Isp Case Study Pa

SC, Jennifer Stoker met face to face with Christopher for his Annual PDP meeting at his Day Hab in Dallas, TX.S SC was welcomed into the home by caregiver staff, Joel. SC observed Christopher siting in his wheelchair. He was awake and very alert. He was in a good mood and relaxed. He looked clean and comfortable. His provider, Rose Msewe, and SC Christian Gray Hering was present. Rose renewed his IPC during the meeting. SC discussed his HCS Rights and Consents with him. The following forms were explain to Christopher but he was unable to sign them: Authorization to Disclose Information, Verification of Receipt of Rights, Verification of IPC Services Request, Consent For Services, Your Rights in Local Authority Services Handbook, Your Rights

SC received OLTL ISP approval. SC ordered Pa services in Oracle and generated them in SAMS. SC terminated JEVS Home Care as provider agency and replaces it with BLESSINGS4EVER HOME CARE AGENCY. SC updated both SAMS and Oracle with new provider. SC places order for stir gild assessment and service order instructions sheet. SC placed call to Pa and spoke with Marie/ CG and informed her of the ISP approval asked about her employment status with PAS provider agency and Maries states that she is still in the hiring process SC informed her that at this time she will not be paid for any PAS service she will provider during this time because she is not hired by the agency until she is the service will remain on hold. SC informed Marie that PERS and

Comcast is the largest cable television company in the world, by revenue. It is also the largest internet provider, as well as the second largest home phone service, and third largest pay-tv company. This is a well-established company, and is still growing and attempting to acquire other different companies to solidify its empire. Comcast has a renowned product that is nearly undisputed. The problem that has been brought to life a few years ago with Comcast, is the way they go about their customer service.

Standard 16 of the American Nurses Association (ANA) Scope and Standards Practice, directs nurse leaders to advocate not only for patients but for all members of our healthcare community. As a discharge planner, I am in a unique position to advocate not only for patients but for caregivers as well. As part of my responsibilities, I participate in daily multi-disciplinary team rounds. The meetings take place so that all disciplines can openly discuss patient care needs. They provide the perfect opportunity for anyone to bring to light problems or concerns.

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.

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

:01 PM-3:00 PM SC received a telephone call from Pa states that she was discharged to home on 1/22/2016 from PowerBack Rehab, and she wants her services to start again. SC asked Pa when she was discharged from the hospital. The Pa reported that she was discharged to rehab on 12/22/2015. The Pa stated that she needs someone to help her with her personal care and home management. SC asked Pa where Quintella is (Pa’s DCW/dtr). The Pa reported that she don’t know but she is gone and not coming back. SC informed Pa that the SC spoke with the DCW/dtr Quintilla Bentley on 1/14/2016 and she reported that she (Pa) was scheduled for surgery on the same day 1/14/2016. The Pa exclaimed that whatever she reported was not true. The Pa reported that she had surgery on the 12/14/2015. The SC

CCIB received a Corrective Plan of Action (CAP) detailing the visit to the home on 10/18/17 by Service Coordinator, Sally Cano. Ms. Cano arrived at the home, but no one was there. Ms. Cano proceeded to check Delta Home 3 (located next door) and found 2 of Delta Home Care IV residents along with residents from Delta Home Care 3 at the home. As Ms. Cano was leaving, she observed a bus arrive at the Delta Home Care 2. The bus driver reported that there was no staff at the home and that the residents were waiting outside. It was observed the Delta Home Care 2, 3, and IV to be lacking staff. On 10/19/17, RP and Quality Assurance specialist (QAS) Jesus Ozeda went to the facility to observe the staff to resident ratios and to collect the staff schedules

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

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

SC received a call form Pa’s PCP Dr. Wilbert Warren on 2/5/16. The doctor stated he was returning SC call from early. The SC informed that Dr that the Pa is in the Aging Waiver program and being in the program the Pa is re-assessed annual to determined eligibility and needs. And base on the SC RA home visit on 2/4/2016 the Pa is not medication compliant and appeared showing signs of poor health (swollen legs and feet and rapid breathing accompanied by wheezing). The Dr. confirmed that the Pa is schooled to see him on 2/15/2016. The SC informed the DR that the Pa would benefit from skilled care and asked that Pa be given a referral to help her get back on her medication regiment and assist her medication functioning at home. The Dr agreed

Two pt verifier name and dob confirmed. Informed the pt this a f/u call to address priority WebHA- "chest pain -did not get medical care." Pt states that over the last five to six months she's experience random chest pain. Pt denies increase stress an states that chest pain occurs randomly at rest or during activity. Pt denies having any other sx when the chest pain. Pt denies family hx of CAD. Provided the pt an appt with her PCM. Instructed the pt to go to the ER if she experience SOB, chest, epigastric pain, jaw pain, pain in shoulder that radiates down the arm. Pt agrees and verbalizes understanding.

Customer called asking if could he still use his windows live mail because he will be switching over.. CAE immediately informed the customer that he can but he may need to update his windows email. Though CAE asked whether customer has additional question, during the call, there was no sense of ownership nor accountability from the CAE’s end. Customer’s name was even asked during the interaction. CAE lacked probing. It wasn’t identified whether customer will switch to another provider or to Comcast. CAE could have made the customer feel welcomed or

Although XFINITY Internet from Comcast emphasize on offering unprecedented high speed and reliable Internet service to all its users and all the time, there are times when people face difficulty connecting to the Internet. While on other times they face issues with the Wi-Fi connection. There can be even more concerns about its different Internet plans. That’s the reason that it has a dedicated Xfinity Internet email customer service to help its client’s when they are heavily affected by a disturbed Internet connection.

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