Level 2 · Patient worklist
Every patient on census with outreach, appointment status and the next action. Click a box to filter the list.
780 records match the current filters
| Patient | Tier / Owner | Setting & facility | Case mgmt | Admit / Discharge | Outreach | Appointment | Window | Status / Next action |
|---|---|---|---|---|---|---|---|---|
Callum Nguyen M452290 · 65y · Bayside Medical (449) 417-249160d readmitReturned | Critical Nurse | ED Valley Baptist ED | No case No plan | Jun 3 Jun 3 | Unable to reach Nurse case manager · 3 attempts | Not scheduled — | 85d past | Readmit — no appointment |
Priya Chandler M408659 · 67y · Mesa Family Medicine (399) 350-3400Returned | Critical Nurse | Inpatient Mercy General | Case open Proj. DC Mar 20 | Mar 16 Mar 21 | Contacted Nurse case manager · 3 attempts | Not scheduled — | 159d past | Readmit — no appointment |
Beatrice Mbeki M447536 · 81y · Harbor Family Care (608) 712-4184Returned | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC Aug 27 | Aug 22 Aug 28 | Attempted Nurse case manager · 1 attempt | Not scheduled — | 1d left | Readmit — no appointment |
Eleanor Baptiste M481960 · 82y · Bayside Medical (317) 420-2914Returned | Critical Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Oct 9 | Oct 1 Oct 9 | Attempted Nurse case manager · 1 attempt | Not scheduled — | 322d past | Readmit — no appointment |
Eleanor Baptiste M473562 · 65y · Foxfield Primary (258) 360-7587 | Critical Nurse | ED Northside Medical ED | No case No plan | Aug 4 Aug 4 | Not started — · 0 attempts | Not scheduled — | 23d past | No outreach yet |
Bernard Ferreira M423850 · 88y · Bayside Medical (205) 606-2148Returned | Critical Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Jan 15 | Jan 9 Jan 15 | Contacted Nurse case manager · 3 attempts | Not scheduled — | 224d past | Readmit — no appointment |
Ingrid Haddad M484882 · 70y · Saguaro Care (321) 239-2921Returned | Critical Nurse | Inpatient Mercy General | No case No plan | Sep 21 Sep 25 | Contacted Nurse case manager · 2 attempts | Not scheduled — | 336d past | Readmit — no appointment |
Marcus Sorensen M492265 · 60y · Foxfield Primary (210) 341-466560d readmit | Critical Nurse | Inpatient Valley Baptist | Case open Proj. DC Aug 8 | Jul 28 Aug 7 | Contacted Nurse case manager · 3 attempts | Not scheduled — | 20d past | Window missed |
Gerald Petrov M470588 · 69y · Saguaro Care (419) 530-155760d readmit | Serious Nurse | Inpatient St. Aldon Regional | No case No plan | Sep 3 LOS 0d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Willie Baptiste M434405 · 89y · Millbrook Clinic (208) 854-920060d readmitReturned | Serious Nurse | SNF Golden Oaks Rehab | Case open Proj. DC Jul 27 | Jul 16 Jul 27 | Contacted Care coordinator · 1 attempt | Not scheduled — | 31d past | Readmit — no appointment |
Eleanor Tanaka M414863 · 63y · Saguaro Care (433) 393-111960d readmitReturned | Serious Nurse | ED Valley Baptist ED | No case No plan | May 22 May 22 | Not started — · 0 attempts | Not scheduled — | 97d past | Readmit — no appointment |
Lena Abernathy M483340 · 75y · Bayside Medical (484) 565-2278Returned | Critical Nurse | Home Health BrightPath Home Health | Case open Proj. DC Nov 13 | Oct 12 Nov 12 | Attempted Nurse case manager · 1 attempt | Not scheduled — | 288d past | Readmit — no appointment |
Callum Guillory M494130 · 68y · Millbrook Clinic (308) 763-1587Returned | Critical Nurse | Inpatient Valley Baptist | Case open Proj. DC Nov 15 | Nov 8 Nov 14 | Contacted Nurse case manager · 1 attempt | Cancelled Nov 20 · 1 miss | 286d past | No-show recovery |
Terrance Guillory M435886 · 59y · Cedar Hills Family (518) 609-9822 | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC Aug 8 | Jul 31 Aug 8 | Contacted Care coordinator · 3 attempts | No-show Aug 19 · 1 miss | 19d past | No-show recovery |
Milton Abernathy M464286 · 74y · Harbor Family Care (394) 507-1075Returned | Critical Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Mar 6 | Feb 28 Mar 6 | Contacted Nurse case manager · 1 attempt | No-show Mar 11 · 1 miss | 174d past | No-show recovery |
Eleanor Kowalski M464611 · 71y · Mesa Family Medicine (444) 409-7499 | Serious Nurse | Inpatient Valley Baptist | No case No plan | Aug 28 Sep 1 | Not started — · 0 attempts | Not scheduled — | 5d left | No outreach yet |
Amir Abernathy M483482 · 76y · Redwood Primary (479) 801-663660d readmit | Good Care coordinator | Inpatient Northside Medical Center | No case No plan | Jul 19 Jul 29 | Not started — · 0 attempts | Not scheduled — | 29d past | No outreach yet |
Cora Marsden M456283 · 83y · Redwood Primary (349) 392-8437 | Critical Nurse | SNF Ridgeway LTAC | No case No plan | Aug 17 LOS 17d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Dwight Petrov M432104 · 65y · Bayside Medical (394) 310-2438 | Critical Nurse | SNF Riverstone Post-Acute | No case No plan | Nov 26 Dec 20 | Contacted Nurse case manager · 3 attempts | Cancelled Dec 28 · 1 miss | 250d past | No-show recovery |
Callum Chandler M492418 · 83y · Saguaro Care (417) 385-662760d readmit | Serious Nurse | ED Valley Baptist ED | No case No plan | Jan 16 Jan 16 | Contacted Nurse case manager · 3 attempts | No-show Jan 21 · 1 miss | 223d past | No-show recovery |
Rosa Guillory M440512 · 79y · Stonebridge Health (410) 709-9309 | Critical Nurse | Observation Mercy General | Case open Proj. DC Aug 4 | Aug 1 Aug 4 | Contacted Nurse case manager · 1 attempt | Cancelled Aug 9 · 1 miss | 23d past | No-show recovery |
Frank Baptiste M478918 · 68y · Stonebridge Health (425) 579-3563 | Critical Nurse | SNF Willowbrook SNF | Case open Proj. DC Jul 7 | Jun 25 Jul 7 | Contacted Nurse case manager · 2 attempts | Cancelled Jul 13 · 1 miss | 51d past | No-show recovery |
Xiomara Whitmore M432118 · 62y · Mesa Family Medicine (355) 734-8072Returned | Critical Nurse | ED St. Aldon Regional ED | Case open Proj. DC Jul 7 | Jul 7 Jul 7 | Contacted Nurse case manager · 1 attempt | No-show Jul 11 · 1 miss | 51d past | No-show recovery |
Simone Okafor M465050 · 80y · Harbor Family Care (325) 425-5935 | Critical Nurse | ED Mercy General ED | No case No plan | Jun 20 Jun 20 | Contacted Nurse case manager · 1 attempt | Cancelled Jun 24 · 1 miss | 68d past | No-show recovery |
