Friday, May 31, 2013

Exchange Navigator Grantsgov not recognize DUNS

In applying for public funding to perform the duties of exchange navigation Home Care Path LLC is held up with Grants.gov not recognizing the DUNS number.  This screen allows registration with the Grants.gov system and assigns an (AOR) authorized organizational representative for the process.

The crux of the issue resides in software defined networking.  The management (hype) of coherency with encapsulated availability blurs context as relates to connected junctions.  Remote intricacies with the formation of identity packets can alter data delivery.

The suggested solution involves keying the address in while using an alternative computer.  This will be our next step.  The goal is to improve access to medical services for Wisconsin citizens by linking individuals to a valid health care pay source. 

You are cordially invited to download your free PATH ALONG app today

http://appsmakerstore.com/appim/j6kcdet8xvwk4s


 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2013 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life

Thursday, May 30, 2013

Exchange Navigator CFDA 93.750 AOR Registration is hold up

Home Care Path LLC is in mid process applying for public funding in a Federally facilitated cooperative agreement with CA-NAV-13-001.  Home Care Path LLC has been designated a D-U-N-S number through D&B. 

Home Care Path LLC has completed (SAM) System Award Management registration and has CAGE code.  This leads us to register an (AOR) Authorized Organizational Representative with Grants.gov. 

The hold up is error notice that reads unable to locate your DUNS number when entering the D-U-N-S Number in http://grants.gov/applicants/get_registered.jsp to acquire user name and password.  Home Care Path LLC has emailed same to grants.gov support and awaits response.

Thank you for contacting the Grants Team.

Your message has been received and a representative will be in touch with you. For your reference, your ticket number is 1-56596206.



The goal is to improve access to medical services for Wisconsin citizens by linking individuals to a valid health care pay source. 

You are cordially invited to download your free PATH ALONG app today

http://appsmakerstore.com/appim/j6kcdet8xvwk4s


 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2013 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life

Tuesday, May 28, 2013

Wisconsin Place To Start To Reduce Hospital Readmissions

Wisconsin has identified a starting point for effectively reducing hospital readmission rates.  Health insurance payers have agreed hospital readmissions are no longer an accepted part of health care delivery.  Private and public health insurance plans have forged regulations under patient safety and care quality to discourage hospital readmissions. 

Long term health system planners know hospital readmissions are considered a product of the disconnect between inpatient departments and community providers who help the patient recover.  The phrase used for the link between inpatient departments and community providers is care transition. 

Hospital discharge planners sense this is a lot of change and the user population could benefit from a tool that communicates a comprehensive image of the over all care transition structure to facilitate a clearly understood foundation for a readmission free recovery.   There are things the patients need to know to productively forge an effective plan for a safe recovery after hospital discharge.

Wisconsin's PATH ALONG model has published a copyrighted concept designed to inform the patient population of the most pragmatic aspect of each care transition.  This lists the community providers the inpatient department is actually handing the continued care off to.  The comprehensive over view  includes the critical task inherent in each care transition to improve the quality of the recovery process.

Wisconsin health planners have made the PATH ALONG model available for free in an App that allows hospital staff and the patient population fast access to needed information.

You are cordially invited to download your free PATH ALONG app today

http://appsmakerstore.com/appim/j6kcdet8xvwk4s


 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2013 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life.


Sunday, May 26, 2013

PATH ALONG Helps Hospital With New CMS Ref:S&C:13-32 Guidelines

The (CMS) Centers for Medicare and Medicaid have published on May 17, 2013 guidelines to enhance patient safety and reduce the number of preventable hospital readmissions.  CMS Ref: S&C:13-32 Hospital Interpretive Guidelines is suggestions for discharge process improvement.

The material communicates successful practices currently found throughout the industry in the area of care transitions.  This recommends a discharge plan for every inpatient.  The discharge plan should document an assessment of the likelihood of a patient needing post hospital services and the availability of those services.  The assessment should record the individual's capacity for performing the required self care and the possibility of the patient being cared for in the environment from which the person entered the hospital. 

