Document Patient Risk Complete
Undo
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David is a professional athlete with a history of injuries. He's having a knee replaced after several surgeries.
Life Goal
Be awesome
David was invited to
Contact ID
5137789
Gender
Male
Birth Date
12/26/1957 (49yr 6mo)
Contact Method
Text Message
Medicaid ID
1234567
Marital Status
Single
Home Phone
(539) 398-5847
Mother's phone number, but David might answer
Home Email
davidroberts192029941@gmail.com
Home Address
2811 E Santa Ana St.
Des Moines, IA, 50305
Polk County
Veteran
No
Language
English
Insurance
Medicare
Disability
Yes
Secondary Language
English
Employed
Yes
Information(539) 398-5847Age 47
providers
2
Surgeon
4
Primary Care
4
Primary Care
4
Primary Care
episodes
78
days left
21
days left
8
months ago
Ongoing
goals
See Jackie Graduate

David wants to improve his health so that he's able to travel to his daughter Jackie's college...

Reach a Healthy Weight

Losing 10lbs would put David at a healthy future weight and at a lower risk for future heart...

measurements
Now, select a need...
Select a Solution for David...
Food
Diet, Nutrition, Food Assistance, Weight Management
Ankeny On Call
On-call food delivery services for the malnourished...
1 mi
Used 4 times
Ankeny On Call
On-call food delivery services for the malnourished...
1 mi
Used 4 times
Description
Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Nullam id dolor id nibh ultricies vehicula ut id elit. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Nullam id dolor id nibh ultricies vehicula ut id elit. Lorem ipsum dolor sit amet, consectetur adipiscing elit.
Services
cDietary & Nutrition Assistance, cFood Assistance, & cFinancial Assistance
Address
1245 Anderson Ln
Austin, TX 78749
Phone
(512) 410-9910
Date
September 29, 2016

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Meals on Wheels
Non-profit for delivering meals to the needy
1.2 mi
Used 2 times
Description
Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Nullam id dolor id nibh ultricies vehicula ut id elit. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Nullam id dolor id nibh ultricies vehicula ut id elit. Lorem ipsum dolor sit amet, consectetur adipiscing elit.
Services
cDietary & Nutrition Assistance, cFood Assistance, & cFinancial Assistance
Address
1245 Anderson Ln
Austin, TX 78749
Phone
(512) 410-9910
Date
September 29, 2016

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Food Friendly Texas
Austin-area food bank serving over 20,000 people annually
1.8 mi
Used 1 time
Description
Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Nullam id dolor id nibh ultricies vehicula ut id elit. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Nullam id dolor id nibh ultricies vehicula ut id elit. Lorem ipsum dolor sit amet, consectetur adipiscing elit.
Services
cDietary & Nutrition Assistance, cFood Assistance, & cFinancial Assistance
Address
1245 Anderson Ln
Austin, TX 78749
Phone
(512) 410-9910
Date
September 29, 2016

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Care from the Heart
Sisters of Mercy monthly food delivery service
4 mi
Used 1 time
Description
Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Nullam id dolor id nibh ultricies vehicula ut id elit. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Nullam id dolor id nibh ultricies vehicula ut id elit. Lorem ipsum dolor sit amet, consectetur adipiscing elit.
Services
cDietary & Nutrition Assistance, cFood Assistance, & cFinancial Assistance
Address
1245 Anderson Ln
Austin, TX 78749
Phone
(512) 410-9910
Date
September 29, 2016