Ruth Marsden M440901 · 69y · Harbor Family Care (447) 453-1396 | Critical Nurse | Home Health Comfort Care at Home | Case open Proj. DC Dec 21 | Dec 2 Dec 22 | Contacted Nurse case manager · 2 attempts | Cancelled Dec 28 · 1 miss | 248d past | No-show recovery |
Beatrice Tanaka M461031 · 80y · Bayside Medical (627) 367-8633Returned | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Jan 5 | Jan 3 Jan 6 | Unable to reach Care coordinator · 3 attempts | Not scheduled — | 233d past | Readmit — no appointment |
Delia Kowalski M453517 · 73y · Saguaro Care (570) 556-1765Returned | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Sep 26 | Sep 22 Sep 25 | Unable to reach Nurse case manager · 3 attempts | Not scheduled — | 336d past | Readmit — no appointment |
Milton Nguyen M433071 · 68y · Bayside Medical (343) 712-6749Returned | Serious Nurse | Inpatient Northside Medical Center | Case open Proj. DC Jul 3 | Jun 24 Jul 2 | Contacted Care coordinator · 3 attempts | Not scheduled — | 56d past | Readmit — no appointment |
Bernard Guillory M440532 · 78y · Foxfield Primary (490) 332-911360d readmitReturned | Critical Nurse | ED St. Aldon Regional ED | Case open Proj. DC Dec 26 | Dec 26 Dec 26 | Contacted Nurse case manager · 3 attempts | Completed Dec 29 · 3d · 1 miss | Met | Readmit — visit completed |
Rosa Tanaka M488849 · 83y · Harbor Family Care (585) 381-359860d readmitReturned | Good Care coordinator | Inpatient Valley Baptist | No case No plan | Apr 22 Apr 26 | Not started — · 0 attempts | Not scheduled — | 123d past | Readmit — no appointment |
Xiomara Marsden M473384 · 74y · Millbrook Clinic (621) 232-282460d readmitReturned | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Sep 15 | Sep 6 Sep 15 | Unable to reach Care coordinator · 3 attempts | Not scheduled — | 346d past | Readmit — no appointment |
Nadia Delgado M416807 · 63y · Saguaro Care (654) 610-4524 | Serious Nurse | Inpatient St. Aldon Regional | No case No plan | Aug 31 LOS 3d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Gerald Marsden M408772 · 58y · Bayside Medical (538) 645-8087Returned | Serious Nurse | ED Northside Medical ED | No case No plan | Jul 9 Jul 9 | Not started — · 0 attempts | Not scheduled — | 49d past | Readmit — no appointment |
Hattie Ferreira M432814 · 87y · Harbor Family Care (547) 483-157660d readmit | Fair Care coordinator | Inpatient Northside Medical Center | No case No plan | Jul 27 Aug 6 | Not started — · 0 attempts | Not scheduled — | 21d past | No outreach yet |
Ingrid Lindstrom M437762 · 70y · Harbor Family Care (383) 272-2604Returned | Serious Nurse | Home Health Anchor Home Services | Case open Proj. DC Apr 29 | Apr 8 Apr 30 | Attempted Nurse case manager · 1 attempt | Not scheduled — | 119d past | Readmit — no appointment |
Frank Nguyen M497017 · 63y · Mesa Family Medicine (610) 208-1205Returned | Serious Nurse | SNF Golden Oaks Rehab | Case open Proj. DC Jan 11 | Dec 20 Jan 11 | Contacted Care coordinator · 1 attempt | Not scheduled — | 228d past | Readmit — no appointment |
Marcus Baptiste M413471 · 64y · Saguaro Care (515) 560-8470Returned | Serious Nurse | Home Health Anchor Home Services | Case open Proj. DC Aug 22 | Aug 3 Aug 21 | Attempted Nurse case manager · 2 attempts | Not scheduled — | 6d past | Readmit — no appointment |
Frank Kowalski M451862 · 64y · Foxfield Primary (272) 320-5894Returned | Serious Nurse | Observation St. Aldon Regional | No case No plan | Jan 13 Jan 21 | Not started — · 0 attempts | Not scheduled — | 218d past | Readmit — no appointment |
Callum Whitmore M409571 · 80y · Mesa Family Medicine (219) 467-7032 | Serious Nurse | Inpatient Valley Baptist | Case open Proj. DC Oct 5 | Sep 26 Oct 5 | Contacted Nurse case manager · 2 attempts | Cancelled Oct 9 · 1 miss | 326d past | No-show recovery |
Callum Marsden M449225 · 78y · Foxfield Primary (467) 381-8806 | Serious Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Jun 18 | Jun 15 Jun 18 | Contacted Nurse case manager · 1 attempt | Cancelled Jun 21 · 1 miss | 70d past | No-show recovery |
Priya Salazar M443666 · 59y · Millbrook Clinic (227) 612-2238Returned | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Jan 8 | Jan 5 Jan 9 | Contacted Nurse case manager · 1 attempt | Cancelled Jan 12 · 1 miss | 230d past | No-show recovery |
Rafael Ionescu M499365 · 85y · Foxfield Primary (345) 514-627060d readmit | Critical Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Aug 4 | Jul 27 Aug 4 | Contacted Nurse case manager · 3 attempts | Completed Aug 13 · 9d | 23d past | On track |
Jonas Lindstrom M497326 · 60y · Redwood Primary (312) 635-5569 | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Mar 29 | Mar 24 Mar 28 | Contacted Care coordinator · 1 attempt | No-show Apr 13 · 1 miss | 152d past | No-show recovery |
Imani Nguyen M463425 · 63y · Bayside Medical (294) 729-399060d readmit | Critical Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Jun 26 | Jun 20 Jun 26 | Contacted Nurse case manager · 2 attempts | Completed Jun 30 · 4d | Met | On track |
Bernard Sorensen M464119 · 71y · Redwood Primary (650) 334-9490 | Serious Nurse | Inpatient Valley Baptist | Case open Proj. DC Jul 22 | Jul 14 Jul 22 | Contacted Care coordinator · 2 attempts | Cancelled Aug 3 · 1 miss | 36d past | No-show recovery |
Xiomara Chandler M430075 · 72y · Cedar Hills Family (600) 625-645060d readmitReturned | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC May 12 | May 9 May 12 | Contacted Nurse case manager · 2 attempts | Completed May 21 · 9d · 1 miss | 107d past | On track |
Willie Kowalski M480800 · 66y · Harbor Family Care (232) 676-930360d readmit | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC Dec 10 | Dec 1 Dec 9 | Contacted Nurse case manager · 3 attempts | Not scheduled — | 261d past | On track |
Marcus Nguyen M457358 · 74y · Stonebridge Health (219) 274-145860d readmit | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC Jan 20 | Jan 12 Jan 20 | Contacted Nurse case manager · 2 attempts | Completed Jan 31 · 11d | 219d past | On track |
