TLC - Care Coordination Services

Navigating Harford County Care Coordination Services was presented on Tuesday, February 12, 2018.  The training dealt with the following information and can be viewed by clicking on each part.

Part 1 Overview of Presentation
Karen Winkowski, Manager, Harford County Office on Aging
Mary Jo Peach, Harford County Division of Care Coordination
  • Division of Care Program (CCT)
  • Hospital Outreach Program (HOP)
  • Adult Evaluation Review Services (AERS)
  • Nurse Monitoring (NM

Kim Prout, R.N., B.S.N. | Care Coordination
  • Eligibility criteria
  • Why make a referral
  • Referral process and assistance
  • How services are provided
  • Contacts
  • Q & A

Susan Germeroth, R.N., Hospital Outreach Program
Hospital Outreach Program Overview
  • Eligibility criteria
  • Services provided
  • Program overview
  • Referrals
  • Additional services provided
  • Q & A

Part 2 Harford County Care Coordination Services
Lauren McAdams, Social Worker and AERS Administrator
Adult Evaluation Review Services Overview

  • Program overview
  • AERS staff
  • Programs that need an AERS evaluation
  • Pre-admission Screenings and Resident Review Services (PASRR)
  • Questions asked by AERS
  • How to make a referral
  • What happens once a referral is made
  • Q & A

Part 3 Harford County Care Coordination Services
Mary Jo Lamphear, Harford County Health Department
Nurse Monitoring Program Overview

  • Eligibility Criteria and Steps for Nurse Monitoring
  • Who is Nurse Monitoring available to
  • Purpose of Nurse Monitoring
  • Nurse Mentoring activities and visits
  • Staff
  • Environmental adaptations
  • Q & A

Part 4 Harford County Care Coordination Services
Linda Pegram, MA, MPH, CTTS, NCTTP
Harford County Health Department Tobacco Treatment Program

  • Tobacco interventions/discussions
  • Building a brief tobacco talk with clients
  • Resources for tobacco cessation
  • Programs offered by the Harford County Health Department