MSVD Social Work Referrals
October 2020
All SW referrals and follow up messages to be sent via EPIC to the SW Pool: FPA Visiting Docs Social Worker ID 900288
From EPIC Telephone encounter note: Routing > Recipient > Pools > FPA Visiting Docs Social Worker Registry ID 900288 > set priority High, Routine, Low
From EPIC Visit Encounter Note: Follow up > Recipient > Pools > FPA Visiting Docs Social Worker Registry ID 900288 > set priority: High (Red arrow), Routine (No arrow), Low (Blue arrow)
No referrals or messages to be routed to individual SWs, only to the SW Pool
Do not use Consult to SW ID 9065, Only the SW Pool ID 900288
SW team will review referrals for assignment and priority assignment; primary team base coverage assignment will be used.
Referrals with High priority to be flagged with Red Arrow as High (options include High, Routine and Low). SW must acknowledge and respond within 2 hours, if matter cannot wait 2 hours please call SW directly or escalate to SW Supervisor as needed.
SW to address by acknowledgment of referral receipt and time frame for responding to request (i.e. will call Pt this week). A 2 hour acknowledgement for high priority referrals and end of day for routine ones.
High Priority Referrals:
Patients should be referred to SW team via Epic SW Pool and Flagged as HIGH:
- Suicidal/Homicidal Ideation
- Suspicion of active abuse (physical, emotional, financial, etc.) impacting patient and/or family
- Acute change in one of following the domains that would impact patients ability to remain at home safely: Housing, Food Access, Home care, Legal, Financial
If a high priority SW referral is not acknowledged within 24 hours in EPIC, an urgent email should be sent to SW team and SW supervisor for further escalation.
Standard / Routine Priority Referrals:
- Patients should be referred to team SW via Epic SW Pool
- Physical Care Needs: ADLs and IADLs
- Hospice/Palliative Care: Education & support to Pt and Family, connection to services
- Food: Accessing healthier food, applying for snap
- Housing: Repairs, rectifications
- Relationships: Increase socialization, building connections, reduce isolation
- Finances: Concerns on not being able to pay bills, afford copays, applying for benefits
- Family Caregiving: Support to family, CDPAP
- Transportation: ambulette, ambulance, access a ride
- Language/Literacy: Interpreter services, health literacy
- Legal: referrals to NYLAG, APS, guardianship, pool trust
- Substance Abuse: education, support, referral to community agencies
- Mental Health: connection to treatment, SPOP,
- Community Supports: applying for benefits, social security, disability
Indicating the Referral Priority
By indicating a referral priority this will allow the SW on the receiving end to more effectively organize and prioritize their work, and ensure that work received is begun within a timeframe that makes sense based on the urgency of the need.
Referrers can set a priority level by selecting a priority level (High, Routine, Low) in Epic when sending referral to the SW pool