Analissa
Analissa spent the first month of her life in the neonatal intensive care unit (NICU). Born eight weeks premature, she only weighed two pounds at birth. Her stay in the NICU has been further complicated by respiratory distress syndrome, sepsis, and IV nutrition.
Once Analissa began oral feeding, her doctor believed it is time for her to go home. She needed continued, regular medical care, but she ccould finally leave the NICU.
Analissa’s mother and older brother were excited to be welcoming her home at last, but they are anxious about managing Ana’s unique medical needs alone.
Member Portal Advantages
Ana’s doctor designs a discharge plan that includes home oxygen support, nursing visits three times per week, and parental CPR training. Prior to leaving the hospital, Ana is assigned a case manager who will oversee the discharge and provide care coordination once Ana is home.
The final preparations include providing a login for a web-based member portal for Ana’s mother, so she could easily check-in with the case manager and providers. When Ana’s mom first logs in to the portal, she finds a digital welcome packet, complete with home readiness tips, car seat and bed use safety information, and a list of local family support services.
Ana’s mom can use the member portal to search for local providers with skills to meet Ana’s unique medical needs. She can also send/receive messages and video calls with Ana’s case manager from the portal.
Blue Compass Case Management for LTSS
Ana’s case manager also has a portal login to the Blue Compass system the state uses for case management for LTSS. Ana’s case manager can view all upcoming tasks and alerts pertaining to every client, including Ana, on her personal dashboard in the system.
Using the Blue Compass portal, Ana’s case manager authorizes and verifies that an oxygen delivery device and pulse oximeter are delivered and available in Ana’s home prior to discharge. The case manager also issues a referral for public health nursing and schedules home health visits for Ana by comparing the provider and family digital calendars.
The Blue Compass case management platform is designed to simplify the coordination of care for individuals receiving home and community-based services. This means Ana’s mom can finally bring her daughter home with the comfort of knowing there is a support team dedicated to providing the care Ana needs and managing her follow-ups.
