Supportive Care Case Study

This letter serves as a written notice of Loving Hearts Home Healthcare Inc. appeal to the overpayment amount of $5,034.90, which was identified in the overpayment notification letter. Specifically, those claims billed for Marjorie Savage that have been labeled with a discrepancy code 911. The notification letter provided the following explanation for the discrepancy code, which resulted in an overpayment:

Humanity is living longer these days creating the need for long-term care facilities. Today’s families need to work outside the home forcing their loved ones to enter the dependency of the extended care and long-term care facilities. More and more of the retirees are seeking better facilities for themselves because there are more options. There are more than meets the eyes in the nursing and long-term care that involves families and personnel in the decision making for their loved ones.

Steven is making progress towards his outcome because he enjoys weekend outings. Eddie note he goes shopping on Saturdays and goes to church on Sundays. He note he goes to the movies and watches stuff that make you laugh. He noted he like popcorn Eddie noted he also had camp so he didn’t get to go last weekend for outing at the park.

Mason Pointe is a senior living community of Lutheran Senior Services, LSS is an organization that provides a network of communities and programs for older adults. Mason Pointe is a nursing facility that has a combined acute-skilled short stay rehab, assistant living, and long-term care assistance. The prospects of study, are those residents that are residing in the facility long-term. Long-term is dissimilar from acute healthcare. It encompasses services related to maintaining quality of life, preserving individual dignity, and satisfying preferences in lifestyle for someone with a disability severe enough to require the assistance of others in everyday activities (Tabloski 2006). The residents in the long-term care facility rely on the nursing

MSW contacted Bambi earlier that day to clarify if they would allow the hospice team to care for the patient while on long term at Lake Hills. Bambi verbalized the Pt would be allowed the needed hospice care while admitted. Bambie stated she and her team will discuss the patient's case and will have an answer regarding patient being accepted or not. MSW met with Pt and both daughters to discuss about the status regarding the patient being transferred/admitted to Lake Hills Inn. MSW informed daughters that RN Jennifer received signed orders from physician, faxed order, med list, H&P, and type of insurance to Lake Hills Inn on 08/03/15. MSW contacted Bambi to check up on a update for an possible admission for the Pt. Bambi stated the referral has been denied because the

My immediate response is to alert my nominated supervisor and once my nominated supervisor is informed I will record what has happened so that there is evidence of the injury that Lucy has faced. Documentation and preserving Lucy’s injury is a very important step. The location and the appearance has to be very well described as well as the date that it was noticed. I will also get a photo taken of the injury to have photographic proof.

On 01/26/2016 Ms. Sonia Semprit came to the SSO to meet with HS De La Torre to develop a Housing Plan to explore housing opportunities that family may be eligible. During Housing Plan the following was discussed.

Joy Home Care LLC’s private service specializing in home health care and community-based social services, focusing on those market segments of elderly and disabled individuals in need services at home. And will be priced at the upper edge of what the market will bear, competing with similar types of services.

The proposed qualitative study will identify factors that contribute to pregnancy amongst youth-in-care. The intent of this research study is that the identified factors that contribute to pregnancy amongst youth-in-care will be known to social workers and foster parents to therefore better assist preventing pregnancy. The proposed research study will gather information from the youth-in-care themselves to positively assist in preventing pregnancy and addressing the unique needs and factors that contribute to pregnancy.

SP discussed future care with client daughter and advise Cindy that client needs to follow up with doctors as recommended immediately after she is discharged. Cindy also discussed with SP that Mrs. Figueroa may be discharged into the NF for short-term rehab and she wanted to know if this would interfere with her CO waiver or MA. SP explained that no interference would occur with CO waiver and MA if client remains in the NF for less than 30 days. After 30 days, Mrs. Figueroa MA will change from STC to LTC. SP is in the process of requesting additional hours from DHMH since client health is significantly declining, SP is waiting to obtain client discharged summary as medical documentation to support the request for 63 hours of personal assistance

On Sunday, January 10, 2016 at approximately 2135 hours, FHEO Security Officers were dispatched to the Special Care Unit (SCU) room E.D. #38 for a Disorderly Baker Act patient attempting to leave. Security Officer Omar Alonso along with Officer Thomas Mejia and Supervisor Steven Evans, arrived at 2136 hours and met with Nurse Kristen Strauch who was standing next to the patient. The patient, Tyler Hull (DOB: 01/07/1987; FIN# 85068604) was in a state of anxiety and stating that he could no longer take being coped up in a room and he needed to leave. Security staff explained to the patient what the Baker Act Law meant and why he was not allowed to leave until he had been medically cleared and seen by a Psychotherapist.

This is very scary for many people. Nobody wants to go to the hospital go “get better” and then end up with another type of infection. Once again you see this topic a lot in the news, such as the “super bug” and the “MRSA”. Yes, these are all infections and most of them do occur in a healthcare setting. They can be very expensive as well to cure because the antibiotics are so expensive. Really the only way to take control of the spreading of infection is to really have good education from a physician or a nurse. But, once again it is something that you an acquire within the healthcare setting, so you have to make sure that the employees that are working there have the proper training of infection control and they know the proper steps in maintaining the spread of infection. If you are a patient and someone walks into your room to give you medication, take your blood pressure, of assist you in anyway, make sure that they have washed their hands and that they have gloves on. In a healthcare setting it is their job to treat everyone as though they have “something” and they should be taking proper precautions no matter what. A lot of the reason that infections occur in a hospital or nursing facility is because staff members are extremely busy and they are going from room to room to answer bells and take care of their patients, and they don’t always think to stop and wash their hands. Just try to remind them to wash their hands in order to keep yourself

Hi Lora, I liked how you incorporate client-centered approach throughout your initial post. Adding desire goals will increase patient cooperation during treatment sessions. Sharone likes singing and spending time with her family, so in my opinion it will be a good idea to have karaoke every Saturday with her family members. Choosing an easy and favorite song for Sharone could help on her slurs speech, guiding her to hold the microphone with her right hand, will work on right side body awareness/movement and playing don’t forget the lyrics can help her improve her cognition and concentration skills. My documentation will say: Sharone will engage with family members in a social activity with 50% accuracy. She will sing a song of her choice by holding the microphone with right hand. She will start in a standing position for 3-4 minutes, then transition to a sitting position to improve on her standing tolerance.

Advance care planning (ACP) is an nonstop method where the patients, their loved ones, and medical care providers express, on the patient’s desires, importance, and principles explore on how they should enlighten current and future medical care, and essentially, use this to guidance precisely document their future health care alternatives, preferably after an observations of the patient and caregiver’s understanding, worries, ambition, and needs. The timing and variety of ACP may differ depending on if the person is healthy, has gentle to unremarkable long-term sickness, or if they have an advanced, lethal illness and under the impression to possibly die within the following 12 months. Nevertheless of the clinical situation, ACP should be proactive,

Roger S Ulrich argues the importance of healthcare facilities creating a supportive surrounding that aids in the patient's ability to cope with stress. This can be achieved through providing patients with a sense of control over their environment, access to social support, and access to positive distractions. There is room for improvement in healthcare facilities, and these improvements might not cost too much. Research has shown “that supportive design can be credibly related to dollar savings in healthcare costs. (Ulrich 104). Elements of supportive designs have shown to reduce medications for patients and even reduce the patient's time in the hospital. These cost saving details would come close, if not fully cover, the cost of creating a