TLC - Care Coordination Services

Navigating Harford County Care Coordination Services was presented on Tuesday, February 12, 2018.  The training dealt with the following information and can be viewed by clicking on each part.

Part 1 Overview
Karen Winkowski, administrator, Harford County Office on Aging
Mary Jo Peach, Harford County Division of Care Coordination

  • Division of Care Program (CCT)
  • Hospital Outreach Program (HOP)
  • Adult Evaluation Review Services (AERS)
  • Nurse Monitoring (NM)

Kim Prout, R.N., B.S.N. | care coordination

  • Eligibility criteria
  • Why make a referral
  • Referral process and assistance
  • How services are provided
  • Contacts
  • Q & A

Susan Germeroth, R.N., Hospital Outreach Program

  • Eligibility criteria
  • Services provided
  • Program overview
  • Referrals
  • Additional services provided
  • Q & A

Part 2 Adult Evaluation Review Services
Lauren McAdams, Social Worker and AERS Administrator

  • Program overview
  • AERS staff
  • Programs that need an AERS evaluation
  • Pre-admission Screenings and Resident Review Services (PASRR)
  • Questions asked by AERS
  • How to make a referral
  • What happens once a referral is made
  • Q & A

Part 3 Nurse Monitoring Program
Mary Jo Lamphear, Harford County Health Department

  • Eligibility criteria and steps for nurse monitoring
  • Who is nurse monitoring available to?
  • Purpose of nurse monitoring
  • Nurse mentoring activities and visits
  • Staff
  • Environmental adaptations
  • Q & A

Part 4 Tobacco Treatment Progam
Linda Pegram, MA, MPH, CTTS, NCTTP, Harford County Health Department 

  • Tobacco interventions/discussions
  • Building a brief tobacco talk with clients
  • Resources for tobacco cessation
  • Programs offered by the Health Department