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Food
Diet, Nutrition, Food Assistance, Weight Management
Food
Diet, Nutrition, Food Assistance, Weight Management
Housing
Homeless, Inadequate Housing, Independent Living, No Permanent Home, Shelter, etc.
Housing
Homeless, Inadequate Housing, Independent Living, No Permanent Home, Shelter, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Supplies
Diabetic, Durable Medical Equipment, Home Modification, Ostomy, Vehicle Modification, Advocacy, etc.
Supplies
Diabetic, Durable Medical Equipment, Home Modification, Ostomy, Vehicle Modification, Advocacy, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Transportation
Limited Vehicle Access, Medical Transport Required, No Driver's License, No Gas Money, No Vehicle, etc.
Transportation
Limited Vehicle Access, Medical Transport Required, No Driver's License, No Gas Money, No Vehicle, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Financial
Cannot Cover Co-Pays, Clothing Assistance, Financial Counseling, Fixed Income, Food Assistance, etc.
Financial
Cannot Cover Co-Pays, Clothing Assistance, Financial Counseling, Fixed Income, Food Assistance, etd.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Care
Respite Care, Access to Genetics, Care Coordination, Case Management, Current Provider Issues, etc.
Care
Respite Care, Access to Genetics, Care Coordination, Case Management, Current Provider Issues, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Education
Current School Issues, School Selection, Special Education, Post-High School Programs, Employment, etc.
Education
Current School Issues, School Selection, Special Education, Post-High School Programs, Employment, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Work
Disability Funding, Employment Guidance, FMLA, Fear of Losing Job, Job Loss, etc.
Work
Disability Funding, Employment Guidance, FMLA, Fear of Losing Job, Job Loss, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Legal
Advance Directives, Child Abuse, Child Support Enforcement Guidelines, Citizenship, Deportation, etc.
Legal
Advance Directives, Child Abuse, Child Support Enforcement Guidelines, Citizenship, Deportation, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Veterans
Benefits, Resources for Veterans Families, Health Care, Housing/Land Assistance, Mental Health, etc.
Veterans
Benefits, Resources for Veterans Families, Health Care, Housing/Land Assistance, Mental Health, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Disaster Relief
Emergency Support, Crisis/Counseling Hotlines, Domestic/Family Violence, Family Protective Services, etc.
Disaster Relief
Emergency Support, Crisis/Counseling Hotlines, Domestic/Family Violence, Family Protective Services, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Cultural
Health Beliefs/Behaviors, Practitioner Beliefs/Behaviors, Religious Beliefs/Behaviors, etc.
Cultural
Health Beliefs/Behaviors, Practitioner Beliefs/Behaviors, Religious Beliefs/Behaviors, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Language
English Not First Language, Illiterate, Needs Interpreter, Unable to Speak English, etc.
Language
English Not First Language, Illiterate, Needs Interpreter, Unable to Speak English, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Functional
Activities of Daily Living Assistance, Alzheimers/Dementia, Disabled, Lives Alone, Mobility Issues, etc.
Functional
Activities of Daily Living Assistance, Alzheimers/Dementia, Disabled, Lives Alone, Mobility Issues, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Psycho-Social
Anxiety, Depression, Fear, Grief, History of Trauma, Non-Compliance, Peer/Family Pressure, etc.
Psycho-Social
Anxiety, Depression, Fear, Grief, History of Trauma, Non-Compliance, Peer/Family Pressure, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Disability Services
Behavioral Support, Diagnostic Services, Disabled Adult, Disabled Child, Guardianship, etc.
Disability Services
Behavioral Support, Diagnostic Services, Disabled Adult, Disabled Child, Guardianship, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Health Literacy
Acute MI Education, Arthritis Education, COPD/Emphysema/Asthma Education, etc.
Health Literacy
Acute MI Education, Arthritis Education, COPD/Emphysema/Asthma Education, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Health Management
Dental, Dietary/Nutrition, Hearing/Auditory, Smoking, Vision, Weight Management, etc.
Health Management
Dental, Dietary/Nutrition, Hearing/Auditory, Smoking, Vision, Weight Management, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Prescription
High Prescription Co-Pay Plan, Limited Prescription Plan, No Prescription Plan, etc.
Prescription
High Prescription Co-Pay Plan, Limited Prescription Plan, No Prescription Plan, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Insurance
Does Not Cover DME, High Deductible Plan, No Insurance, Under-Insured, etc.
Insurance
Does Not Cover DME, High Deductible Plan, No Insurance, Under-Insured, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Access to Care
Access to Genetics, Care Coordination, Case Management, Current Provider Issues, etc.
Access to Care
Access to Genetics, Care Coordination, Case Management, Current Provider Issues, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Facility Care
Acute Care, Assisted Living, Care Retirement Community, Hospice, Nursing Home, etc.
Facility Care
Acute Care, Assisted Living, Care Retirement Community, Hospice, Nursing Home, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Senior Services
Senior Centers
Senior Services
Senior Centers
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management

