Situational Responsiveness Paper

Mary Beth is certified in EMS Ambulance Coding. As part of our Compliance Program, Mary Beth performs post payment claim audits, and looks for proper level of care billing, and ICD10 coding accuracy. Mary Beth will address any billing or documentation issues with executive management and the billing specialists. She has proven extremely efficient in handling of erroneous insurance denials, and also bills for fire and rescue scene clean up services. She has had numerous patient and client compliments. Mary Beth runs the office in a smooth and efficient manner.

As a lead support worker in moving and handling, I am responsible for a plentiful amount of risk assessments that need to be detailed but yet concise and accessible for all colleagues. I work alongside the moving and handling assessor and have sound understanding of expectations in our policies and procedures handbook. Working under the aforementioned senior, implementing operational expectations and being able to clearly communicate with a wide range of colleagues is a part of my duty in the role I am in.

Accountability: Claudia continues to improve on taking accurate documentation to convey information to her unit as well as updating the Standard

In my current role as Care Supervisor I communicate with a range of individuals such as: service users,

Michael is a Case Manager within Spectrum Health hospitals and has been for four years. Michael is twenty-eight years old and enjoys doing his job although he has stated that it can be difficult at times. Michael stated that sometimes there is over time when other employees call in and case load can be heavy at times. Michael stated that every so often he has to wear a pager so employees within the hospital can get ahold of them when emergent issues arise. On call is every third weekend and

Having interviewed a significant number of service users, including youth and adult and other parties involved in a user's care, I developed the ability to listen carefully and pay attention to details. This involves taking detailed notes so as to easily recall what was said later. For effective communication in SW practice building trust by not minimizing what a user has to say and focusing on user's perspective I found to be crucial. Also, a special attention I give to non verbal behaviour in a contact with a service user.

Flexibility/Adaptability: Stephanie quickly determines which tasks should be given priority status by the volume of work and/or the date received. Stephanie provides coverage for the Error Resolution Terminal (ERT) and the Automated Fingerprint Identification

Vicki’s co-workers credit her with being helpful and knowledgeable. Vick’s co-workers are able to count on her to talk through a difficult situation with a Client. Working on the Crisis Line can be a challenging because calls are unpredictable. Crisis Line staff work closely together to help clients who are in crisis situations. However, there is not a set formula that works for every client who calls. Vicki is able to problem solve to develop the best course of action to help clients who are dealing with a crisis. Vicki is also able to be supportive to her co-workers during a crisis situation with a client to work together to determine the appropriate intervention.

Jennifer you continue to promote an atmosphere of camaraderie in your group which was difficult during this rating period with having one defiant employee and receiving over a thousand hotlines in 2015. You conducted monthly group meetings and you met individually with your workers to discuss their performance or lack of performance. You also discussed with them all pending reports that they have in Case Compass. During your team meetings you reiterate to your team the importance of compliance with all applicable policies, including but not limited to policies concerning initiating reports/contact/completion of reports, behavior, work performance and

There are many different settings relevant within the Health and Social Care Sector. For example you could be placed in a Residential or Nursing home, a Mental Health ward, a Simple Doctores surgery or even a Brain Damage unit. Each of these settings require different skills to enable you to work and care for the patients effectively. I am now going to explore the value of effective and varied types of communication in order to care for and support service users.

SC placed call to Pa’s CG and friend Teresa Lim and for monitoring phone call because none of the numbers on file for Pa was in working order. She reported that the Pa is doing well and is taking a break from radiation and chemo. She Provided the SC with Pa’s new phone numbers. SC asked about Pa’s service and Teresa reported that the Pa is receiving her PAS service specified in her care plan. Teresa reported that the Pa is happy with her current service and do wish to make any changes right now. The Pa is satisfied with her services and feels they are meeting her needs. No falls, hospitalizations, changes in health status or medications were reported. The SC end call with Teresa and place call to Pa via language line interpreter Michelle. The

Communication in the workplace is an essential tool we use to meet the needs of individuals with ABI/LD, great communication skills are integral to the role of a support worker. Support workers need to form trust worthy relationships with family members and the staff team, this maintains the high standards of support/care we provide, delivering a continuity of care. This level of trust ensures any health and safety

SSA shared that SSA had scheduled meetings in the field and felt a member of management should be aware of the situation in case an outside phone call is received from any party involved in the discharge. Ms. Darling indicated that the developing situation was SSA’s responsibility to address, that she would not take phone calls or intervene in the situation unless a MUI such as an arrest occurs, and that SSA needed to contact SSA’s supervisor on the cell phone provided by the agency to update her on the

Her responsibility as a medical necessity coder is to approve physician orders. When physicians order tests for their patients, Ms. Williams has to verify that CMS will pay for the specific test. In the event the order is rejected, she will contact the physicians. This could be the most difficult part of the job for her. Before she contacts the physicians, several steps would have to be taken. CMS requires a very high level of specificity when submitting orders. The majority of the time when providers are filling out order forms, they are not abiding by the strict guidelines CMS has. It is her job to help the providers reach the level of specificity with out disclosing exactly what CMS wants. This can frustrate the providers when there is a copious amount of hither and thither to get an approval. Providers are vocal about their annoyance and they feel like this is getting in the way of caring for the patients. Observing her in her element, I can conclude that she loves what she does and that she thrives under pressure. Witnessing the medical necessity coding process was a wonderful start to my day; the last area I will be in is Vital Stats, Death Certificates after my

The major challenges that she expressed to me were understaffing and constant bickering between certain female co-workers. With regard to understaffing, corporate has not offered any viable solutions, due to non-peak times in the ER. This means at times it is either feast or famine. The staff knows this and tends to simply suck it up and pull together when it gets busy. When co-workers come to her with a complaint she takes time to discuss the matter in depth and non-judgmentally with the employee, surprisingly in most cases she stated that after the discussion it turned out that the problem originated with the one filing the complaint. She further works with the person on strategies to be a more effective interpersonal communicator and soon the problems lessen or resolve entirely.