This week I have fully grasp the work that goes into being an RN, case manager and what it entails to fully review a patients’ stay at the hospital in order to discharge them in the most effective and efficient way. I understand the need for these professionals in the healthcare field, not only in the hospital setting, but in skilled nursing facilities as well, one reason being is that I believe someone has to advocate and review the patients’ needs before they are sent home. Just like last week I was able to sit in on rounds and observe a great deal of the doctor and case manager dynamic and how important it is for both to know the patient as much possible. Sitting in rounds every morning makes me realize how hard it is to make decisions for another …show more content…
Some of the variables include readmission rates within 30 days for patients with or without inpatient palliative care consult, patients discharged to hospice with a palliative care consult, and patients who die in the hospital with a palliative care consult. These are all variables that the hospital wants to keep track of, because it allows them to monitor whether they are providing quality care to the patients coming into the hospital. In addition, it allows the hospital to examine these factors in comparison to the average length of stay within the facility, along with other patient details like diagnosis, insurance provider etc. While working on this activity I tried to absorb as much information about the older population and their willingness to receive palliative care information, how old they were and their health status. Reviewing the information on palliative care relates to the research project I was apart of last semester, on levels of knowledge and perceptions of self-reported palliative care and whether it enables someone to use the services if the need
They are coded but were rejected during the claim-editing process because of an unrelated HIM element, such as an invalid revenue code, a missing data element, or an inaccurate payer designator
If you review table four and reference the savings from year one to year two you can determine the potential return on investment. The clinic did not obtain the full impact of the revenue in year one because having to account for initial cost of implement billing system that has the feature of e-statements. I used the total financial return from year one as a starting point. I did not move over the one-time costs to the second year and other one-time costs. For example, the one-time cost of the new billing system would only apply to year one. The clinic then would utilize the $208,960 savings per year going forward. The savings that I determined her would be calculated at a minimum amount for what the entire billing system would do for the clinic. The clinic has other departments that would benefit from this billing system and the new features the system has to offer. I would recommend the clinic go with this product and new workflow that I have identified.
As the Ground Station software lead for the Triton Unmanned Air Vehicle (UAV) program, I recognized that the review of software Contract Data Requirements List (CDRL) items was tying up valuable resources and incurring additional costs. Multiple review cycles were no value added to the program. Contractor preparation cost for each submission was almost $15,000 so reducing the number of review cycles was a cost savings goal. My ten person review team was responsible for the review of over 30 CDRLs. The team reviewed and provided comments for each submission. The contractor team would then provide a formal resubmission in response. My team would disagree with the response so the process would start again. This process needed improvement to save both time and money.
"Hi Rannie, I'm analyzing the log files and noticed entry 14 was negative 42. Can you confirm if this is accurate?"
As the Ground Station software lead for the Triton Unmanned Air Vehicle (UAV) program, I recognized that the review of software Contract Data Requirements List (CDRL) items had become a continuous “do loop” and was tying up valuable program resources. My team was responsible for the review of over 30 CDRLs and their preparation and review was costing the program almost $15,000 apiece for each review cycle. We had fallen into a rut where the documents were submitted, my team along with subject matter experts would review and provide comments. The contractor team would then respond to these comments without any coordination and resubmit the documents. My team would not agree with the adjudication of the comments so the review process would start all over again. This process needed to improve to save the program both time and money.
I would do this by stating that a compensation professional can be a full time employee that knows the company and what the company need, they can be cost effective, and there is a level of commitment. When discussing knowing a company, this also means knowing the customers and the competition. The compensation professional can learn who the customers are, what the needs are of the customer, and even why they actually buy or use the service. With the compensation professional being full time, the employee can do the research needed to find this information. They can also aid in the process of find the ends and out of the competition. This gives the business a competitive edge. In addition, knowing and understand the needs of the customer is the centre of a successful business. This information or knowledge, one can use
By sending mail directly or making personal calls to all the doctors, administrators, and any other relevant personnel as well as visiting them if possible, we can establish a relationship with the customers at virtually no cost. However, the expected time commitment for the product is the most important part of our marketing strategy. Firstly, we will have to determine the persons to contact at the hospitals and nursing homes. Secondly, our team will have to determine when and how often we contact the target audience. Lastly, we will need to work on our communication skills and make sure that we are striking the right tone and positively convincing them to switch to our product. The response we receive is going to be our yardstick for determining
To meet the requirements desired by the President and Vice President of the Acme Corporation, I believe that they will only need four servers, considering it is such a small business of less than 20 people. All of the servers will be running Windows Server 2008 R2. The following servers will be: a file and printer server, an email and web server, and an SQL server.