This moves the community away from a focus primarily on the patients hospital stay to consideration of transitions among the many types of care settings that can be involved throughout the support of any one person.  Wisconsin's PATH ALONG model utilizes copyright content to improve a comprehensive participation in each transition of care.   The PATH ALONG model links Wisconsin hospital's to a community based supportive care service. 

The PATH ALONG model anticipates health insurance payers will look to outpatient providers to begin delivering a discharge process with the procedure of treatment marketed to the population.  Patient safety is the purpose , reducing preventable hospital readmissions is the goal, saving fiscal resources is a desired outcome of the process.

You are cordially invited to download your free PATH ALONG app today

http://appsmakerstore.com/appim/j6kcdet8xvwk4s


 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2013 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life.



Friday, May 24, 2013

Self Care and Soaring Readmission Rates

The Centers for  Medicare and Medicaid (CMS) and private health insurance payers are closely analyzing hospital readmission rates.  Hospital's have initiated varied ancillary services to reduce the hospital readmission rates.  Re-hospitalizations are no longer an accepted part of the delivery of health care. 

Wisconsin's PATH ALONG model data suggests the perception of self care may be a nonphysical contributor to the elevation in readmission rates.  Many Wisconsin seniors seem to value the notion however inaccurate that they take care of themselves.  This can in part be attributed to the time of up bringing and the rural landscape of residence.  Wisconsin as a State has traditionally worshipped through images and printed word the idea of self reliance.

Despite living within an obvious societal structure of interdependence many seniors can still believe they are independent and on their own.   The difficulty related to this mythical perception is most evident in the  hospital discharge process.  These patients are highly motivated to leave the hospital setting and get back to their own home. 

Inpatient care coordinators will often look back in their discharge notes and see that the senior stated having lots of family and friends that help them daily.  Only to later discover the senior has no help at home and very infrequent visits from neighbors.

Medical staff reading over past notes that indicate the senior verbalized and gestured an understanding of how to perform the daily tasks required to maintain a readmission free recovery. 
 Only to discover the senior was completely unable to comprehend the evolved inpatient language being employed to communicate the post discharge instructions.

The more involved hospital admissions that result in a new diagnosis and medication changes can lead the senior to over compensate their own ability as a means to cope with the sensory input shouting you need a lot more help.

Once home, rather than bother that busy primary doctor down at the medical clinic the senior will go in the emergency room cause the senior can really just take care of this themselves.   The discharge planner will say the senior is being dishonest about their ability.   Given the depth of the seniors misperceptions one would not be surprised to see them pass eloquently on a law enforcement lie detector exam.  Everything we believe does not always end up being true.

You are cordially invited to download your free PATH ALONG app today

http://appsmakerstore.com/appim/j6kcdet8xvwk4s


 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2013 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life.

Sunday, May 19, 2013

Who Can Stay Dementia Alzheimers Disease

As a care coordinator functioning in the community Home Care Path receives multiple calls daily requesting information on helping a senior with memory loss stay home.  In the Wisconsin State Journal Newspaper Doctor Zorba Paster states reported numbers of individuals diagnosed with dementia, Alzheimer's disease is on the rise. 

The most evident symptom that families see is the seniors inability (short term memory) to record new experiences and then retrieve those recorded experiences to help the day move along safely. 
This can look like the senior asking family the same question repetitively despite seeming to have received a satisfactory answer.

This can be tricky because often the long term memory is intact.  The senior can recall past experiences.  This is where family begins to recognize the senior's intimate connection in the mind to the physical objects that make up the dwelling.  The consistent presentation of familiar objects in the setting provides the senior with a mental, emotional sense of safety. 

Typically seniors with memory loss benefit from the presence of another.  This is called custodial care, or in home supportive care.  The primary care giver will often ask for outside help as a respite, or break from the long commitment.   The incoming worker can best help with senior by understanding the current daily regimen.  Keep doing what is working, and the familiarity helps the senior feel safe.

The memory loss is a symptom within a progressive medical condition.  Change is gradually predictive to require more help as time goes on.  Home Care Path www.homecarepath.com has determined that households seem to do better with groups of workers who cooperate with each other to deliver the support needed to keep the household functioning on a safe level.   It can be nice knowing another can come to help should someone need a break for an unexpected life event.

