Level 2 · Patient worklist
Every patient on census with outreach, appointment status and the next action. Click a box to filter the list.
214 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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 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 |
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 |
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 |
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 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 |
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 |
Eleanor Baptiste M457069 · 59y · Bayside Medical (552) 696-5032 | Critical Nurse | Home Health BrightPath Home Health | Case open Proj. DC Jul 28 | Jul 9 Jul 28 | Contacted Nurse case manager · 3 attempts | Completed Aug 1 · 4d · 1 miss | Met | On track |
Ruth Whitmore M454955 · 76y · Harbor Family Care (211) 245-4316 | Critical Nurse | ED Mercy General ED | No case No plan | Jan 14 Jan 14 | Contacted Nurse case manager · 2 attempts | Completed Jan 30 · 16d | 225d past | On track |
Ingrid Baptiste M499977 · 76y · Harbor Family Care (530) 593-8368 | Critical Nurse | Observation St. Aldon Regional | Case open Proj. DC Dec 19 | Dec 13 Dec 19 | Contacted Nurse case manager · 2 attempts | Rescheduled Dec 22 · 1 miss | 251d past | On track |
Delia Ionescu M443814 · 65y · Bayside Medical (633) 451-670360d readmit | Serious Nurse | SNF Willowbrook SNF | Case open Proj. DC Jun 30 | Jun 19 Jun 30 | Contacted Nurse case manager · 2 attempts | Completed Jul 5 · 5d | Met | On track |
Terrance Petrov M464919 · 58y · Bayside Medical (375) 358-2249 | Critical Nurse | ED Northside Medical ED | No case No plan | Oct 8 Oct 8 | Contacted Nurse case manager · 1 attempt | Completed Oct 12 · 4d | Met | On track |
Gerald Petrov M492822 · 77y · Harbor Family Care (395) 374-2968 | Critical Nurse | Home Health Anchor Home Services | Case open Proj. DC Feb 19 | Jan 16 Feb 20 | Contacted Nurse case manager · 3 attempts | Completed Feb 22 · 2d · 1 miss | Met | On track |
Willie Ferreira M410123 · 66y · Harbor Family Care (481) 690-195860d readmit | Fair Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Aug 12 | Aug 3 Aug 11 | Unable to reach Care coordinator · 4 attempts | Not scheduled — | 16d past | Window missed |
Simone Mbeki M496088 · 58y · Harbor Family Care (560) 831-1940 | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Sep 3 | Aug 26 Sep 3 | Unable to reach PCP office · 5 attempts | Not scheduled — | 7d left | Contacted, no appointment |
Hattie Baptiste M463402 · 74y · Bayside Medical (289) 499-6952 | Good Care coordinator | SNF Riverstone Post-Acute | Case open Proj. DC Jan 18 | Jan 8 Jan 19 | Contacted Care coordinator · 2 attempts | Cancelled Jan 29 · 1 miss | 220d past | No-show recovery |
Yuki Chandler M407317 · 70y · Harbor Family Care (214) 759-5516 | Good Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Jan 24 | Dec 17 Jan 23 | Contacted Care coordinator · 1 attempt | Cancelled Feb 7 · 1 miss | 216d past | No-show recovery |
Ruth Okafor M493652 · 70y · Bayside Medical (410) 295-6361Returned | Serious Nurse | Observation Northside Medical Center | Case open Proj. DC Mar 21 | Mar 12 Mar 20 | Contacted Nurse case manager · 1 attempt | Completed Mar 26 · 6d | Met | Readmit — visit completed |
Rosa Haddad M471297 · 91y · Harbor Family Care (641) 625-4896 | Good Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Aug 16 | Aug 2 Aug 15 | Contacted Care coordinator · 1 attempt | No-show Aug 23 · 1 miss | 12d past | No-show recovery |
Ruth Chandler M462062 · 68y · Harbor Family Care (323) 432-6669Returned | Fair Care coordinator | Home Health Anchor Home Services | Case open Proj. DC Oct 16 | Sep 27 Oct 16 | Not started — · 0 attempts | Not scheduled — | 315d past | Readmit — no appointment |
Marcus Nguyen M456283 · 71y · Bayside Medical (511) 654-5123Returned | Fair Care coordinator | ED Valley Baptist ED | No case No plan | Aug 23 Aug 23 | Not started — · 0 attempts | Not scheduled — | 4d past | Readmit — no appointment |
Callum Kowalski M400123 · 58y · Bayside Medical (405) 891-4876Returned | Fair Care coordinator | Observation Mercy General | Case open Proj. DC Aug 15 | Aug 5 Aug 14 | Attempted Care coordinator · 2 attempts | Not scheduled — | 13d past | Readmit — no appointment |