Nadia Salazar M465394 · 58y · Bayside Medical (679) 250-3628 | Serious Nurse | Inpatient Valley Baptist | Case open Proj. DC Aug 7 | Jul 30 Aug 6 | Contacted Nurse case manager · 2 attempts | Cancelled Aug 9 · 1 miss | 21d past | No-show recovery |
Jonas Rios M489735 · 85y · Mesa Family Medicine (281) 880-5906 | Serious Nurse | Inpatient St. Aldon Regional | No case No plan | Feb 1 Feb 8 | Contacted Nurse case manager · 2 attempts | No-show Feb 11 · 1 miss | 200d past | No-show recovery |
Milton Marsden M457077 · 67y · Bayside Medical (627) 892-3456Returned | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Mar 8 | Mar 4 Mar 7 | Contacted Care coordinator · 1 attempt | No-show Mar 11 · 1 miss | 173d past | No-show recovery |
Milton Ionescu M475684 · 61y · Bayside Medical (480) 516-5191 | Serious Nurse | Inpatient Northside Medical Center | Case open Proj. DC Mar 22 | Mar 16 Mar 22 | Contacted Care coordinator · 2 attempts | No-show Apr 6 · 1 miss | 158d past | No-show recovery |
Amir Marsden M410688 · 83y · Cedar Hills Family (471) 633-157560d readmit | Good Care coordinator | Inpatient St. Aldon Regional | No case No plan | Aug 28 LOS 6d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Frank Mbeki M484927 · 87y · Millbrook Clinic (310) 899-9634Returned | Serious Nurse | Inpatient Northside Medical Center | Case open Proj. DC Mar 6 | Mar 1 Mar 5 | Contacted Nurse case manager · 2 attempts | Cancelled Mar 8 · 1 miss | 175d past | No-show recovery |
Hattie Ionescu M417530 · 64y · Mesa Family Medicine (610) 442-6766 | Serious Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Apr 9 | Mar 31 Apr 9 | Contacted Nurse case manager · 2 attempts | No-show Apr 15 · 1 miss | 140d past | No-show recovery |
Eleanor Lindstrom M431388 · 84y · Cedar Hills Family (499) 725-129960d readmitReturned | Good Care coordinator | SNF Riverstone Post-Acute | Case open Proj. DC Jan 15 | Jan 3 Jan 16 | Contacted Care coordinator · 1 attempt | Not scheduled — | 223d past | Readmit — no appointment |
Delia Guillory M452010 · 58y · Bayside Medical (307) 230-6260 | Critical Nurse | SNF Ridgeway LTAC | Case open Proj. DC Aug 12 | Jul 26 Aug 11 | Attempted Nurse case manager · 2 attempts | Not scheduled — | 16d past | Window missed |
Rosa Guillory M428926 · 70y · Saguaro Care (490) 617-930260d readmitReturned | Good Care coordinator | Observation Mercy General | Case open Proj. DC Oct 27 | Oct 17 Oct 27 | Not started — · 0 attempts | Not scheduled — | 304d past | Readmit — no appointment |
Lena Whitmore M445591 · 68y · Harbor Family Care (547) 450-697660d readmitReturned | Good Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Jul 29 | Jul 7 Jul 29 | Not started — · 0 attempts | Not scheduled — | 29d past | Readmit — no appointment |
Jonas Ionescu M440815 · 64y · Harbor Family Care (220) 200-9128 | Critical Nurse | SNF Ridgeway LTAC | Case open Proj. DC Aug 25 | Aug 13 Aug 26 | Contacted Care coordinator · 3 attempts | Not scheduled — | 1d past | Window missed |
Priya Delgado M441954 · 76y · Saguaro Care (468) 838-943860d readmitReturned | Good Care coordinator | SNF Ridgeway LTAC | No case No plan | Feb 15 Feb 26 | Not started — · 0 attempts | Not scheduled — | 182d past | Readmit — no appointment |
Rosa Lindstrom M484818 · 83y · Foxfield Primary (317) 791-9755 | Critical Nurse | ED Northside Medical ED | No case No plan | Aug 26 Aug 26 | Attempted Nurse case manager · 1 attempt | Not scheduled — | 1d past | Window missed |
Otis Petrov M443192 · 73y · Saguaro Care (326) 396-1951 | Critical Nurse | SNF Ridgeway LTAC | Case open Proj. DC Jul 30 | Jul 9 Jul 30 | Attempted Care coordinator · 2 attempts | Not scheduled — | 28d past | Window missed |
Amir Chandler M494496 · 60y · Foxfield Primary (216) 869-3750Returned | Critical Nurse | Inpatient St. Aldon Regional | Case open Proj. DC May 30 | May 23 May 30 | Contacted Nurse case manager · 1 attempt | Completed Jun 2 · 3d · 1 miss | Met | Readmit — visit completed |
Nadia Nguyen M411224 · 64y · Foxfield Primary (348) 462-240060d readmit | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Dec 2 | Nov 21 Dec 1 | Contacted Care coordinator · 2 attempts | No-show Dec 7 · 1 miss | 269d past | No-show recovery |
Frank Sorensen M455347 · 78y · Millbrook Clinic (273) 697-974560d readmit | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Jun 13 | Jun 6 Jun 13 | Contacted Front desk · 2 attempts | No-show Jun 17 · 1 miss | 75d past | No-show recovery |
Beatrice Baptiste M421503 · 73y · Millbrook Clinic (280) 508-351260d readmit | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Nov 5 | Oct 31 Nov 6 | Contacted Care coordinator · 1 attempt | No-show Nov 12 · 1 miss | 294d past | No-show recovery |
Terrance Salazar M478994 · 68y · Millbrook Clinic (585) 820-793960d readmit | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Jun 9 | Jun 3 Jun 9 | Contacted Care coordinator · 1 attempt | No-show Jun 15 · 1 miss | 79d past | No-show recovery |
Hattie Baptiste M492368 · 84y · Millbrook Clinic (461) 393-7636 | Good Care coordinator | Inpatient Valley Baptist | No case No plan | Aug 15 Aug 25 | Not started — · 0 attempts | Not scheduled — | 2d past | No outreach yet |
Lena Petrov M452234 · 86y · Stonebridge Health (274) 715-300560d readmitReturned | Fair Care coordinator | Inpatient Valley Baptist | No case No plan | Oct 3 Oct 11 | Not started — · 0 attempts | Not scheduled — | 320d past | Readmit — no appointment |
Alma Ferreira M466311 · 90y · Saguaro Care (209) 844-2917 | Serious Nurse | Observation Mercy General | No case No plan | Apr 1 Apr 6 | Contacted Nurse case manager · 1 attempt | No-show Apr 9 · 1 miss | 143d past | No-show recovery |
Otis Abernathy M420085 · 88y · Stonebridge Health (434) 413-201360d readmit | Critical Nurse | Observation Mercy General | No case No plan | Oct 30 Nov 3 | Unable to reach Nurse case manager · 3 attempts | Not scheduled — | 297d past | On track |
Imani Salazar M419732 · 82y · Mesa Family Medicine (273) 334-5881 | Serious Nurse | SNF Willowbrook SNF | Case open Proj. DC Dec 19 | Nov 27 Dec 19 | Contacted Nurse case manager · 1 attempt | Cancelled Dec 27 · 1 miss | 251d past | No-show recovery |