You are cordially invited to download your free PATH ALONG app today

http://appsmakerstore.com/appim/j6kcdet8xvwk4s


 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2013 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life.

Friday, May 17, 2013

Baraboo St. Clare Hospital Getting More New Building

St. Clare Hospital and the recently acquired Wisconsin Dean Health System under the parent company of Sisters Of Saint Mary (SSM) Healthcare of St. Louis have collaborated to add a new construction project in Baraboo Wisconsin.

Public (Medicare and Medicaid) and private health insurance plans have established policies that move the care of patients from the inpatient to the outpatient setting.  Health care system payers are acting on data produced evidence that suggests care delivered outside of the inpatient hospital setting is not as costly.

The new clinic building being constructed in Baraboo Wisconsin near St. Clare Hospital will help deliver specialty outpatient services.  This is a proactive investment to accommodate the shift of revenue streams from an inpatient to an outpatient model of delivery.

Having an outpatient delivery location so close to an inpatient hospital is beneficial for the providers should an emergency require a hospital admission.  This is health care delivery at the local level evolving to establish a practice suited for continued efficiency in the national health care system.

Home Care Path and the PATH ALONG model encourage seniors to watch the transitions occurring in the local health care delivery settings.

You are cordially invited to download your free PATH ALONG app today

http://appsmakerstore.com/appim/j6kcdet8xvwk4s


 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2013 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life.

Monday, May 13, 2013

Dalai Lama Visits Madison Wisconsin

The 14th Dalai Lama of Tibet will arrive in Madison Wisconsin today.  The Dalai Lama is the spiritual leader of the Tibetan people.  The Dalai Lama will stay at the Deer Park Buddhist Center 4548 Schneider Drive, Oregon Wisconsin 53575. 

The Dalai Lama has a scheduled presentation on Tuesday 05/14/13 at the Exhibition Hall at Alliant Energy Center.  The Dalai Lama is committed to the survival of Tibetan identity, culture and religion.

Tibet is a plateau region in Asia, north east of Himalayas, the People's Republic of China.  Tibet as a community values compassion.  The staff at Home Care Path and the PATH ALONG model welcome The Dalai Lama to Madison Wisconsin.

You are cordially invited to download your free PATH ALONG app today

http://appsmakerstore.com/appim/j6kcdet8xvwk4s


 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2013 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life.

Friday, May 10, 2013

ADRC Portage Wisconsin Living Well Starts June 26

The Aging and Disability Resource Center (ADRC) of Columbia County at 2652 Murphy Road, Portage Wisconsin 53901 will host a Living Well Workshop. 

When: Starts on Wednesday, June 26, 2013.  Classes will meet once week on Wednesdays for 6 weeks from 9am to 11:30am. 

Call: 1-888-742-9233 or 608-742-9219 to sign up.

The living well workshop is for adults experiencing ongoing (chronic disease)  health conditions.  The workshop brings practical ways to help manage some of your undesired symptoms.  Help with diabetes, arthritis, high blood pressure, heart disease, chronic pain, anxiety and more.  Discusses prevention strategies, and ways of communicating with your medical staff. 

You are cordially invited to download your free PATH ALONG app today

http://appsmakerstore.com/appim/j6kcdet8xvwk4s


 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2013 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life.  

Thursday, May 9, 2013

Health Insurance Exchange Navigators

The State of Wisconsin has been unable to establish the infrastructure required to facilitate the coming health insurance exchange.  This means the Federal Government will facilitate the operation of the health insurance exchange in Wisconsin.

With a Federally Facilitated Exchange comes the funding opportunity number CA-NAV-13-001 a cooperative agreement to support navigators in Federally Facilitated and State Partnership Exchanges.

Exchange Navigators will provide a strong link as the health insurance model of operation transitions to this more evolved industry practice.  The goal is simply to connect more Wisconsin citizens to a valid pay (qualified health insurance plan) source and improve access to health care services. 

