You are working in a long-term care facility with your client Mr. M that experienced a stroke leaving him paralyzed on one side with expressive aphasia. His health insurance coverage for long-term care is only 180 days (total) per calendar year. When Mr. M arrived, the team met to coordinate services with the goal to discharge him home before the180 day limit was reached. Evaluating and measuring his progress has been difficult as they have experienced multiple problems. This has led to Mr. M. being readmitted on one occasion then returning to the long-term care facility. You are the care coordinator and need to be current on what is, and has been, happening across all settings to make sure his care is equitable and of high value to his outcome.
Address the following question and provide evidence to support it from our course materials or outside readings in your main post.
1. Mr. Ms problems required a readmission to the hospital within the first 20 days at your facility. What are the economic issues for him? Could this be a breakdown of the care coordination team? What steps could have been initiated to maintain Mr. Ms health so as not to have to be readmitted?