Case Study: SDOH insights and in-home care

The hospital alternative in action: Acute Care

Do you have a patient like this?

Introduction & Presentation

Meet Robert, a 60-year-old male whose caregiver reported to the PCP the patient had a cough, fever, and shortness of breath. The PCP requested a visit from DispatchHealth. Upon arrival, the patient reported feeling like “air is trapped,” and orthopnea while lying flat, without edema.


The power of DispatchHealth

History: Patient had an electrical cardioversion 6 days prior, anemia, cardiac arrhythmia, CHF, hypothyroidism, kidney failure, obesity.

Physical exam: Abdomen distended with no tenderness or guarding, bilateral lower extremity edema 3/6, systolic heart murmur 2/6.

On-site labs: Chem 8 on-site findings of low hemoglobin levels, normal electrolytes, normal EKG.

Medication reconciliation: Furosemide administered on site and prescription ordered.

SDOH assessment: No urgent concerns identified.

Education: Extensive disease specific education and the importance of following up with PCP for anemia.

Care coordination: Discussed care plan and shared encounter summary with PCP.

Robert’s experience:

Caring for this medically complex patient in the home eliminated the need for transport to the ER and helped avoid possible admission to hospital. Positive labs and chest x-ray resulted in antibiotic therapy being ordered and delivered to the home due to transportation limitations.

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