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episode
Joint Bundle
21
days left
Now, select a solution...
Select David's barrier(s)...
Food
Diet, Nutrition, Food Assistance, Weight Management
Food
Dietary Nutrition
Food
Diet, Nutrition, Food Assistance, Weight Management
Food
Diet, Nutrition, Food Assistance, Weight Management
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Housing
Homeless, Inadequate Housing, Independent Living, No Permanent Home, Shelter, etc.
Housing
Homeless, Inadequate Housing, Independent Living, No Permanent Home, Shelter, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Supplies
Diabetic, Durable Medical Equipment, Home Modification, Ostomy, Vehicle Modification, Advocacy, etc.
Supplies
Diabetic, Durable Medical Equipment, Home Modification, Ostomy, Vehicle Modification, Advocacy, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Transportation
Limited Vehicle Access, Medical Transport Required, No Driver's License, No Gas Money, No Vehicle, etc.
Transportation
Limited Vehicle Access, Medical Transport Required, No Driver's License, No Gas Money, No Vehicle, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Financial
Cannot Cover Co-Pays, Clothing Assistance, Financial Counseling, Fixed Income, Food Assistance, etc.
Financial
Cannot Cover Co-Pays, Clothing Assistance, Financial Counseling, Fixed Income, Food Assistance, etd.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Care
Respite Care, Access to Genetics, Care Coordination, Case Management, Current Provider Issues, etc.
Care
Respite Care, Access to Genetics, Care Coordination, Case Management, Current Provider Issues, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Education
Current School Issues, School Selection, Special Education, Post-High School Programs, Employment, etc.
Education
Current School Issues, School Selection, Special Education, Post-High School Programs, Employment, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Work
Disability Funding, Employment Guidance, FMLA, Fear of Losing Job, Job Loss, etc.
Work
Disability Funding, Employment Guidance, FMLA, Fear of Losing Job, Job Loss, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Legal
Advance Directives, Child Abuse, Child Support Enforcement Guidelines, Citizenship, Deportation, etc.
Legal
Advance Directives, Child Abuse, Child Support Enforcement Guidelines, Citizenship, Deportation, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Veterans
Benefits, Resources for Veterans Families, Health Care, Housing/Land Assistance, Mental Health, etc.
Veterans
Benefits, Resources for Veterans Families, Health Care, Housing/Land Assistance, Mental Health, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Disaster Relief
Emergency Support, Crisis/Counseling Hotlines, Domestic/Family Violence, Family Protective Services, etc.
Disaster Relief
Emergency Support, Crisis/Counseling Hotlines, Domestic/Family Violence, Family Protective Services, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Cultural
Health Beliefs/Behaviors, Practitioner Beliefs/Behaviors, Religious Beliefs/Behaviors, etc.
Cultural
Health Beliefs/Behaviors, Practitioner Beliefs/Behaviors, Religious Beliefs/Behaviors, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Language
English Not First Language, Illiterate, Needs Interpreter, Unable to Speak English, etc.
Language
English Not First Language, Illiterate, Needs Interpreter, Unable to Speak English, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Functional
Activities of Daily Living Assistance, Alzheimers/Dementia, Disabled, Lives Alone, Mobility Issues, etc.
Functional
Activities of Daily Living Assistance, Alzheimers/Dementia, Disabled, Lives Alone, Mobility Issues, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Psycho-Social
Anxiety, Depression, Fear, Grief, History of Trauma, Non-Compliance, Peer/Family Pressure, etc.
Psycho-Social
Anxiety, Depression, Fear, Grief, History of Trauma, Non-Compliance, Peer/Family Pressure, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Disability Services
Behavioral Support, Diagnostic Services, Disabled Adult, Disabled Child, Guardianship, etc.
Disability Services
Behavioral Support, Diagnostic Services, Disabled Adult, Disabled Child, Guardianship, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Health Literacy
Acute MI Education, Arthritis Education, COPD/Emphysema/Asthma Education, etc.
Health Literacy
Acute MI Education, Arthritis Education, COPD/Emphysema/Asthma Education, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Health Management
Dental, Dietary/Nutrition, Hearing/Auditory, Smoking, Vision, Weight Management, etc.
Health Management
Dental, Dietary/Nutrition, Hearing/Auditory, Smoking, Vision, Weight Management, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Prescription
High Prescription Co-Pay Plan, Limited Prescription Plan, No Prescription Plan, etc.
Prescription
High Prescription Co-Pay Plan, Limited Prescription Plan, No Prescription Plan, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Insurance
Does Not Cover DME, High Deductible Plan, No Insurance, Under-Insured, etc.
Insurance
Does Not Cover DME, High Deductible Plan, No Insurance, Under-Insured, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Access to Care
Access to Genetics, Care Coordination, Case Management, Current Provider Issues, etc.
Access to Care
Access to Genetics, Care Coordination, Case Management, Current Provider Issues, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Facility Care
Acute Care, Assisted Living, Care Retirement Community, Hospice, Nursing Home, etc.
Facility Care
Acute Care, Assisted Living, Care Retirement Community, Hospice, Nursing Home, etc.
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management
Senior Services
Senior Centers
Senior Services
Senior Centers
Dietary/Nutrition
Dietary/Nutrition
Food Assistance Needed
Food Assistance Needed
Help Paying for Food
Help Paying for Food
Weight Management
Weight Management

