Case Study: Intensive Home Based Services

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).

1. Home Healthcare Case: Given what you have learned about the accessibility and financing of home care services, are such services as readily available to other consumers as they were to Joan and Jerry? In this particular case regarding Joan and Jerry, and the availability of home health care services compared to that of others is a quite simple. Lack of knowledge and understanding is of the utmost detrimental in medical terms due to the fact that there are many programs that are available to help those with disabilities or home bound. In this case, perhaps Joan and Jerry 's daughter should have been more involved with the medical needs of both her parents. Especially due to the age of her father who was in desperate attempt to keep his disabled wife comfortable in their home. Home health care services are readily available to covered members of Medicare/Medicaid or other third-party payers. Although in Joan 's later days of life, her medical needs were being attended to by home health care professionals, perhaps her life could have been extended and foreseen medical conditions that could have prevented another stroke. "Being an informal caregiver plays a huge role in providing care and relief to long-term consumers (Pratt, 2010)." If Jerry would have taken advantage of home health care and it 's available services at an earlier stage, then perhaps he would not have to have had a hip replacement by having more rest to take care of himself. "As with other forms of long-term

Initially we had difficulty obtaining his discharge orders as the hospital care manager replied she had forwarded the documentation, but neither I nor Mrs. Bianco had received a copy. Mrs. Bianco made a visit to Mills Creek and met with Mr. Smith at that time she was made aware of an appointment that Mr. Smith attended. Mr. Smith attended a physician appointment on June 28, 2017 with Dr. Leonard, Orthopedic trauma. Mills Creek assisted with the transportation and a mobile x-ray unit was coordinated to obtain x-rays of the femur at the facility as Mr. Smith didn’t bring his slide board to the appointment and couldn’t get onto the radiology table.

Johns Hopkins Home Care Group (JHHCG) established in 1983 is a subsidiary of Johns Hopkins Medicine, one of the nation’s leading health systems. It provides home medical equipment, specialty infusion services, pediatrics at home, home health services, personal care and nursing, hospice care, and pharmacy—specialty and community services. JHHCG provided services all over Maryland and in some portions of northern Virginia and southeast Pennsylvania to pediatrics and adults in the comfort of their living space.

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:

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.

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?

The Paradise Facility Home Care Inc. is a residential group home located in the historic town of Naples, Florida inside Collier County. The area celebrates heritage and the past with numerous events including the Historic Town Center. Naples is an ideal place to live and the various activities can be enjoyed by friends and family members when visiting.

This paper discusses the Patient Center Medical Home (PCMH), which is used by many HealthCare organizations around the United States (US) and the world. The goal is to look at the impact Patient Center Medical Home (PCMH) and the outcomes for Americans, and help Primary Health Care adopt the Patient Center Medical Home model. The key factors the paper will focus on are the cost and access to healthcare services how to improve PCMH in the US and challenges that faced by PCMH adoption.

Due to many foster parents not receiving proper support it is effecting not only the children but the agency as well. Many of the case workers at First Home Care, have so many children on the waiting list but not enough homes to put them in. Studies show children in the foster care that has great parents that care for their well-being 70% of them go on to become successful adults (Children’s Bureau, 2015). According to Staci Fattore (director of First Home Care) out of 100 foster parents 15% of the parents are complaining they do not receive support from the agency. Staci continued to state that FHC have several trainings throughout, the year but foster parents do not show up. She has also stated that children are forced to sleep in lobbies of DHS. Staci has stressed to me although FHC is a therapeutic agency foster parents give them a hard time when it is time to take in a child. They often ask the behavioral issues of the child or does the child have a history of physically attacking their foster parents.

Proposing that Abundant Home Healthcare accept HMO and PPO patients. A lot of Abundant Home Healthcare patients are leaving the traditional Medicare and joining the Medicare HMO/PPO Plans.

On 01/26/2016 Ms. Sonia Semprit came to the SSO to meet with HS De La Torre to develop a Housing Plan to explore housing opportunities that family may be eligible. During Housing Plan the following was discussed.

In 2013, Dorota Slawa Mankowska et al, worked on real study for a home care company that present the care for the at patients in their homes by staff members. They developed the mathematical model that aim to optimizing economical service cost and take care about individual qualifications of the staff, time preferences of patients, number of the staff required to this patient and certain time of patient’s drugs. This model has been able to achieve low average waiting times for patients, low traveling cost for caregivers, a fair distribution of inevitable tardiness, and service hundred patients in acceptable runtime.

To provide strategies and policy options to keep children and young people in out-of-home-care in education with a relatively satisfied performance, and to help the government in training and supporting for foster carers as they play a significant role in the academic performance and development of the children and young persons under their care.

D/A: Mr. Brown had three appointments this week. On 02/20/17, Mr. Brown was transported to his appointment with Dr. Walsh at 10:00 a.m. and went for his PET scan at the Women Center in Dover on 2/22//17. The Christiana Care Home Health Physical Therapist visited Mr. on 02/20/17, 02/22/17 and 02/24/17 at the Connections Still Road Group Home. On 02/22/17, Mr. Brown received physical therapy treatment in his bedroom, because he was too weak to come outside his room to receive treatment. According to the Physical Therapist notes dated 02/22/17, Mr. Brown tolerated treatment well with a rest period between activities due to complain of fatigue, neck & back pain rated 8/10 where ten is the most painful. Mr. Brown met with his Psychiatrist Dr. Capiro on 02/19/17. Dr. Capiro provided Mr. Brown a direct service at the Residential Program. The service