Simone Ferreira M487474 · 59y · Harbor Family Care (644) 416-114460d readmit | Critical Nurse | Observation Mercy General | Case open Proj. DC Jan 5 | Jan 1 Jan 4 | Contacted Nurse case manager · 1 attempt | Not scheduled — | 235d past | On track |
Ruth Haddad M413601 · 85y · Stonebridge Health (243) 340-955260d readmit | Critical Nurse | SNF Golden Oaks Rehab | Case open Proj. DC Dec 27 | Dec 11 Dec 27 | Contacted Nurse case manager · 3 attempts | Completed Jan 2 · 6d | Met | On track |
Milton Ferreira M423514 · 84y · Bayside Medical (586) 207-772060d readmit | Critical Nurse | SNF Golden Oaks Rehab | Case open Proj. DC Aug 10 | Jul 30 Aug 11 | Contacted Nurse case manager · 2 attempts | Completed Aug 13 · 2d | Met | On track |
Harold Tanaka M465632 · 67y · Harbor Family Care (288) 543-683960d readmit | Critical Nurse | SNF Willowbrook SNF | Case open Proj. DC Dec 15 | Nov 24 Dec 14 | Contacted Nurse case manager · 3 attempts | Completed Dec 19 · 5d | Met | On track |
Yuki Salazar M411025 · 80y · Millbrook Clinic (491) 842-992860d readmit | Critical Nurse | Observation Northside Medical Center | Case open Proj. DC Sep 5 | Aug 28 LOS 6d | Contacted Nurse case manager · 1 attempt | Not scheduled — | In facility | On track |
Bernard Okafor M414454 · 88y · Mesa Family Medicine (703) 360-8119 | Serious Nurse | ED Mercy General ED | No case No plan | Apr 28 Apr 28 | Contacted Nurse case manager · 2 attempts | No-show Apr 30 · 1 miss | 121d past | No-show recovery |
Dwight Petrov M423759 · 89y · Harbor Family Care (691) 775-5149Returned | Serious Nurse | ED St. Aldon Regional ED | Case open Proj. DC May 27 | May 27 May 27 | Contacted Nurse case manager · 3 attempts | Cancelled May 29 · 1 miss | 92d past | No-show recovery |
Rosa Chandler M460685 · 63y · Mesa Family Medicine (370) 335-1520Returned | Serious Nurse | Observation Mercy General | No case No plan | Dec 19 Dec 27 | Contacted Nurse case manager · 2 attempts | No-show Dec 30 · 1 miss | 243d past | No-show recovery |
Yuki Salazar M420426 · 85y · Cedar Hills Family (628) 883-176360d readmit | Critical Nurse | Observation St. Aldon Regional | Case open Proj. DC Feb 7 | Feb 3 Feb 6 | Contacted Nurse case manager · 1 attempt | Completed Feb 11 · 5d | Met | On track |
Imani Whitmore M438055 · 91y · Foxfield Primary (694) 582-7847 | Serious Nurse | Home Health Comfort Care at Home | Case open Proj. DC Jun 5 | May 14 Jun 5 | Contacted Nurse case manager · 1 attempt | Cancelled Jun 10 · 1 miss | 83d past | No-show recovery |
Callum Delgado M420267 · 70y · Foxfield Primary (668) 789-666260d readmit | Critical Nurse | Observation St. Aldon Regional | Case open Proj. DC Aug 31 | Aug 20 Aug 30 | Contacted Nurse case manager · 1 attempt | Scheduled Sep 9 | 3d left | On track |
Cora Mbeki M447730 · 87y · Saguaro Care (249) 587-5916 | Serious Nurse | Home Health Comfort Care at Home | Case open Proj. DC Jul 17 | Jun 19 Jul 18 | Contacted Nurse case manager · 2 attempts | No-show Jul 26 · 1 miss | 40d past | No-show recovery |
Gerald Ferreira M498076 · 68y · Cedar Hills Family (357) 717-9167Returned | Critical Nurse | Home Health BrightPath Home Health | Case open Proj. DC Jan 10 | Dec 17 Jan 10 | Contacted Nurse case manager · 1 attempt | Completed Jan 12 · 2d | Met | Readmit — visit completed |
Callum Nguyen M495380 · 74y · Mesa Family Medicine (692) 898-6635Returned | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC May 6 | May 1 May 5 | Attempted Care coordinator · 2 attempts | Not scheduled — | 114d past | Readmit — no appointment |
Gerald Delgado M481636 · 80y · Bayside Medical (421) 608-7451Returned | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Feb 20 | Feb 9 Feb 19 | Not started — · 0 attempts | Not scheduled — | 189d past | Readmit — no appointment |
Rafael Haddad M432020 · 73y · Saguaro Care (685) 769-6672 | Good Care coordinator | Observation Northside Medical Center | No case No plan | Aug 15 Aug 23 | Not started — · 0 attempts | Not scheduled — | 4d past | No outreach yet |
Imani Petrov M418419 · 69y · Harbor Family Care (701) 441-5908 | Good Care coordinator | SNF Willowbrook SNF | No case No plan | Aug 13 Sep 1 | Not started — · 0 attempts | Not scheduled — | 5d left | No outreach yet |
Simone Mbeki M498688 · 83y · Mesa Family Medicine (353) 678-6734Returned | 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 |
Imani Marsden M482959 · 58y · Harbor Family Care (265) 315-6838Returned | Good Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Dec 29 | Dec 25 Dec 29 | Not started — · 0 attempts | Not scheduled — | 241d past | Readmit — no appointment |
Jonas Ferreira M406993 · 64y · Saguaro Care (618) 714-6988Returned | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Jul 14 | Jul 7 Jul 14 | Attempted Care coordinator · 1 attempt | Not scheduled — | 44d past | Readmit — no appointment |
Nadia Tanaka M487020 · 75y · Mesa Family Medicine (535) 606-6129Returned | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Jul 27 | Jul 21 Jul 27 | Not started — · 0 attempts | Not scheduled — | 31d past | Readmit — no appointment |
Ruth Ionescu M493013 · 61y · Millbrook Clinic (277) 749-4305Returned | 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 |
Rafael Ionescu M488324 · 59y · Bayside Medical (415) 484-8209Returned | Good Care coordinator | Inpatient Valley Baptist | No case No plan | Feb 5 Feb 12 | Contacted PCP office · 2 attempts | Not scheduled — | 196d past | Readmit — no appointment |
Simone Baptiste M418336 · 63y · Mesa Family Medicine (374) 709-5192Returned | Good Care coordinator | Inpatient Mercy General | No case No plan | Apr 21 Apr 30 | Not started — · 0 attempts | Not scheduled — | 119d past | Readmit — no appointment |
Willie Kowalski M408165 · 72y · Millbrook Clinic (245) 851-4256 | Good Care coordinator | ED Mercy General ED | No case No plan | Aug 14 Aug 14 | Not started — · 0 attempts | Not scheduled — | 13d past | No outreach yet |
Hattie Nguyen M481631 · 83y · Mesa Family Medicine (566) 619-2668Returned | Good Care coordinator | Inpatient Northside Medical Center | No case No plan | Aug 10 Aug 20 | Not started — · 0 attempts | Not scheduled — | 7d past | Readmit — no appointment |
