Kirby Matthess
From Wakefield, Massachusetts
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Kirby Matthess of Wakefield, Massachusetts, was recently initiated into The Honor Society of Phi Kappa Phi, the nation's oldest and most selective all-discipline collegiate honor society. Matthess...
February, 15 2024 - Verified by The Honor Society of Phi Kappa PhiWorking collaboratively with clinical and operational leadership across Healthcare at Home to develop, continually assess, and manage the operations of the new Home Hospital program initiative for MGB. Direct management of the Healthcare at Home Coordinators .
As a top initiative for MGB Healthcare, development of the new Home Hospital program across 5 enterprise sites supports the mission to maximize patients' access to healthcare and their ability to heal while at home while simultaneously impacting the overall healthcare capacity needs.
Assist the Complex Care Team in executing the strategic vision of Care Continuum Management (CCM) related to the management of high-risk patients across the continuum and the Brigham Health post-acute strategy. CCM is a multi-disciplinary pursuit whose mission is to ensure that all patients receive high quality and safe care that is seamless and coordinated across different locations and occurs in the most appropriate care setting for a given patient and/or population. High-risk Care Management involves supporting patients who require additional coordination of care due to their clinical complexity, psychosocial needs or financial vulnerability. The post-acute strategy ensures that Brigham Health patients who require any type of post-acute care are appropriately identified and can access the highest quality post-acute care in a seamless manner.
Functional role as a Case Manager throughout the Spaulding Rehabilitation Network with assigments at the various sites (SRH, SHC, SRB, and SCC) for periods of various durations based on staffing needs at that location. Expert across all levels of care including IRF, LTAC, and SNF with the ability to provide support and coverage at all settings of patient care. Provides mentoring, support and training to new Case Managers hired at any site.
Assist in operationalizing regulatory and organizational changes to workflow and processes while advising the Case Management Senior Directors at each facility around standardization of case management process across the network. Support the assessment of clinical skills and competence of new staff to provide input as to the department managers for the purposes of annual performance evaluations.
Serves as a member of the SRN CM/SW Education Committee to support educational activities and professional development activities for the network.
Recognition as a Clinical Scholar in the Spaulding Rehabilitation Network. Supporting portfolio demonstrated: clinical confidence, department and hospital leadership and communication skills, conflict resolution, creative problem-solving, collaboration, pursuit of enhancing clinical knowledge and practice, and accomplishment of a minimum of 8 defined initiatives (15 presented on application) and supporting letters of recommendation from interdisciplinary colleagues. Portfolio available upon request.
Facilitate the coordination of care, from admission through discharge, with focus on realistic treatment outcomes within the scope of available resources.
Oversee the assessment, planning, facilitation, coordination, evaluation, and advocacy for options and services to meet a patient and familys comprehensive health needs and to promote quality cost effective outcomes.
Collaborate with the interdisciplinary team, patient and family, as well as various departments within and outside the hospital, to assure timely and appropriate discharge planning.
Supervise and mentor graduate level interns.
