside Medical Center | Case open Proj. DC Aug 8 | Jul 30 Aug 8 | Contacted Care coordinator · 3 attempts | No-show Aug 16 · 1 miss | 19d past | No-show recovery |
Terrance Abernathy M472131 · 87y · Millbrook Clinic (231) 427-8576 | Good Care coordinator | Observation St. Aldon Regional | No case No plan | Feb 16 Feb 21 | Contacted Front desk · 3 attempts | Cancelled Feb 24 · 1 miss | 187d past | No-show recovery |
Xiomara Nguyen M412182 · 69y · Millbrook Clinic (331) 422-4186 | Fair Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Aug 29 | Aug 13 Aug 29 | Contacted PCP office · 3 attempts | Not scheduled — | 2d left | Window closing |
Marcus Baptiste M463644 · 90y · Mesa Family Medicine (408) 785-5278 | Good Care coordinator | SNF Riverstone Post-Acute | Case open Proj. DC Dec 24 | Dec 13 Dec 23 | Contacted Front desk · 3 attempts | No-show Dec 29 · 1 miss | 247d past | No-show recovery |
Dwight Lindstrom M499457 · 64y · Mesa Family Medicine (513) 312-6612 | Good Care coordinator | SNF Golden Oaks Rehab | No case No plan | Apr 23 May 9 | Contacted Care coordinator · 2 attempts | Cancelled May 14 · 1 miss | 110d past | No-show recovery |
Bernard Haddad M452113 · 89y · Saguaro Care (322) 477-8089 | Good Care coordinator | Observation Northside Medical Center | Case open Proj. DC Dec 5 | Nov 30 Dec 6 | Contacted PCP office · 3 attempts | Cancelled Dec 12 · 1 miss | 264d past | No-show recovery |
Gerald Abernathy M480702 · 74y · Harbor Family Care (427) 789-2434 | Good Care coordinator | Home Health BrightPath Home Health | No case No plan | Jul 1 Jul 18 | Contacted PCP office · 3 attempts | No-show Jul 26 · 1 miss | 40d past | No-show recovery |
Xiomara Chandler M471241 · 81y · Cedar Hills Family (377) 300-1117 | Good Care coordinator | Observation St. Aldon Regional | Case open Proj. DC May 8 | Apr 30 May 8 | Contacted Front desk · 1 attempt | No-show May 13 · 1 miss | 111d past | No-show recovery |
Callum Petrov M426193 · 70y · Bayside Medical (484) 680-7375Returned | Serious Nurse | ED Northside Medical ED | Case open Proj. DC Oct 28 | Oct 28 Oct 28 | Contacted Nurse case manager · 3 attempts | Completed Oct 31 · 3d · 1 miss | Met | Readmit — visit completed |
Callum Chandler M479131 · 75y · Millbrook Clinic (347) 633-5402 | Good Care coordinator | Home Health Comfort Care at Home | No case No plan | May 20 Jun 11 | Contacted Care coordinator · 3 attempts | Cancelled Jun 22 · 1 miss | 77d past | No-show recovery |
Terrance Lindstrom M446107 · 60y · Saguaro Care (326) 637-4690 | Good Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Jul 31 | Jul 12 Jul 31 | Contacted Care coordinator · 1 attempt | No-show Aug 6 · 1 miss | 27d past | No-show recovery |
Willie Rios M407768 · 68y · Bayside Medical (288) 707-3343 | Good Care coordinator | SNF Ridgeway LTAC | Case open Proj. DC May 27 | May 16 May 27 | Contacted PCP office · 1 attempt | No-show Jun 2 · 1 miss | 92d past | No-show recovery |
Callum Rios M414303 · 60y · Millbrook Clinic (692) 242-8191 | Good Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Dec 22 | Dec 8 Dec 22 | Contacted Front desk · 1 attempt | No-show Jan 1 · 1 miss | 248d past | No-show recovery |
Simone Nguyen M414798 · 78y · Redwood Primary (663) 525-7326 | Good Care coordinator | ED St. Aldon Regional ED | Case open Proj. DC Jul 21 | Jul 21 Jul 21 | Contacted Front desk · 1 attempt | Cancelled Jul 25 · 1 miss | 37d past | No-show recovery |
