--0000000000005ea2f50647a6e83b Content-Type: text/plain; charset="UTF-8" Content-Transfer-Encoding: quoted-printable Hi Tim, I hope you=E2=80=99re doing well. I wanted to ask about our current protoco= l for resident change of condition and how we partner with home health in those situations.This is the client ride-along I attended and during this 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 issues 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 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 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 will 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. Home 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 psych 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 ways I can = more actively contribute to early identification, communication, and coordination of care with home health agencies. My goal would be to help support timely interventions, improve continuity of care, and ultimately help residents remain with us safely for as long as appropriate. If there is an existing process or best practice you=E2=80=99d like me to f= ollow=E2=80=94or opportunities where additional nursing involvement could add value=E2=80=94= I=E2=80=99d appreciate your guidance. I=E2=80=99m happy to support in whatever way alig= ns best with our clinical and operational goals. I look forward to your direction. Amelia Howard ---------- Forwarded message --------- From: Malin Maleegrai Date: Mon, Jan 5, 2026 at 8:39=E2=80=AFAM Subject: Re: ATTN: Jinny - Caregiver Intro for Mr. and Mrs. Eskilson 1/2/26 12pm To: Jinniefer Castillo Cc: Chicago Office Good Morning Jinny, Thank you for the update. I have scheduled a conference call with Mr. Eskilson's children, Christine and Stephen, at 10am today. Will update team after my phone call. Thank you, Malin Malin Maleegrai, LCSW Client Success Manager malin.maleegrai@thekey.com 847-853-7777 [image: TheKey] On Sun, Jan 4, 2026 at 6:56=E2=80=AFPM Jinniefer Castillo wrote: > Hi Malin, > > Mr. Esk