Spoke With The MOP Case Study

The pt Poteat, Edward L is supposed to tx today at unit 1087. The unit 1087 is requesting the referral source to send a shortened and missed treatment report in order for the pt to be accepted. This report is not one of the requirements that is needed in order for a pt to transfer to a FKC unit. Also the referral source stated the she sent the report several times and received several conformations and clinic 1087 is stating that they never received it. The referral source and the unit 1087 have been in contact and I am just now finding out about this. Please let me know if the pt is accepted and to see what we can do regarding this patients

Mrs. Dey reported she had been extremely sick with the anti-seizure medications and her primary care advised her to stop the current medication and go into the hospital. She was hospitalized overnight in observation and Dr. Hardy requested she come into his office the following Monday, September 11, 2017. Due to the unexpected appointment, I had a scheduling conflict and my colleague Laurie Wawrzynaik RN, BSN, MA, attended.

The patient was placed on HOLD to see the writer to address his non-compliance with treatment. The patient was reminded about his Step 3 of the patient engagement. According to the patient as the writer reviewed the patient case history of his no show for counseling, group attendance, and continuously AWOL, the patient only response was, " I, know." The writer then inquired of the patient efforts to engage in mental health services through ICRC. The patient admits that he haven't done the intake when the deadline was extended for the third time. The writer discussed with the patient about the risk of facing an intent to discharge due to his non-compliance and addressed alternatives such as suboxone and transferring to a clinic in Massachusetts to accommodate the work location. The patient declines the writer's suggestion as he wants to remain with HCRC-Hartford due to the positive treatment and said. " You guys really care....I do not want to be discharge.....I, mean what is the process of the intent of discharge?" The writer explained to the patient about the appeal process as his record will be reviewed by the Practice Manager to determine as to whether or not to forward with the discharge or the discharge to be overturn.

During the discharge process, Mr. K was instructed to follow-up with his primary care provider. The inpatient team also gave Mr. K prescriptions for a new anti-hypertensive medication. Sadly, they did not provide any instructions about his previous anti-hypertensive drugs. As a result, Mr. K continued to take the old and the new anti-hypertensive medications. Since his next appointment was within three weeks, he decided to wait instead

The mission of West Virginia Medical Professionals Health Care Program (WVMPHP) is to provide confidential mental health and/or substance abuse treatment for the healthcare professionals across West Virginia. Collaboration is key to advance growth, which leverages the strengths of all the organizations working together to achieve common goals. WVMPHP should conduct a SWOT analysis to identify their organizational strengths, weaknesses, opportunities, and threats. A SWOT analysis, should be utilized in conjunction with a strategic planning process to enable WVMPH a detailed assessment of their current financial resources. Having established strong collaborative partners across West Virginia, receiving national attention, and positive outcomes enhances the credibility of WVMPHP.

Presenting Problem: Pt is 16 y/o female who is currently at Tuckers Pavilion Acute facility. 8/7/16 Kelly refused to take her medication, and was generally noncompliant to staff directions. She communicated AWOL intent; she also broke a lightbulb to make a number of superficial cuts to her arm, but refused to turn in the glass an dstated that she had flushed it down the toilet. She refused first aid and refused to cooperate with staff directions. She also communicated that she was going to do worse things to herself, Intercept contacted crisis stabilization which transitioned the child to Tuckers Psychiatric at 6am. 8/12/16, Pt was upset to find out she was not getting discharged from Tuckers. Require hydroxyzine 50mg at 1530 medication

CM spoke with Mr. Antunez regarding Devin transiting out of CMO. CM and Mr. Antunez discussed Devin’s growth throughout the year. CM explained to Mr. Antunez that Ms. Feliciano will link Devin to outpatient at Hoboken Medical Center or Jersey City Medical Center. CM stated that CM supervisor will also attend next month discharge meeting/ IEP meeting on October 7, 2016. Mr. Antunez agreed to Devin’s

Two pt verifier name/dob confirmed. Informed the pt this a f/u call to address s/p/ pituitary Adenoma. Pt states that is doing much better but he occasional have a headache and stuffy nose. Discuss dc instructions medication, and f/u appt with the pt. Discuss s/s that would warrant the pt to seek medical attention immediately. Encourage the pt f/u with his PCM. During conversation pt request refill on his Synthroid. Informed the pt a courtesy 90 day supply was ordered. Again recommend that he f/u with his provider. Pt refused appt at this time, but states that he will call CAMO to schedule an appt. Pt agrees and verbalized

On 1/28/2016, CM met with the client to complete Bi-Weekly ILP Review and to follow up and client uncontrolled seizures disorder. In the meeting client continues to appear space out and disoriented. Her affect was flat.

