Sacred Heart Hospital's Social Services and Case Management Department is comprised of a team of Nurses and Social Workers who assess and coordinate comprehensive discharge planning to meet the clinical and psychosocial needs of each patient.
A Sacred Heart Social Worker will coordinate after hospital resources for the patient based on what their needs will be when they are discharged from the hospital. The services a patient will need are unique to their specific situation, therefore meetings are conducted with the patient, their families, and/or significant others to obtain information regarding home environment, family and community supports, as well as past and current medical needs. With patient, family and physician collaboration, a discharge plan is then created to assist the patient with to resume life in their community and/or adjusting to a new life situation.
A Sacred Heart Social Worker’s functions include:
- Clinical assessment of psychosocial/discharge needs
- Interdisciplinary plan of care coordination, in conjunction with Case Management
- Coordination of any needed post-hospital resources including: medical equipment, home health care, hospice, mental health services, drug & alcohol services, skilled nursing or rehabilitation hospital placement, etc.