Hattie Haddad M470278 · 90y · Harbor Family Care (488) 877-8513Returned | Fair Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Feb 12 | Feb 2 Feb 13 | Unable to reach Care coordinator · 5 attempts | Not scheduled — | 195d past | Readmit — no appointment |
Beatrice Chandler M452856 · 62y · Harbor Family Care (308) 585-8089Returned | Fair Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC May 12 | May 8 May 11 | Contacted Front desk · 2 attempts | No-show May 22 · 1 miss | 108d past | No-show recovery |
Amir Whitmore M400214 · 74y · Harbor Family Care (519) 615-8717 | Fair Care coordinator | Inpatient Northside Medical Center | No case No plan | Dec 5 Dec 13 | Contacted Front desk · 3 attempts | No-show Dec 17 · 1 miss | 257d past | No-show recovery |
Bernard Ferreira M487484 · 66y · Bayside Medical (443) 510-8111 | Good Care coordinator | Home Health BrightPath Home Health | Case open Proj. DC Sep 1 | Aug 11 Sep 2 | Unable to reach Care coordinator · 4 attempts | Not scheduled — | 6d left | Contacted, no appointment |
Ingrid Rios M481158 · 62y · Harbor Family Care (511) 678-5686 | Good Care coordinator | ED Northside Medical ED | Case open Proj. DC Aug 30 | Aug 30 Aug 30 | Contacted Care coordinator · 3 attempts | Not scheduled — | 3d left | Contacted, no appointment |
Jonas Okafor M476831 · 58y · Bayside Medical (666) 640-9175 | Serious Nurse | Inpatient Valley Baptist | Case open Proj. DC May 2 | Apr 21 May 1 | Contacted Nurse case manager · 2 attempts | Completed May 4 · 3d | Met | On track |
Milton Marsden M436775 · 87y · Bayside Medical (221) 561-2895 | Serious Nurse | Inpatient Valley Baptist | Case open Proj. DC Dec 8 | Dec 3 Dec 8 | Contacted Nurse case manager · 3 attempts | Not scheduled — | 262d past | On track |
Dwight Okafor M497686 · 60y · Bayside Medical (577) 657-1755 | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Aug 12 | Aug 8 Aug 13 | Contacted Nurse case manager · 2 attempts | Rescheduled Aug 15 · 1 miss | 14d past | On track |
Otis Salazar M468477 · 77y · Harbor Family Care (670) 779-9644 | Serious Nurse | Inpatient Northside Medical Center | Case open Proj. DC Sep 22 | Sep 19 Sep 22 | Contacted Care coordinator · 3 attempts | Completed Sep 25 · 3d | Met | On track |
Terrance Mbeki M422653 · 77y · Bayside Medical (307) 448-4038 | Serious Nurse | Inpatient Northside Medical Center | Case open Proj. DC Jan 2 | Dec 26 Jan 3 | Attempted Nurse case manager · 2 attempts | Not scheduled — | 236d past | On track |
Hattie Salazar M499808 · 69y · Harbor Family Care (271) 871-6367 | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Jun 26 | Jun 23 Jun 27 | Contacted Nurse case manager · 3 attempts | Completed Jul 1 · 4d | Met | On track |
Willie Nguyen M430837 · 59y · Bayside Medical (313) 425-1070 | Serious Nurse | Inpatient Valley Baptist | Case open Proj. DC Apr 26 | Apr 16 Apr 25 | Contacted Nurse case manager · 1 attempt | Completed May 1 · 6d | Met | On track |
Alma Ferreira M469495 · 58y · Harbor Family Care (696) 537-2408 | Serious Nurse | Inpatient Valley Baptist | Case open Proj. DC Jun 8 | Jun 3 Jun 7 | Contacted Nurse case manager · 3 attempts | Completed Jun 11 · 4d | Met | On track |
Terrance Sorensen M467073 · 65y · Bayside Medical (280) 850-1646 | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Sep 4 | Aug 28 LOS 6d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Dwight Ferreira M473427 · 70y · Harbor Family Care (677) 326-6306 | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Jun 23 | Jun 15 Jun 22 | Contacted Nurse case manager · 3 attempts | Completed Jun 25 · 3d | Met | On track |
Jonas Tanaka M427738 · 90y · Harbor Family Care (248) 659-7542 | Fair Care coordinator | Observation Mercy General | No case No plan | Aug 28 LOS 6d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Amir Kowalski M428494 · 59y · Harbor Family Care (589) 879-3032 | Fair Care coordinator | Home Health Anchor Home Services | No case No plan | Aug 18 LOS 16d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Amir Guillory M481769 · 90y · Harbor Family Care (432) 528-325060d readmit | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Apr 25 | Apr 17 Apr 25 | Not started — · 0 attempts | Not scheduled — | 124d past | On track |
Cora Ferreira M483447 · 73y · Harbor Family Care (388) 771-563860d readmit | Good Care coordinator | Inpatient Valley Baptist | No case No plan | Nov 17 Nov 20 | Unable to reach Care coordinator · 5 attempts | Not scheduled — | 280d past | On track |
