Loretta (not her real name) is 70-year old female admitted to SNF after MVR and AVR repairs. The hospital face sheet indicates that her PCP is Dr. Welby (not his real name, either!).
Question A: Should I assume that Dr. Welby is, indeed, her PCP? Not necessarily. We see incorrect information about PCPs frequently; we shouldn’t assume that information on a face sheet is accurate.
Question B: What should I do about this? Ask the patient (or a family member). So I did. Loretta confirmed that she has been seeing Dr. Welby for quite some time. I assured her we would be in touch with Dr. Welby.
Question C: What are the next steps? I called Dr. Welby to let him know that Loretta is in the SNF and that we expect her to do well. I asked if their office is familiar with the TCM (transitions of care management) visits/codes. He replied that they do use these. I assured him that we would call his office the day that Loretta is discharged, allowing their team to make the call to Loretta within 48 hours of discharge from the SNF (one of the key requirements for the TCM visits/codes).