Hattie Ferreira M449055 · 89y · Redwood Primary (646) 650-403960d readmitReturned | Fair Care coordinator | SNF Willowbrook SNF | No case No plan | Sep 12 Sep 23 | Not started — · 0 attempts | Not scheduled — | 338d past | Readmit — no appointment |
Beatrice Guillory M459827 · 74y · Harbor Family Care (685) 355-311460d readmit | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Aug 18 | Aug 14 Aug 19 | Contacted Care coordinator · 2 attempts | Not scheduled — | 8d past | Window missed |
Rosa Kowalski M468419 · 83y · Mesa Family Medicine (513) 625-738960d readmit | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Aug 24 | Aug 16 Aug 23 | Contacted Care coordinator · 2 attempts | Not scheduled — | 4d past | Window missed |
Beatrice Lindstrom M419219 · 65y · Stonebridge Health (413) 221-255360d readmit | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Oct 31 | Oct 22 Oct 30 | Contacted Care coordinator · 1 attempt | No-show Nov 5 · 1 miss | 301d past | No-show recovery |
Ruth Petrov M480554 · 62y · Harbor Family Care (504) 713-214560d readmit | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Aug 7 | Jul 29 Aug 6 | Attempted Front desk · 1 attempt | Not scheduled — | 21d past | Window missed |
Callum Nguyen M461172 · 80y · Foxfield Primary (307) 307-332860d readmit | Fair Care coordinator | Inpatient Mercy General | Case open Proj. DC Apr 7 | Mar 30 Apr 6 | Contacted PCP office · 1 attempt | Cancelled Apr 10 · 1 miss | 143d past | No-show recovery |
Bernard Mbeki M402511 · 67y · Mesa Family Medicine (287) 750-5568 | Fair Care coordinator | Inpatient Northside Medical Center | No case No plan | Aug 5 Aug 12 | Not started — · 0 attempts | Not scheduled — | 15d past | No outreach yet |
Jonas Ionescu M467771 · 91y · Bayside Medical (355) 371-3741 | Good Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Aug 27 | Aug 3 Aug 27 | Contacted Care coordinator · 2 attempts | Not scheduled — | 0d left | Window closing |
Ingrid Tanaka M450769 · 78y · Bayside Medical (313) 327-438860d readmit | Good Care coordinator | ED Mercy General ED | Case open Proj. DC Sep 3 | Sep 3 Sep 3 | Unable to reach Care coordinator · 4 attempts | Not scheduled — | 7d left | Contacted, no appointment |
Simone Salazar M467144 · 65y · Stonebridge Health (415) 244-3561 | Critical Nurse | Inpatient Mercy General | Case open Proj. DC Nov 8 | Oct 29 Nov 8 | Contacted Nurse case manager · 2 attempts | Completed Nov 12 · 4d | Met | On track |
Otis Kowalski M451633 · 82y · Harbor Family Care (438) 755-9499 | Critical Nurse | Inpatient St. Aldon Regional | No case No plan | Sep 15 Sep 23 | Attempted Nurse case manager · 2 attempts | Not scheduled — | 338d past | On track |
Bernard Chandler M419265 · 74y · Bayside Medical (484) 696-4659 | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC May 23 | May 19 May 23 | Contacted Nurse case manager · 1 attempt | Completed May 26 · 3d | Met | On track |
Priya Petrov M415750 · 65y · Redwood Primary (457) 763-161460d readmit | Serious Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Jun 26 | Jun 19 Jun 25 | Contacted Nurse case manager · 1 attempt | Completed Jun 28 · 3d · 1 miss | Met | On track |
Otis Ferreira M420936 · 77y · Cedar Hills Family (383) 315-596160d readmit | Serious Nurse | Inpatient Northside Medical Center | Case open Proj. DC Sep 28 | Sep 24 Sep 28 | Contacted Nurse case manager · 1 attempt | Completed Sep 30 · 2d | Met | On track |
Imani Sorensen M462430 · 64y · Redwood Primary (636) 411-8340 | Critical Nurse | Inpatient Valley Baptist | Case open Proj. DC Sep 2 | Aug 25 Sep 3 | Contacted Nurse case manager · 3 attempts | Scheduled Sep 7 | 7d left | On track |
Marcus Chandler M447580 · 91y · Lakeview Internal (569) 690-4904 | Critical Nurse | Inpatient Valley Baptist | Case open Proj. DC Jan 9 | Jan 5 Jan 9 | Contacted Nurse case manager · 3 attempts | Rescheduled Jan 13 · 1 miss | 230d past | On track |
Priya Kowalski M431603 · 78y · Mesa Family Medicine (606) 396-2396Returned | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC Jan 31 | Jan 26 Jan 30 | Contacted Nurse case manager · 2 attempts | Completed Feb 8 · 9d | 209d past | On track |
Yuki Whitmore M469001 · 65y · Redwood Primary (528) 660-4622 | Critical Nurse | Inpatient Mercy General | Case open Proj. DC Nov 11 | Nov 6 Nov 11 | Contacted Nurse case manager · 3 attempts | Completed Nov 16 · 5d | Met | On track |
Ingrid Lindstrom M416743 · 90y · Mesa Family Medicine (273) 590-708060d readmit | Serious Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Sep 28 | Sep 20 Sep 27 | Contacted Nurse case manager · 3 attempts | Completed Oct 1 · 4d | Met | On track |
Beatrice Guillory M495559 · 73y · Saguaro Care (336) 365-456760d readmit | Serious Nurse | Inpatient Valley Baptist | No case No plan | Feb 16 Feb 25 | Not started — · 0 attempts | Not scheduled — | 183d past | On track |
Willie Haddad M448677 · 78y · Foxfield Primary (576) 632-8259 | Critical Nurse | Inpatient Mercy General | Case open Proj. DC Jan 15 | Jan 12 Jan 16 | Contacted Nurse case manager · 2 attempts | Completed Jan 22 · 6d | Met | On track |
Terrance Whitmore M471774 · 80y · Mesa Family Medicine (446) 622-663160d readmit | Serious Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Nov 12 | Nov 5 Nov 11 | Unable to reach Nurse case manager · 4 attempts | Not scheduled — | 289d past | On track |
Beatrice Petrov M404900 · 72y · Saguaro Care (500) 557-7041 | Critical Nurse | Inpatient Valley Baptist | Case open Proj. DC Feb 15 | Feb 13 Feb 16 | Contacted Nurse case manager · 2 attempts | Not scheduled — | 192d past | On track |
Xiomara Kowalski M458773 · 74y · Millbrook Clinic (565) 398-7891 | Critical Nurse | Inpatient Mercy General | No case No plan | Jan 27 Feb 3 | Attempted Nurse case manager · 1 attempt | Not scheduled — | 205d past | On track |
Rafael Whitmore M404911 · 89y · Redwood Primary (242) 253-748060d readmit | Serious Nurse | Inpatient Northside Medical Center | Case open Proj. DC Nov 25 | Nov 20 Nov 25 | Contacted Nurse case manager · 3 attempts | Completed Nov 29 · 4d · 1 miss | Met | On track |