Harold Guillory M480146 · 64y · Bayside Medical (449) 612-522560d readmit | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC May 9 | May 4 May 8 | Attempted Care coordinator · 2 attempts | Not scheduled — | 111d past | On track |
Priya Guillory M495652 · 82y · Harbor Family Care (268) 743-5096 | Fair Care coordinator | Observation Mercy General | Case open Proj. DC May 13 | May 8 May 14 | Contacted Care coordinator · 3 attempts | No-show May 29 · 1 miss | 105d past | No-show recovery |
Imani Chandler M494498 · 86y · Harbor Family Care (486) 430-5390 | Fair Care coordinator | ED Valley Baptist ED | Case open Proj. DC Aug 2 | Aug 2 Aug 2 | Contacted PCP office · 3 attempts | Cancelled Aug 10 · 1 miss | 25d past | No-show recovery |
Nadia Chandler M482756 · 63y · Harbor Family Care (423) 485-8388 | Fair Care coordinator | Observation St. Aldon Regional | Case open Proj. DC Aug 13 | Aug 7 Aug 13 | Contacted Care coordinator · 1 attempt | No-show Aug 26 · 1 miss | 14d past | No-show recovery |
Frank Haddad M409546 · 82y · Harbor Family Care (630) 521-8861Returned | Fair Care coordinator | Observation Mercy General | Case open Proj. DC Aug 22 | Aug 14 Aug 21 | Contacted Care coordinator · 1 attempt | Cancelled Aug 26 · 1 miss | 6d past | No-show recovery |
Jonas Rios M473222 · 66y · Bayside Medical (529) 543-2637 | Fair Care coordinator | ED Valley Baptist ED | No case No plan | Aug 1 Aug 1 | Contacted Care coordinator · 2 attempts | No-show Aug 16 · 1 miss | 26d past | No-show recovery |
Terrance Baptiste M495302 · 67y · Bayside Medical (377) 246-7086 | Fair Care coordinator | Observation St. Aldon Regional | Case open Proj. DC Apr 2 | Mar 25 Apr 2 | Contacted Care coordinator · 3 attempts | No-show Apr 6 · 1 miss | 147d past | No-show recovery |
Rosa Ferreira M484932 · 71y · Harbor Family Care (247) 298-6245 | Fair Care coordinator | ED St. Aldon Regional ED | Case open Proj. DC Apr 30 | Apr 30 Apr 30 | Contacted Care coordinator · 1 attempt | No-show May 6 · 1 miss | 119d past | No-show recovery |
Harold Abernathy M481996 · 78y · Harbor Family Care (485) 517-1477 | Good Care coordinator | SNF Willowbrook SNF | No case No plan | Jul 14 Jul 31 | Attempted Care coordinator · 2 attempts | Not scheduled — | 27d past | Window missed |
Beatrice Guillory M447659 · 82y · Harbor Family Care (456) 654-9306 | Good Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Aug 18 | Jul 23 Aug 18 | Contacted Front desk · 1 attempt | Not scheduled — | 9d past | Window missed |
Cora Tanaka M452666 · 69y · Bayside Medical (670) 811-3987 | Serious Nurse | ED Valley Baptist ED | Case open Proj. DC Dec 9 | Dec 9 Dec 9 | Contacted Nurse case manager · 3 attempts | Not scheduled — | 261d past | On track |
Nadia Okafor M453303 · 66y · Bayside Medical (266) 464-1949 | Serious Nurse | SNF Golden Oaks Rehab | Case open Proj. DC Mar 9 | Feb 20 Mar 9 | Contacted Nurse case manager · 3 attempts | Completed Mar 15 · 6d | Met | On track |
Amir Guillory M436232 · 81y · Bayside Medical (396) 399-9924 | Serious Nurse | ED Northside Medical ED | No case No plan | Feb 28 Feb 28 | Unable to reach Nurse case manager · 3 attempts | Not scheduled — | 180d past | On track |
Frank Salazar M414452 · 90y · Harbor Family Care (689) 261-1145 | Serious Nurse | Observation Northside Medical Center | Case open Proj. DC Nov 20 | Nov 10 Nov 20 | Contacted Nurse case manager · 1 attempt | Completed Nov 24 · 4d · 1 miss | Met | On track |
Ruth Mbeki M473522 · 80y · Harbor Family Care (452) 444-3631 | Serious Nurse | Home Health Anchor Home Services | Case open Proj. DC Apr 13 | Mar 14 Apr 13 | Contacted Care coordinator · 3 attempts | Not scheduled — | 136d past | On track |
Terrance Sorensen M493237 · 62y · Bayside Medical (206) 385-1820 | Serious Nurse | ED St. Aldon Regional ED | No case No plan | Jun 3 Jun 3 | Contacted Nurse case manager · 3 attempts | Completed Jun 9 · 6d | Met | On track |
Xiomara Mbeki M453348 · 75y · Bayside Medical (218) 399-3067 | Serious Nurse | ED St. Aldon Regional ED | No case No plan | Jun 20 Jun 20 | Not started — · 0 attempts | Not scheduled — | 68d past | On track |
Ruth Baptiste M457729 · 74y · Harbor Family Care (603) 867-3899 | Serious Nurse | Home Health BrightPath Home Health | Case open Proj. DC Sep 22 | Aug 21 LOS 13d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Priya Kowalski M466386 · 62y · Bayside Medical (506) 508-2807 | Serious Nurse | SNF Riverstone Post-Acute | No case No plan | Sep 28 Oct 21 | Attempted Nurse case manager · 2 attempts | Not scheduled — | 310d past | On track |
