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Community Resource Center
Inpatient Med/Surg Resource Specialist
Supporting MGH SS Department Social Workers
Inpatient Med/Surg Resource Specialist: Karen Guatemala, 617-643-8327, page 21491, or contact via Voalte.
- To Refer
- This role accepts referrals from MGH Social Service Department inpatient med/surg staff – please do not share contact information to other providers, patients/family.
- We appreciate Epic referrals, but e-mail, Voalte, phone or page are also welcome.
- Epic Instructions – place an Epic AMBULATORY referral to “MGH Social Work Community Resource Specialist – Main Campus”. Please specify patient type: Inpt Med/Surg (this helps us direct the consult to Karen). Feel free to call/Voalte/email/page to share additional information you may not want in the record or if request is time-sensitive.
- How it works
- Karen is onsite daily and can talk with patients on the phone or in person during admission.
- Assessment at SW discretion - you gather needed information for her or she assesses, just let us know.
- Karen has Qualified Bilingual Staff status for Spanish – she can do her own work in Spanish. This status does not qualify her to interpret for others. Please use Interpreter Services for interpretation.
- This role accepts referrals from Social Service Department staff – please do not give contact information to other providers, to patients/family directly, etc.
- Assists with
- Individual Adult shelter referrals
- Please complete this Individual Shelter referral form OR let Karen know if you'd like her to discuss directly with pt
- Karen will call shelters and relay status to SW
- Other types of emergency shelter:
- Medical respite/Barbara McInnis House – please refer to case management
- Family shelter (Emergency Assistance or EA) – family must refer themselves: call 866-584-0653, Mon to Fri 8-4
- Medical leave/disability education – explains eligibility, benefits and how to apply for MA Paid Family and Medical Leave (PFML), federal Family and Medical Leave Act (FMLA), SSDI/SSI, and state short term disability- EAEDC. This role unfortunately cannot offer hands-on application assistance.
- Transportation- assist with applying for MassHealth PT-1, The Ride 30 Day Medical Necessity and educating patients how to use them (patients set up their own rides); can also investigate any other transportation options.
- PT-1 - refer for assessment* OR complete this PT-1 referral form
- We may ask for help to identify the authorizing provider to give us the information we need to submit (see PT-1 referral form)
- The Ride 30 Day Medical Necessity - refer for assessment OR complete the 30DMN form and we'll submit and follow-up.
- Verbal permission for The Ride - we ask for verbal permission to share PHI with the MBTA (as we’ll be sharing medical information with a non-medical agency). Karen can obtain this directly from patient or SW can ask patient and let us know.
- Delivering sweats for discharge when patient has no clothes and no one to bring any
- New! Elder Service referrals - will call elder service agencies to request evaluation for service (at home after discharge.)
- Consults to inpatient med/surg staff for all other types of resource needs. (Notary requests- see next bullet)
- Notary referrals - until further notice, please continue to email Hannah Perry, Gardy Hyacinthe and Ellen Forman for notary referrals (we rotate on-site coverage).
- Additional Information
- Feel free to contact Karen with quesitons.
rev 4/23
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