Otis Whitmore M401933 · 72y · Stonebridge Health (395) 822-8831 | Good Care coordinator | Observation St. Aldon Regional | No case No plan | May 31 Jun 6 | Contacted Front desk · 1 attempt | No-show Jun 16 · 1 miss | 82d past | No-show recovery |
Amir Abernathy M449312 · 79y · Bayside Medical (249) 224-1241 | Good Care coordinator | Observation Mercy General | Case open Proj. DC Nov 20 | Nov 11 Nov 21 | Contacted Care coordinator · 2 attempts | No-show Nov 24 · 1 miss | 279d past | No-show recovery |
Willie Kowalski M437089 · 77y · Harbor Family Care (311) 345-4972 | Good Care coordinator | SNF Ridgeway LTAC | Case open Proj. DC Mar 21 | Mar 6 Mar 21 | Contacted Care coordinator · 1 attempt | Cancelled Mar 27 · 1 miss | 159d past | No-show recovery |
Eleanor Abernathy M480701 · 63y · Mesa Family Medicine (601) 805-9411 | Good Care coordinator | Observation Northside Medical Center | Case open Proj. DC Nov 11 | Nov 3 Nov 10 | Contacted PCP office · 1 attempt | Cancelled Nov 14 · 1 miss | 290d past | No-show recovery |
Gerald Okafor M447411 · 63y · Redwood Primary (584) 248-7940 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Feb 7 | Jan 16 Feb 6 | Contacted Care coordinator · 1 attempt | No-show Feb 18 · 1 miss | 202d past | No-show recovery |
Ruth Whitmore M444995 · 80y · Lakeview Internal (372) 337-8115 | Good Care coordinator | ED Northside Medical ED | Case open Proj. DC Oct 16 | Oct 16 Oct 16 | Contacted Front desk · 2 attempts | Cancelled Oct 29 · 1 miss | 315d past | No-show recovery |
Nadia Marsden M492012 · 62y · Mesa Family Medicine (649) 224-4526 | Good Care coordinator | ED Northside Medical ED | No case No plan | Aug 24 Aug 24 | Contacted Front desk · 2 attempts | Cancelled Aug 26 · 1 miss | 3d past | No-show recovery |
Terrance Rios M403633 · 61y · Foxfield Primary (563) 376-2291 | Fair Care coordinator | Inpatient Valley Baptist | No case No plan | Aug 29 LOS 5d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Harold Salazar M472125 · 83y · Lakeview Internal (598) 274-1501 | Fair Care coordinator | Inpatient Valley Baptist | No case No plan | Sep 2 LOS 1d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Milton Ferreira M423514 · 84y · Cedar Hills Family (671) 736-9519Returned | Fair Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Mar 24 | Mar 5 Mar 24 | Contacted Care coordinator · 1 attempt | Not scheduled — | 156d past | Readmit — no appointment |
Hattie Lindstrom M424471 · 77y · Foxfield Primary (586) 398-9234Returned | Fair Care coordinator | ED St. Aldon Regional ED | Case open Proj. DC May 8 | May 8 May 8 | Attempted Front desk · 1 attempt | Not scheduled — | 111d past | Readmit — no appointment |
Ingrid Delgado M484123 · 61y · Cedar Hills Family (278) 761-6013Returned | Fair Care coordinator | Observation Mercy General | No case No plan | Jun 13 Jun 21 | Not started — · 0 attempts | Not scheduled — | 67d past | Readmit — no appointment |
Rafael Guillory M448603 · 75y · Lakeview Internal (408) 472-2602Returned | Fair Care coordinator | Observation St. Aldon Regional | Case open Proj. DC Nov 10 | Nov 2 Nov 10 | Contacted Care coordinator · 1 attempt | Not scheduled — | 290d past | Readmit — no appointment |
Willie Nguyen M417363 · 64y · Stonebridge Health (211) 224-8765Returned | Fair Care coordinator | Home Health Anchor Home Services | No case No plan | Jan 16 Feb 22 | Not started — · 0 attempts | Not scheduled — | 186d past | Readmit — no appointment |
