Sunday, March 30, 2014

Analytics Show PATH ALONG A Utilization Enhancer

An initial review indicates the Wisconsin PATH ALONG model is effective in improving utilization. 
The Wisconsin PATH ALONG model provides inpatient staff and consumers with access to supportive care services.   This is important cause Wisconsin is primarily a rural setting that has pockets that can be a challenge to find service.

Inpatient payers are consistently separating skilled care from tasks of supportive home care to manage revenue out flow.  This is described by the patient population as tightening the home care benefit.  Tasks of supportive care typically require private payment, a long term care policy, a non-service related VA pension, Family Care, Wisconsin Partnership, or the IRIS program.

The supportive home care industry is increasingly called to participate in consumer driven cost comparison data structures.  This helps deliver similarity in the hourly rate being charged for an in home supportive care staff to help your loved one.  Flattening rates can change a supportive care service providers ability to retain an adequate monetary risk reserve which allows them to continue to serve the communities growing needs.

The supportive care industry will discover use (utilization) drives revenue.  The Wisconsin's PATH ALONG Model App  http://appsmakerstore.com/appim/j6kcdet8xvwk4s  increases utilization for the Home Care Path  www.homecarepath.com supportive care provider. 

The strength within the Wisconsin PATH AONG model is the immediate inpatient access.  A hospitalized consumer (need) can access the PATH ALONG Model through a free app, which includes a connection to a supportive care staff at an hourly cost of 20.00. 

The Wisconsin PATH ALONG model indicates a value through increased utilization of supportive care for a senior care industry leader Home Care Path.

Home Care Path celebrates 4 years of successfully serving seniors in South Central Wisconsin

 
 

 App  http://appsmakerstore.com/appim/j6kcdet8xvwk4s


Blog  http://homecarepathseniorcare.blogspot.com/

 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. 2014 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

Saturday, March 29, 2014

Can MA Medical Assistance Medicaid Help Pay For Needed Care

Medicaid (MA, Medical Assistance) is a helpful public program jointly funded between the Federal and State Government.  Medicaid exists to assist in paying for skilled health delivery and many other medical expenses for individuals who have minimal assets and inadequate income to pay for these expenses. 

In 2013 long term planners in Wisconsin used the following quick look at eligibility:

-no more than 2 thousand dollars in cash or savings

-home is exempt if the individual intends to live there

-one car with market value below 4500.00 is exempt

-life insurance is exempt if face value of all combined is less than 1500.00

-household goods and personal effects were not counted as of 2013

-prepaid funeral expenses exempt up to 3 thousand dollars

An individual would go to the County (ADRC) Aging and Disability Resource Center and request a benefits eligibility review to start the process. 

Home Care Path celebrates 4 years of successfully serving seniors in South Central Wisconsin

 
 

 App  http://appsmakerstore.com/appim/j6kcdet8xvwk4s


Blog  http://homecarepathseniorcare.blogspot.com/

 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. 2014 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, March 27, 2014

Memory Loss Dissecting Data To Define Primary Risk

In this example Home Care Path utilizes an analytic structure as a means to get beyond the predictive capacity invoice data has afforded the supportive home care industry. Inherent in the research observations lie a primary risk often invisible to the evolving standards and rules directly related to the medical communities push of acuity down the continuum of care.

The symptom of memory loss is identified from the chronic condition.  The service associated with memory loss is in home supportive care.  The memory loss manifests from a chronic progressive disease process.  An individual with memory loss due to a chronic progressive disease process will continue to need more support from a care giver.  The individual will always need more help from the caregiver, not less. 

This speaks to the amount of variability across individuals in terms of the service need.  In home supportive care addresses the initial risk (time alone) with an average cost of 20.00 per hour to deliver the service.  The symptom of memory loss carries a risk which can be characterized as a measure of time alone.  Simply, increased time alone equates to increased risk. 

The symptom of memory loss can take advantage of any change in service provision directly related to the exhausted private funding of supportive care.  Because the individual continually needs more service the family frequently exhausts the private funding sources.  This defines the primary risk as the loss of supportive care service as the individual transitions from private to public funding. 

This identifies how the family should compare supportive home care organizations when seeking to help a loved one with memory loss.   The primary risk is addressed as a continuity of supportive home care service in the time period the individual must transition from private funding to public funded service.  Home Care Path encourages readers to anticipate the need to transition from private funds to the use of public funded programming. 

Home Care Path celebrates 4 years of successfully serving seniors in South Central Wisconsin

 
 

 App  http://appsmakerstore.com/appim/j6kcdet8xvwk4s


Blog  http://homecarepathseniorcare.blogspot.com/

 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. 2014 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, March 25, 2014

Value Based Health Care Delivery

The newest strategy to spread risk across the health care participants is the shift to value based.  Value based delivery inserts quality enhancing attributes in to structure designed to drive reimbursement factors.  This list of attributes constructs a value added delivery structure.