Bernard Abernathy M417041 · 88y · Cedar Hills Family (500) 355-2069 | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC Sep 7 | Sep 3 LOS 0d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Ruth Ionescu M479197 · 64y · Redwood Primary (291) 299-799560d readmit | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Jan 24 | Jan 14 Jan 24 | Contacted Nurse case manager · 2 attempts | Completed Jan 27 · 3d | Met | On track |
Rafael Delgado M433079 · 91y · Bayside Medical (506) 744-6905 | Good Care coordinator | Inpatient Valley Baptist | No case No plan | Aug 31 LOS 3d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Eleanor Haddad M454217 · 78y · Mesa Family Medicine (367) 694-1434 | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC Jan 23 | Jan 19 Jan 23 | Contacted Nurse case manager · 2 attempts | Completed Feb 8 · 16d | 216d past | On track |
Delia Marsden M420661 · 71y · Stonebridge Health (533) 699-238660d readmit | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Sep 16 | Sep 11 Sep 17 | Contacted Nurse case manager · 1 attempt | Rescheduled Sep 22 · 1 miss | 344d past | On track |
Callum Delgado M431411 · 88y · Mesa Family Medicine (251) 834-7933 | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC Oct 2 | Sep 26 Oct 2 | Contacted Nurse case manager · 3 attempts | Completed Oct 8 · 6d · 1 miss | Met | On track |
Amir Lindstrom M457046 · 68y · Bayside Medical (619) 386-6204 | Critical Nurse | Inpatient Mercy General | Case open Proj. DC Jun 20 | Jun 17 Jun 20 | Contacted Nurse case manager · 1 attempt | Not scheduled — | 68d past | On track |
Ruth Baptiste M470822 · 64y · Redwood Primary (313) 229-1006 | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC Dec 20 | Dec 11 Dec 19 | Contacted Nurse case manager · 2 attempts | Completed Dec 21 · 2d | Met | On track |
Hattie Ferreira M448579 · 59y · Lakeview Internal (272) 612-7361 | Critical Nurse | Inpatient Valley Baptist | Case open Proj. DC Apr 21 | Apr 12 Apr 22 | Contacted Nurse case manager · 1 attempt | Completed Apr 27 · 5d · 1 miss | Met | On track |
Simone Nguyen M443795 · 65y · Cedar Hills Family (573) 426-413760d readmit | Serious Nurse | Inpatient St. Aldon Regional | No case No plan | Jul 1 Jul 9 | Attempted Care coordinator · 1 attempt | Not scheduled — | 49d past | On track |
Harold Lindstrom M452724 · 61y · Redwood Primary (506) 681-3044 | Critical Nurse | Inpatient Mercy General | Case open Proj. DC Sep 10 | Sep 3 LOS 0d | Contacted Nurse case manager · 1 attempt | Not scheduled — | In facility | On track |
Eleanor Marsden M409900 · 61y · Saguaro Care (674) 890-947760d readmit | Serious Nurse | Inpatient Northside Medical Center | Case open Proj. DC Sep 8 | Aug 31 LOS 3d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Xiomara Guillory M447526 · 91y · Cedar Hills Family (522) 294-700560d readmit | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Jan 3 | Dec 30 Jan 4 | Contacted Nurse case manager · 3 attempts | Completed Jan 13 · 9d | 235d past | On track |
Simone Mbeki M488927 · 91y · Saguaro Care (327) 376-208660d readmit | Serious Nurse | Inpatient Valley Baptist | Case open Proj. DC Jan 31 | Jan 28 Jan 31 | Attempted Nurse case manager · 1 attempt | Not scheduled — | 208d past | On track |
Gerald Salazar M457142 · 76y · Harbor Family Care (609) 253-5706Returned | Good Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Mar 8 | Feb 25 Mar 9 | Contacted Front desk · 1 attempt | Not scheduled — | 171d past | Readmit — no appointment |
Amir Baptiste M401796 · 82y · Saguaro Care (217) 741-6368Returned | Good Care coordinator | Observation Northside Medical Center | No case No plan | Sep 4 Sep 14 | Not started — · 0 attempts | Not scheduled — | 347d past | Readmit — no appointment |
Rafael Mbeki M444201 · 86y · Foxfield Primary (295) 348-4589Returned | Good Care coordinator | SNF Riverstone Post-Acute | No case No plan | Sep 16 Oct 4 | Attempted PCP office · 1 attempt | Not scheduled — | 327d past | Readmit — no appointment |
Willie Tanaka M450746 · 64y · Harbor Family Care (538) 815-8149Returned | Good Care coordinator | SNF Willowbrook SNF | Case open Proj. DC May 6 | Apr 22 May 5 | Attempted Care coordinator · 2 attempts | Not scheduled — | 114d past | Readmit — no appointment |
Cora Kowalski M476228 · 77y · Saguaro Care (455) 590-7241Returned | Good Care coordinator | ED Mercy General ED | No case No plan | Jul 24 Jul 24 | Attempted Front desk · 1 attempt | Not scheduled — | 34d past | Readmit — no appointment |
Rosa Ferreira M496600 · 90y · Saguaro Care (430) 403-6939 | Serious Nurse | Home Health Comfort Care at Home | No case No plan | Jun 25 Aug 1 | Unable to reach Nurse case manager · 5 attempts | Not scheduled — | 26d past | Window missed |
Terrance Haddad M409708 · 83y · Millbrook Clinic (640) 336-5057Returned | Good Care coordinator | ED Northside Medical ED | Case open Proj. DC Jul 2 | Jul 2 Jul 2 | Contacted Care coordinator · 2 attempts | Not scheduled — | 56d past | Readmit — no appointment |
Alma Ferreira M409318 · 66y · Stonebridge Health (493) 536-3301Returned | Good Care coordinator | Home Health BrightPath Home Health | Case open Proj. DC Apr 6 | Mar 8 Apr 6 | Unable to reach Front desk · 5 attempts | Not scheduled — | 143d past | Readmit — no appointment |
Yuki Okafor M463182 · 65y · Millbrook Clinic (560) 778-7155Returned | Good Care coordinator | Observation St. Aldon Regional | Case open Proj. DC Feb 21 | Feb 16 Feb 21 | Contacted Care coordinator · 2 attempts | Not scheduled — | 187d past | Readmit — no appointment |
Rosa Haddad M492361 · 72y · Redwood Primary (224) 731-2350Returned | Good Care coordinator | ED Mercy General ED | No case No plan | Apr 2 Apr 2 | Attempted PCP office · 2 attempts | Not scheduled — | 147d past | Readmit — no appointment |
Imani Baptiste M495940 · 70y · Saguaro Care (558) 340-2868Returned | Good Care coordinator | Observation Mercy General | Case open Proj. DC Mar 21 | Mar 13 Mar 22 | Contacted Care coordinator · 3 attempts | Not scheduled — | 158d past | Readmit — no appointment |
Simone Tanaka M474286 · 85y · Mesa Family Medicine (321) 200-5954Returned | Good Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Jun 13 | May 28 Jun 13 | Contacted PCP office · 3 attempts | Not scheduled — | 75d past | Readmit — no appointment |
