Commonwealth Care Alliance Case Study

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).

Sorry to know you had to experience the illness of a loved with whom you have shared your life with for such a long time. Hopefully you will be strengthen by the joy and good times you shared.

In this report I will be investigating how care services meet the needs of individuals by firstly analysing the needs of an individual using care services. Then I will go on to explain the roles of the care planning process in identifying needs, and explain the features of a positive care practise. After explaining that, I will analysis positive care environments and evaluate how they meet needs before finally explaining the role of legislation in promoting a positive care environment.

Health Information Exchange (HIE) has become a major component in today’s healthcare. Health information exchange provides a secure way for providers to appropriately access and electronically share a patient’s medical information. Therefore, reducing duplicate testing, minimizing medication errors and providing a link among electronic health records (EHR) in order to provide quality healthcare.

is recognising that we are "one" even though we are not the "same". The act of inclusion

Well planned partnerships are one of the best ways of improving the quality of services particularly to vulnerable individuals whose needs may otherwise be neglected.

Transition of care appeals to me the most in my practice as a case manager. When a patient gets admitted, the interdisciplinary team starts working on the discharge planning. I always wonder how can the team know for sure, that the patient is ready to be transitioned and how can we know for sure that the transition of care is safe and it would not be overlook?

The reporting party (RP) stated her brother, resident Luis Gallegos DOB: 8/26/70 was transferred to the facility from a skilled nursing facility (Premier Care). According to the RP the resident was admitted to Premier Care on July 13, 2016. The RP stated prior to her brother's stay in Premier he was able to make his own decisions and therefore didn't require a POA or a conservator. Consequently, Premier transferred her brother without notifying his authorized representative, his sisters. When the RP and her sister attempted to visit the resident they were refused. A caregiver named Jessie informed the RP that she had no authority to remove the resident. The RP stated her sister Chelsea visited the resident was not allowed to visit in private.

According to Shi and Singh an accountable care organization, also known as an ACO, describes an integrated group of providers who are willing and able to take responsibility for improving the overall health status, care efficiency, and satisfaction with care for a defined population. The ACO was established by the Patient Protection and Affordable Care Act (PPACA) Section 3022 mainly to better the quality of care to beneficiaries and to save money for Medicare (Golden). The accountable care organization is voluntary for provider participation and Medicare beneficiaries still can choose treatment from any provider they wish which is beneficial. The ACO has been viewed as a potential tool for rebuilding the traditional Medicare coverage according to Medicare Payment Advisory Commission known as MedPAC (Rosenbaum). According to CMS,

While researching, there were a couple grants that stood out to me. For instances, the System of Care Expansion Implementation Cooperative Agreements focuses mostly on improving "behavioral health outcomes for children and youth with serious emotional disturbances and their families" ("Implementation Cooperative..."). The goal for this grant is to aid the availability and access to mental health care and similar services for these children to help them with their emotional disturbances ("Implementation Cooperative...").

Accountable Care Organizations (ACOs) like any other organization need funding. Organizations cannot function without financing. They must be funded in some way to continue operation to support employees and practice. ACOs can be funded in two different ways, internally or externally. This means funding is coming from the organization itself or from an outside investment.

SC received phone from Pa’s dtr starting that she spoke with provider agency Accucare regarding changing Pa’s schedule from a split shift to one shift starting at 5:00 AM and ending at 9:00 AM. SC informed DCW that she is not authorized to make any change to Pa’s care plan or schedule. DCW was furious demanding to know why she is not authorize to make changes to Pa’s care plan since Pa’s she’s Director of Care. SC explained to DCW that she is not Pa’s director of care because Pa’s is directs own care and moreover she cannot be the direct care worker and the Director of Care because both role conflict with each other. DCW stated that she is only being paid for 4 hours but is constantly assisting Pa’s managing her health and navigating services/resources,

There are many types of healthcare plans in the United States. Two types of care are Managed Care Organizations (MCO) and Accountable Care Organizations (ACO). Today the drawback of MCOs are, the features of consumer-driven healthcare plan (CDHP), the difference between HMO and PPO plans verses CDHP, and the features of ACOs that control cost and improve quality of care.

a) 8 A hospital ward wants to computerize its data about patients and medications / dosages prescribed for

In October 2014, UnitingCare Health opened Australia's first fully-integrated regional digital hospital in Hervey Bay (UnitingCare Health, 2014). This innovative hospital changes best practice healthcare and patient care outcomes through using the latest proven eHealth technologies and advanced models of patient care (UnitingCare Health, 2014). The digital hospital features: