Medical Case Study: Christiana Care Home Health Care

Initially we had difficulty obtaining his discharge orders as the hospital care manager replied she had forwarded the documentation, but neither I nor Mrs. Bianco had received a copy. Mrs. Bianco made a visit to Mills Creek and met with Mr. Smith at that time she was made aware of an appointment that Mr. Smith attended. Mr. Smith attended a physician appointment on June 28, 2017 with Dr. Leonard, Orthopedic trauma. Mills Creek assisted with the transportation and a mobile x-ray unit was coordinated to obtain x-rays of the femur at the facility as Mr. Smith didn’t bring his slide board to the appointment and couldn’t get onto the radiology table.

Johns Hopkins Home Care Group (JHHCG) established in 1983 is a subsidiary of Johns Hopkins Medicine, one of the nation’s leading health systems. It provides home medical equipment, specialty infusion services, pediatrics at home, home health services, personal care and nursing, hospice care, and pharmacy—specialty and community services. JHHCG provided services all over Maryland and in some portions of northern Virginia and southeast Pennsylvania to pediatrics and adults in the comfort of their living space.

Providence Home Care LLC is a home health care service institution that is located in Oklahoma City, Oklahoma. This home health care agency was established in 2002. Providence Home Care LLC offers home care and private duty services. Some of the home health services include wound care, hospital prevention protocol, skilled and psychiatric nursing, monitoring chronic illness, physical, occupational, and speech therapy, patient and caregiver education, and more. Providence Home Care LLC has been awarded for being a National Top 500 Agency. This home health care facility is also the winner of the Quality Excellence Award.

Your senior loved one is important and there are many different senior care services available. What do you do, how do you decide what service is best? In short, with all of the other choices in the market, why choose Comfort Keepers?

The Paradise Facility Home Care Inc. is a residential group home located in the historic town of Naples, Florida inside Collier County. The area celebrates heritage and the past with numerous events including the Historic Town Center. Naples is an ideal place to live and the various activities can be enjoyed by friends and family members when visiting.

Mr. Mendivil was referred to the STAR CAST on January 1, 2018, by SGPRC due to his noncompliance with treatment and medical appointments. He is diagnosed with type 2 diabetes and is prescribed insulin four times a day. Nursing staff from Care Unlimited Home Health come to the house every day to check his blood sugar, check his blood pressure, and administer insulin as ordered. However, Jesus is reported to often refuse to have blood sugar checked and to have insulin shots. This noncompliant behavior to treatment poses a high risk for complications from poorly controlled diabetes.

SC received phone from Pa’s dtr starting that she spoke with provider agency Accucare regarding changing Pa’s schedule from a split shift to one shift starting at 5:00 AM and ending at 9:00 AM. SC informed DCW that she is not authorized to make any change to Pa’s care plan or schedule. DCW was furious demanding to know why she is not authorize to make changes to Pa’s care plan since Pa’s she’s Director of Care. SC explained to DCW that she is not Pa’s director of care because Pa’s is directs own care and moreover she cannot be the direct care worker and the Director of Care because both role conflict with each other. DCW stated that she is only being paid for 4 hours but is constantly assisting Pa’s managing her health and navigating services/resources,

Today’s seniors are living longer, more active lives than ever before, and their families are eager to find resources that allow their loved ones to remain active. Since 1948, Judson Care Center has been providing Cincinnati-area families with a wide range of senior living services that allow them to continue enjoying life on their terms. Judson Care Center is housed in the historic Oskamp mansion, which sits on 18 scenic acres in Western Hills. This assisted living community offers comfortable, affordable apartments for residents who wish to retain their independence, as well as nursing services like rehabilitation therapy and specialized memory impairment assistance to ensure your loved one’s comfort and safety.

Thank you for meeting with me regarding the employment opportunities. I will like to inform you that as of yesterday I accepted a Full time position as a recruiter with Marquis Home Care. They are located at 230 North Main Street Spring Valley NY 10977 and their phone number is 845-363-8140. Should you need further information, please feel free to contact me by phone or email.

****On April 28, the U.S. Justice Department announced that it had filed charges against 25 Miami-area individuals for allegedly taking part in schemes to defraud Medicare of $26 million through the Medicare Part D program.

Member stating she was discharged home from Hanover Health and Rehab on 03/14/2017 with home health services in place. Member stating she had requested Encompass Home Health Agency but Bon Secours Home Health came out on 03/18/2017 and she stated she told Nurse she did not want that Agency. CM placed a call to Hanover Health and Rehab and spoke with Discharge Planner and she stated that Encompass could not take the case because of a shortage of staff. Member stated she would agree to have Bon Secours Home Health. Discharge Planner stated she would send the referral back to Bon Secours Home Health. Member stating she had post hospital follow up with PCP yesterday with no new changes. Member stating she reported the pain she is having to PCP

We received your grievance request regarding Bayada Home Health Care advising you they are only allowed to treat home bound patients and a Nurse refusing to leave your wound care supplies at your apartment leasing office. This request was received by Blue Cross® Blue Shield® of Arizona Advantage (HMO) on May 24, 2017.

After a review of the clinical information provided by Ocean Breeze Home Care, the Medical Director has determined that power operated vehicle and the power operated vehicle accessory is not medically necessary. The information presented is limited, consisting of a diagnosis and proposed services for a scooter (Power Operated Vehicle). The information we have does not support a scooter as a viable option for you; with severe shoulder capsulitis, limitation of motion, weakness in your upper extremities and an inability to take more than a step without a walker. We would recommend that you have another evaluation as to what is the best equipment considering your present condition and activity of daily living abilities. Without clinical information

Trinity Community is challenged with two current healthcare trends. The first trend is related to Medicare and how doctors are paid on Medicare claims. Medicare’s primary coverage group is for people older than 65 years of age. Medicare also covers some people under 65 that have certain disabilities as well as people of any age that have End-Stage Renal Disease. Year after year, lawmakers have been trying to fix a part of the Medicare law that would cut payments to doctors. Since the late 1980’s, the cuts would continue to grow annually and eventually exceed a 20% pay cut.

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.