Assignment 3

Is there a guideline that a Home inspector must observe when he is carrying out his assignment?

I believe that Excel can enhance the younger generations math learning skills. I think that as long as the basic math skills of calculating numbers are learned and mastered first, then Excel can be of a great benefit in the development of the critical thinking skills that are necessary to implement all of the different formulas. I believe that this kind of critical thinking that is required to realize how to formulate the data is a very important skill to develop. I do think that the younger generations and everyone else's calculating skills become a "little rusty" because of continually relying on Excel to do all of the calculating instead of doing the math out longhand, but this can occur even through the use of calculators. I think Excel

Residential care facilities also have coverage under Adult Protective Services in order to protect the eligible adults who reside in facilities. According to Section 198.070, RSMo, reports from residential care facilities, intermediate care facilities, or other nursing facilities are registered by the department and investigations are started within twenty-four hours ("Protective Services For Adults,"

Healthcare providers that elect to participate in and receive reimbursement from Medicare must be licensed through their state, as well as, obtain and maintain certification for compliance with the Center for Medicare and Medicaid Services (CMS) Conditions of Participation (COPs). CMS is an agency within the Department of Health and Human Services that drafted guidelines for healthcare providers to meet acceptable minimum standards to operate and be reimbursed for services. Once providers are able to meet the COPs, they become a Medicare-Certified Agency and are granted a provider number. Each state is responsible for the certification of healthcare providers and a state survey is conducted every three years and as needed to determine if the healthcare provider continues to meet the minimum standards set in the COPs.

The Centers for Medicare and Medicaid Services (CMS) website offer a variety of information on Medicare, Medicaid, and Chip. For information concerning Medicare this site offers you an abundance of information such as eligibility and enrollment, health plans, prescription drug coverage,

The Centers of Medicare and Medicaid Services (CMS) is a branch of the United States Department of Health and Human Services

Assessing and monitoring the quality of service  provision  10.—(1) The registered person must protect service users, and others who may be at risk, against the risks of inappropriate or unsafe care and treatment, by means of

The upcoming inspection will involve surveyors from the Commission who select patients to randomly ascertain these patients' medical records to serve as a blueprint for evaluating standards compliance within our organization. The surveyors use these medical records to trace patients' experiences within our facility as well as discussing these patients experiences with doctors, nurses, and other staff at our organization that have interacted with patients randomly selected by the Commission.

The information contained in this report was gathered in a private nursing home over 2 weeks that for the sake of this essay, be called “facility x”

to the licensure, operation, and reimbursement of nursing home care under the Medicaid program. Furthermore, the state and federal regulations assist ISDOH surveyors to conduct their investigations of a nursing home. The surveyors are concerned with potential and actual outcomes of care, and focus on such care during their survey process to ensure nursing homes are achieving the best practicable quality of life for residents, as well as preventing accidents and adverse events” (Sweeney Law Firm, 2017).

There are 17 people responsible for health information services at Banner Home Care. The HIMS is Carrie Jacobs who is responsible for the entire HIM department within the facility. There are two Billing Review Associates, Lorrie Choate and LaVonda Shivers, who operate under the Home Health Billing Audit division of HIMS and handle all the billing and auditing for all the Banner Home Care facilities in the Phoenix, Arizona area as well as in Payson, Arizona, and Alaska. Under the Hospice division of HIMS are two Senior HIMS Clerks, Amanda Dietrich and Teresa Rua-Smith, who handle all the tasks related to the Banner Hospice Home Health medical records. Next is the Home Medical Equipment division which is currently only filled by one employee, Nicole Duncan, a Senior HIMS Clerk. If additional support is needed in this area it is filled with a Temp position. There is also only one person who handles the Home Health Face-to-Face medical records, Zeljka Branbley, who is also a Senior HIMS Clerk. There are 10 Senior HIMS

process. It uses existing patients to assess the care and compliance with relevant standards of a particular organization. It uses information about the care, treatment and services rendered to patients in the organization in order to do so. Its purpose is to help identify performance issues, helps improve the effectiveness of communication among caregivers, reduces the the health risk for patients. While performing a tracer a surveyor may visit and revisit any department/program/service or area of the organization related to the care of an individual served or to the functioning of a system. There are three types of traces used by The Joint Commission during the on-site survey. These traces are individual tracer activity, system tracer activity and program specific tracers1.

The reporting party (RP) stated over the past 5 months the owners of the facility has reduce caregivers hours worked resulting in disruption of continuity of care. According to the RP the facility provides care and supervision for high risk behavioral individuals who require one on one supervision. The home cared for 4 residents 2 of which required one on one care and one who was wheelchair bounds. Due to the residents' limitations 3 caregivers were assigned to both morning (7am - 3PM) and evening (3PM - 11PM) shift. Furthermore 2 caregivers were assigned to the night shift (11PM - 7AM). Conversely there are 2 caregivers assigned to the morning and evening shift and 1 caregiver assigned to the night shift. Consequently since the decrease "manpower"

I was unavailable to meet with the Director of Nursing, due to an unscheduled meeting. I was able to speak with one of the registered nurse at Woodbridge. Her name is Mary Thomas and she has worked there for 20 years. She was able to assist some of the information that I needed. The responsible of the Director of Nursing range from the facility operations in the absence of the Administrator, conducts the nursing process' assessment, planning, implementation, and evaluation, participates in facility surveys and Is aware of any incidents at the in the nursing home

Parkway Nursing Home is an organization based in Phoenix, Arizona, which was founded in 1972. The organization was very successful, especially in the 1980s, where it thrived on the skilled services of the nursing fraternity. However, due to its large expansion efforts over the last two decades, the ever-expanding patient number and their growing demands has begun to put strain on employees and the service they provide. As a result, the board has found striking increases in injuries per staff, incidents per patient, absences per staff, and turnover rate.