Navigators will be expected to:

1. maintain expertise in eligibility, enrollment, and program specifications

2. conduct public education to raise awareness about the health insurance exchanges

3. facilitate selection of a qualified health plan

4. provide referrals to needed health insurance offices

5. understand the health insurance continuum in Wisconsin which includes the Family Care Program, The Wisconsin Partnership Program,  the IRIS model and more

6. deliver a measure of consumer protection with presenting available options allowing the consumer to make an informed choice

7. assisting all in the defined service area in a respectful, helpful manner. 

Wisconsin will hear more about Health Insurance Exchange Navigators as August 15, 2013 approaches. 

You are cordially invited to download your free PATH ALONG app today

http://appsmakerstore.com/appim/j6kcdet8xvwk4s


 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2013 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life.  

Monday, May 6, 2013

Some Basic Sense Of Germs

A microbe is a germ.  A microorganism is a microscopic size organism.  Too small to see but growth in numbers can contribute to problems for humans.  Several traditional methods are employed to control the germ population. 

The strongest is to sterilize.  This can involve a machine (autoclave) that actually has the ability to kill spores.  In a surgical setting one could expect tools to be sterilized.

Disinfection is applied to non living objects (counter tops) to reduce the number of microscopic organisms.  Solutions of bleach or Lysol brown deliver a strong germicidal with application.

Antiseptic is applied to living tissue to help reduce microscopic organisms.  Alcohol, mouth wash, and soaps are examples of antiseptic agents we use today.

Physical barrier is a strategy used to reduce skin exposure to potential microbes.  The simplest example is the large roll of paper pulled down with each new patient sitting on the exam table in the medical clinic.   This is changed with each new patient taking a seat. 

Wisconsin has a long history of utilizing various methods to best manage the germ population.  New effective strategies seem to evolve daily.

You are cordially invited to download your free PATH ALONG app today

http://appsmakerstore.com/appim/j6kcdet8xvwk4s


 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2013 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life.  







Sunday, May 5, 2013

Wisconsin PATH ALONG model staff restructuring

A common occurrence with a larger health care network (SSM St. Louis) acquiring a smaller health care network  (Dean Health Wisconsin)  is the restructuring of staff.   The new owners will reduce some positions, combine some positions, and replace some positions with a new face.  This is a management strategy designed to improve the ability of the system to continue to effectively serve the surrounding population.

This means many of the rural health clinics will experience slight changes in the people conducting the day to day operations.  The function of the day to day operations will change slightly as well.   Simply who does certain things and how certain things are being done can change. 

This can make the familiar health care delivery settings appear a bit different to the user population.  This can be a change for the senior accustomed to going to the exact same staff person for service.  The entire user population of Dean Health Wisconsin is transitioning to the way SSM St. Louis will want care delivery to occur.  The key is patience throughout the change.   Everyone can benefit from a little extra support during transitions. 

You are cordially invited to download your free PATH ALONG app today

http://appsmakerstore.com/appim/j6kcdet8xvwk4s


 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2013 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life.  

Friday, May 3, 2013

Reducing Hospital Readmissions consistent communication

PATH ALONG staff have questioned if forming consistent collaborative communication across care settings is possible.  Does current medical infrastructure produce patterns of coordination that improve the standard level of quality.  Are there established policy that support a relationship deficit.

As smaller networks of providers (Dean Health of Wisconsin) merge with larger networks of providers (SSM of St. Louis) is consistent collaborative communication enhanced.  Does the local hospital provider alter business and care delivery to align with the chain organization corporate board's established policy.

Do lines of communication fall directly upon previously formed corporate contracts, limiting business application as a way to statistically manage opportunity for error.  Collaborative interaction occurs in a network vessel supported by policy that clearly defines process.  Relationships can be monitored through regulatory policy that is supported by a fiscal guideline designed to reduce labor and improve revenue.

Simply questioning how the added labor attached to a practice of consistent collaborative communication interfaces with internal policy development and fiscal agents for the care network.  Is consistent collaborative communication encouraged through the verbiage themes of accepted policy for varied departments throughout the care network.  Path Along asks you to consider the idea that productive collaborative relationships do not seem to occur as a natural part of our health care system.

You are cordially invited to download your free PATH ALONG app today

http://appsmakerstore.com/appim/j6kcdet8xvwk4s


 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2013 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life.