Isp Case Study Pa

Kathy has a weight bearing restriction in place, is currently utilizing a wheelchair for mobility, and is a hands on one person assist with transfers. Judy shares that the previous day Kathy and the physical therapist worked with Joe and herself on transfers into and from the car so they can take her to her scheduled appointment with the orthopedic doctor on Friday. Judy shares that it is expected that the doctor will modify the weight restriction at the appointment. Judy and SSA spoke about a time frame for discharge. Judy shares there is no time frame established. Per Judy, Kathy’s private insurance only has twenty days of physical therapy remaining in the plan and does not know what happens at the end of the twenty days if Kathy needs additional therapy. She has plans to contact Humana later this day to discuss Kathy’s insurance benefits. We discussed that Kathy believes she has an UTI and that a sample of her urine was taken before lunch for testing. We discussed that Kathy is satisfied with the Care Springs facility, the food served, and nurses assigned to work with her. During the visit, Kathy asked about Wildey staff and of all who was aware of her injury. We discussed her

So far while reading the Novel I have met the main character Holden Caulfield who narrates this whole story. The character is very interesting being only 16 and already be kicked out of schools being out of shape because of smoking. The way that Holden views everything and everyone as "phony" Another character that we have met is Holden’s older brother D. B. Caulfield. D. B. wrote a volume of short stories that Holden admires very much, and is writing for Hollywood movies. I am intrigued by this character because of how different Holden and his brother are that Holden seems to be having troubles with academics because kicked out of several schools but yet his older brother is very successful. Another character that we have met is Mr. Spencer. Mr. Spencer is a history teacher at Pencey Prep. I find this character interesting because throughout the book with other characters Holden as something "bad" to

Service Coordinator (SC), Jennifer Stoker met personal staff, Aiesha Crayton at the home of consumer Jonathan .SC asked was Jonathan meet his outcome would like is medical expenses to cover. Aiesha noted he has Medicare and Medicaid which cover all his medical expenses. SC asked if money covering his want and needs. Aiesha noted yes. He wants and needs are being meet. Jonathan wants his cell to be paid every month. Aiesha noted he cell is being paid every month. SC asked is Jonathan maintain good health. Aiesha noted he when to his PCP on June the 1st. She noted he is health and there was no change in medication.

Intervention: As per member's request days of PCA services changed as Monday, Tuesday, Wednesday and Friday 4D/8H, Thursday, Saturday and Sunday 3D/4H effective 03/12/2017. Spoke with Ms. Irina Simkhovich from HCS home health care, authorization and billing department, CM informed changes of schedule and sent an fax with updated authorization. Also, Ms. Irina Simkhovich reminded CM request of 8 hours for 03/03/2017 and 03/06/2017, CM kindly informed member is only approved 4D/8H, 3D/4H by ABH and by 02/28/2017 Americare( covered by Medicare) informed they would covered M,W,F 4 hours each day. on 03/07/2017 Morrine Fox , Americare, informed as per RN recommendation 2 additional hours each day was approved for M-F, case shown up as active by 03/08/2017. HCS provided from 03/02/2017- 03/06/2017 each day 8 hours for this reason are requesting coverage of 03/03/2017 & 03/06/2017.

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- CM inquired if client received a phone from LA Family Housing to schedule a CES assessment appointment. CM inquired if client visited the Bob Hope Patriotic Hall to fill out VA claims for service connected disabilities, and to start his “Veteran” California Driver’s License application process. CM informed client the procedures of referring him to dental. CM conducted a 90 day ISP with client. CM continued to inquire if client was interested in creating a savings plan. CM continued to assess client’s mental health and medication compliance

QMHP called the client to informed her that she is not eligible for case management due to (1) living in Independence and (1) has inactive Medicaid. QMHP informed Ms. Anderson that she could receive services at Swope as an outpatient. Ms. Anderson asked if she could get her medications and other services (Imani House, vision, dental) without having Medicaid. QMHP told Ms. Anderson that she could. Ms. Anderson stated she will apply for her Medicaid. QMHP apologized to Ms. Anderson two times because at the intake, QMHP had informed Ms. Anderson that he was eligible for CSS. QMHP told Ms. Anderson that after she her Medicaid is active, she could request for a CSS. QMHP thanked Ms. Anderson for her understanding and hang up the