Cora Nguyen M480879 · 65y · Bayside Medical (407) 285-5039 | Serious Nurse | Home Health Comfort Care at Home | Case open Proj. DC Jan 17 | Dec 21 Jan 18 | Contacted Nurse case manager · 1 attempt | Not scheduled — | 221d past | On track |
Cora Marsden M486443 · 63y · Harbor Family Care (292) 600-4900 | Serious Nurse | ED Northside Medical ED | No case No plan | Oct 5 Oct 5 | Contacted Nurse case manager · 1 attempt | Completed Oct 7 · 2d | Met | On track |
Beatrice Petrov M477263 · 68y · Bayside Medical (290) 671-6128 | Serious Nurse | Home Health BrightPath Home Health | Case open Proj. DC Jun 26 | May 29 Jun 27 | Contacted Nurse case manager · 3 attempts | Completed Jul 11 · 14d | 61d past | On track |
Priya Okafor M459182 · 71y · Harbor Family Care (434) 776-4025 | Serious Nurse | ED Valley Baptist ED | No case No plan | Mar 3 Mar 3 | Contacted Nurse case manager · 2 attempts | Completed Mar 6 · 3d · 1 miss | Met | On track |
Bernard Salazar M442117 · 61y · Harbor Family Care (703) 306-8641 | Serious Nurse | SNF Ridgeway LTAC | Case open Proj. DC Jul 23 | Jul 13 Jul 24 | Contacted Nurse case manager · 1 attempt | Completed Jul 29 · 5d | Met | On track |
Callum Whitmore M478542 · 66y · Bayside Medical (694) 313-5431 | Serious Nurse | SNF Golden Oaks Rehab | Case open Proj. DC Oct 26 | Oct 5 Oct 26 | Contacted Nurse case manager · 2 attempts | Not scheduled — | 305d past | On track |
Milton Tanaka M487684 · 88y · Harbor Family Care (355) 521-9454 | Fair Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Sep 3 | Aug 19 Sep 2 | Contacted Front desk · 2 attempts | Not scheduled — | 6d left | Contacted, no appointment |
Amir Ionescu M445645 · 70y · Harbor Family Care (654) 244-865660d readmit | Good Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Jul 15 | Jun 26 Jul 15 | Contacted PCP office · 3 attempts | Completed Jul 18 · 3d | Met | On track |
Rosa Abernathy M423448 · 76y · Bayside Medical (565) 460-499460d readmit | Good Care coordinator | SNF Ridgeway LTAC | No case No plan | May 17 Jun 9 | Contacted Front desk · 2 attempts | Completed Jun 12 · 3d | Met | On track |
Delia Baptiste M429054 · 72y · Bayside Medical (483) 602-481260d readmit | Good Care coordinator | ED Northside Medical ED | Case open Proj. DC Nov 27 | Nov 27 Nov 27 | Unable to reach Care coordinator · 3 attempts | Not scheduled — | 273d past | On track |
Xiomara Guillory M426517 · 86y · Bayside Medical (494) 832-379260d readmit | Good Care coordinator | ED Valley Baptist ED | No case No plan | Jun 26 Jun 26 | Attempted Care coordinator · 1 attempt | Not scheduled — | 62d past | On track |
Simone Rios M478531 · 71y · Bayside Medical (487) 681-548360d readmit | Good Care coordinator | Observation Mercy General | Case open Proj. DC Mar 25 | Mar 16 Mar 26 | Contacted PCP office · 3 attempts | Completed Mar 29 · 3d | Met | On track |
Callum Nguyen M413179 · 76y · Bayside Medical (551) 530-257460d readmit | Fair Care coordinator | Inpatient St. Aldon Regional | No case No plan | May 30 Jun 5 | Contacted Care coordinator · 2 attempts | Not scheduled — | 83d past | On track |
Beatrice Delgado M416800 · 73y · Bayside Medical (295) 783-277260d readmit | Fair Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Oct 10 | Oct 7 Oct 11 | Contacted Front desk · 3 attempts | Not scheduled — | 320d past | On track |
Amir Baptiste M432410 · 64y · Harbor Family Care (248) 634-893660d readmit | Fair Care coordinator | Inpatient Mercy General | No case No plan | Nov 15 Nov 20 | Contacted Care coordinator · 3 attempts | Completed Dec 6 · 16d | 280d past | On track |
Hattie Salazar M448091 · 74y · Harbor Family Care (469) 205-828560d readmit | Fair Care coordinator | Inpatient Mercy General | No case No plan | May 3 May 10 | Contacted Front desk · 1 attempt | Completed May 14 · 4d · 1 miss | Met | On track |
Dwight Kowalski M449550 · 83y · Bayside Medical (670) 252-6779 | Good Care coordinator | Inpatient Valley Baptist | No case No plan | Nov 14 Nov 19 | Attempted PCP office · 1 attempt | Not scheduled — | 281d past | On track |
Willie Abernathy M492270 · 74y · Bayside Medical (212) 250-6717 | Good Care coordinator | Inpatient Mercy General | No case No plan | Mar 24 Mar 30 | Attempted Care coordinator · 2 attempts | Not scheduled — | 150d past | On track |
Cora Ionescu M489091 · 79y · Bayside Medical (450) 292-4581 | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Jan 18 | Jan 14 Jan 17 | Contacted PCP office · 3 attempts | Completed Jan 23 · 6d | Met | On track |
