--0000000000006749ba0647a7bc7f Content-Type: text/plain; charset="UTF-8" Content-Transfer-Encoding: quoted-printable 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 about = it. I > agree with your assessment and with the importance of stronger RN oversig= ht > during changes in condition=E2=80=94these moments are critical for family > confidence, client safety, and long-term retention. > > Your clinical perspective is an asset to the Chicago market, and I want u= s > to leverage it intentionally. Rather than prescribing a rigid process, I= =E2=80=99d > like you to recommend how RN involvement should be structured=E2=80=94whe= n 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 health > 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 s= teps. 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 prot= ocol for >> resident change of condition and how we partner with home health in thos= e >> situations.This is the client ride-along I attended and during this >> assessment I recognized risks and unfortunately in the thread you will s= ee >> the outcome. With the CSM's not being nurses, it's hard for clinical iss= ues >> that may arise to be discussed with family or clients. I know we are non= - >> medical but I am trying to see how I can support, to help with retention= . >> >> I think I need to be looped in to all resident change of conditions wher= e >> 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 the >> 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 w= ill >> see the outcome in longer client retention. I asked Malin what her plan >> included when speaking with family at 10am and she really didn't have a >> plan. I suggested increasing hours, including possibly overnight Care. H= ome >> Health order for both Clients. Husband and wife could benefit from >> increased home PT/OT exercises. Also we need a Home health that has a ps= ych >> component to help with an option for Dementia behaviors and depression. = I >> have a few meetings set up this week with Claudia to possibly partner up >> with a home health that can help us track our resident change of >> conditions a bit better. >> >> From a nursing perspective, I=E2=80=99m interested in exploring wa