Pa's ISP: A Case Study

Any change in the factors that make up the macro-environment can have a direct impact on the Comcast Corporation. These factors can affect the Porter Five Forces that shape their strategy and their competitive advantage over other firms.

plan, if the more frequent care calls had not helped then the individual may benefit from

This will be a cooperative plan with the primary care offices. Patients with chronic illnesses will be referred to care managers if they don’t already have one assigned.

On Tuesday July 7, 2015, at approximately 3:01 PM, Kiana Beekman, (MFCU Investigator) (Beekman) received a call on the state office telephone from HILL, Lucy (Service Facilitator of Lucy Hill Services (LHS). During the conversation, Beekman asked HILL to clarify her role and responsibilities as a service facilitator, in addition to the role and responsibilities of HARRIS, LaFrance as the Employer of Records (EOR) for Medicaid Recipient DANIEL, Rose and MCGHEE, Inocencia as DANIEL’s aide. She was also asked to provide any documentation of training on timesheet submission and approvals that she provided HARRIS and MCGHEE under the Department of Medicaid Services (DMAS) Consumer-Directed care aide program.

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

BH is a 62-year old African American Male who presents to Daybreak Clinic on September 2, 2015 for his routine follow-up exam for his hypertension, gout, and chronic back pain. His labs were collected Monday, August 31 and will be reviewed today. He reports that he has been out of his medications for a week due to needing a refill. He has a refill available that he reports he was unaware of. This will be his last visit to Daybreak due to his Social Security and Disability approvals. In addition to his medical needs today, he is requesting a letter of competency in order to be able to personally receive his Social Security check.

A practice change in a non-VA primary care practice led by a Nurse Practitioner (NP) that includes identifying eligible veterans and utilizing the referral process guidelines to peer support services. In the Veterans Choice Program, 2015 the authorization for all non-VA medical care for veterans who resides more than 40 miles from a VA health care clinic or is not able to obtain a medical appointment within 30 days is eligible to receive care from a non-VA entity. The consignment of all medical care appointments are over sought by Health Net, which authorizes all non-service, secured care. PCPs are highly fortified to communicate with veterans with a courtesy memorandum for their medical appointment. PCPs must adhere to the subsequent standards

The patient is very independent in his home and is able to perform all ADLS within the home without any addtional assistance. MSW asked patient if he was interested in any addtional care giving support in the home, but patient declined addtional support at this time. Patinet stated he gets transportation from his neiabors to the store when needed. MSW offered the patient additional transportation services, but the patient declined needing any addtional transportation services at this time.Patient reported falling back in 2004 off the steps and was air lifted to the hospital. Patient reports having diffculty paying doctors and helicoter bills. Patinet's only income is through SS for $847. Patient reported that was the only time he was fallen in his life. Patinet has only been in the hospital two times during his lifetime. MSW offered life alert services, but the patient was not interested. Patient stated his only concern was being able to afford his doctor and helicotor transportion bills. MSW connected AHCCCS and spoke to represtative regarding getting patient signed up for the medicare savings program. Representative stated the patient has already applied for AHCCCS back in

Client Medicaid is active and she is under Fidelis managing Care. She also submitted NY State of Health Correspondence dated 8/15/2015, stating that the client is eligible to purchase qualified health plan at full cost through NY State Health. The eligible period is effective 9/1/2015. Client reported she already has medical service through Fidelis Medicaid Manage Care

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.

SC received VM form Tanya, ERS provider via Active Aid Solution. Tanya reported that they received a monthly maintenance service order for ERS but did not get one for the installation and requested that SC put it in ASAP. SC created service order in Oracle and completed service order in SAMS. SC reviewed Pa care plan and everything else looks good. SC placed phone call the Penn Asian Senior Services enhanced day care provider. SC call was transferred to Soon Pack Pa’s social worker at the center. When Soon got on the phone SC introduce self and stated reason for calling (was to visit Pa at the day center) Soon stated that, that would be ok because SC must be there before Pa’s leaves at 1:45 PM. SC asked why Pa leaves so early and Soon reported that, that’s

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.

SC reviewed Pa's ISP. Pa confirmed that he continues to receive the service plan in the ISP in the following type, scope, amount, frequency and duration: Pa has Self-directed model PAS and his DOC. The PAS aide provides assistance with transferring in and out of a tub, personal hygiene, meal prep, light housekeeping, laundry, and shopping for 2 hours from 8 a.m. to 10 a.m. and 1 hour in the evening from 4-5 p.m. Monday-Friday for a total of 3 hours and Saturday-Sunday from 10 a.m.-12-noon and 4-6 p.m. for 4

After the music class was finished, the ISP1 students got their tickets for their behavior and participation. Robin did not get any tickets because of his poor performance; he cried and screamed. He was clearly upset, and he said, "I'm gonna break this" to lift up the keyboard piano over his head to throw, but I was able to retrieve it before that happened. Then he picked up a wooden chair and tried to throw it from the stage. Again, the aide and I were able to stop his action. Fortunately no one got hurt, but it was a very dangerous situation caused by

Internet Service Providers – ISP’s formally known as Internet Service Providers, provide internet service for customers. Companies such as Sky and Virgin will provide people with service and access to the internet for fee which is normally paid monthly. ISP can connect you to internet service in multiple ways, one of them being through a phone line and Virgin for example normally sell this as a bundle so you can get internet service and a telephone service in the same deal and the prices vary depending on the speed of your internet. Other packages ISP’s provide can be things such as an email address with the company’s extension such as having ‘@Virgin.com’ at the end.