Gerald Abernathy M461534 · 64y · Bayside Medical (345) 777-6739 | Good Care coordinator | Inpatient Mercy General | No case No plan | Mar 22 Mar 27 | Attempted Care coordinator · 2 attempts | Not scheduled — | 153d past | On track |
Cora Salazar M477008 · 91y · Harbor Family Care (353) 591-6734 | Good Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Sep 5 | Aug 26 LOS 8d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Ingrid Lindstrom M448612 · 78y · Harbor Family Care (306) 759-3970 | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Mar 7 | Mar 1 Mar 7 | Attempted Care coordinator · 1 attempt | Not scheduled — | 173d past | On track |
Dwight Nguyen M426972 · 89y · Harbor Family Care (390) 488-6866 | Good Care coordinator | Inpatient Valley Baptist | No case No plan | Mar 21 Mar 26 | Contacted PCP office · 2 attempts | Completed Mar 30 · 4d | Met | On track |
Cora Petrov M489510 · 75y · Bayside Medical (407) 223-5265 | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Jul 4 | Jun 30 Jul 3 | Contacted Care coordinator · 2 attempts | Completed Jul 9 · 6d | Met | On track |
Delia Petrov M410950 · 76y · Bayside Medical (407) 680-8745 | Good Care coordinator | Inpatient St. Aldon Regional | No case No plan | Jan 17 Jan 20 | Contacted Care coordinator · 3 attempts | Rescheduled Jan 23 · 1 miss | 219d past | On track |
Willie Marsden M415212 · 90y · Bayside Medical (399) 560-5312 | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Oct 31 | Oct 27 Oct 30 | Unable to reach Front desk · 3 attempts | Not scheduled — | 301d past | On track |
Alma Petrov M452225 · 59y · Harbor Family Care (455) 773-7001 | Good Care coordinator | Inpatient Mercy General | No case No plan | Nov 26 Dec 1 | Not started — · 0 attempts | Not scheduled — | 269d past | On track |
Hattie Ferreira M431337 · 82y · Bayside Medical (418) 293-3048 | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Sep 3 | Aug 24 Sep 3 | Contacted PCP office · 3 attempts | Scheduled Sep 5 | 7d left | On track |
Jonas Abernathy M454707 · 59y · Bayside Medical (215) 759-9676 | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Jan 5 | Dec 28 Jan 5 | Not started — · 0 attempts | Not scheduled — | 234d past | On track |
Cora Chandler M417393 · 78y · Harbor Family Care (609) 374-2071 | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Aug 30 | Aug 22 Aug 29 | Contacted Care coordinator · 3 attempts | Scheduled Sep 8 | 2d left | On track |
Rosa Tanaka M467826 · 83y · Harbor Family Care (671) 393-4935 | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Jul 5 | Jun 28 Jul 4 | Unable to reach Front desk · 5 attempts | Not scheduled — | 54d past | On track |
Marcus Rios M432898 · 72y · Bayside Medical (570) 257-2358 | Good Care coordinator | Inpatient St. Aldon Regional | No case No plan | Oct 7 Oct 10 | Not started — · 0 attempts | Not scheduled — | 321d past | On track |
Delia Lindstrom M442151 · 89y · Harbor Family Care (540) 306-3972 | Good Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC May 10 | May 4 May 11 | Unable to reach Care coordinator · 4 attempts | Not scheduled — | 108d past | On track |
Hattie Okafor M437853 · 67y · Bayside Medical (496) 747-3536 | Good Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Nov 10 | Nov 1 Nov 10 | Contacted Front desk · 1 attempt | Not scheduled — | 290d past | On track |
Milton Whitmore M442952 · 68y · Harbor Family Care (264) 771-5001 | Good Care coordinator | Inpatient Mercy General | No case No plan | Nov 14 Nov 22 | Not started — · 0 attempts | Not scheduled — | 278d past | On track |
Rafael Sorensen M431366 · 68y · Harbor Family Care (515) 457-5647 | Good Care coordinator | Inpatient Northside Medical Center | No case No plan | May 13 May 19 | Not started — · 0 attempts | Not scheduled — | 100d past | On track |
Bernard Abernathy M495034 · 88y · Bayside Medical (450) 521-116360d readmit | Fair Care coordinator | SNF Riverstone Post-Acute | No case No plan | Apr 26 May 21 | Not started — · 0 attempts | Not scheduled — | 98d past | On track |
Willie Kowalski M444308 · 86y · Harbor Family Care (616) 567-339460d readmit | Fair Care coordinator | ED Valley Baptist ED | Case open Proj. DC Mar 27 | Mar 27 Mar 27 | Not started — · 0 attempts | Not scheduled — | 153d past | On track |