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Ankeny On Call
On-call food delivery services for the malnourished...
1 mi
Used 4 times
Description
Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Nullam id dolor id nibh ultricies vehicula ut id elit. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Nullam id dolor id nibh ultricies vehicula ut id elit. Lorem ipsum dolor sit amet, consectetur adipiscing elit.
Services
cDietary & Nutrition Assistance, cFood Assistance, & cFinancial Assistance
Address
1245 Anderson Ln
Austin, TX 78749
Phone
(512) 410-9910
Date
September 29, 2016

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form

Meals on Wheels
Non-profit for delivering meals to the needy
1.2 mi
Used 2 times
Description
Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Nullam id dolor id nibh ultricies vehicula ut id elit. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Nullam id dolor id nibh ultricies vehicula ut id elit. Lorem ipsum dolor sit amet, consectetur adipiscing elit.
Services
cDietary & Nutrition Assistance, cFood Assistance, & cFinancial Assistance
Address
1245 Anderson Ln
Austin, TX 78749
Phone
(512) 410-9910
Date
September 29, 2016

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form

Food Friendly Texas
Austin-area food bank serving over 20,000 people annually
1.8 mi
Used 1 time
Description
Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Nullam id dolor id nibh ultricies vehicula ut id elit. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Nullam id dolor id nibh ultricies vehicula ut id elit. Lorem ipsum dolor sit amet, consectetur adipiscing elit.
Services
cDietary & Nutrition Assistance, cFood Assistance, & cFinancial Assistance
Address
1245 Anderson Ln
Austin, TX 78749
Phone
(512) 410-9910
Date
September 29, 2016

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form

Care from the Heart
Sisters of Mercy monthly food delivery service
4 mi
Used 1 time
Description
Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Nullam id dolor id nibh ultricies vehicula ut id elit. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Nullam id dolor id nibh ultricies vehicula ut id elit. Lorem ipsum dolor sit amet, consectetur adipiscing elit.
Services
cDietary & Nutrition Assistance, cFood Assistance, & cFinancial Assistance
Address
1245 Anderson Ln
Austin, TX 78749
Phone
(512) 410-9910
Date
September 29, 2016

