Marquis Home Care Case Study

Nursing homes and assisted facility homes are all examples of long term care facilities. These facilities are usually targeting individuals who are of geriatric age or need around the clock care (mental health and physical health). The residents in these communities have access to individually-tailored levels of individual or group-centered activities, programs, and assistance whether it is with home or personal care. Long term care facilities are generally for those who are unable to manage independently in the community. Specific types of long-term services include nursing homes, hospice care, home health agencies, and residential care facilities. The goal of these programs is to make sure each patient has a safe and comforting environment

Seniors with breathing issues are not able to take in as much air into their lungs as they did prior to their breathing issues. Further, the air that they do take in is not processed as efficiently. In the end, this means there is less oxygen getting to the cells. Less oxygen means less energy.

Johns Hopkins Home Care Group (JHHCG) established in 1983 is a subsidiary of Johns Hopkins Medicine, one of the nation’s leading health systems. It provides home medical equipment, specialty infusion services, pediatrics at home, home health services, personal care and nursing, hospice care, and pharmacy—specialty and community services. JHHCG provided services all over Maryland and in some portions of northern Virginia and southeast Pennsylvania to pediatrics and adults in the comfort of their living space.

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:

Providence Home Care LLC is a home health care service institution that is located in Oklahoma City, Oklahoma. This home health care agency was established in 2002. Providence Home Care LLC offers home care and private duty services. Some of the home health services include wound care, hospital prevention protocol, skilled and psychiatric nursing, monitoring chronic illness, physical, occupational, and speech therapy, patient and caregiver education, and more. Providence Home Care LLC has been awarded for being a National Top 500 Agency. This home health care facility is also the winner of the Quality Excellence Award.

Your senior loved one is important and there are many different senior care services available. What do you do, how do you decide what service is best? In short, with all of the other choices in the market, why choose Comfort Keepers?

Medicine and senior care San Diego can accomplish amazing things, even when the outlook for long-term health seems borderline. The psychological benefits of seniors living in their own homes, sharing life with an in-home companion and enjoying outdoor outings in gorgeous San Diego can work medical miracles. The city that many people call the most beautiful and temperate in the United States offers its elderly citizens some of the grandest adventures and enriched lifestyles in the world. Having a companion to share the days gives anyone a healthier mental attitude and stronger outlook for a prolonged and fulfilling life.

I believe each younger generation is the current generation future so we should teach our children right and watch them grow. We should support our children to the highest standard and let them know to never be afraid to want to know more. We should encourage our children to do their best and try their best at all times. I say this because our children need us they need us to let them know they are safe and that we will not harm them in any way. I want to know why and how some people could ever harm a child. Unfortunately somethings cannot be explained or figured out sometimes we just have to live without knowing. Before, during, and after trauma we are supposed to be there to shelter our child. There needs to be a better protection service

Mr. Mendivil was referred to the STAR CAST on January 1, 2018, by SGPRC due to his noncompliance with treatment and medical appointments. He is diagnosed with type 2 diabetes and is prescribed insulin four times a day. Nursing staff from Care Unlimited Home Health come to the house every day to check his blood sugar, check his blood pressure, and administer insulin as ordered. However, Jesus is reported to often refuse to have blood sugar checked and to have insulin shots. This noncompliant behavior to treatment poses a high risk for complications from poorly controlled diabetes.

10:24-10:50 AM SC completed monitoring phone call with Pa on 12/24/2015. SC spoke with Tina Carroll Pa’s dtr and CG/DOC. Tina reported that Pa is getting worse and she is just doing the best she can. No falls, ER visit, hospitalization or medications were reported since last contact. Tina reported that Pa is satisfied with services and her agency and aides. Tina is requesting weekend PAS support. SC informed the Tina that SC will assess Pa’s needs that home visit in January, 2016 Tina agrees. Tina confirmed that Pa is receiving services as indicated in the ISP in the following type, scope, amount, frequency and duration: Pa receives Agency Model PAS 4 hours 5 days a week 10am - 2pm via Independent Home Care. PAS provide assistance with bathing,

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

In 2013, Dorota Slawa Mankowska et al, worked on real study for a home care company that present the care for the at patients in their homes by staff members. They developed the mathematical model that aim to optimizing economical service cost and take care about individual qualifications of the staff, time preferences of patients, number of the staff required to this patient and certain time of patient’s drugs. This model has been able to achieve low average waiting times for patients, low traveling cost for caregivers, a fair distribution of inevitable tardiness, and service hundred patients in acceptable runtime.

The outcome of care measures and the utilization measures are risk adjusted. Risk adjustment is a multistep process. The term risk adjusted as it relates to outcome measure simply means that “the purpose of risk adjusting outcome and utilization measures is to adjust reported values to account for case-mix differences among home health agencies; by adjusting the observed improvement rates for home health agencies with different patient clientele (case-mix differences), the resulting displayed value more closely reflects differences in agency quality” (Medicare, n.d.).

To provide strategies and policy options to keep children and young people in out-of-home-care in education with a relatively satisfied performance, and to help the government in training and supporting for foster carers as they play a significant role in the academic performance and development of the children and young persons under their care.

During the last 20 years I have worked as a Support carer with home-care agency, care and residential homes providing care for the elderly and people with disabilities including Parkinson and dementia, brain juries as well as dealing with palliative care, peg feed, tracheostomy, Micky –button. I have experiencing with