Care Coordination
Patient Education
Preventive Services
Wellness Monitoring
Telemedicine Email and Phone Communication

Value based delivery seeks to insert the above non reimbursable tasks within a structure of reimbursement that rewards desired outcomes   The achievement of the outcomes involves a delivery practice that documents an ongoing participation in the above list of attributes.

These tasks support the provider population by bringing more of the patients defined needs under management.  This extends the medical providers reach by reducing the gap between developing needs and receiving treatment.  This ongoing approach to managing human disease flattens larger stagnant piles of risk. This approach brings the patient , payers, and providers an equal distribution of risk.

Home Care Path encourages readers to watch as systems of medical reimbursement begin to financially reward structures of delivery that produce quality care for a lower financial investment.

Home Care Path celebrates 4 years of successfully serving seniors in South Central Wisconsin

 
 

 App  http://appsmakerstore.com/appim/j6kcdet8xvwk4s


Blog  http://homecarepathseniorcare.blogspot.com/

 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. 2014 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

Saturday, March 22, 2014

Home Care Path Data Forming Relationship

The analytic team at Home Care Path spit out a bit of information secondary to normal operating processes.  The average number of supportive care hours per individual is 14 hours per week. 

25 percent of the sample population is male
75 percent of the sample population is female
63 percent of the sample population experience an ambulatory deficit
45 percent of the sample population require scheduled medication reminders

This gives the readers a glimpse of the way information can inform staff who can structure service to better meet anticipated population needs.

Home Care Path celebrates 4 years of successfully serving seniors in South Central Wisconsin

 
 

 App  http://appsmakerstore.com/appim/j6kcdet8xvwk4s


Blog  http://homecarepathseniorcare.blogspot.com/

 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. 2014 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
 

Wednesday, March 19, 2014

Bring On The E Visit Fast Track To Medical Delivery

E visits can be done with a video camera or just a telephone.  This saves a sick patient time and money by not having to travel to the clinic office.  E visits are not a face to face encounter with the medical provider.

E visit programs embrace conditions where increased levels of scientific evidence have established best practice leaving technology to safely recommend the most appropriate course of therapy.  Typically the prescribing provider will have had a face to face with the patient before conducting E visits.  In this fashion the technology is used along side the medical provider who carries the education, experience, instinct, and judgment to help support the decision making.

The patient to provider encounter would involve evaluating the submitted data in relation to the change of condition and medical history.  Current research suggests that the benefits to E visits exceeds the risks.  Often a medical provider with a full  clinic schedule can accommodate E visits.

The payer (insurance plan) saves money as well.  Two data points compare the cost to the insurance plan. 

E Visit reimbursement for symptoms of a urinary tract infection  $74.00
Office visit reimbursement for symptoms of a urinary tract infection $93.00

Home Care Path reminds readers to expect to see the E Visits being offered through your clinic medical provider soon!

Home Care Path celebrates 4 years of successfully serving seniors in South Central Wisconsin

 
 

 App  http://appsmakerstore.com/appim/j6kcdet8xvwk4s


Blog  http://homecarepathseniorcare.blogspot.com/

 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. 2014 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, March 18, 2014

Migration 2014 fairly Large Scale Health Care Center

Migration can be described as a regular journey under taken by humans who are called patients.  Patients migrate from delivery environment to delivery environment through a health care center that clusters providers who combine treatment and care with the promise of healing.

A physical functional loss or cognitive change instinctively triggers migration.  The PATH ALONG App is a navigation tool available to the migration stream. Try it for free

 App  http://appsmakerstore.com/appim/j6kcdet8xvwk4s

Sunday, March 16, 2014

Post Rotator Cuff Surgery Task Summation Supportive Care

Using PATH ALONG Model structured data elements to determine predictive supportive care tasks post rotator cuff surgery.  Rotator cuff surgery occurred 100 percent of the time in the dominant arm.  Pain management and upper extremity functional deficit.  Daily activities involvement up to 72 hours post procedure:

Toileting: assist post bowel movement clean up
Dressing: assist with buttons, zippers, shoes, arm placement
Medication: retrieve oral pain medication from pharmacy, adhere to dosing schedule
Meals: prepare and serve meals, assist with fluids
Bathing: assist with removal of bandage , undress, dressing
Transfer: assist to and from vehicle, bed, chair
Fine motor: reapply sling post arm extension, assist with hearing aide, contact lens

Pain and loss of the function of your dominant arm can require the help of another for the above tasks in the home setting post rotator cuff procedure.  This provides the discharge staff with a list of core items to be included in their process for measuring need beyond the facility door. This is an essential piece of managing pain, improving daily activities outcomes, and reducing the risk of a procedural related hospitalization.

Home Care Path celebrates 4 years of successfully serving seniors in South Central Wisconsin

 
 

 App  http://appsmakerstore.com/appim/j6kcdet8xvwk4s


Blog  http://homecarepathseniorcare.blogspot.com/

 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. 2014 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 

Saturday, March 15, 2014

Wisconsin PATH ALONG Model Analytics To Benefit The Community

The Wisconsin PATH ALONG model simplifies care transitions and connects inpatient and outpatient individuals to supportive care in the community.  This is increasingly important with the proliferation of outpatient day surgery that eliminates the over night recovery period in the hospital.  Families are being encouraged to recover in the home setting on their own schedule with the help of a supportive (www.homecarepath.com) care service. 