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episode
Joint Bundle
21
days left
Add an Attachment

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xyz.doc
252KB

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Jul 2017
jul 24
Document Patient Risk
HC
There may be a lot of risks to go over.
Risk Type
Low
Duration
30m
Type of Document
Discharge Risk Assessment
HC
Comment
255

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John Sanderson:
Long conversation about risks today
Jul 24, 11:21 AM
Kirsten Soldado:
David is receiving subsequent care
Jul 24, 12:04 PM
Barrier:
Child Care After School Care
Jul 24, 12:04 PM
12
Solution:The Arc of San Antonio - Comprehensive School Based Cas...
View
Jul 24, 2017
Adding a Solution
The Arc of San Antonio - Comprehensive School Based...
Used on Jul 24, 2017
6
David's Solutions for this Barrier
Kids Play Camp of San Antonio
Used on Jul 28, 2017
1
Care Team General Support
Used on Jul 21, 2017
1
My Solutions for this Barrier
The Arc of San Antonio - Comprehensive School Based Case Management
Used on Jul 24, 2017
6
Kinetic Kids
Used on Jul 28, 2017
3
Care Team Patient Education
Used on Apr 12, 2017
1
My Team's Solutions for this Barrier
Childrens' First Care
Sandra J. on Jul 24, 2017
126
Kids Play Camp of San Antonio
John M. on Jul 28, 2017
12
Clarity Child Guidance Center - Outpatient Campus
Deborah H. on Apr 12, 2017
3
Ada Carroll
Health Coordinator • TAVHealth

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Provider:
Darren Garcia, M.D.
View
Survey:
ASQ-3 Questionnaire
complete
Jul 24, 2:15 PM
Adding a Barrier
Child Care After School Care
Last identified on Jul 24, 2017 11:21 AM
12
David's Barriers
Child Care After School Care
Last on Jul 24, 2017 11:21 AM
12
Cultural Refugee
Last on Jul 28, 2017 10:45 AM
7
Health Management Dental
Last on Apr 12, 2017 1:10 PM
2
Your Most-Used Barriers
Language Needs Interpreter
Support Counseling
Transportation Unable to Drive Due to Illness
Work Job Loss
Veterans Resources Resources for Veterans Families

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Adding a Solution
The Arc of San Antonio - Comprehensive School Based Case Management
Used on Jul 24, 2017
6
David's Solutions
Kids Play Camp of San Antonio
Used on Jul 28, 2017
1
Care Team General Support
Used on Jul 21, 2017
1
My Solutions
The Arc of San Antonio - Comprehensive School Based Case Management
Used on Jul 24, 2017
6
Kinetic Kids
Used on Jul 28, 2017
3
Care Team Patient Education
Used on Apr 12, 2017
1
Child Care After School Care
Last identified on Jul 24, 2017 11:21 AM
12
David's Barriers
Child Care After School Care
Last on Jul 24, 2017 11:21 AM
12
Cultural Refugee
Last on Jul 28, 2017 10:45 AM
7
Health Management Dental
Last on Apr 12, 2017 1:10 PM
2
Your Most-Used Barriers for this Solution
Language Needs Interpreter
Support Counseling
Transportation Unable to Drive Due to Illness
Work Job Loss
Veterans Resources Resources for Veterans Families

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Adding a Provider
Darren Garcia, M.D.
Surgeon
Last identified on June 21, 2017
2
Darren Garcia, M.D.
Little Rock, AR
Candice OBrien, M.D.
Little Rock, AR