Bernard Abernathy M480822 · 79y · Bayside Medical (439) 537-842160d readmit | Fair Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Jul 16 | Jun 28 Jul 15 | Not started — · 0 attempts | Not scheduled — | 43d past | On track |
Willie Chandler M479007 · 87y · Harbor Family Care (659) 778-1370 | Good Care coordinator | ED Mercy General ED | No case No plan | Apr 20 Apr 20 | Not started — · 0 attempts | Not scheduled — | 129d past | On track |
Callum Abernathy M451075 · 87y · Harbor Family Care (263) 776-2603 | Good Care coordinator | SNF Riverstone Post-Acute | No case No plan | Jun 1 Jun 13 | Attempted Care coordinator · 1 attempt | Not scheduled — | 75d past | On track |
Eleanor Rios M491983 · 69y · Bayside Medical (402) 667-7963 | Good Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Jun 14 | May 31 Jun 13 | Contacted Front desk · 1 attempt | Completed Jun 17 · 4d | Met | On track |
Amir Whitmore M466759 · 66y · Bayside Medical (476) 683-7527 | Good Care coordinator | SNF Ridgeway LTAC | Case open Proj. DC Dec 7 | Nov 24 Dec 7 | Not started — · 0 attempts | Not scheduled — | 263d past | On track |
Rafael Tanaka M456542 · 78y · Harbor Family Care (642) 692-2403 | Good Care coordinator | ED Northside Medical ED | Case open Proj. DC Sep 11 | Sep 11 Sep 11 | Contacted Care coordinator · 1 attempt | Completed Sep 15 · 4d | Met | On track |
Otis Whitmore M434431 · 82y · Bayside Medical (340) 270-4272 | Good Care coordinator | Home Health BrightPath Home Health | Case open Proj. DC Mar 11 | Feb 12 Mar 12 | Unable to reach Front desk · 5 attempts | Not scheduled — | 168d past | On track |
Simone Baptiste M404825 · 88y · Harbor Family Care (336) 584-2967 | Good Care coordinator | Observation Northside Medical Center | Case open Proj. DC Jan 4 | Dec 30 Jan 4 | Contacted Front desk · 1 attempt | Rescheduled Jan 13 · 1 miss | 235d past | On track |
Cora Baptiste M403115 · 79y · Harbor Family Care (588) 769-4789 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Jun 29 | Jun 6 Jun 29 | Attempted Care coordinator · 1 attempt | Not scheduled — | 59d past | On track |
Nadia Lindstrom M428214 · 69y · Harbor Family Care (499) 398-4878 | Good Care coordinator | Observation Northside Medical Center | Case open Proj. DC Jul 24 | Jul 18 Jul 23 | Contacted Care coordinator · 3 attempts | Rescheduled Jul 25 · 1 miss | 35d past | On track |
Simone Petrov M431186 · 69y · Harbor Family Care (474) 203-4360 | Good Care coordinator | ED Mercy General ED | Case open Proj. DC Jun 20 | Jun 20 Jun 20 | Not started — · 0 attempts | Not scheduled — | 68d past | On track |
Lena Abernathy M479335 · 80y · Harbor Family Care (464) 338-6804 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC May 27 | May 11 May 27 | Contacted Care coordinator · 1 attempt | Completed Jun 10 · 14d | 92d past | On track |
Delia Lindstrom M478508 · 60y · Bayside Medical (313) 573-4875 | Good Care coordinator | Home Health Anchor Home Services | No case No plan | Sep 20 Oct 14 | Contacted Care coordinator · 1 attempt | Completed Oct 29 · 15d · 1 miss | 317d past | On track |
Imani Kowalski M411328 · 79y · Bayside Medical (650) 384-2707 | Good Care coordinator | SNF Riverstone Post-Acute | No case No plan | Nov 1 Nov 20 | Not started — · 0 attempts | Not scheduled — | 280d past | On track |
Gerald Tanaka M419990 · 82y · Harbor Family Care (460) 769-3171 | Good Care coordinator | Observation Mercy General | Case open Proj. DC Jan 24 | Jan 17 Jan 23 | Unable to reach PCP office · 4 attempts | Not scheduled — | 216d past | On track |
Otis Lindstrom M481902 · 65y · Harbor Family Care (250) 625-3855 | Good Care coordinator | Observation Northside Medical Center | No case No plan | Jul 7 Jul 12 | Attempted PCP office · 2 attempts | Not scheduled — | 46d past | On track |
Delia Haddad M421280 · 79y · Bayside Medical (486) 288-4235 | Good Care coordinator | ED Valley Baptist ED | Case open Proj. DC Feb 13 | Feb 13 Feb 13 | Not started — · 0 attempts | Not scheduled — | 195d past | On track |
Dwight Salazar M449117 · 66y · Harbor Family Care (599) 891-5435 | Good Care coordinator | ED Mercy General ED | No case No plan | Mar 6 Mar 6 | Contacted PCP office · 2 attempts | Completed Mar 12 · 6d | Met | On track |
Ruth Rios M410603 · 74y · Bayside Medical (364) 820-4555 | Good Care coordinator | Home Health Anchor Home Services | No case No plan | Jul 28 Aug 29 | Contacted Care coordinator · 2 attempts | Scheduled Sep 4 | 2d left | On track |
