Case Study: Care Coordination

The following case study illustrates a real example of Synergy Connect’s diversity and impact. At identification, the member was homeless and dealing with multiple complex medical, behavioral and social issues. Through Synergy Connect, our team was able to align and maximize all available resources including: locating the member, establishing a connection with a Care Coach and successfully coordinating with our health plan client’s resources and member’s provider to ensure the most effective care plan was in place. By organizing the clinical approach, we were able to employ our specialized care coaching to help John attain self management goals, including securing employment and proactively controlling his diabetes.

John is a member of a Medicaid plan in the Northeast. In addition to having Diabetes and Asthma, he also struggles with Depression and Bipolar Disorder which exacerbate his condition. Socially, he has minimal familial support and often is homeless. He is twenty years old, unmarried and unemployed.

John has had several bouts of diabetic ketoacidosis (DKA) that have caused him to be hospitalized. He has been non-compliant with his depression medication and insulin regimen and the stresses in his life increase the chances of having further DKA episodes as well as other avoidable uses of the healthcare system.

Through the Synergy Connect Care Coordination process, referral mechanisms were established between health plan Case Management and the Synergy program. After his most recent hospitalization, John is referred to Synergy. A critical aspect of Synergy Connect, Clinical Collaboration between Synergy clinical leadership and plan health management not only review a member’s medical condition, but also drill deeply on psychological or social challenges that a member may be facing. Through a review of John’s case, it is determined that there were community based organizations that would be helpful to him and that he would be well served to be working with a Synergy clinician on a regular basis. It is also noted that John regularly frequented a particular homeless shelter.

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