Care Coordination FAQ
What does ‘level of care’ mean?
Just because you’re in the hospital doesn’t mean that you’re considered an ‘inpatient’. You can be in a bed, inside of the hospital, and still be considered an ‘outpatient’. Your status can impact your discharge plan and your benefits. Ask a staff member what level of care you are to better understand your hospital stay.
Do I have to leave yet? I don’t feel ready.
Your doctor wouldn’t discharge you if he/she didn’t feel you were ready to leave. Talk to your doctor or clinical staff about your concerns. Your doctor or staff can discuss with you the importance of ‘what’s next’ and how to monitor your concerns.
How will I get home or to my recovery facility?
The nurse or social worker assisting you in your discharge plan can help to arrange transportation home.
What do I need to do as I transition home?
The most important thing to do is to focus on getting better. But there are a few other things you’ll want to consider:
- Closely follow your discharge instructions (i.e. take medications or alter your diet and exercise as prescribed, keep any follow-up visits or referrals made).
- On your way home, plan to pick-up any new prescriptions you might need.
- Scheduling a follow-up appointment with your primary care provider is always a good idea.
- Write down your questions. An overwhelming amount of information is shared at discharge and it’s hard to remember everything, our staff expects and welcomes questions.
What do I need to do as I transition to my recovery facility?
Again, the most important thing to do is to focus on getting better. Our staff will coordinate with the recovery facility to ensure they receive any information they need to provide you with the best possible care.
Depending on the type of recovery facility, it’s likely they have their own discharge planning team that will support you as you get ready discharge. If you have a St. Mary’s care manager, we hope that they’ll loop back with us to ensure everyone stays informed of the patient’s plan.
If it’s a facility where you might now permanently reside, they too will have team to help ensure your health is well managed.
What if I don’t remember everything you told me during my hospital visit?
While in the hospital the patient and family/support system are typically overwhelmed with information. Our team expects and welcomes any questions you might have. There are several ways to get your questions answered:
Refer back to your discharge instructions. Our team tries to document all instructions given to ensure you have a central resource of information once discharged.
Call your primary care provider, whose phone number should be listed in your discharge instructions. They too should have received a copy of your discharge instructions and should be able to answer your questions. A follow-up visit is a great time to have questions answered.
How do I provide feedback on my hospital stay?
There are several ways to provide feedback:
Visit the ‘Provide Feedback’ or ‘Contact Us’ section of our website (www.stmarysmaine.com)
Mail us a letter to PO Box 291, Lewiston, ME 04243-0291
Call us at 207-777-8100
Also, you may receive a survey in the mail, we’d love for you to complete and return it in the provided postage-paid envelope.