Health Care Case Study

On Tuesday 06/27/2017, veteran Mr. Saenz walked very angrily in my office with his wife about 11:00 AM. I greeted them and offered to sit down; Mr. Saenz and Mrs. Saenz were very upset and asked me where they need to go as they have VA examination, they both said “nobody tells them anything; they have been sitting in waiting room”. They told me that the lady on the desk told them to come to me.

Ms. Choi indicated that the marriage continued to deteriorate. The mother stated that she became unhappy with his behavior. The arguments between the parents became more intense and violent. Ms. Choi reported in 2009, the father continued to be physically abusive towards her.

On Monday, September 14, 2015 at approximately 12:45pm Kathleen A. Kane provided me with information pertaining to Mr. Sutherland whereabouts. According to the hospital records Mr. Sutherland return on 9/11/15 to the hospital and was admitted to 5-Central room 236B located in the Greenberg Pavilion.

The first section to be filled out on the CMS 1500 form in boxes one through 13 include patient demographic information as well as insurance information. This information is captured to ensure the proper claim is associated with the correct patient.

As seen in this case study, TM was listed as a full code and no GOC conversation was had between the physicians and the patient until the day of his discharge to home. This led to an unnecessary swallowing study in which the patient needed to be uncomfortably scoped. Due to the lack of GOC conversation the patient also chose to go home with general nursing services instead of end-of-life (EOL) hospice support. In the inpatient medical oncology floors of a large teaching hospital like this one, most patients are covered by rotating interns and residents that are not comfortable having GOC conversations with patients and leave it up to the primary physician to come and discuss.

In early 2013, an employee of UnityPoint Health-Trinity Wellness departmnet developed a program titled HEART- Helping Everyone Access heaRt Treatment in an effort to combat the above average mortality rates from cardiovascular disease in Rock Island County in Illinois. Deaths from cardiovascular disease were 21% higher in this county compared to the national average at that point in time. After the Trinity employee developed the program, Trinity applied for funding from the AstraZeneca Healthcare Foundation (AZHF) to support the implementation of this program. In October of 2013, AZHF announced that they were awarding Trinity a one year grant for $187,270 to support the implementation of HEART. After Trinity received the grant, the

1. Managed care plans (PPO/HMO) have had different successes in medicine and dentistry. Explain those differences and why you think they have occurred.

Certainly, Accountable Care System(ACS) or accountable Care Organization (ACO), which is an entity that can implement organized process for improving quality and controlling the cost of care, and can also then be held accountable for these care results and the resultant costs associated with the outcomes. In this system, outpatient, rehab, long-term care, and even palliative care would be the responsibility of the ACS (Berkowitz 2017, page 37)

One in every four Canadians will be affected by lung disease over the age of 35 and the rate is predicted to increase (Gershon, 2013). These statistics demonstrate that every Ontarian, if not affected themselves, knows someone who is. North East Ontario (NEO) is a vast area and has a significant population with CRD (LELHIN,2014). Access to a northern PRP requires significant travel for patients (OLA, 2017;Crighton, Ragetlie, Luo, To, & Gershon, 2015). The geographical distance creates barriers to accessing PRPs.

The Veterans Administration Medical Center (VA) hospital system has been in the national headlines for many years. This has generally not been in a positive way. Many issues have tarnished the reputation of the VA system including, in the distant past questions on sterilization issues reportedly resulting in veterans contracting Hepatitis C from a colonoscope (Tasker, 2011), to more current issues with access and timeliness of care for veterans ("Memo shows VA gaming appointments system to hide wait times", 2014; "Nearly 100 patients died waiting for care from los angeles VA", 2017). Our local Veterans Administration Medical Center is no different and has recently been in the spotlight for

Medicaid’s financial reimbursement to healthcare providers does not always appeal to the financial sector of the medical community. Once the threshold of maximum, minimum number of Medicaid participants a physician is required to accept is needs to meet, physicians stop accepting that form of healthcare coverage. Obviously, with a shortage of physicians not only in Lackawanna County Pennsylvania, but nationwide. This is possessing the problem of making healthcare more accessible. Medicaid requires the most economical effective choice to participants, to provide health coverage which maybe one reason doctors are rejecting any kind of government-sponsored health care insurance. Corporate and small business that support the economy have also felt

My client’s, Miles Meredith, goals are to decrease disease risk, body fat, as well as improve strength, flexibility, and performance. The physical examination determined that Miles is 5 feet 8 inches tall, weighs 166lbs, and has a waist circumference of 34 inches. That puts him at a BMI of 25.24. According to the skinfold test his body fat percentage is at 15%. His other vitals are all within normal ranges. His resting heart rate is 76 bpm, and he has a resting blood pressure of 78/110 mmHg.

On 7/20/15 worker visited WBMC, for the purpose of assessing Mr. Hubert Knoblock need for services. When worker arrived, Mr. Knoblock was lying in bed. He was appropriately dressed and did not present an odor. Mr. Knoblock is legally blind and reported he was attacked by his landlord, Ellis Nickolas. According to Mr. Knoblock Mr. Nickolas was upset because the grass had not been cut. Mr. Knoblock stated he told Mr. Nickolas he was unable to mow the grass so Mr. Nickolas mowed the grass. Then, Mr. Nickolas came back to Mr. Knoblock's home and demanded payment for mowing the grass. Mr. Knoblock told Mr. Nickolas he did not have any money. Mr. Nickolas stated, "I'm going to get my money one way or another." Mr. Nickolas then hit Mr. Knoblock across

I chose to search for a health insurance plan that would serve well for myself, my spouse, and my child that would be considered a minor. I chose to look throughout the gold plans due to the possible income from both my spouse and I within the future. My listed income between my spouse and I would be around $110,000 10 years from now, considering where I know I am going in life as of right now. The two insurance plans that caught my eye were the AmeriHealth New Jersey: IHC Gold EPO Community Advantage $10/$20, that consisted of $950 monthly premium, a $2000 deductible, and a $8,500 out of pocket maximum; the AmeriHealth New Jersey: IHC Gold HMO

Health care reform essentially change the social contract rooted in employer-sponsored medical benefits and how employees value health insurance as a form of repayment. The new law guarantees the right to health insurance regardless of an individual’s medical status, it minimizes the moral of the employers, they may feel to cover the sickest employees, who would otherwise be denied coverage in today’s individual health insurance market. Reform preserves the corporate tax advantages associated with offering health benefits, except for high-premium insurance plans.