Dwight Tanaka M455574 · 70y · Bayside Medical (570) 768-8109 | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC May 28 | May 22 May 28 | Contacted Front desk · 3 attempts | No-show May 30 · 1 miss | 91d past | No-show recovery |
Callum Guillory M494130 · 68y · Stonebridge Health (615) 790-8084 | Fair Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Apr 30 | Apr 21 Apr 30 | Contacted Care coordinator · 1 attempt | Cancelled May 6 · 1 miss | 119d past | No-show recovery |
Hattie Lindstrom M493303 · 80y · Foxfield Primary (361) 883-5366 | Fair Care coordinator | Inpatient Mercy General | Case open Proj. DC Jun 30 | Jun 24 Jun 29 | Contacted Care coordinator · 3 attempts | No-show Jul 5 · 1 miss | 59d past | No-show recovery |
Milton Rios M469017 · 76y · Saguaro Care (641) 375-7949 | Good Care coordinator | Inpatient Northside Medical Center | No case No plan | Jul 26 Aug 3 | Unable to reach Care coordinator · 4 attempts | Not scheduled — | 24d past | Window missed |
Hattie Ferreira M462208 · 88y · Harbor Family Care (312) 471-2481 | Fair Care coordinator | Inpatient Mercy General | No case No plan | Sep 5 Sep 11 | Contacted Care coordinator · 2 attempts | No-show Sep 19 · 1 miss | 350d past | No-show recovery |
Callum Petrov M484868 · 58y · Stonebridge Health (675) 342-8133 | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Aug 3 | Jul 25 Aug 3 | Contacted Front desk · 3 attempts | Cancelled Aug 19 · 1 miss | 24d past | No-show recovery |
Simone Chandler M450931 · 89y · Mesa Family Medicine (491) 551-5651 | Fair Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Aug 19 | Aug 15 Aug 19 | Contacted Care coordinator · 3 attempts | No-show Aug 21 · 1 miss | 8d past | No-show recovery |
Ingrid Lindstrom M495865 · 79y · Mesa Family Medicine (242) 715-8364 | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Mar 27 | Mar 21 Mar 26 | Contacted Front desk · 2 attempts | No-show Apr 5 · 1 miss | 154d past | No-show recovery |
Callum Nguyen M426269 · 66y · Mesa Family Medicine (368) 360-4706 | Fair Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Feb 6 | Jan 27 Feb 5 | Contacted PCP office · 1 attempt | Cancelled Feb 11 · 1 miss | 203d past | No-show recovery |
Marcus Nguyen M466398 · 58y · Harbor Family Care (274) 438-3042 | Fair Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Feb 28 | Feb 22 Feb 28 | Contacted Front desk · 2 attempts | No-show Mar 14 · 1 miss | 180d past | No-show recovery |
Harold Rios M498101 · 69y · Saguaro Care (528) 782-2189 | Good Care coordinator | Home Health Anchor Home Services | Case open Proj. DC Sep 4 | Jul 30 Sep 3 | Contacted Care coordinator · 1 attempt | Not scheduled — | 7d left | Contacted, no appointment |
Lena Mbeki M437552 · 76y · Harbor Family Care (308) 687-7539 | Fair Care coordinator | Home Health Comfort Care at Home | No case No plan | Aug 30 LOS 4d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Cora Abernathy M497700 · 77y · Stonebridge Health (483) 351-3386 | Fair Care coordinator | Home Health Comfort Care at Home | No case No plan | Aug 21 LOS 13d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Milton Abernathy M487098 · 58y · Bayside Medical (692) 443-6727 | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Aug 31 | Aug 24 Sep 1 | Attempted Care coordinator · 1 attempt | Not scheduled — | 5d left | Contacted, no appointment |
