Case Study Of Aiken Area Office

The proposed call RCS-1 would change the system to emphasize patient clinic characteristics and not services received. The new system does not receive payment on a number of services provided, but how much services the patient would receive based on the identification of patient characteristics. This approach could dramatically affect a number of therapy services provided to the client. Additionally, CMS would remove the existing 14, 30, 60, and 90-day PPS assessments and only require the initial and discharge assessments, with significant change assessments if applicable. Further, this could be a noteworthy change in the number of assessments used to determine payment and may not capture changes in patient status. Couple concerns relate to the proposed RCS-1 affect the provision of and access to occupation therapist and AOTA mention in part of those limitations when the patients receive therapy and whether they receive the appropriate amount of therapy. Improving the PPS system could have beneficial effects on patients and on practitioners but AOTA does not believe this proposed system has enough safeguards in place for

Ms. Bynum is a self-referral who agreed to participate in the TPAPN monitoring program. On 11/24/16, Ms. Bynum tested positive for alcohol (ETG - 2510 ng/ml, ETS - 77 ng/ml) and renewed her program with TPAPN. On 2/26/16, Ms. Bynum tested positive for alcohol (ETG - 7980 ng/ml, ETS - 1580 ng/ml). On 4/7/16, Dr. John Lehman conducted an assessment on Ms. Bynum and recommended 90-day inpatient treatment program that Ms. Bynum refused. Additionally, Dr. Lehman stated on assessment that Ms. Bynum is not fit to practice and has a high-risk for relapse.

Social Services Meeting: On 11/21/2016, Ms. Medina and her children met with her assigned Case Manager for the family ILP Document Review. Ms. Medina is expected to meet with assigned Case Manage bi-weekly. Ms. Medina’s next ILP Document Review is on 12/05/2016. Case Manager encouraged Ms. Medina to continue attending meetings. Ms. Medina stated that she was a sad and upset, due to that her doctor informed her that she is not going to be able to work as a Home Health Aid due to a back injury. Ms. Medina stated that her doctor recommended that she would benefit from physical therapy and that she should avoid to lift anything heavy until further notice.

The Aiken Area Office Supervisor, Training Center Manager, Counselor, and Client participated in a meeting on 06/23/2016 with the Ombudsman participating in the meeting via telephone. The goal of the meeting was to review the Client's up to date records. According to the records, the Client had dealt with an addiction to pain medication. This issue has since been resolved. The Client was offered a referral to the upcoming Pain Mgt Clinic at the Evaluation Center prior to her starting JRT or she could enter JRT, but if the Client is referred back to JRT in the future, she would have to complete the Pain Mgt Clinic as a pre-requites to entering in JRT. The Client decided to enter JRT first after she completed her bone marrow test on 7/11/16.

The Richland Area Office would like to refer Mr. Casey Campbell to Mr. Birt Dowling for a psychological evaluation. Would it be possible to arrange for a morning appointment with Mr. Dowling? Mr. Campbell is available to meet with Mr. Dowling on any Monday morning in July after the week of July 3,

On 6/30/2016, CM met with the client to complete to Bi-Weekly ILP Review. In the meeting, client was dressed appropriately for the weather. She was very loquacious and client. Client appears to have difficulty sustaining attention, client does not seem to listen when spoken to directly and she is unable to follow through on tasks. Client affect is inappropriate and she denied suicidal or homicidal ideation.

AAA Office World, a company with $40 billion in total sales volume, owns the Filex brand of file folders. In addition, AAA Office World’s largest customer, Business Center Incorporated, requests to purchase AAA Office World’s Filex folders. According to the case, Business Center Incorporated’s vice president seeks a line of “file folders similar in quality to AAA’s Filex brand,” as it holds “over 60 percent of the market” (Perreault). However, this becomes a tough situation for Stasia Acosta, marketing manager to AAA Office World. Acosta is concerned of Business Center Incorporated’s intention to sell AAA’s Filex brand, but under their own name. Understandably, Acosta must recognize several factors before making her decision: how this transaction by Business Center Incorporated could affect her business-should she accept-as well as Business Center Incorporated’s history with her company at the same time. According to the case, this situation is not the first time that Business Center Incorporated has approached AAA Office World about the matter. Moreover, Acosta had previously refused Business Center Incorporated’s offers to buy the Filex brand in the past, as it conflicted with her company policy- which does not allow them to make and sell exclusive brands. Ultimately, AAA Office World must not only decide what to do about the offer, but also determine if they need to develop a new policy, if they are to accept Business Center Incorporated’s proposal. Thereupon the

On 8/4/2015, CM met with the client and completed Bi-Weekly ILP Review. Client arrived early for the meeting. In the meeting client appeared her stated. She was alert, satisfactorily groomed, and casually dressed. She was cooperative and appropriate in the meeting. She sometimes made eye contact. She appears to have intellectual functioning disorder. She doesn’t grasp information like everyone else. Her conversation is always one side geared towards her son. She blamed everyone including her lawyer, LHMC and Case Planner of doing anything to help her get her son back. She continues to ambulate with a cane as she continues to quote “her leg is broken” but she is refusing medical attention. She appeared depressed but again she is refusing referral.

