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Music we move on now to Jennifer Dylan her who is our nurse coordinator RN nurse coordinator it's a good lesson to us and that you really don't know what you're missing until you get it she joined us five years ago, and it has been a crucial link in our team to be able to provide care to patients and have constant contact with a clinician at the phone five days a week eight hours a day which she does with grace and the love of patients, but she also has become a quasi expert in insurance issues that our patients confront all the time, and we gave her the tough topic of health care reform at a something that sounded better earlier last year the topic, but Jennifer can you give us a little of your wisdom on the importance of care coordination and successful management of adults with congenital heart disease Applause okay, so I thought I would start out explaining a little about what a nurse coordinator an adult congenital heart disease center does, so the short answer is I do many things some big some small so but the longer answer is I think the most important thing I do is patient care and that's both clinical case management and telephone triage it could be anything from you know helping a patient with an emergent issue, or it could be you know giving advice you know for a cold symptom relief or a bug bite, but I'm just I'm the person, and I'm a nurse on the other end of the phone and I know most of our patients, so I think it's very reassuring to have to be able to call a nurse as Pam said and the nurse knows you and you don't have to go through your whole story again time you call, so I also do you know I follow up with lab results symptoms test results I coordinate help coordinate care you know within UCLA for the patients and outside of UCLA and I also have you know administrative duties such as filling out forms providing patient letters working with medical which is California's Medicaid program and that's been you know very challenging, and you know I'm also a squeaky wheel I have to be, and I teach patients to be very persistent it helps that I'm widely known as an egg in my personal life, so I know I'm good at this part of my job okay and for more information excellent information about the roles and responsibilities of a nurse coordinator I've included this article, and it's on the slide in your you know that you can access so to talk about to talk about medical and that is our you know that that's our Medicaid in California so the pit the way it works is patients have Medicare right, and they're they're either in straight medical and UCLA takes that and a lot of providers and hospitals take it, or they can be put in a Medical HMO and that's pretty much standard across California now in the last five years it's become the overwhelming way that patients are put into medical so fast trade medical they can just come here, and they can go to a lot of hospitals they don't have to stay within a plan it just met, but the problem comes with...
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