Patinet Case Summary

Pt is a 84 year old Cascasion female living with her husband in their home. Husband reported the Pts Alzhemers has be pergresing for the last 8-9 years. Pt had open heart surgery in 2012, which contributed to the memory loss decline and increasing level of Alzhemer symtoms, husband verbalized. Husband reports they have been married for 19 years. Pt has a sister living Florda, two daughters living in Texas and Wyoming and one son in New York. The children stay in contact with them every other day. Pt reports she worked as a RN at the VA Hospital in New Mexico. Pt is not independent in the home without the husbands assistance. Pt does ambulate well in the home, but does have a walker in needed. Husband assists the Pt all her ADL's in the home and drives her to the store and for MD appointments. Husband currently suffers from Hemochromatosis (too much iron in one's body). Husband reports he manages well with his illness while taking care of Pt at the sametime. Husband reports the Pt's Alzehmers level appears to be stable at this time, but is quite forgetful at times and needs his assistance. Husband said they are managing

This case involves a robbery in which the respondent, Pat Purple, attempted to forcibly steal a cell phone from a young woman. The respondent is being charged with the following: robbery, grand larceny, attempted assault, and possession of stolen property We are here to ask you, Your Honor, to make sure that Pat Purple is convicted and found guilty.

CP is a retired, 89-year-old male of upper-middle socioeconomic status. CP earned a degree in law to become an attorney. Prior to retirement he had 35 years of experience and his own practice. He had a right posterior hip replacement following a fall that fractured the right femoral neck. The fall occurred when he was walking from his home to the end of the driveway to throw away linens. Part of the linens slipped out from underneath the pile he was carrying, he stepped on it, fell and rolled down the driveway. He was taken to the hospital where he was to have a right hip replacement. The surgery went well, but he had to receive a blood transfusion. He has been transferred from the hospital and is currently at an inpatient rehabilitation center.

Patient is a 80 year old Caucasian male living with his wife in their home. The patient is originally from Penniviana and moved to Ohio for 10 years. Patient was previous married, but wife passed away over 10 years ago. Patient and his current wife, Mary have been married for 10 years, but have known each other for 15 years. Pt was within the Navy doing subrmine duty for 27 years. Patient moved to Big River area back in 1990 and worked as a volunteer sheriff in Riverside County for eight years. The wife has been a RN for 35 years, but is retired now. Pt has four step-sons, mike, ken, Rick and Bob in San Diego, who contact him once a week. Pt has three sisters, but 2 sisters has passed. One sister lives in Pennivina. Pt ambulates well without

SC completed monitoring telephone call with Pa on 1/20/2016. SC called Pa. Pa reported that ding “good”. Pa reported no new health problems, no medications, no falls, and no hospitalizations. Pa reported no outstanding doctor’s visits. Pa reported that’s he saw her PCP on 1/19/2016. SC reviewed Pa's ISP. Pa confirms that she is receiving services in the following type, scope, amount, frequency and duration of services specified in the ISP agency model aide via Total Home Health Care from 10-2PM, Monday through Sunday. Pa's aide provides assists her with the completion of ADLs, IALDs and supervision as needed. Pa has PERS system which gives her access to emergency medical service. Pa also, receives HMD from PCA weekly. She reported being satisfied

Once CM received the updated psychiatric evaluation CM will submit 2010e application. Client also has an active LINC IV (plus) voucher with expiration 3/23/2016. Client submitted copy of housing log. Client is MRT acceptance its pending.

Pa confirmed that there is no duplication of services. Waiver is the payer of last resort for services. Pa reported that his back-up plan that the agency will send a replacement aide if needed has not been utilized, Pa reports that is services are not available, his son, Ralph, will come to assist him, these back up plans remain effective and has never been used per Pa. SC called the Dynamic Home Health Care PAS provider agency and reported that the aide has not shown up for the day and she would the Pa to call out leaving him without proper coverages. The receptionist took SC information and stated that the director of the Waiver service was not in as yet and will have all SC. The called meal site and spoke with Lavern, who resumed Pa’s HMD and set it up for Friday delivery. SC called Theresa the nutritionist at DaVita Dialysis and informed her that the Pa HDM will begin starting 5/13/2016. SC called back Dynamic Home Health Care and spoke with the director of Waiver services. The SC informed her of the Pa’s claims about the aide calling him when she will not be at work instead of the agency so that they can send

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 is receiving the amount of support necessary to ensure her health and safety needs are met and Pa remains satisfied w/ her services. SC reviewed backup plan w/ Pa, Pa's Cousin Linda, will assist if PAS is not available. This is a new backup plan for Pa. Pa is currently using backup plan until the agency aide starts. SC provided and reviewed the "Who do I contact if. . ." form with Pa. There is no duplication of services. Waiver continues to be the payer of last resort. Pa remains NFCE Waiver appropriate. SC document on SC reviewed Provider Choice, 10 item ISP checklist including rights and responsibilities and right to appeal. SC reviewed Participant Information Packet including: Your rights as a Participant, Your responsibilities as Participant, Participant choice, Applying for HCBS programs, Role of the Service Coordinator, Participant Complaints, How can I find other resources in my Community?, Medicaid (MA) Fraud and Abuse, Who do I contact If…, Abuse, neglect and exploitation, Self -directed services, and Your Appeal and Fair Hearing Rights. The following forms were reviewed and signed: ISP signature page, Provider Choice Form, Voter Registration Opportunity Preference Form and Authorization for Use and Disclosure

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

: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

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

I received a call from Mr Kevin Ziegler regarding her son’s benefits has been reduced. Mr Ziegler stated that his son Kyle, is receiving in Home Care benefits and his mother Patricia Ziegler is the home care provider, through Resource Connections of Oregon (RCO). They received a notification informing them that as a result of a new assessment tool her hours have been cut more than

Discharge orders were given for the victim on 04/08/16 and his family will not assume the responsibility of coming to get him. The reporter has made arrangments for the victim to be taken to Singing River but need twelve months bank statements and a copy of his life insurance policy. Mr. Hamilton has been denied disability and no one ever reapplied. The victim's previous nursing home will not accept him back because of the lack of family support or compliance; Mr. Hamilton resided at a nursing home before admission. Mr. Hamilton's insurance has bee denied and the reporter doesnt feel his insurance will pay for the acute care because he's well enough to go home. The reporter stated at this time, Mr. Hamilton cannot stay at Merritt Health in

Per the Pa services continue to meet his needs and he remains satisfied. Pa is not requesting any change to the service plan. Pa denies changes to her ADLs/IADLs, mobility, cognitive, social, emotional, or financial status. SC reviewed Pa's ISP. Pa confirms that he continues to receive the service plan in ISP in the following type, scope, amount, frequency and duration: as specified in the ISP. The Pa has agency model PAS through Moravia Health Network 4 hrs. daily in a split shift from 9-11am, 4-6pm. His aide provides supervision and hands on help as needed with personal care, grooming and dressings. Pa is able to transfer and walk with his cane, but needs supervision and to be checked on. Aide will prep breakfast and lunch for Pa and meals for Pa to warm up in his microwave and complete all laundry and food shopping. Pa confirmed that this is the amount of support necessary to ensure his health and safety and to meet his needs and goals; Pa reported satisfaction with her current services. SC and the Pa discussed self-directed services. Pa declined and reported that he is satisfied with his current agency and does not wish to make changes. SC discussed transportation and Pa remain satisfied with CCT and Logistic