I work closely with other employees and Partner of the firm. All questions raised by employees on the files regarding the accounting and tax are answered by myself. If I am not sure I will consult with Partner. This allows me to regularly update my knowledge with any new update. Therefore, it is important that I develop and maintain a positive relationship with both employees and Partner. It also assists in the company to create a positive environment where I am available to answer the questions asked by employees and resolve the problems.
Being one of our brightest client’s we feel that our ability to communicate with each other on a more personal basis is acceptable. Resolving an open issue, by completely terminating all female technicians over the age of 45 and replacing them with male employees under the age of 25 will not be in your best interest. Therefore, I am brining to your attention our thoughts and concerns with your conclusions on this manner.
There are many acts that help the employees within the workforce. The acts we will be discussing are as follows: Americans with Disabilities Act, Age Discrimination in Employment act, Occupational Safety and Health Act, Family Medical Leave Act, and Fair Labor Standards Act. We will also be discussing harassment, diversity, and grievances.
Very good points you made. I enjoyed reading your discussion clear and concise. I agree with you that we need to be vigilant and watch around us. Some of these reports are unfair with nurses and the job we do. We have to please the patient the moment they arrive to the moment they leave, and sometimes is not good enough. Lately, the focusing in health care became to cost not quality. This make me feel uncomfortable. Patient needs to be discharged “period”!!! Cannot stay more than three days if inpatient and two days if observation.
There is a specific criterion for the subjects whose information will be used for our study. The subjects must have been admitted to Hospice Community Care (HCC) due to a diagnosis of a terminal organic or cognitive illness. Our study will include both identified male and female subjects who are 65-years-old or older. We have drawn our study’s sample from HCC’s past records from people who were admitted in 2014 and have currently passed away. We only have access to the 2014-2015 records, so we are limited to the subjects from this timespan. During the admission assessment each patient agreed to allow the agency to use their unidentifiable information for medical analysis to enhance person-centered quality of care. We hope the results of our research benefits our identified target population, which is geriatric care team members at HCC. The geriatric care team includes a medical director, registered nurses, licensed practical nurse, certified nursing assistant, social workers, chaplains, volunteers, and 24-hour On-Call staff.
Several of the roles which I observed this morning were expected: the nurses took vitals for incoming patients, performed focused assessments, and were the main communicators between family, the patient, and the physician. I realized when the first patient came in around 10:00 am, the RN’s role in assessments, gathering blood work, and carrying out all the necessary steps to situate and stabilize the patient as soon as possible. It was incredible seeing the nurses work together, in sync, in those first moments when the patient was brought in. And though expected, I appreciated seeing just how much communication was held and information was gathered from the patient or family members by the nurse. Jessica asked the right questions from both parties, while still showing incredible empathy and not making the whole situation seem rushed and flustering. I understood this as another essential role of the nurse in the ED; he or she must maintain even in such a fast-paced environment empathy and focus in each interaction.
Over many years, it has become epically evident that the manner in which a situation is handled can make or break how an individual is viewed from a patient’s perspective. With relevance to prior experience, I believe that a nurse must be caring, empathetic, responsible, and detail-oriented, which through demonstrative practice, I can with confidence, state that I’ve placed great emphasis on during my nursing career. From long term care to Sparrow Hospital I’ve experienced an array of emotions from: joy, pain, and disappointment from the many aspects and perspectives of my career. With this I rest assured that I have been sculpted and molded to be the pleasing nurse that is before you today.