2019 SCHA Awards
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Position: Case Manager
Organization: Kaiser South Bay
Describe how your Nominee has exceeded his or her Job Description, becoming a hero to you or others. Provide an example or as much detail as possible of the things that they do that go above and beyond their job description.
If I have to describe Giles in a few words, I would say that he is; an Innovator, Caring, Respected, and the utmost Honest individual. He has a long track record of success and innovation. This success is not about him, no. Everything he does is to better the quality of care for his senior patients. He was the most crucial driver of the readmission prevention program; A program that was made not only by the hospital staff but most importantly, by the senior care providers. Companies such as SNFs, Hospice, Home Health, Home Care were involved in every step of the way.
He is very passionate about life and god. He has been going to church since he was born and participated in choir for seven years old and an organist since he was 12. He got used to being around the elderly since he was a kid cause he had his grandparents in the house as he grew up.
In the year 2000, he graduated from USC Nursing program and went right to work in specialty ICU, including trauma/surgical, neuro/surgical, and medical/surgical ICU. While working in the ICU, he worked with home health care patients. While working in the ICU, he advocated for patients to go home instead of the SNF when there was no need for it. From that moment on, he decided to dedicate himself to case management. As time progressed, he notices that his passion was making sure patients were discharging home instead of keeping them at the hospital for no reason. As a case manager, he had worked through all levels of the acute hospital setting from the emergency room, the ICU, step down Med/surge and even skilled Nursing.
“In this industry, I’ve come to learn that the benefits of preventive care and maintaining one’s health far outweighs (health neglect) and trying to fix the issues after an illness. People generally forget to look at their finances and plan for healthcare and caregiving later in life.”
This is a familiar story.
A younger single mother in her early 40s diagnosed with metastatic breast and pancreatic ca. She had three children ages 11, 17 & 21, and already further along with the diagnosis requiring more care than the children could now provide. Due to her age and other health comorbidities, there was no skilled nursing facility that could accommodate her. No board and care would take her as she had too many medical issues and interventions which were not licensed for.
Because of her illness, she was unable to work and support her children. Naturally, the older kids had to work and were not able to care for her. The 11-year-old sibling was the one doing most of the work, which was impossible for him. She didn’t meet criteria to be in the hospital either because technically everything that was been done could be done at an alternate level of care. We were at a loss. The patient had already been to multiple hospitals and had numerous ED visits necessarily for the care the family was unable to provide. The patient had one wish; to fight for as long as she could until the absolute very end for her children.
I guess it isn’t that common; what is common is a grave diagnosis in an otherwise healthy, functional individual. Well at the end, through, discussions with this unfortunate lady’s health plan, and reaching out to long term care partners as well as doing some both electronic and physical leg work. We were able to find a facility which could provide the necessary care for her. Remarkably, we were able to get all her care covered by her insurance, except for customary co-pays of course.
The lady eventually passed away, fortunately, she had the blessing of her children after they saw the courage and determination that she fought with. Before that, she transitioned to hospice at that same facility that took her in the first time. After that last move, she did not even have to go back to the hospital; instead, her kids focused on meeting her wishes and spend as much time as they could with her. This allowed her to have a peaceful and as minimally stressful transition for her family and her as well.
He does this every day and works hard to make sure that patients and especially seniors, receive the appropriate care needed.