Ipfr Case Studies

The patient was born in Lagos, Nigeria. He migrated into the United States six years ago, October, 2009 through family ties. His highest education is high

Acute renal failure occurs quickly over a period of days or weeks with a reduction in GFR and elevation of BUN, plasma creatinine and crystatin C levels. Oliguria (urine output of < 30ml/hr or < 400 ml/day) is usually associated with ARF, although urine output may be normal or increased as well. Fluid is still filtered at the glomerulus but there is an alteration in tubular secretion or reabsorption. Most types of ARF are reversible if diagnosed and treated early (Perrin, 2009).

Aaron, you have demonstrated knowledge of Department policies and procedures and pose questions when concerns arise. You have demonstrated an understanding and practice of HIPAA laws as is evident in your ability to remain confidential with all investigations despite ongoing inquiries from those that are not authorized including Reporters and various family members. Aaron, you have demonstrated knowledge of the Department’s goals and also Division programs as evidenced by your investigative plans including requests for HCBS, assistance with Medicaid applications and reinvestigations, and care plan or provider changes. Many of these cases required follow up after case closure which you completed thoroughly. Throughout your hotline investigations,

Attend the next appointment with Dr. Taha on 10/24/17 to address work status, bone healing, replacement services, attendant care. Obtain projections for recovery.

Being able to work along side some fantastic PAs and physicians has allowed me to benefit from their instruction and experience. My observations of procedures and treatment plans will help assimilate information from lectures and clinical

The patient was placed on HOLD to see the writer to address his non-compliance with treatment. The patient was reminded about his Step 3 of the patient engagement. According to the patient as the writer reviewed the patient case history of his no show for counseling, group attendance, and continuously AWOL, the patient only response was, " I, know." The writer then inquired of the patient efforts to engage in mental health services through ICRC. The patient admits that he haven't done the intake when the deadline was extended for the third time. The writer discussed with the patient about the risk of facing an intent to discharge due to his non-compliance and addressed alternatives such as suboxone and transferring to a clinic in Massachusetts to accommodate the work location. The patient declines the writer's suggestion as he wants to remain with HCRC-Hartford due to the positive treatment and said. " You guys really care....I do not want to be discharge.....I, mean what is the process of the intent of discharge?" The writer explained to the patient about the appeal process as his record will be reviewed by the Practice Manager to determine as to whether or not to forward with the discharge or the discharge to be overturn.

On 8/7/2015, CM met with the client and completed Bi-Weekly ILP Review. Client arrived early for the meeting; she was alert, satisfactorily groomed, and casually dressed. In the meeting she was cooperative and friendly. CM inquires how client is doing since the last Bi-Weekly ILP Review. Client reported she is exhausted from running around obtaining relevant documents to be submitted to Lemle & Wolfe, Inc. by 8/3/2015. She continues to reports she has Straight Medicaid and she is searching for a Managed Cared that cover oxygen tanks.

Focus: Taliana, Mrs. Clark (MHS) and Ms. Smalls (MHP) review and sign Individual Plan of Care (IPOC).

Client appears to be decompensating. She is losing weight and she was refer to take a urine test to rule out toxicology. CM assessed client needs: client must maintain PA case active, client must meet with CM every Friday and the Client must maintain all off-site medical appointments and medication regiment. CM reviewed Bi-Weekly ILP. Client agreed and

I received an assignment to investigate a complaint on Dr. Michael Kaplan on 11/20/2014 regarding some concerns raised about Dr. Kaplan’s practice at Boone Hospital. These concerns triggered an investigation by the medical executive committee (MEC). Dr. Kaplan elected to retire from the hospital, resign his medical staff appointment and clinical privileges. This was reported to the Board of Healing Arts and to the National Practitioner Databank.

On 09/26/16, Mr. Trotter began attending the TEECH Foundation, 1750 W. 103rd St. and has attended daily as verified by the executive director at the TEECH Foundation. On 10/13/16, Mr. Trotter met with the executive director at the TEECH Foundation who suggested that he begin one-on-one counseling sessions on-site. On 10/14/16, he began counseling sessions. The executive director at the TEECH Foundation informed Mr. Trotter’s DOC case manager that if deemed necessary, Mr. Trotter will be referred for extensive counseling after his one-on-one sessions conclude on 11/25/16.

On 6/16/15, PACT team received a voice mail message from person’s served sister letting PACT know that, “person served was not feeling well yesterday and having breathing problems. I took her to PCP yesterday and he gave her an EKG and sent her to the ER.” On same day, PACT staff made attempts to contact individual’s sister to obtain more information, but they were failed. Staff had no information as to the whereabouts of person served i.e. what hospital she was in. Attempts were also made on 6/17/15, to contact the primary care physician, Dr. Sherer, at his office, but the office was closed and no information could be obtained. Person’s served sister left another message on 6/18/15 stating person served was at Hackensack University Medical

Pt was a hx of numerous IP hospitalizations, he recently was discharged 8/2015 from ChildHelp which he resided there for almost a year. Pt receives outpatient services with Norfolk CSB, and receives psychiatric with Dr. Marcus who is associated with Norfolk CSB.

In May of 2015, Dr. R. Lynn Carlson was certified by the Institute for Functional Medicine as a Certified Practitioner. IFM's Certification Program deepens and widens the knowledge base of providers in the doctrines and practice of functional medicine, which is great news for families in the Kenai area.

FPD should be provided with the correct tools and training to be able to properly respond to individuals with mental or physical conditions. The first recommendation is to train the staff how to identify and respond to people who may have or suspected of having an illness and disability. Second, provide crisis intervention training for a large part of the FPD to be prepared for critical incidents with those who have illness or disabilities. Third, have at least one officer that has been crisis invention trained ready and prepared to respond to forceful incidents involving people who has an illness or disability. Lastly, train and prepare officers for incidents involving people who may need medical attention for example seizures or