Bernard Abernathy M430358 · 60y · Bayside Medical (478) 453-3223Returned | Good Care coordinator | Observation Northside Medical Center | No case No plan | Nov 18 Nov 22 | Not started — · 0 attempts | Not scheduled — | 278d past | Readmit — no appointment |
Delia Nguyen M439818 · 79y · Millbrook Clinic (333) 768-3170Returned | Good Care coordinator | SNF Riverstone Post-Acute | Case open Proj. DC Dec 21 | Dec 11 Dec 21 | Unable to reach Care coordinator · 5 attempts | Not scheduled — | 249d past | Readmit — no appointment |
Beatrice Mbeki M418184 · 61y · Saguaro Care (688) 336-9255Returned | Good Care coordinator | ED Valley Baptist ED | Case open Proj. DC Aug 16 | Aug 16 Aug 16 | Unable to reach Care coordinator · 4 attempts | Not scheduled — | 11d past | Readmit — no appointment |
Harold Sorensen M476673 · 81y · Millbrook Clinic (558) 866-3136Returned | Good Care coordinator | SNF Willowbrook SNF | No case No plan | Jan 10 Jan 24 | Not started — · 0 attempts | Not scheduled — | 215d past | Readmit — no appointment |
Alma Haddad M494049 · 73y · Foxfield Primary (318) 483-6346Returned | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Nov 18 | Oct 25 Nov 19 | Not started — · 0 attempts | Not scheduled — | 281d past | Readmit — no appointment |
Milton Mbeki M461818 · 62y · Harbor Family Care (668) 532-8866Returned | Good Care coordinator | Observation St. Aldon Regional | No case No plan | Feb 8 Feb 12 | Attempted Care coordinator · 1 attempt | Not scheduled — | 196d past | Readmit — no appointment |
Xiomara Sorensen M464514 · 70y · Cedar Hills Family (420) 680-6783Returned | Good Care coordinator | Observation Northside Medical Center | Case open Proj. DC Dec 4 | Nov 28 Dec 5 | Unable to reach Front desk · 4 attempts | Not scheduled — | 265d past | Readmit — no appointment |
Eleanor Chandler M491785 · 91y · Harbor Family Care (262) 847-2180Returned | Good Care coordinator | Home Health BrightPath Home Health | No case No plan | Dec 11 Dec 27 | Not started — · 0 attempts | Not scheduled — | 243d past | Readmit — no appointment |
Otis Whitmore M477012 · 87y · Cedar Hills Family (382) 355-534660d readmit | Fair Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Sep 1 | Aug 25 Aug 31 | Attempted Care coordinator · 1 attempt | Not scheduled — | 4d left | Contacted, no appointment |
Frank Delgado M468089 · 77y · Bayside Medical (439) 489-3426 | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Aug 18 | Aug 9 Aug 17 | Contacted PCP office · 3 attempts | No-show Aug 22 · 1 miss | 10d past | No-show recovery |
Marcus Mbeki M449960 · 81y · Stonebridge Health (586) 279-579260d readmit | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Sep 1 | Aug 29 Sep 2 | Contacted Front desk · 3 attempts | Not scheduled — | 6d left | Contacted, no appointment |
Eleanor Petrov M492006 · 68y · Millbrook Clinic (306) 592-4491 | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Jul 16 | Jul 8 Jul 17 | Contacted PCP office · 3 attempts | No-show Jul 21 · 1 miss | 41d past | No-show recovery |
Imani Guillory M432484 · 83y · Saguaro Care (569) 233-5215 | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC May 29 | May 20 May 29 | Contacted Front desk · 2 attempts | No-show Jun 1 · 1 miss | 90d past | No-show recovery |
Callum Marsden M464786 · 64y · Foxfield Primary (681) 294-107660d readmit | Fair Care coordinator | Inpatient Mercy General | No case No plan | Aug 30 Sep 2 | Attempted Care coordinator · 2 attempts | Not scheduled — | 6d left | Contacted, no appointment |
Eleanor Delgado M423578 · 79y · Foxfield Primary (436) 601-2881 | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Oct 26 | Oct 18 Oct 26 | Contacted PCP office · 1 attempt | No-show Oct 28 · 1 miss | 305d past | No-show recovery |
Lena Marsden M491956 · 87y · Stonebridge Health (636) 407-8852Returned | Serious Nurse | Inpatient Mercy General | No case No plan | May 31 Jun 9 | Contacted Nurse case manager · 1 attempt | Completed Jun 15 · 6d · 1 miss | Met | Readmit — visit completed |
Yuki Petrov M481693 · 62y · Redwood Primary (466) 524-4464 | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Nov 2 | Oct 29 Nov 2 | Contacted Care coordinator · 2 attempts | Cancelled Nov 6 · 1 miss | 298d past | No-show recovery |
Ingrid Sorensen M435962 · 89y · Foxfield Primary (689) 457-629260d readmit | Fair Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Mar 10 | Feb 14 Mar 10 | Contacted Care coordinator · 2 attempts | Cancelled Mar 18 · 1 miss | 170d past | No-show recovery |
Cora Baptiste M407734 · 86y · Stonebridge Health (575) 397-816860d readmit | Fair Care coordinator | ED Valley Baptist ED | Case open Proj. DC May 24 | May 24 May 24 | Contacted Front desk · 1 attempt | No-show Jun 4 · 1 miss | 95d past | No-show recovery |
Delia Baptiste M427738 · 78y · Foxfield Primary (666) 889-1014Returned | Fair Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Jul 28 | Jul 21 Jul 29 | Contacted Front desk · 2 attempts | Not scheduled — | 29d past | Readmit — no appointment |
Marcus Tanaka M436447 · 70y · Bayside Medical (576) 437-4486Returned | Fair Care coordinator | Inpatient Mercy General | No case No plan | Jun 13 Jun 16 | Contacted Care coordinator · 1 attempt | Not scheduled — | 72d past | Readmit — no appointment |
Hattie Marsden M432980 · 68y · Mesa Family Medicine (549) 887-1739Returned | Fair Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Nov 28 | Nov 26 Nov 29 | Not started — · 0 attempts | Not scheduled — | 271d past | Readmit — no appointment |
Willie Mbeki M421933 · 90y · Mesa Family Medicine (657) 488-6176Returned | Fair Care coordinator | Inpatient Valley Baptist | No case No plan | Dec 3 Dec 12 | Not started — · 0 attempts | Not scheduled — | 258d past | Readmit — no appointment |
Cora Whitmore M413822 · 76y · Foxfield Primary (597) 818-9641 | Fair Care coordinator | Observation Mercy General | No case No plan | Aug 11 Aug 14 | Not started — · 0 attempts | Not scheduled — | 13d past | No outreach yet |
