Better Care Together Case Study

Crossroads Residential aftercare: Progress b: Ms. Messerli checked in Crossroads residential aftercare on 11/10/16. CPSW spoke with Ms. Messerli's counselor and he reported that Ms. Messerli was checked in 11/10/16 and was discharged on 11/13/16. On Sunday 11/13/16, her roommate at Crossroads informed the resident manager that Ms. Messerli left at 11pm Saturday evening and did not return. Ms. Messerli was discharged immediately at staff request from staying out overnight without a pass. He stated that Ms. Messerli did not complete any UA's at the Crossroads. Also, he reported that Ms. Messerli participated one group counseling session at Crossroads before her discharge date. The recommendation from Crossroads residential aftercare are:

Following policy and procedure what is your immediate response? My immediate response is to alert my nominated supervisor and once my nominated supervisor is informed I will record what has happened so that there is evidence of the injury that Lucy has faced. Documentation and preserving Lucy’s injury is a very important step. The location and the appearance has to be very well described as well as the date that it was noticed. I will also get a photo taken of the injury to have photographic proof.

This episode of care occurred in a community setting. Sara has a diagnosis of Alzheimer's disease. She live alone, has no children and is a diabetic. Sara does not speak English and her first language is Polish. Sara support worker developed a close relationship with Sara but said recently her dementia as gotten wrong and she sometimes does not remember who she is. Sara has cellulitis on her legs and was refusing to let the support worker change her dressing. She kept saying it was ok and she didn't want it to be changed. The student nurse and the district nurse tried reassuring Sara and explaining why it was importance to treat her leg but she just became more agitated and aggressive. The district nurse and support worker knew it was important

Meeting Essential Care Needs Mrs Gale is a 70 year old widow and retired unskilled worker. The patient lives alone and relies on her son to provide basic care, medication and meals. Mrs Gale has a history of weight fluctuation owing to lifestyle but is currently at risk of malnutrition due to Parkinson’s disease. Mrs Gale shows signs of early dementia and suffers from poor mobility and pain caused by arthritis. Mrs Gale also has mild depression triggered by loss and has become socially isolated. All names have been changed as per the Nursing and Midwifery Council confidentiality guidelines (2008).

Health Information Exchange (HIE) has become a major component in today’s healthcare. Health information exchange provides a secure way for providers to appropriately access and electronically share a patient’s medical information. Therefore, reducing duplicate testing, minimizing medication errors and providing a link among electronic health records (EHR) in order to provide quality healthcare.

Susan, Sorry to know you had to experience the illness of a loved with whom you have shared your life with for such a long time. Hopefully you will be strengthen by the joy and good times you shared.

This letter serves as a written notice of Loving Hearts Home Healthcare Inc. appeal to the overpayment amount of $5,034.90, which was identified in the overpayment notification letter. Specifically, those claims billed for Marjorie Savage that have been labeled with a discrepancy code 911. The notification letter provided the following explanation for the discrepancy code, which resulted in an overpayment:

The reporting party (RP) stated her brother, resident Luis Gallegos DOB: 8/26/70 was transferred to the facility from a skilled nursing facility (Premier Care). According to the RP the resident was admitted to Premier Care on July 13, 2016. The RP stated prior to her brother's stay in Premier he was able to make his own decisions and therefore didn't require a POA or a conservator. Consequently, Premier transferred her brother without notifying his authorized representative, his sisters. When the RP and her sister attempted to visit the resident they were refused. A caregiver named Jessie informed the RP that she had no authority to remove the resident. The RP stated her sister Chelsea visited the resident was not allowed to visit in private.

Agency Evaluation Care Matters LLC does not have an overall feedback loop with which it gathers information regarding efficacy. Most of the clients the agency works with are motor vehicle accident survivors who need extensive medical treatment. They are entitled by Michigan No Fault Insurance to a case manager to assist them with coordinating their medical care (Sinas, 2011). The case managers work with many different doctors, insurance companies, and claims adjusters. As such, most of their feedback takes place within outside arenas.

Quality Home Care: Why Choose Comfort Keepers? Your senior loved one is important and there are many different senior care services available. What do you do, how do you decide what service is best? In short, with all of the other choices in the market, why choose Comfort Keepers? Since the number

Mr. Mendivil was referred to the STAR CAST on January 1, 2018, by SGPRC due to his noncompliance with treatment and medical appointments. He is diagnosed with type 2 diabetes and is prescribed insulin four times a day. Nursing staff from Care Unlimited Home Health come to the house every day to check his blood sugar, check his blood pressure, and administer insulin as ordered. However, Jesus is reported to often refuse to have blood sugar checked and to have insulin shots. This noncompliant behavior to treatment poses a high risk for complications from poorly controlled diabetes.

Correct Care Solutions, LLC. (CCS) is contracted to provide medical, dental and mental health services to the correctional population housed at the Mecklenburg County Sheriff’s Office (MCSO). The SOW agreement between MCSO and CCS is dated November 1, 2008. Per the agreement, a quality assurance plan requires an “outside” correctional health professional to conduct a peer review of inmate health care services with documentation of deficiencies and plans of corrective actions on an annual basis. The American Correctional Association (ACA) was contacted to conduct a compliance audit of the inmate health services operation for SOW agreement between MCSO and CCS.

There are many types of healthcare plans in the United States. Two types of care are Managed Care Organizations (MCO) and Accountable Care Organizations (ACO). Today the drawback of MCOs are, the features of consumer-driven healthcare plan (CDHP), the difference between HMO and PPO plans verses CDHP, and the features of ACOs that control cost and improve quality of care.

The next portion of this analysis is the evidence that the situation provides. Care aids in Canada have a document that outlines competencies needed in order to provide the public with safe, competent and ethical care (HCA Core Competency Profile, 2014). Upon my analysis of this document, the care in the situation had not met competencies 1.0: Health and Caring, 3.0: Communication Skills, 5.0: Safety, and 6.0: Responsibility, Accountability and Ethical Behavior. I begin to question what the ramifications are for care aids that do not meet these standards in Canada. Is it possible that the care aid has forgotten the competencies in which she is required to meet? It could be that the care aid isn’t educated about dementia and wasn’t aware of

Dr. Robert Master, the founder of Commonwealth Care Alliance (CAA), had created the company with the vision to ‘bring high-quality and personalized care to people with complex medical and behavioral needs, resulting in improved health and better self-management of chronic illness, thereby reducing hospitalizations and institutionalizations.' Therefore, the main objective was to provide care outside the walls of hospitals and institutions to make it easier for the chronically ill and disabled to receive the attention they