Rafael Mbeki M448536 · 63y · Harbor Family Care (323) 872-5596 | Good Care coordinator | Home Health BrightPath Home Health | Case open Proj. DC Jan 2 | Nov 28 Jan 2 | Contacted Care coordinator · 1 attempt | Not scheduled — | 237d past | On track |
Harold Ionescu M499470 · 75y · Harbor Family Care (250) 867-4119 | Good Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Aug 4 | Jul 25 Aug 5 | Contacted Care coordinator · 3 attempts | Completed Aug 19 · 14d | 22d past | On track |
Simone Whitmore M445596 · 66y · Bayside Medical (458) 871-8504 | Good Care coordinator | ED Northside Medical ED | No case No plan | Apr 3 Apr 3 | Attempted Care coordinator · 2 attempts | Not scheduled — | 146d past | On track |
Marcus Guillory M476214 · 84y · Bayside Medical (297) 205-9476 | Good Care coordinator | SNF Willowbrook SNF | No case No plan | Sep 10 Oct 3 | Attempted Care coordinator · 1 attempt | Not scheduled — | 328d past | On track |
Amir Ionescu M412033 · 86y · Bayside Medical (540) 434-1126 | Good Care coordinator | ED Mercy General ED | Case open Proj. DC Jan 27 | Jan 27 Jan 27 | Attempted Care coordinator · 2 attempts | Not scheduled — | 212d past | On track |
Nadia Okafor M450176 · 66y · Harbor Family Care (227) 845-5126 | Good Care coordinator | ED St. Aldon Regional ED | No case No plan | Nov 24 Nov 24 | Unable to reach PCP office · 5 attempts | Not scheduled — | 276d past | On track |
Cora Ferreira M475392 · 66y · Harbor Family Care (324) 805-2862 | Good Care coordinator | SNF Riverstone Post-Acute | Case open Proj. DC May 30 | May 7 May 30 | Contacted Care coordinator · 1 attempt | Completed Jun 13 · 14d | 89d past | On track |
Callum Whitmore M471990 · 73y · Bayside Medical (313) 700-9194 | Good Care coordinator | ED St. Aldon Regional ED | No case No plan | Jun 6 Jun 6 | Contacted Care coordinator · 3 attempts | Completed Jun 9 · 3d | Met | On track |
Delia Guillory M448458 · 71y · Harbor Family Care (523) 531-2595 | Good Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Nov 14 | Oct 28 Nov 15 | Contacted Care coordinator · 3 attempts | Not scheduled — | 285d past | On track |
Rafael Petrov M498745 · 70y · Bayside Medical (235) 339-3291 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Jun 29 | Jun 11 Jun 30 | Attempted PCP office · 2 attempts | Not scheduled — | 58d past | On track |
Gerald Salazar M444055 · 82y · Bayside Medical (350) 250-2483 | Good Care coordinator | Observation Northside Medical Center | Case open Proj. DC Aug 31 | Aug 27 Aug 31 | Contacted PCP office · 2 attempts | Scheduled Sep 14 | 4d left | On track |
Alma Haddad M466100 · 58y · Harbor Family Care (441) 712-6659 | Good Care coordinator | SNF Willowbrook SNF | No case No plan | Jan 27 Feb 18 | Not started — · 0 attempts | Not scheduled — | 190d past | On track |
Rosa Baptiste M490020 · 79y · Bayside Medical (353) 625-8400 | Good Care coordinator | ED Mercy General ED | No case No plan | Sep 21 Sep 21 | Attempted Care coordinator · 2 attempts | Not scheduled — | 340d past | On track |
Ingrid Delgado M431927 · 91y · Bayside Medical (354) 403-9904 | Good Care coordinator | ED Valley Baptist ED | No case No plan | May 9 May 9 | Contacted Front desk · 2 attempts | Not scheduled — | 110d past | On track |
Xiomara Petrov M444216 · 61y · Harbor Family Care (309) 633-6351 | Good Care coordinator | ED Valley Baptist ED | No case No plan | Mar 26 Mar 26 | Contacted Care coordinator · 2 attempts | Not scheduled — | 154d past | On track |
Amir Ionescu M495624 · 83y · Bayside Medical (345) 473-4159 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Jun 28 | Jun 19 Jun 29 | Not started — · 0 attempts | Not scheduled — | 59d past | On track |
Beatrice Ionescu M402799 · 75y · Harbor Family Care (438) 836-8576 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Jul 26 | Jul 8 Jul 26 | Unable to reach PCP office · 4 attempts | Not scheduled — | 32d past | On track |
Amir Whitmore M480326 · 91y · Bayside Medical (470) 499-4762 | Good Care coordinator | ED Mercy General ED | No case No plan | Dec 1 Dec 1 | Not started — · 0 attempts | Not scheduled — | 269d past | On track |
Beatrice Ionescu M476766 · 64y · Bayside Medical (307) 631-6403 | Good Care coordinator | ED St. Aldon Regional ED | Case open Proj. DC Oct 23 | Oct 23 Oct 23 | Unable to reach PCP office · 4 attempts | Not scheduled — | 308d past | On track |
Frank Haddad M437460 · 70y · Bayside Medical (211) 837-8627 | Good Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC May 20 | May 3 May 20 | Unable to reach PCP office · 5 attempts | Not scheduled — | 99d past | On track |
