Practice Ms. Okoro has displayed her ability to identify, analyze issues and proactively solve problems by active involvement by either effectively contributing as a member or a leader in many initiatives with a departmental and/ or hospital-wide impact. This has been evidenced by the following:
1) Implementation of Strategy to reduce Medication Refill Only Related visit to the Crises Clinic: Ms. Okoro took the lead in identifying the number of visit that are related to none crises concerns in our crises clinic; She identified and collected data that indicated that at least 33% of patients visit is related to medication refills. This information was utilized in to develop a work group that Ms. Okoro was part of the team that worked to revamp the general mental health walk in clinic and how to appropriately staff the access clinic with a goal
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2) Co-Lead in Developing the RVU(Relative Value Unit) Education For MHCL and the CBOCs:
RVUs reflect the relative level of time, skill, training and intensity required of a physician/provider to provide a given service. RVUs therefore are a method for calculating the volume of work or effort expended by a physician/provider in treating patients.
A) Ms. Okoro was a co lead in developing a comprehensive presentation that educated all the clinicians MDs, NPs, PAs, and Psychologist on how to code for difference procedure. The outcome was to capture productivity, determine clinics that were underutilized which opened up allot of available follow up appointments, The impact was reduced wait times for follow up visit and decreasing over books, which ensured that veterans in the program were seen when they needed to be seen and not scheduled so far
An emergency can be an awful weight on any person that has or is enduring one; an emergency can leave a man with a lot of tension and stress. As an emergency mediation laborer, it is my duty to at any rate attempt to help those that come into my office. Most that do come to me are experiencing an emergency or the like and need to work through it. To help them work through their emergency I find that the ABC Model of Crisis Intervention is an incredible resource. The ABC Model of Crisis Intervention is a viable approach since I can give transitory prompt counseling. After I had built up compatibility with Jill and guaranteed that we had a proportional relationship I was then ready to proceed onward to the following stage. Arrange B of the ABC Model of Crisis Intervention is fundamentally engaged around recognizing the issue. This can be viewed as the most urgent part of the ABC Model for giving remedial communication. Recognizing the encouraging occasion is vital however investigating the customer's discernments and perceptions are much more vital. If I was
(Mann, 2014, p.2) These strategies include: broadening access to primary care services; focus on individuals who frequently utilize the emergency department (super-utilizers); and targeting the needs of individuals with behavioral health problems. (Mann, 2014, pp 2-4) Many resources and processes have been implemented in order to help decrease inappropriate emergency department visits. This paper is going to demonstrate some resources and processes that are in place to help individuals obtain health care at the appropriate health care setting.
The RVU is a cost driver which helps to determine patient’s costs by comparing the costs to a national level the service in which the patient is undergoing. In the article by (Stecker, 2013) “Relative-value units were developed in 1988 as a method of accounting for physicians’ work effort and hospital or clinic expenses. Because RVUs provided a uniform, formulaic metric for myriad clinical services, they quickly became the prevailing method for setting fee-for-service payments for Medicare and private insurance. They take the patient service and compare it on an average of what the costs are nationally. The RVU can be accurate in many cases, but it can be time consuming and will use resources that may not be available. The RCC cost driver can be used if the time and resources is not available because it uses relative charges to the patients. It would then take all the charges to the patient and compute an average of the costs from the services rendered. The drawback to using the RCC is figuring out if you are using prices based
12/28/2017: Crisis Session was conducted in Spanish. Stephanie and her family arrived to NJCC for a crisis session. Stephanie informed this CIS that she was raped by her friend’s boyfriend. Reporting assailant is 19 years old and Stephanie is 15 years old. Stephanie reported guilt from the incident due to leaving her house to hang out with reporting assailant (R.A.). Stephanie informed this CIS that the reporting assailant was consistently calling her and she finally agreed to hang out with him. Stephanie reported that she was raped in his car and now every time she sees his car she begins to feel anxious. The incident took place about 2 weeks ago.
It’s only noon and already, Linda has had to take a patient off of life support and prep another for a transplant. Because her patients need her, she cannot stop for a second to grieve. Linda is not unlike many other nurses, who don’t stop to eat lunch or go to the bathroom, much less grieve for the loss of a patient. All too often, nurses experience compassion fatigue, which presents itself as exhaustion and dysfunction in multiple aspects of their lives. A few nurses in the NSICU at Lehigh Valley Hospital in Allentown, Pennsylvania joined forces to figure out a plan to prevent the accumulation of stress through one simple action: collaboration. Some of these nurses then attended a free Crisis Intervention course designed for nurses and other emergency responders, and with this information, they put together a step-by-step process to assist colleagues in coping with stress. By
John a 42-year-old Caucasian male and is Gunnery Sargent in the United States Marine Corps. He has served for 18 years as a Motor Transport Maintenance Chief and has deployed five times. He and his family, Mary, Dean, and Sam sought treatment about one year ago after John’s company commander mandated he attend counseling following a period of excessive drinking, poor work performance, erratic behavior, and John having to be physically removed from on post housing by the Military Police following an altercation with his son Dean in the front yard.