Priya Guillory M482283 · 75y · Cedar Hills Family (380) 676-3063Returned | Fair Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Feb 9 | Feb 3 Feb 9 | Not started — · 0 attempts | Not scheduled — | 199d past | Readmit — no appointment |
Nadia Baptiste M471971 · 73y · Harbor Family Care (364) 297-3725 | Critical Nurse | SNF Ridgeway LTAC | Case open Proj. DC Dec 23 | Dec 12 Dec 22 | Contacted Nurse case manager · 3 attempts | Completed Jan 5 · 14d · 1 miss | 248d past | On track |
Delia Whitmore M401264 · 80y · Redwood Primary (371) 813-719560d readmit | Serious Nurse | SNF Ridgeway LTAC | No case No plan | Feb 15 Feb 24 | Contacted Nurse case manager · 1 attempt | Completed Mar 1 · 5d | Met | On track |
Terrance Rios M492068 · 58y · Harbor Family Care (431) 449-6117 | Critical Nurse | SNF Golden Oaks Rehab | Case open Proj. DC Sep 19 | Aug 28 LOS 6d | Contacted Nurse case manager · 1 attempt | Not scheduled — | In facility | On track |
Jonas Baptiste M448649 · 70y · Foxfield Primary (287) 646-536060d readmit | Serious Nurse | SNF Willowbrook SNF | Case open Proj. DC Feb 26 | Feb 6 Feb 25 | Contacted Nurse case manager · 3 attempts | Completed Mar 1 · 4d | Met | On track |
Rafael Kowalski M472343 · 64y · Foxfield Primary (669) 458-2843 | Critical Nurse | SNF Golden Oaks Rehab | Case open Proj. DC Jan 2 | Dec 12 Jan 3 | Contacted Nurse case manager · 3 attempts | Completed Jan 7 · 4d | Met | On track |
Priya Chandler M460209 · 71y · Foxfield Primary (646) 474-6044 | Critical Nurse | Observation Mercy General | Case open Proj. DC May 12 | May 7 May 12 | Contacted Care coordinator · 3 attempts | Completed May 16 · 4d | Met | On track |
Lena Okafor M454109 · 82y · Millbrook Clinic (693) 744-6043 | Critical Nurse | Home Health Comfort Care at Home | Case open Proj. DC Nov 11 | Oct 22 Nov 11 | Contacted Nurse case manager · 1 attempt | Completed Nov 14 · 3d | Met | On track |
Nadia Sorensen M402280 · 73y · Harbor Family Care (403) 852-776860d readmit | Serious Nurse | Observation Northside Medical Center | Case open Proj. DC Feb 24 | Feb 15 Feb 25 | Contacted Nurse case manager · 3 attempts | Completed Mar 8 · 11d · 1 miss | 183d past | On track |
Jonas Ferreira M488784 · 91y · Redwood Primary (509) 613-7300 | Critical Nurse | Home Health Anchor Home Services | Case open Proj. DC Aug 13 | Jul 13 Aug 13 | Contacted Care coordinator · 1 attempt | Completed Aug 15 · 2d | Met | On track |
Bernard Chandler M437362 · 88y · Stonebridge Health (648) 676-7170Returned | Critical Nurse | Observation Northside Medical Center | No case No plan | Apr 24 Apr 29 | Contacted Nurse case manager · 2 attempts | Rescheduled May 5 · 1 miss | 120d past | On track |
Jonas Ionescu M489998 · 80y · Harbor Family Care (207) 284-158760d readmit | Serious Nurse | ED St. Aldon Regional ED | No case No plan | May 19 May 19 | Not started — · 0 attempts | Not scheduled — | 100d past | On track |
Priya Petrov M453405 · 59y · Mesa Family Medicine (289) 203-7794 | Critical Nurse | Observation Mercy General | Case open Proj. DC Jul 14 | Jul 7 Jul 14 | Contacted Nurse case manager · 1 attempt | Rescheduled Jul 29 · 1 miss | 44d past | On track |
Ruth Kowalski M468043 · 65y · Foxfield Primary (624) 675-4347 | Critical Nurse | Observation Northside Medical Center | Case open Proj. DC Oct 5 | Sep 30 Oct 5 | Attempted Nurse case manager · 2 attempts | Not scheduled — | 326d past | On track |
Dwight Salazar M444577 · 71y · Redwood Primary (535) 819-4335Returned | Critical Nurse | ED Northside Medical ED | Case open Proj. DC Oct 4 | Oct 4 Oct 4 | Contacted Nurse case manager · 1 attempt | Completed Oct 13 · 9d | 327d past | On track |
Alma Sorensen M448193 · 77y · Stonebridge Health (396) 810-359260d readmit | Serious Nurse | ED Mercy General ED | Case open Proj. DC Nov 24 | Nov 24 Nov 24 | Contacted Nurse case manager · 3 attempts | Completed Nov 28 · 4d | Met | On track |
Bernard Lindstrom M483823 · 90y · Redwood Primary (514) 887-7616 | Critical Nurse | SNF Golden Oaks Rehab | Case open Proj. DC Jun 21 | May 31 Jun 21 | Contacted Nurse case manager · 2 attempts | Completed Jun 27 · 6d · 1 miss | Met | On track |
Eleanor Mbeki M400626 · 63y · Saguaro Care (371) 768-8040 | Critical Nurse | ED Mercy General ED | No case No plan | Jan 9 Jan 9 | Contacted Nurse case manager · 1 attempt | Completed Jan 14 · 5d | Met | On track |
Xiomara Salazar M438316 · 58y · Mesa Family Medicine (366) 385-650360d readmit | Serious Nurse | ED Valley Baptist ED | No case No plan | Mar 20 Mar 20 | Contacted Nurse case manager · 1 attempt | Completed Mar 22 · 2d | Met | On track |
Beatrice Marsden M478595 · 90y · Redwood Primary (498) 293-1644 | Critical Nurse | Observation Mercy General | Case open Proj. DC Jun 8 | Jun 6 Jun 9 | Contacted Nurse case manager · 2 attempts | Completed Jun 12 · 3d | Met | On track |
Cora Rios M422697 · 59y · Cedar Hills Family (264) 820-3879 | Good Care coordinator | SNF Golden Oaks Rehab | No case No plan | Sep 1 LOS 2d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Imani Guillory M484792 · 91y · Cedar Hills Family (641) 716-620660d readmitReturned | Serious Nurse | SNF Golden Oaks Rehab | No case No plan | Jun 12 Jun 25 | Contacted Nurse case manager · 2 attempts | Completed Jul 6 · 11d | 63d past | On track |
Ingrid Chandler M438381 · 63y · Harbor Family Care (693) 268-5322 | Critical Nurse | SNF Willowbrook SNF | Case open Proj. DC Sep 8 | Aug 20 LOS 14d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Xiomara Abernathy M446863 · 80y · Redwood Primary (458) 337-499560d readmit | Serious Nurse | ED St. Aldon Regional ED | Case open Proj. DC Jan 19 | Jan 19 Jan 19 | Contacted Nurse case manager · 1 attempt | Completed Jan 23 · 4d | Met | On track |
Xiomara Sorensen M408477 · 73y · Millbrook Clinic (421) 835-1954Returned | Critical Nurse | ED Mercy General ED | No case No plan | Sep 26 Sep 26 | Contacted Nurse case manager · 3 attempts | Rescheduled Sep 29 · 1 miss | 335d past | On track |
Lena Kowalski M482014 · 58y · Stonebridge Health (301) 572-2967 | Critical Nurse | Observation Northside Medical Center | No case No plan | Mar 6 Mar 10 | Contacted Nurse case manager · 3 attempts | Completed Mar 14 · 4d · 1 miss | Met | On track |
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