KayBee: Nurse Care Coordination

KayBee was founded by a critical care nurse who recognized the many challenges individuals face with their health and well-being as they age.

The mission of KayBee is to coordinate care for seniors and families to age safely in their communities. The vision of KayBee is every person over 65 has access to care coordination to purposefully organize their care to maximize health, well-being, and independence.

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KayBee

Care coordination

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Care Coordination is deliberately organizing care to deliver appropriate health services, maximizing the health and well-being of seniors.  The Agency for Healthcare Research and Quality defined the importance of care coordination for the following reasons:

  • Current health care systems are often disjointed, and processes vary among and between primary care sites and specialty sites.

  • Patients are often unclear about why they are being referred from primary care to a specialist, how to make appointments, and what to do after seeing a specialist.

  • Specialists do not consistently receive clear reasons for the referral or adequate information on tests that have already been done. Primary care physicians do not often receive information about what happened in a referral visit.

  • Referral staff deal with many different processes and lost information, which means that care is less efficient.

We are hired by families to stay with them every step of the way.  With KayBee, the goal is to ensure the care team understands how the needs and preferences of our senior clients and families impact every decision.  From years of experience, KayBee nurses are skilled at getting the right information communicated to the right people at the right time.  Communication is important to ensure safe, appropriate, and effective care for our senior clients. KayBee is also coordinating a network of community resources to support seniors and their families.

 

Who We Help

We typically help older adults who:

  • ARE OVER 65 [MOST OF OUR CLIENTS ARE BETWEEN 75-95]

  • HAVE FAMILY SUPPORT

  • ARE ON 5+ MEDICATIONS

  • ARE SEEING 3 OR MORE DOCTORS

  • ARE EXPERIENCING TROUBLES WITH MEMORY OR THEIR NORMAL ROUTINES

  • HAVE VISITED MULTIPLE HEALTH NETWORKS FOR CARE

  • ARE TRANSITIONING BETWEEN REHAB TO HOME OR a new living situation

  • ARE OVERWHELMED OR FEELING MORE ISOLATED FROM ALL THE CHANGES IN THEIR HEALTH

  • Want to maintain independence while aging at home

    Every family is unique in how they use KayBee’s services.


How a KayBee Nurse Spends Their Time