The case manager needs to gather a lot of information about a patient from different sources to identify the best care plan for the patient. From the patient hospital chart the case manager must review what diet the patient is on, review what lines/drains they have and anticipated removal date, and if the patient is ambulating to decide when the patient is ready to go home. The case manager must also take note of the patient diagnosis and read the notes from the physician, nurse, and other members of the team to determine how well they are healing. Most importantly the case manager must gather information from the patient and their family to get a good idea of the conditions of which the patient will be going home to and if they have support. The resources that are available for the case manager are unlimited. The risk assessment that Sanford has …show more content…
DSS may also provide education about county benefits that the patient may not be aware, such as help to pay for housing, heat assistance and money for food while the patient is not able to work.
Resources that are provided by Sanford in special situations are meal vouchers and gas cards for families that do not have the money to eat or travel.
The types of interprofessionals that the case manager may have to involve are physical, respiratory, and occupational therapists, dietician, pharmacist, physician, charge nurse, social worker, and home health care. The case manager communicates with these interprofessionals mostly during (Interdisciplinary Team) IDT meetings. IDT meetings are held Monday through Friday and involves the case managers, nurses, pharmacy, physical therapy and occasionally the physician.
The case manager also participates in IDP meeting for long term patients, estimated discharge date greater than three days, on Monday’s and
In this case, the reader learns that liquidity is a better than average. The ratio and cash on hand have been better than 2013 from the past years. Moreover, it shows that the hospital has a higher ability to meet its cash obligation because it has more security compared to other hospitals. Funding allows hospitals to control funds and limit investments. Not-for-profit organizations help provide more services and margin of safety. Therefore, creditors look for a margin of safety so that the community that financed a small portion of total financing can be returned to the owners by leveraging. Capitalization ratio measures the funds that were borrowed and the assets that have been used. The coverage ratio measures the number that time they fixed financial charges. The time's interest earned ratio shows the ability of the hospital to meet
I interested in the position you have posted as a Sport Performance Coach. I have been actively working in fitness, sports and wellness for the past 8 years. I am a very passionate person when it comes to helping people in living a more active and successful life. I’m dedicated to educating all individuals’ young or old, promoting achievement on the levels of physical, mental, emotional and social welfare. I take pride in staying up to date on the latest fitness and wellness research so that I can always be knowledgeable and provide the quality of customer service to all people that I work with no matter the situation.
Case management – Case managers help aftercare patients locate the resources they need to build successful lives in the community.
General Practices Affiliates is considering an offer from Titus Lake Hospital to join under a provider leasing model. Under a provider leasing model, Titus Lake Hospital is purchasing General Practices Affiliates’ services. The practice will retain control of personnel, management, and practice policies. Titus Lake Hospital submitted financial reports to assure transparency during the lease agreement process. The following analysis will discuss whether Titus Lake hospital is a viable financial partner for General Practice Affiliates, possible implications of the lease, and recommendations.
Huntsville Hospital (HH), located in Northeast Alabama, part of the Huntsville Hospital Health System, originating in downtown Huntsville, Alabama in the late 1800’s. As the not-for-profit, public hospital system developed, HH became the second largest employer in Madison County, Alabama with an estimated 7000 employees, 2000 nurses and 1000 physicians.
Nurse case management serve an important role in the hospital. They identify needs of the patient prior to discharge and help allocate resources to them as well. Case management is a collaborative process, they work with physicians, nurses, social workers and other healthcare professionals. The role of the case manager includes working to meet the complex needs of patients. They also make provisions for current and future needs, promotes quality care, and facilitates the use of appropriate allocation of resources. The case manager is also in charge of ensuring that ethical and legal issues are met and addressed for each individual patient. They need to have a great knowledge base on government, public, private insurance reimbursement policies in regards to their healthcare facility. Furthermore, they review charts and have meetings with healthcare professionals to ensure that the patient is receiving the proper level of care. Finally, they mediate and facilitate during the admission and discharge process of the patient.
According to the Case Management Society of America, case management is "a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost effective outcomes" (Case Management Society of America [CMSA], 2010). As a method, case management has moved to the forefront of social work practice. The social work profession, along with other fields of study, recognizes the difficulty of locating and accessing comprehensive services to meet needs. Therefore, case managers work with these
Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also
Inpatient service consultants are outside people who provide adept advices on coding and documentations to help organizations cling to their compliance standards. They will give consultation guidance to help organizations receives the maximum reimbursements. They also review and evaluate the accuracy of documentation and coding processes to assist organizations in reducing risks of malpractices. They identify potential diagnosis-related group (DRG) and coding errors and recommend appropriate timely changes to HIM professionals, coders in particular. Furthermore, they review the pre-bill cases that need attention to ensure good results. They are reference coding resources for the coders and other departments to ask for advices. Therefore, they
Additionally, the care must be safe quality with compassion, kindness and be non-judgmental communicated in a manner that is understandable by the patient and their support system. The information and education that I give to my patients in a manner that they understand allow them to make a better decision and be involved in their
Community case management commences after the referral intake process with a service coordinator making contact with the client over the telephone to a get a better picture of the client needs prior to a home visit. The client's needs is then assessed at the home visit utililising standardised documentation which is set out to assist with the support planning process. A support plan detailing the client's goals, services agreed as well as other referrals made (eg. nursing, allied health, other community programs, etc) is then formulated and agreed with the client and their next of kin if they wish for them to be present. Other documentations (eg. consent forms, home safety checks, non-response plans, service agreement, light clinical assessment
There are many skills and competencies that an RN must possess in both community and acute care settings. A nurse in a community setting must be self-directed, flexible, adaptable, and accepting of various lifestyles and living conditions (Hinkle & Cheever, 2014, p. 15). I think that a nursing working in an acute care setting should have these same set of skills. Being self-directed will allow the nurse focus on set tasks such as proper care needed for an individual patient. A nurse should always be flexible due to the unexpected things that could arise while providing patient care. It is imperative for a nurse to be able to adapt to multiple work environments so that there will be no environment that may hinder their ability to provide
This paper’s brief intent is to identify the policies and procedures currently being developed at Midwest Hospital. It identifies how the company’s Management Committee was formed and how they problem solved and delegated responsibilities. This paper recognizes the hospital’s greatest attributes and their weakest link. Midwest Hospital hired Dr. Herb Davis to help facilitate the development and implementation of resolutions for each issue.
Whether you are coming in to sit and wait for someone or you are the one who is having a procedure done safety and quality in any department of health is very important. Patient safety and quality of hospital care can affect hospital ratings.
My analysis of this case is that the communication process at the hospital is the biggest problem. Chris is a newly college graduate and already an associate CEO of a huge organization with little experience, Pat the CEO of the organization is wanting Chris to make decisions on a problem that he knows little about being he was just hired. The issues that are at hand are that the CEO is placing a lot of the work on the new person and relying on him to think of how to overcome a lot of the problems that have been going on for awhile. Some of the issues in the case are that the people working at the hospital are making medical decisions that are not supposed to be making and the insurance companies are also making the decisions on what a certified doctor should be making. Another issue at the hospital is that the finances are not the way they should be and the CEO is saying that it is the operations are not the way it should be. If the following recommendations are followed then the hospital should work a lot smoother. All the problems the have risen could be put in to one problem is that there is no communication with the departments and people are making decisions that should not be.