Case Study: Correct Care Solutions, LLC

Providence Home Care LLC is a home health care service institution that is located in Oklahoma City, Oklahoma. This home health care agency was established in 2002. Providence Home Care LLC offers home care and private duty services. Some of the home health services include wound care, hospital prevention protocol, skilled and psychiatric nursing, monitoring chronic illness, physical, occupational, and speech therapy, patient and caregiver education, and more. Providence Home Care LLC has been awarded for being a National Top 500 Agency. This home health care facility is also the winner of the Quality Excellence Award.

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.

The delivery of services at the Jail central facility was adequate and adheres to the ACA Adult Local Detention Performance-Based Standards and Expected Practices. The overall delivery of health care services at Jail central was efficient

Healthcare is a big topic no matter how you view it, but when looking at it from the point of a person who is in prison, it takes on a whole new view. Those who are in prison have federal and state laws that say that the prisons must provide them with medical facilities for their healthcare needs. This paper will identify a governmental agency that regulates the healthcare that is provided to prisoners in an institution within the United States, along with the foundation of such an agency and who regulates the licenses, accreditation, certifications, and authorization for employment for those who work within one of these

The ACA team expresses its appreciation to MCSO, its facilities staff, and CCS for the opportunity to conduct this compliance review in assuring that health services delivery was adequate. The team hopes that this report will be of great value to MCSO, CCS, its staff, and benefit the inmate population in MCSO custody. The team believes that this report will lead to the continuous provision of quality health care services for the jail population in MCSO facilities.

Healthcare is a big topic no matter how you view it, but when looking at it from the point of a person who is in prison, it takes on a whole new view. Those who are in prison have federal and state laws that say that the prisons must provide them with medical facilities for their healthcare needs. This paper will identify a governmental agency that regulates the healthcare that is provided to prisoners in an institution within the United States, along with the foundation of such an agency and who regulates the licenses, accreditation, certifications, and authorization for employment for those who work within one of these facilities.

Regence Blue Shield of Washington is a subsidiary of Cambia Health Solutions (formerly the Regence Group) a nonprofit health insurance company founded in 1917. Regence Blue Shield is one of the largest health insurance carriers in the Washington state. Regence offers Employer, Individual and Managed Medicare coverage. In the 2014 Regence Year in Review, they insure over 1 million consumers, have 1,800 employees, and contract with over 34,700 providers in 748 in network facilities. In 2014 Regence Blue Shield was the number 3 Accident and Health Line of Business of the Top 40 Authorized Companies in State of Washington according to the annual report.

Senior Care Management Solutions, LLC is a home health care institution that is located in Phoenix, Arizona. This home health care facility was established in 2011. Their services include geriatric care management, skilled nursing in-home care, and nursing assistant in-home care. Senior Care Management Solutions, LLC is affiliated and licensed by Aging Life Care Association, Commission for Case Manager Certification, Alzheimer’s Association, and more.

I started my externship on January 7 2016, at Santiam Correctional Institution (SCI). My preceptor is Irving Loretta. Because this is a correctional my clinical site is very small and they only provide limited services. They provide the basic health services such as lab tests, wound care, EKG’s, x-rays, injections, blood draws, vitals, and medications. Besides this basic services any other major health service an inmate may need are done outside in a community clinic.

Cluster 3 – Fulfilling Duty of Care Assessment 2- Legal and Ethical case studies Case Studies: 3. Sharing Information - A parent from your School Age and Education and Care setting has asked you for another parent’s phone number so that they can organise a catch up for their children. Both of the children enjoy playing together at the service. b) Identify the legal or ethical issue or issues?

Richard Lewis, Jr. LCSW, CCM, Allcare Health, arrived late to the meeting. He was wondering why there is not a home assessment learning objective listed. The group explained to Richard that the Industry Partners considered RCC CHW course as an entry level and then Industry Partners would “mold” the individual to fit into their specific organization. Most of the meeting members felt the continuing education would be important for professional development. Richard stated, “Leaving the polishing to the specific organization,” would be beneficial for everybody.

Introduction: In the case study: Managed Care and the Practice of Medicine, we are introduced with a 78-year old male with several chronic health conditions ranging from hypertension to coronary artery disease. He arrived to the emergency room after experiencing symptoms associated with an infection. He is later diagnosed with severe sepsis and he is admitted and is given intravenous antibiotics and pain medications. Three days later, the 78-year old male receives a visit from a utilization management nurse where she asks the 78-year old patient how he is feeling.

It was in 1977 that the United Healthcare United Health group was founded by Richard Burke. The headquarters of the company are in Minnetonka, Minnesota. This organization works towards the betterment of people's health, it help them in living a healthy life by providing them with the kind of health care that would be best for them. The main focus of United Healthcare which is a major division of the United Health group is to provide the people with better health benefits and coverage.

Lewis should start by calling the provider services number for Blue Cross Blue Shield to verify that Sylvia Baker is still currently insured through them. Once he has verified that Sylvia is in fact insured then he should ask them what coverage Sylvia has. Verifying insurance and verifying coverage are completely different but people tend to make the mistake that they are the same. Or sometimes they verify that their patient has insurance through the company they are calling but don’t find out what coverage they have, leaving the patient with a bill. I read that each state is different with how the CMS-1500 is supposed to be completed so Lewis also needs to check the provider manual for that state’s Blue Cross Blue Shield plans for guidelines.Mark’s

The Fortune 500 company I chose is CVS Health. I chose this for a few different reasons. First, I recently had to visit the Minute Clinic in the CVS store twice within the last month. Secondly, I chose CVS because it is part of the health care initiative and I work for a healthcare company.