Beatrice Ferreira M458838 · 67y · Harbor Family Care (270) 880-8422 | Fair Care coordinator | Inpatient Mercy General | Case open Proj. DC Sep 6 | Aug 26 LOS 8d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Eleanor Chandler M498370 · 79y · Bayside Medical (275) 666-6043 | Fair Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Dec 24 | Dec 17 Dec 23 | Not started — · 0 attempts | Not scheduled — | 247d past | On track |
Rosa Sorensen M438658 · 89y · Harbor Family Care (354) 209-6920 | Fair Care coordinator | Inpatient Mercy General | Case open Proj. DC Jul 4 | Jun 28 Jul 4 | Contacted Front desk · 1 attempt | Completed Jul 7 · 3d | Met | On track |
Imani Mbeki M431239 · 73y · Harbor Family Care (348) 502-8087 | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Dec 16 | Dec 14 Dec 17 | Contacted Front desk · 1 attempt | Completed Dec 25 · 8d | 253d past | On track |
Terrance Kowalski M488203 · 60y · Bayside Medical (649) 380-5331 | Fair Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Oct 26 | Oct 24 Oct 27 | Contacted Care coordinator · 1 attempt | Completed Oct 30 · 3d | Met | On track |
Beatrice Nguyen M477021 · 78y · Bayside Medical (424) 244-6721 | Fair Care coordinator | Inpatient Valley Baptist | No case No plan | Mar 4 Mar 7 | Contacted PCP office · 1 attempt | Completed Mar 17 · 10d · 1 miss | 173d past | On track |
Ingrid Kowalski M409705 · 79y · Harbor Family Care (326) 560-1405 | Fair Care coordinator | Inpatient Northside Medical Center | No case No plan | Apr 6 Apr 13 | Contacted Care coordinator · 2 attempts | Completed Apr 17 · 4d | Met | On track |
Nadia Lindstrom M426863 · 69y · Bayside Medical (633) 434-8934 | Fair Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Mar 26 | Mar 23 Mar 26 | Contacted Front desk · 3 attempts | Completed Apr 11 · 16d | 154d past | On track |
Milton Ionescu M452082 · 78y · Harbor Family Care (550) 330-3133 | Fair Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Jan 27 | Jan 17 Jan 26 | Contacted PCP office · 3 attempts | Completed Jan 31 · 5d · 1 miss | Met | On track |
Cora Ionescu M428158 · 78y · Harbor Family Care (470) 215-9269 | Fair Care coordinator | Inpatient Valley Baptist | No case No plan | Nov 16 Nov 23 | Not started — · 0 attempts | Not scheduled — | 277d past | On track |
Rafael Salazar M459390 · 83y · Bayside Medical (488) 568-1872 | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Jun 24 | Jun 16 Jun 24 | Contacted Care coordinator · 1 attempt | Completed Jul 5 · 11d | 64d past | On track |
Lena Tanaka M433180 · 91y · Bayside Medical (405) 718-8070 | Fair Care coordinator | Inpatient Valley Baptist | No case No plan | Feb 5 Feb 11 | Attempted PCP office · 1 attempt | Not scheduled — | 197d past | On track |
Simone Sorensen M456768 · 73y · Bayside Medical (279) 842-7111 | Fair Care coordinator | Inpatient Mercy General | No case No plan | Apr 13 Apr 20 | Not started — · 0 attempts | Not scheduled — | 129d past | On track |
Rosa Kowalski M445847 · 72y · Harbor Family Care (704) 642-9670 | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Feb 25 | Feb 21 Feb 25 | Unable to reach Front desk · 5 attempts | Not scheduled — | 183d past | On track |
Lena Sorensen M401581 · 61y · Bayside Medical (427) 616-9399 | Fair Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Sep 4 | Aug 24 LOS 10d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Callum Ferreira M469397 · 84y · Harbor Family Care (493) 825-8947 | Fair Care coordinator | ED Mercy General ED | No case No plan | Apr 23 Apr 23 | Contacted Front desk · 1 attempt | Completed May 7 · 14d | 126d past | On track |
Marcus Chandler M440960 · 74y · Bayside Medical (344) 761-4109 | Fair Care coordinator | Home Health BrightPath Home Health | No case No plan | Feb 5 Feb 26 | Contacted Care coordinator · 1 attempt | Completed Mar 8 · 10d | 182d past | On track |
Nadia Whitmore M406026 · 79y · Harbor Family Care (684) 646-8479 | Fair Care coordinator | SNF Golden Oaks Rehab | No case No plan | Jan 29 Feb 12 | Contacted Care coordinator · 2 attempts | Not scheduled — | 196d past | On track |
Imani Ferreira M437751 · 64y · Harbor Family Care (220) 821-9973 | Fair Care coordinator | SNF Golden Oaks Rehab | No case No plan | Feb 23 Mar 16 | Contacted Front desk · 1 attempt | Not scheduled — | 164d past | On track |
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