WORKER ASSESSMENT: Client continues to display the following behavior: she appears to have a low intellectual functioning, and difficulty with problem solving.

On 9/28/17 I spoke with C. Weaver physical therapy. The physical therapist advised that they do not offer occupational therapy just physical therapy. They also are not equipped to do more than one body part at a time. In reviewing the records and the FCE I had supplied them they determined she is not in the best location. They recommend Hope Network. I have contacted Hope Network and confirmed that this would be a more appropriate location for the 5 days a week therapy she needs and what the FCE had suggested. I have contacted Dr. VanderJagt’s office and requested an order for the therapy.

Biographical Data - The client is a 69-year-old female, born January 19, 1950. She lives in Lovington, New Mexico with her husband of 49 years. She has two adult children and they also live in Lovington. She has a high school education and described her occupation as a homemaker. She now resides in an assisted living facility because her husband is unable to provide her with safe, effective care. He states that she is paralyzed from the waist down and is fully dependent.

Connie is such a warm presence in the Alma office. She is focused on client's documents, making sure they are always prepared for signings, meetings and that everything is ready to go for appointments. Connie has a wonderful family, two grown boys and grandchildren that she absolutely adores and visits as often as she can. When she can't, she always shows us the smiling pictures she gets of them to hold her over until her next visit. Connie also sells jewelry so she is always helping us to stay stylish and up to date on the latest trends at the

Rehabilitation is a philosophy that crosses the boundaries of practice disciplines. It has been defined as a process of helping a person to reach the fullest physical, psychological, social, vocational, and educational potential consistent with his or her physiologic or anatomic impairment, environmental limitations, and desires and life plans” (Jacelon, 2011, p.5). Other rehabilitation philosophies see the person as an individual with an inherent worth who have the right to be experts in their own health care. The individual is seen as a “unique, comprehensive, holistic being” (Mauk, 2012, p.1) who receives training and education, from the rehabilitation nurse and the multidisciplinary health team, to be equipped with the necessary knowledge and skills to maximize self-care (Mauk, 2012, p.1).

A person might be better off in a rehabilitation closer to their home or in one out of town that offers more insurance coverage. Also, just because a patient might not be likely to succeed in a certain treatment plan that you have planned doesn’t mean you shouldn’t give it a test run instead of wasting resources on reevaluating multiple times. Lastly, sometimes considering integrating a person back into employment will help them find a sense of purpose of and give them a steady income to provide for themselves and gain independence. Systemic barriers such as these are hard to break because sometimes it’s not always the place that is providing the service but a company or possible an insurance company standing in the way of a person receiving a truly beneficial

The method being used in the study is to use participants from different demographics, on four very different vocational programs to see exactly what program is a better fit for individuals with all different types of vocational challenges. The “Who Benefits From Supported Employment Study (2011) describes the sample size as, “4 Randomized Control Trials of IPS vs usual services. All 4 studies compared a newly established IPS program with one or more well-established vocational programs. In all 4 studies, participants were recruited from mental health centers (or a psychiatric rehabilitation agency in the Chicago Study). Participants were adults who met each state's criteria for SMI, typically a Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) (DSM-IV) Axis I or II diagnosis plus severe and persistent impairment in psychosocial functioning. All participants were unemployed at the time of study admission. Other common eligibility criteria included desire for competitive work, ability and willingness to give informed consent, and absence of significant medical conditions that would preclude working or participating in assessment interviews. In addition, all participants were required to attend multiple research information meetings in which the project was explained, after which they gave written informed consent to participate in the study. All 4 studies used a similar protocol to track employment outcomes and psychiatric symptoms. Importantly, none of the studies excluded clients on the basis of illness severity, lack of readiness, poor job history, or other clinical factors.("Who Benefits From Supported Employment", 2011).” Again, the problem is being identified as employment while battling with substance abuse and SMI, and the Method is data analysis by