--000000000000a099040647a7d653 Content-Type: text/plain; charset="UTF-8" Content-Transfer-Encoding: quoted-printable That will help if possible. Thanks. On Mon, Jan 5, 2026, 11:59 AM Timothy Thomas wrote: > I meant to add that their is no prescribed process outside of our > regulated states where any change of condition necessitates a visit from > our RN supervisors who are on a per diem. > > I can ask to see their process if that helps? > > On Mon, Jan 5, 2026 at 12:53=E2=80=AFPM Amelia Howard > wrote: > >> Ok, on it. Thanks for the direction and feedback. >> >> On Mon, Jan 5, 2026, 11:43 AM Timothy Thomas wrote: >> >>> Hi Amelia, >>> >>> Thank you for raising this and for the way you=E2=80=99re thinking abou= t it. I >>> agree with your assessment and with the importance of stronger RN overs= ight >>> during changes in condition=E2=80=94these moments are critical for fami= ly >>> confidence, client safety, and long-term retention. >>> >>> Your clinical perspective is an asset to the Chicago market, and I want >>> us to leverage it intentionally. Rather than prescribing a rigid proces= s, >>> I=E2=80=99d like you to recommend how RN involvement should be structur= ed=E2=80=94when you >>> should be looped in and how you can best support the team and families >>> while maintaining role clarity. >>> >>> I appreciate you proactively exploring home health and behavioral healt= h >>> partnerships. Please continue and bring forward any recommendations you >>> believe will strengthen care and retention. >>> >>> Once you=E2=80=99ve outlined your approach, let=E2=80=99s align on next= steps. I trust >>> your judgment here. >>> >>> Best, >>> Tim >>> >>> On Mon, Jan 5, 2026 at 11:54=E2=80=AFAM Amelia Howard >>> wrote: >>> >>>> Hi Tim, >>>> >>>> I hope you=E2=80=99re doing well. I wanted to ask about our current pr= otocol >>>> for resident change of condition and how we partner with home health i= n >>>> those situations.This is the client ride-along I attended and during t= his >>>> assessment I recognized risks and unfortunately in the thread you will= see >>>> the outcome. With the CSM's not being nurses, it's hard for clinical i= ssues >>>> that may arise to be discussed with family or clients. I know we are n= on- >>>> medical but I am trying to see how I can support, to help with retenti= on. >>>> >>>> I think I need to be looped in to all resident change of conditions >>>> where I can help family's coordinate care with Home Health or a >>>> Concierge Physician, also PT/OT vendors are needed. I think as of now = if a >>>> resident has a clinical change of condition we rely on family to get t= he >>>> help the client may need and I think we need to help families >>>> eliminate another task and offer options in a more processed manner,we= will >>>> see the outcome in longer client retention. I asked Malin what her pla= n >>>> included when speaking with family at 10am and she really didn't have = a >>>> plan. I suggested increasing hours, including poss