Harold Abernathy M442333 · 71y · Bayside Medical (359) 791-8883 | Good Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Aug 26 | Jul 25 Aug 26 | Contacted Care coordinator · 3 attempts | Not scheduled — | 1d past | Window missed |
Yuki Nguyen M419969 · 89y · Harbor Family Care (506) 478-7799 | Fair Care coordinator | Home Health Anchor Home Services | Case open Proj. DC Mar 30 | Feb 22 Mar 30 | Contacted Front desk · 1 attempt | Cancelled Apr 2 · 1 miss | 150d past | No-show recovery |
Nadia Guillory M414618 · 78y · Bayside Medical (666) 206-3329 | Fair Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Dec 1 | Nov 11 Dec 2 | Contacted Care coordinator · 3 attempts | No-show Dec 17 · 1 miss | 268d past | No-show recovery |
Nadia Ionescu M415608 · 76y · Harbor Family Care (461) 880-5701 | Fair Care coordinator | SNF Ridgeway LTAC | Case open Proj. DC Nov 29 | Nov 11 Nov 30 | Contacted Care coordinator · 2 attempts | No-show Dec 6 · 1 miss | 270d past | No-show recovery |
Harold Rios M486266 · 72y · Saguaro Care (582) 567-5209 | Good Care coordinator | SNF Golden Oaks Rehab | No case No plan | Jul 19 Aug 11 | Contacted Care coordinator · 1 attempt | Not scheduled — | 16d past | Window missed |
Beatrice Lindstrom M479280 · 77y · Mesa Family Medicine (263) 300-7492 | Fair Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Feb 14 | Feb 1 Feb 13 | Contacted Care coordinator · 2 attempts | Cancelled Feb 19 · 1 miss | 195d past | No-show recovery |
Ruth Baptiste M417774 · 76y · Harbor Family Care (547) 599-3554 | Fair Care coordinator | ED Northside Medical ED | Case open Proj. DC Jul 8 | Jul 8 Jul 8 | Contacted PCP office · 3 attempts | No-show Jul 12 · 1 miss | 50d past | No-show recovery |
Gerald Whitmore M436305 · 73y · Lakeview Internal (667) 729-8020 | Fair Care coordinator | Observation Mercy General | Case open Proj. DC Jun 24 | Jun 16 Jun 25 | Contacted Care coordinator · 3 attempts | No-show Jul 1 · 1 miss | 63d past | No-show recovery |
Gerald Delgado M473675 · 73y · Harbor Family Care (435) 604-8336 | Fair Care coordinator | ED Northside Medical ED | Case open Proj. DC Jun 9 | Jun 9 Jun 9 | Contacted Front desk · 3 attempts | Cancelled Jun 22 · 1 miss | 79d past | No-show recovery |
Beatrice Kowalski M462382 · 63y · Cedar Hills Family (606) 344-1113Returned | Good Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Apr 15 | Mar 12 Apr 15 | Contacted Front desk · 3 attempts | Completed Apr 17 · 2d | Met | Readmit — visit completed |
Ruth Mbeki M433503 · 65y · Saguaro Care (703) 607-6893 | Fair Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Aug 20 | Aug 5 Aug 19 | Attempted Front desk · 2 attempts | Not scheduled — | 8d past | Window missed |
Alma Marsden M417085 · 67y · Mesa Family Medicine (629) 447-6161 | Fair Care coordinator | Home Health Anchor Home Services | Case open Proj. DC Jul 29 | Jul 8 Jul 29 | Attempted PCP office · 2 attempts | Not scheduled — | 29d past | Window missed |
Lena Salazar M480113 · 78y · Millbrook Clinic (616) 387-4527 | Fair Care coordinator | Home Health BrightPath Home Health | Case open Proj. DC Aug 22 | Aug 9 Aug 23 | Contacted Care coordinator · 3 attempts | Not scheduled — | 4d past | Window missed |
Dwight Sorensen M438416 · 76y · Stonebridge Health (417) 344-8056 | Fair Care coordinator | ED Valley Baptist ED | No case No plan | Aug 17 Aug 17 | Attempted Care coordinator · 1 attempt | Not scheduled — | 10d past | Window missed |
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