Certified Home Care Facilitator Case Study

72) Establishes and maintains a caring environment that supports clients in achieving optimal health outcomes, goals to manage illness or a peaceful death

Care coordination is an integral part of current health care models, including the Patient Centered Medical Home Model. There are various sources that show the benefit of care coordination efforts in improving

The goal of this coordinated care is to provide the highest quality of care at the right time without duplication or medical errors. The premise is that doing this will reduce costs and the providers will share in that savings; the facilitation and coordination of this shared savings is outlined in the MSSP.

Providing comprehensive care to patients requires a team of different providers which includes: social workers, care coordinators, nutritionists, educators and pharmacists. This meets the physical and mental health needs of the patient through a team based approach to care. As clinician providers they have to ensure that PCMH is effectively serving patients with complex health needs are met (Rich et al, 2012).

Also, I will assist patients with scheduling appointments and provide information to help my patient understand his diagnosis and treatment options as needed. He is 60 years old, he is living on his own in the apartment; as a result I will provide him a caregiver, who has a good understanding about the different needs of my patient to keep him safe. In addition, I will refer him dietitian to improve his appetite and prevent wait loss. As a patient navigator to ensure patient can get insurance coverage and insurance continuity, I will help my patient find the best affordable insurance. I will negotiate and work with billing offices to get a discounts and payment plans to cover medical bills for my patient. Also, I will help my patient with managing and filing insurance paper works for all expensive procedures and treatments. As a patient navigator to ensure the patient receives culturally competent services, I will complete cultural assessment, religious and spiritual beliefs, values and practices to determine clear and detail needs of my patient. Culturally appropriate care will improve participation of my patient in his care. The cultural care that my patient receives will be respectful, confidential, and mindful of the patient

The Canadian government has implemented measures to increase the availability of in home care givers in Canada. The laws that have been created have allowed for many people to become fully pledged Canadian citizens. Many of the people coming into Canada to fill in in house care givers vacancies have been predominantly Pilipino women. These women are given the promise of become a Canadian citizen. After an extensive and costly application process these women from the Philippines are placed in the homes of their employer. The migrant work must live within the employers home for a period no shorter than two years, and must maintain only one employer in the two year waiting .l period. Only once the two year commitment is fulfilled is the migrant worker allowed to apply to Canadian citizenship. Many of these workers come to canada with the promise of have social upwards mobility through the program. However, although the program sounds promising the reality of the program is to

Assisted Living Homes are designed to provide residents with basic everyday assistance. An important aspect is that assisted care facilities provide a safe and comfortable environment for older adults who need assistance with duties such as bathing, dressing, shopping, cooking, grooming, arranging doctor’s appointments, medication administration and laundry services. These facilities have social and recreational activity programs designed to keep the residents active. The recreation groups provide residents with activities for enjoyment, exercise, and interactions with others to build character. Special activities such as luncheon,

Create a homelike-feel facility for our patients by managing and incorporating various aspects of their health to guarantee complete and all-inclusive care.

This agency is dedicated to rehabilitating aged and disabled individuals within the confines of their residence, in order that they may maximize their contributions and fulfill their goals as a family member and member of society with a minimum of conflict. In accomplishing this end, it is felt that the self-respect of the individual can and will be enhanced.

Provides follow-up with patient/family when patient transitions from one setting to another. Completes timely post-hospital follow-up: Medication reconciliation, PCP or specialist follow-up appointment, assess symptoms, teach warning signs, review discharge instructions, coordination of care, and problem solve barriers.

Care coordination within health care systems ensures the client of an effective and short stay. Care coordination refers to the coordination between and among professional teams that serve valuable roles involved in providing care to clients. Different disciplines of health care professionals include nursing, medicine, case management, pharmacy, nutrition, social work, and allied health professionals, such as speech therapists and physical therapists. They are found in all health care delivery systems and are extremely effective when the focus is strictly on the needs of the client. Interprofessional teams are valuable because each health care professional has specialized knowledge and skills so that health care plans are determined with

Calling ahead for appointments, tests and procedures to verify that accommodations for the patient’s disability are made prior to them arriving is helpful and ensures a smooth process for all involved. Arranging for an interpreter for a deaf patient, additional assistance for moving a patient to an exam table, or an exam table that has an adjustable height, assistance with audio taped instructions for a blind or visually impaired patient are all examples of the difference a care coordinator can make in providing high quality care for disabled patients. Care coordinators have the ability to improve patient care and reduce costs for patients and

Coordinated care is generally intended to guarantee that patients (especially the chronically ill) get the appropriate care at the right time, avoid service duplication and averting medical errors, in the process.

After viewing this providers claims, I notice that the provider is billing on a CMS1500 and UB-04 for Home Health Aide Services. Because Home Health Aide is normally billing on a CMS1500, the claims are denying for G04 –Inappropriate billing for the contract. However, provider is also billing on a CMS-1500 which is passing the G04 denial to deny for OHI. I called Emery McDonald at 2:32pm to go over the details of his claims, however, he’s receptionist advise he out today and I left a voice mail advising I would call him back. I will call again tomorrow.

No matter how old a person is, extra help is needed after surgery, and this is particularly the case for seniors. What’s more, the caregiver in this situation needs to be both experienced and trustworthy; the most important things are that the needs of the person convalescing are me through a foundation of support and companionship. This is exactly what drives the after surgery care services approach at TLC Home Care, an assisted living and hourly care service that helps people in Fairbanks, Anchorage, Eagle River, Palmer, Wasilla and the Matsu Valley, Alaska.