CaseStudy1Noelle

ThisisNoelle’sfirstbaby•  24yearoldnewMedicaidmember

•  HasbeenintheEmergencyRoom(ED)5EmesfromforconsEpaEonandissuesrelatedtoherhighriskpregnancy.

•  Shecomesalone•  Shehasnoprimarycareproviderinthe

systemandhas“noshowed”atmanyOBappointments

N.Friedman 1

CaseStudy2TheO’Briens •  TheO’Brien’shavebeen

marriedforover50years•  MrO’Brienisan83yearold

withadvanceddemenEawhowasbroughtintoseehiscareteambyhiswifeandprimarycaregiverwho“couldn'thandlebehaviorsanymore”.

•  Behavioralissuesincluding

hiTngandspiTng

N.Friedman 2

Georgeis24yearsoldwhowaslastseenintheEmergencyRoom(ED)forasorethroat.HighEDUElizer(6+EDvisitsin6months)Hewasseen~30daysagointheEmergencyRoomforatoothache.In2014,hewastreatedinthe14Emes,or,oneEDvisiteverymonthforayear.HisprimaryreasonforvisiEngisforsorethroat,benigninjuriestoarm,headandkneeandrefillofFlexerilmedicaEonbecause“hewashavingtroubleestablishingcare”

CaseStudy3George

N.Friedman 3

Ramonawentby“Mona”•  82yearoldwomanwholivedaloneinhertrailer•  Shelastreceivedmedicalcarein2013whenshewas

hospitalizedforafallTwoYearsLater,shereturnedtothehospital

•  Herson,whowasmentallyhandicapfoundherinhertrailer.

•  Shehadacollapsedlung,hertoenailswereinchesofher

feet,shehadendsageCOPD,noadvancedcaredirecEves,significantweightloss,neededbreathingtreatmentandwassepEc

•  Shediedinthehospital

CaseStudy4“Mona”

N.Friedman 4