Implementation of the care plan is for Staff to follow through the care plans that are clearly set out (ie) kosher preparation is a must for him due to his religion and norm of life. Making life feel as normal as possible and for staff to understand and respect his daily life is vital. Evaluation of communication log books are filled in every shift and reported back to the office and are reviewed every 3 months to see if any risks or issues need checked for a risk assessment or re-evaluation of care plan need.
The reporting party (RP) reported responding to a call from Emergency Treatment Center located at 9990 County Circle Center in Riverside. According to the RP, resident Frances McCarthy age 65 was initially transported to Loma Linda Medical Center for suspected Sepsis or Pneumonia. Fortunately the resident was not diagnosed with either therefore the resident was transferred to the assisted living facility The Grove Care and Wellness 3401 Lemon St., Riverside, CA. 92501. While present in the skilled nursing facility, the resident became angry and began pacing around yelling for a cheeseburger. He began screaming and hitting himself in the head. The skilled nursing facility is not equipped to handle resident displaying aggressive behaviors; therefore
When looking into the Crisis Center homepage the view of sadness and depression affect me to make an impact in the community of Tampa bay area. Currently, there are numbers of people suffer primarily because they have had their heart broken, they have had a fight or struggle with a dear person, they have lost something, or someone that was really significant in their life. Remember that sadness is a state of mind that comes and goes as it pleases. However, depression is a more serious situation. The view of depression on the homepage can bring negative thoughts that leads any people to commit suicide because it is a dangerous syndrome that can be cured only through therapy.
There can be a misunderstanding on what the role of a pastor should be. The congregation member that jokes that a pastor works only one day of the week is making light of the true role of a pastor.
Thereby, having the clinic staffed with higher educated employees fosters critical thinking because individuals with higher education are used to utilizing critical thinking skills (Davis & Goetsch, 2010). In addition, the employees at the clinic cannot be expected to be fully empowered without training, thereby weekly training sessions with role play will help them understand the vision, mission and goals of the clinic while allowing them to make decision and hold themselves accountable (Houlihan, 2014). As the CEO of the clinic, I would provide meetings and open discussion to ensure all employees understood the operational priorities of the clinic ( patients per day above 40, patient satisfaction above 50th percentile, coding change from ICD-9 to ICD-10, scheduling should ensue open availability of 3 patient appointments per day and 5 physicals and the other appointments 15 minute slots, return calls of all patients by end of business and strategic growth of 5 percent new patients per month and increased revenue of 10 percent per quarter) while giving them clear and defined job expectations and reviewing standards, policies and procedures. Furthermore, I would change the performance evaluation of all employees to reflect empowerment and contribution to the organizational
Crisis Management Team: This groups consists of senior management personnel's that are responsible to declare a disaster and also are responsible to active disaster recovery plans and enterprise emergency plans.
When a person deals with the crisis on a day to day basis, it can take a toll on a person's psyche. An individual who sees people in the hardest and sometimes most horrific moments in their lives, it is not always possible to turn of the human empathy. And while not all people are blessed with a sharp insight, it appears in all humans.
Relative value units is a method used to allocate the patient-level services in units. RVU units are used to describe the number of services completed under a specific CPT code; further RVUs assist the healthcare facility with determining fees for services. These services are charged in units. For example, a patient has rehabilitation services, these services could be billed as four units at 15 minutes per unit, with each unit costing $75.00. One benefit of the RVU method is it considers the procedure and time it took to provide the services. The RVU method is used to obtain the average cost of services per patient, the total cost of services rendered is divided by the patients seen for that procedure, then multiplied by the percentage of RVUs. For example, if the total cost is $15,000 and there were 300 patients the calculation would be $15,000 total cost /300 patients =$50 In the next step the RVU would multiply the average cost for that particular service. Relative value unit estimations are used as a guide to assigning fees for services. One of the
Every person ultimately experiences crisis moments that may differ in content but tend have specific shared characteristics. Usually, crisis entails loss, threat, as well as the unexpected. There have been various theoretical techniques provided for assisting those functioning through crisis. Generally, the most effectual techniques tend to follow a short therapeutic model which stresses the episode isolated from other problems and seeks an action plan to mitigate the crisis. The ABC model provides a useful instrument to enhance the counseling procedure. “A” stands for basic attending skills, “B” stands for the identification of problem and healing