Case Management Observation Report

Last week Thursday on the orthopedic clinic was a slow but eye opening experience. When I got to the clinic at 8AM, after I was introduced to some of the nurses there, I was immediately assigned to a Medical Assistant (MA) that I had shadow for half of the day. The MA shows me around the clinical and explained her role and responsibility in the clinic setting. During the first several hours, and MA and I were quite busy rooming the patient. Because the MA want me to see how to do thoroughly assessment on a new patient, the MA did a thoroughly assessment and examinations on the first patient we saw. During the assessment, the MA also explained some of the medical procedures to the patient. She did a set of vitals on the patient, particular on new patient, such as blood pressure, height, and weight. We had a total of 15 patients during the morning.

The Case Management program is offered by Kaiser Permanente to support members with complex medical, psychosocial, and care management essentials. This specialized service is provided by case managers. The case managers are either Registered Nurses who are certified in case management or qualified Social Workers. Case managers provide necessary information and education to promote understanding, reduce the chance of possible complications, and facilitate effective and proper delivery of care and services.

G: CM met with client for weekly case management session and to update ISP goals.

The program manager then called names one by one to line up to speak with the judge. Most were participants in the program just waiting for their biweekly meeting with the judge. Once their turn came, the judge would state their progress, tell them what they need to accomplish and then send them off. There were participants present that were just entering the program, so once their turn came they stood before the judge with their attorney and the judge then began to explain the route they’re about to take. She emphasized over and over again “This isn’t the easy route” and that it’s going to be a long process, but she also emphasized that she cared and she wanted to see all of them succeed. All the participants that were beginning the program had signed the contracts and begun what was going to be a long

Presenting Problem: He has 2 Kempsville Acute visits, endorses anger and thoughts of suicides. Reported hx of Neurodevelopmental problems most recently as consistent with Autistic Spectrum Symptoms. He reported having intense anger toeards his parents but denies homicidal thoughts, acknowledges suicidal thinking. On May 27, 215 he pulled a knife on his mother, no injury occurred. Mother states he has been increasingly agitated. He has been posturing at his mother yeling clinching his fist at her as well as sneaking out and lying. Mother states he obtained the knife from his room and threatene her life. He states his mother swas chasing him around with a broom which is why he grabbed the kife. He states he is depressed all the time. He a Hx of suspensions for fighting while in school and he was the aggressor.

The Capstone Consulting Group has been asked by the Middleboro Community Hospital to perform an executive summary that includes a nursing analysis and medical staff issues analysis. A forecast for inpatient utilization will be used to recommend how many FTE RNs Middleboro Community Hospital should have in three different inpatient service areas. Recommendations for various staffing issues of Medical Associates affiliated physicians will also be provided.

Worker went to the home of Lamyia Walters. When the worker arrived there is no black truck only the gold BMW at the residence. The worker knocked three times. While waiting for an answer at the door the work could hear persons speaking. Lamyia answered the door. Worker was invited inside. Worker followed Lamyia into the kitchen were the floor was wet and dirty dishes were all over the counter tops and the microwave was missing. Lamyia informed the worker that the microwave caught fire. Lamyia scrapped her left over food into the dog bowls. Lamyia has no money for dog food and is giving the dogs her left overs. Lamyia stated that she is slowly cleaning up the house. Worker and Lamyia sat down and spoke in the living room. The home has no

On 15 October 2017, at 1757 hours, Deputy Tabor and Deputy Williams were dispatched to 135 South Penalosa Street in Penalosa, Kansas, Kingman County, in response to a disturbance. As Deputy Tabor was en route, he was advised by dispatch over the radio that there were young kids who had threatened to "off" the reporting party.

The moment arrived. When I opened the doors, I scanned the architectural design of the room. The classroom looked like a mid-size basketball gym. The concrete blocked walls were painted white. The hard-wooded floors complimented two black pianos scattered in different locations of the vicinity.

• Pre-Registration - When the Patient either comes into the office or calls over the phone for the inital appoitment. If they are new Patients you will need all their insurance information prior to appoitment to confirm they infact take that insurance, co-pays, and active insurance. You then will need to know what the patient is being seen for.

The purpose of this meeting is to complete case management intake forms. Client arrived fifteen minutes early to appointment. Client was in a good mood this afternoon. Client stated pampering themselves due to getting from new employment. Client was also laughing and joking around during the case management intake meeting. Client seemed very happy today. Client attire was presentable; client wore sandals due to getting a pedicure and client clothes were clean. Client stated working as a home health aide for Right at Home located Darien. Client stated to this CM working Friday at 12:00 PM to Monday at 12:00PM. This CM inquire how client is doing and client stated to this CM doing good. Client reported to this CM working in New Canaan as a Home

Tulloch, A. D., Fearon, P., Fahy, T., & David, A. (2010). Residential mobility among individuals with severe mental illness: cohort study of UK700 participants. Social Psychiatry & Psychiatric Epidemiology, 45(8), 767-777.

Gadsden is located in the northeastern corner of Alabama and is the county seat of Etowah County. It is 60 miles

The significance of community hospitals such as Community Hospital in Monmouth County, New Jersey, is greater than one may expect for primary and secondary care services provided to the local communities around the United States. Community Hospital’s mission is to provide exceptional primary care. However, with the declination of profitability in primary care, Community Hospital has had to compete with Shore University Medical Center (SUMC) and University Hospital (UH) for revenue restoration. The decline of Medicare and Medicaid reimbursements and the steady progression toward specialty care vs. primary care require a core alteration to the mission statement to adjust to the changes within the current healthcare system. A newly modified mission and vision statement will prove that Community Hospital has the ability to regain its relevance within the healthcare industry as a leading primary care provider in the community and increase its revenue. The implementation of the new mission and vision for Community Hospital is expected to be upheld without compromising the core values of compassion, advancement, reputation, efficiency, and physician integration. A few proposed strategies to help Community Hospital create a new and improved business model, may seem cumbersome and challenging, however could greatly improve the overall direction of Community Hospital.

Although Mary Ann did not want to waste time with this open communication process, she would have realized that Mike and Jeanine work better together when each subordinate individually feels useful and important. Mary Ann got the results out of Jeanine that she expected because she made her feel useful and important. If Mike was properly motivated and given