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Adding a Survey
ASQ-3 Questionnaire
12 Questions
ASQ-3 Questionnaire
12 Questions
PROMIS Global 10
18 Questions
1) Overall, how would you rate your diabetes care at XYZ Hospital?
Very Dissatisfied
Somewhat Dissatisfied
Neutral
Somewhat Satisfied
Very Satisfied
2) Overall, how would you rate your diabetes education materials you received during your stay?
Very Dissatisfied
Somewhat Dissatisfied
Neutral
Somewhat Satisfied
Very Satisfied
3) Overall, how would you rate XYZ Hospital staff's ability to answer your questions regarding diabetes and provide you with additional resources and contact information?
Very Dissatisfied
Somewhat Dissatisfied
Neutral
Somewhat Satisfied
Very Satisfied
4) Overall, do you feel prepared to manage your diabetes at home?
Not at all Prepared
Somewhat Prepared
Neutral
Prepared
Very Prepared
5) Do you have a follow-up appointment schedules with your physician that manages your diabetes?
Yes
No
6) Any additional comments?

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60m
July 18
14-Day Follow Up Call
HC
This will probably be a vital call
Type of Intervention
Clinical Escalation
Ada Carroll:
Ask about transportation issues he's had before
Jul 15, 2:09 PM
3
jul 17
Admitted to Skilled Nursing Facilitysuccessful
HC
Organization: Care from the Heart
Kirsten Soldado:
David is receiving subsequent care
Jul 24, 12:04 PM
episode
Health Coaching
Ongoing
episode | Member
Health Coaching
Ongoing
Tracking David's progress as he works through several different health issues simultaneously.
Awareness Date
Nov 3, 2014
At Risk
No
Jul 12
60m
Discharged from Hospitalsuccessful
HC
Organization:St. John's Medical Center
14-Day Follow Up CallAda Carroll
JB

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The activity was deleted
14-Day Follow Up Call
Undo
Jul 5
10:15AM
Identify Goalssuccessful
20 min
HC
Task:Walk 1 mile
Task:Identify a personal trainer that specializes in joint recovery
60m
July 3
45-Day Follow Up CallSuccessful
HC
Ada Carroll: 
He's still in the hospital awaiting further tests
Jul 3, 2:09 PM
4
14-Day Follow Up CallAda Carroll
JB

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July 2
10:15AM
20 Day Goal Check-In
20 min
HC
The activity was deleted
14-Day Follow Up Call
Undo
60m
Jul 4
GOAL
See Jackie Graduate
overdue
60-Day Follow Up Call
Kirsten Soldado

Confirm all swelling has lessened and patient is no longer dependent on medication.

Surgeon
Darren Garcia
episode
Back Bundle
78
days left
episode | member
Back Bundle
78
days left
Awareness Date
Jan 31, 2015
MRN
A8973921-01
Surgeon
Darren Garcia
LACE
6
jul 1
1:30PM
Admitted to St. Sebastian Medical Center
HC
Organization: St. Sebastian Medical Center
Kirsten Soldado:
David was admitted this morning, after expressing chest...
Jul 1, 12:04 PM
Jun 2017
episode
Health Coaching
Ongoing
episode | Member
Health Coaching
Ongoing
Tracking David's progress as he works through several different health issues simultaneously.
Awareness Date
Nov 3, 2014
At Risk
No
JuN 28
60m
Discharged to Skilled Nursing Facility
HC
14-Day Follow Up CallAda Carroll
JB

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July 25
10:15AM
20 Day Goal Check-In
20 min
HC
Barrier: Food Nutrition Education
The activity was deleted
14-Day Follow Up Call
Undo
jun 24
30-Day Follow Up Call
HC
jun 22
HC
Health Coaching
episode
Back Bundle
78
days left
episode | member
Back Bundle
78
days left
Awareness Date
Jan 31, 2015
MRN
A8973921-01
Surgeon
Darren Garcia
LACE
6
juN 18
1:30PM
Admitted to St. Sebastian Medical Center
HC
Organization: St. Sebastian Medical Center
Kirsten Soldado:
David was admitted this morning, after expressing chest...
Jul 1, 12:04 PM
jun 1
JB
Joint Bundle