The Wisconsin landscape with rural residence can present a challenge for the Health Care Centers (hospital and outpatient delivery locations) who discharge patients throughout each day.  The Health Care Centers process for referring supportive care service is in transition.  Facility walls no longer contain the informative brochures a family needing help could use to coordinate supportive care service. 

Wisconsin's PATH ALONG model is evidence based and consistently reviewing operative information to improve process and keep community members safe.  A simple example is how PATH ALONG data could be reviewed to make suggestions to improve the referral needs with an  outpatient procedural discharge.

1. Aggregated post outpatient procedural services information
2. Evaluate most similar tasks with median time
3. Bundle similar tasks with median time to communicate common supportive care need
4. For Health Care Center referral planning

This helps the outpatient providers better understand the type of tasks and time needed with sending the patient home from the Health Care Center.  This can improve the patients out come and prevent a re-hospitalization.  This is written to give the reader a clear sense of how data is being leveraged throughout he health care system to improve patient care in the community.

Home Care Path celebrates 4 years of successfully serving seniors in South Central Wisconsin

 
 

 App  http://appsmakerstore.com/appim/j6kcdet8xvwk4s


Blog  http://homecarepathseniorcare.blogspot.com/

 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. 2014 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

Wednesday, March 12, 2014

Ebay Seller Rating Supports Stealth Refunding

Several of our elders who buy and sell on ebay have instructed us on the practice of stealth refunding.  The ebay seller rating supports the practice of stealth refunding.  The seniors explain how a single seller leverages technology to operate multiple unauthorized ebay accounts. 

The seller rating only produces valid data when an individual ebay user operates a single account.  The practice of stealth refunding begins with an individual  opening multiple (unauthorized ) ebay accounts.  These fake accounts cannot be detected across the expansive ebay market place. 

Using a fake account the stealth refunder simply buys product from a reputable ebay seller.  The refunder pays with paypal.  The reputable seller ships the purchased ebay item to the buyers address.  Approximately 7 to 10 days post sale the stealth refunder transmits a message through ebay email asking when the seller plans to ship the paid for product.  Soon the stealth refunder denies receiving the shipped ebay product and demands a refund. 

Paypal issues a refund to the stealth refunder immediately.  The defined ebay analytics identifies this transaction as defective.  The long time ebay seller who is playing by the original market place rules is categorized as contributing to lower ebay sales amounts or the loss of an ebay buyer. The stealth refunder closes out the fake account, and opens 3 more conducting daily browsing. 

A stealth refunder operating multiple fake ebay accounts can methodically push an ebay seller off the site.  These legitimate sellers represent the bulk of the ebay buying population.  The ebay seller rating results in constrained listing amounts and suspensions.  This is the extreme, typically the stealth refunder just wants the product you are selling for free.

The seniors explain the difficulty is the ebay system administrators seem to have their head in the sand when it comes to the accuracy of their published seller ratings.  Unwary consumers buy and sell from these fake accounts with undesired results on a daily basis.  This is a huge gap with the functionality of the ebay system.  These seniors certainly informed us of a lot of  previously unknown information today.

Tuesday, March 11, 2014

Poor Ebay Misunderstands Sellers Role Risking Loss of Consumers

Several elders have spoke openly about eBay's inability to support buyers and sellers during the online transaction process.  Ebay is completely unsuccessful in separating service performance of independent shipping providers from the contracted selling members.

Ebay has been unable to admit current analytics do not maintain an accountable quality for reputable organizations who conduct shipping and receiving tasks between the seller to the buyer.  Simply, ebay lacks an effective over sight that could control the period of time between seller to buyer when the independent shipping provider possesses the ebay item.

Object listed by ebay member is now an ebay item. Ebay member buys ebay item from contracted seller.  Seller ships ebay item purchased by ebay member through independent (United States Postal Service) shipping provider. 

Independent (United States Postal Service) shipping provider possesses (now non ebay item) the listed object and attempts to deliver the package to the ebay buyer.  A long possession time or out right inability to complete the delivery by the independent shipping provider is the chasm or unspoken gap in the ebay process.

Rather than admit to a flaw in the ebay system , administration has tied contracted ebay seller performance to the independent shipping providers operation.  Flaws in an out of network providers performance are foolishly linked to the tasks a contracted ebay seller would perform.

Seniors complain ebay has not fully comprehended the final outcome to hastily tying contracted member selling performance to independent shipping provider errors.  The analytics more accurately reflect independent shipping provider defects. 

Measure of the time between seller to buyer, and ability to deliver an undamaged product,  have everything to do with the independent shipping providers possession of an object and operating well beyond the monitoring capacity of the ebay system.

Our elders who buy and sell on ebay predict the unwillingness of the ebay administration to more accurately communicate this ebay system defect to the user population well result in a loss of sales across the ebay electronic platform.