Pa stated that she don’t trust her family anymore because her grandchildren are crazy and no good. SC redirected Pa numerous times, but it was difficult for Pa to stay focused. Pa reported some anxiety and agreed to follow up with her physician regarding this (Pa stop taking Zoloft because she didn’t feel taking it anymore). Pa confirmed that she is received her services as specified in the ISP in the following type, scope, amount, frequency and duration: PAS Agency Model aide care for 2 hours on Monday, Tuesday, Wednesday, Thursday, and Saturday from 9am-11am and 3 hours on Sunday from 9:30am-12:30pm. Agency aide will supervise and assist with Pa with bathing ADL and IADLs of meal preparation, shopping, light housework and weekly errands. Pa receives an emergency response system which she uses as needed for emergencies. Pa receives 7 frozen Home delivered meals weekly from PCA which she heats in the microwave for

The first step in rectifying these claims will be to form a service denial review board. This board will be set up to review any patient who was denied care for any reason. The first task of the board will be to establish a service denial form, in which professional staff must fill out when denying services, so that we can establish why the service was denied and if that was the appropriate action. The board will review all forms and then interview staff involved if needed to determine if USA Community Hospital could be found negligent in denying service for unethical reasons. If the patient has made a formal complaint about being denied services then this board will reach out to the patient and document the reasons they

SSA placed phone call to Kim Budke-Provider. We discussed that the nurse care manager went ahead and met with John this morning with Kim being able to attend. She shared that John’s case manager with Lifepointe was going to attend but did not make the meeting. She shared that Jean is the nurse case manager with Cincinnati Home Care and they discussed finding John an activity to engage in during the daytime hours. She shared they discussed ADS programs in Williamsburg and John expressed interest in Cane Run Farm. She shared that they also discussed increasing John’s in home nursing services up to 14 hours per week to address his high blood sugar levels. We discussed that if John attends CRF, provider hours will have to be reduced to cover the

SC spoke with Pa and CG on 09/30/2015. No falls, hospitalization, changes in health status or medications were reported by Pa or CG. Pa reported that both she and spouse (Travers Russell was not present when SC called; Pa stated he went to the senior center and he’s doing well no unmet needs) are receiving services as outlined in the ISP. Pa’s goals remain unchanged both her and spouse remain satisfied with services and feel that they meeting their current needs. Pa reported that all services are received in the correct type, scope, amount, duration, and frequency as specified in the ISP. Pa self-directed model PAS provide hands on assistance and supervision with bathing, dressing, grooming, toileting, light home support and meal prep; daily

SC completed service coordination task associated with care plan rollover.SC rolled over PPL FMS ongoing monthly service fee, PAS service consumer option model Public Partnership (PPL), receives assistance w/ bathing, dressing, transfers and IADLs 7 days x 4 hours 7-9am and 4-6pm, provider PPL, PAS Taheerah, informal Shirley is informal back up. Pa confirms that she is receiving, type, scope, amount, duration and frequency through Self Directed consumer model. Per Pa, the aide continues to assist the Pa w/ his daily, bathing, grooming, IADLS excluding, money and telephone management. The Pa also, receives 7 frozen dinners weekly from Moms meal to supplement nutritious healthy meals, and Service Coordination via PCA. The Pa's has no informal

Sw called pt to discuss the status of the home health request. Pt informed sw that he has an appt with Dr. Gabler on Monday, and will discuss the request. Pt says that he has been paying a friend to transport him to medical appointments. He will continue doing so until he is able to utilize the friends services as his provider with Medicaid. Pt did not list additional needs but states that he will contact sw if needs

Patient is a 30-year-old Caucasian Female who presents to CRU 2 via ambo from PRC West. She is on ACOT for non-compliance with her court order terms and outpatient treatment plan. Partners In Recovery is her OP treatment agency. Heather is currently homeless, and on SSD income. She is alert and oriented 4x and cooperative with intake assessment. She reported that she has been taking Ativan and Klonopin, she insisted that I call the provider for those orders. She denies DTO/DTS, vital signs WNL's. She will benefit from meeting a provider to discuss med stabilization and therapy.

SC received VM from Chris from Homelink stating that she called and spoke with Pa about service installation after talking about the other services Homelink provides. Chris reiterate there appointment and reason for visits and according to Chris Pa seem to not have any reclamation of what they had previously discussed a few short minutes later. Chris expressed concerned about Pa ability to properly use button to call for help. SC forwards the VM to SCS and later discussed s matter with SCS. SC express concern about Pa’s ability to remain safely in the community and SCS states she understands SC concern and she will discuss the matter with her supervisor on