SC completed monitoring phone call with Pa on 10/30/2015. Pa reported that she is doing well. PA reported that she is receiving services as outlined in the ISP. She remains satisfied with services and feels that they meet her current needs. No fall, hospitalizations, change in health status or medications reported by Pa. Pa reports that she is doing physical therapy evaluation and therapy at Nova Care at 2301 Broad St for: knee, neck, upper thigh, lower back joint pain, muscle weakness, and problems with balance and gait. Pa has follow up appointment with Rheumatologist and Optometrist for evaluation and treatment of vision problems. Pa last visit with PCP was on 10/29/2015. Pa reported that her electricity and gas company was scheduled to be discontented due

Two pt verifier name/dob confirmed. Pt states that he has a hx of back pain and he would like another appt to discuss a pt profile because he has a upcoming PT test; also he needs a refill on his Naproxen and Lodicane patches. The pt states he originally had an appt schedule for today but it was cancelled. Therefore he needs to reschedule. Pt denies new onset of symptoms. Assist the pt sheduling a f/u appt.

Lexis Rhoads is a 13 year old followed by Pediatric Neurology Outpatient and Dr Suliman. She has newly diagnosed generalized epilepsy with convulsions and absence. She was diagnosed few month ago during the summer. She was seen for the symptoms of vivid visions but is also struggling with the adjustment to the diagnosis. We would like to refer her for the CBT individual therapy at the UPC with Jasmine Marini who work with children with chronic illness at the UPC .. Jasmine can you please help and schedule this pt with you.We also have a CBT group therapy for children with chronic illness but we are not recruiting at this time we could put her on the waiting list. She has symptoms of Anxiety, Social Anxiety and Adjustment Disorder but does

MSTT met with Quaiesha for a session and assisted her at her pyschartisit appointment. Before the appointment MSTT met with Quaiesha to discuss any concerns she may have about the appointment. Quaiesha was concerned about being told she needed medication and will be prescribed medication. She stated if that was the case she would refuse the medication. MSTT informed Quaiesha she should worry and everything will be alright. Another concern was sitting in the room only with the pyscharistist. MSTT informed Quaiesha he would accompany her in the room during the appontment. The meeting went well and Quaiesha was not prescribed any medciations and the questions that where ask did not make her feel uncomfortable and she was able to answer them with

Two pt verfier name and dob confirmed. Pt states she has hx of GERD and currently takinkg Rabeprazole 4 tabs per day with is more than the prescribed dose to controlled her symptoms. Pt is requesting Raberazole be increase or she be placed on Nexium. Pt states that she prefer Nexium and she is wiling to the pay for the co- pay. Informed the pt that will provide her with a handwritting script for Nexium. Pick up script at the front desk. Schedule the pt an appt to address GERD sx and treatment options. Pt agrees and verbalizes understanding to the

On 11/8/16 I met with Dr. Hillman. I obtained written orders for Carrie Miller behavioral counselor as recommended by Dr. Johnson Neuropsychologist. The orders were faxed to both Rainbow Rehab and Carrie Miller. I made multiple calls to Dr. Hettle and Dr. Pelshaw to try and make a sooner pediatric PMR appointment. There are no sooner appointments in any location. I have been updated throughout the reporting period by Rainbow rehab and Carrie Miller. There continues to be inconsistencies with Mrs. Edwards, Etwan Wilson’s mother in keeping appointments. Etwan is not in school yet. An IEP was supposed to be set up before he could go back to school. Mom has changed school locations, needed to have immunizations updated, obtain a birth certificate.