Did You Say Doctor Shortage

Since 1965 the medical delivery system has been balancing a patients access to a primary health system provider with Nurse Lorretta Ford and Physician Henry Silver's creation of the first training program for Nurse Practitioners.  The Nurse Practitioner was trained to perform the tasks a Medical Doctor would typically do for a patient seeking help.

This put the idea of serving more individuals by pushing acuity down the continuum of health care delivery in to play.  The specially trained Nurse performed the duties of a Doctor as a lower cost alternative.  The health care system has continued the push down to the next lower cost alternative since then.

Today the push is felt with shorter hospital stays, and higher acuity being transitioned to the home setting.  Technology assists the surgeon to perform a less invasive out patient procedure and  the patient is sent home to recover.  Because help at home is much lower cost than a nights stay in the hospital , recovery in the individuals residence is being adapted as a means to cut total Medicare (Public Funded) Medicaid expenditures.

The patient is challenged to arrange for a supportive home care organization to coordinate the staff needed to insure a safe post procedure recovery.  If the help needed by the individual in the home has been categorized as nonmedical a pay source can take some time to determine.  Often the pay source is an out of pocket investment by the patient and family.

Wisconsin contracts with Care Management Organizations to deliver the Family Care, IRIS, and Wisconsin Partnership Programs which would assess for and coordinate the additional supportive home care staffing needed following a scheduled outpatient procedure.

Home Care Path encourages individuals meeting with a specialty provider to be sure and ask if you would benefit from the temporary help of a supportive care organization following your scheduled surgery. 

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

Web site www.homecarepath.com

 

Twitter  https://twitter.com/seniorcareWI

 

Facebook https://www.facebook.com/pages/SENIOR-CARE-AT-HOME-CARE-PATH-COM/124865717538950?ref=hl

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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

Novelos NVLT Therapeutics Madison Wisconsin Follows LIGHT

Novelos Therapeutics stock symbol NVLT (about .40 a share) was founded in 2002 and has headquarters in Madison Wisconsin.  Novelos Therapeutics propels LIGHT (NM404) toward 2nd trial phase I-124-CLR-1404.  The trial employs a small molecule (agent) to identify tumors using PET/CT scans. 

The LIGHT molecule (agent) helps providers go from just seeing changes in form and density to delivering more functional biochemical information which facilitates a diagnosis and treatment plan.  The radio iodinated phospholipid adheres and lights up the cancer cells.

Improving a providers ability to accurately view and determine a size to the effected area can prove beneficial when calculating the optimal amount of medication to be given when treating the cancer.  This helps monitor size and document evidence of the effectiveness of the treatment plan.

If the 2nd trial phase goes well Novelos Therapeutics will announce LIGHT (small molecule) properly identifies a type of brain cancer cells called glioma.  Home Care Path and the Wisconsin PATH ALONG Model wish Novelos Therapeutics the best of success in the 2nd trial phase.

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

Web site www.homecarepath.com

 

Twitter  https://twitter.com/seniorcareWI

 

Facebook https://www.facebook.com/pages/SENIOR-CARE-AT-HOME-CARE-PATH-COM/124865717538950?ref=hl

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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

Jiayun Xu John Hopkins and Re-hospitalizations Study

The John Hopkins University is a private research University in Baltimore Maryland.  This is a modern research University founded in 1876.   The (CMS) Centers for Medicare and Medicaid have made it clear that re-hospitalizations are no longer an accepted part of the medical care delivery system.  Jiayun Xu is the principal investigating nurse in a grant funded study to help prevent hospital readmissions.

The focus of the study is listed as :
Decision making prior to re-hospitalization among patients with heart failure.  Researcher Jiayun Xu received an 84,464.00 grant from the National Institutes of Health (NIH).  Jiayun Xu also received a 5,000.00 grant from the American Nurses Foundation (ANF). 

This is research money to promote an ongoing assessment of the effectiveness and potential harms of transitional care interventions which can be used to create policy and modify clinical decision making about strategies to reduce readmission rates among adults with heart failure.  This includes geriatrics, chronic disease and transitions of care. The study period is listed as 2013 to 2014.

Home Care Path and the PATH ALONG model will be watching for the findings of this research study.  This is an important approach to incorporating safety and quality to the care process while managing the readmission rate.

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

Web site www.homecarepath.com

 

Twitter  https://twitter.com/seniorcareWI

 

Facebook https://www.facebook.com/pages/SENIOR-CARE-AT-HOME-CARE-PATH-COM/124865717538950?ref=hl

 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

EMR integrates Drug Robots

The (EMR) electronic medical record helps integrate robotic delivery of drugs in the hospital setting.  The hospitalist inserts an order that includes the medication name, dose, route, and frequency of administration.  The pharmacist reviews the order and forwards it to the appropriate drug robot for production. 

Robots depend on the (EMR) electronic medical record for input.  Prompted through a technological connection a robot makes up injectable or the fluid bags filled with drugs such as antibiotics given intravenously.  A bar code accessorized robot picks pills and tablets, grouped to match a recent MD order.  A robot safely transports the medication to the identified nursing unit.

This integration of the pharmacy, robots, electronic medical record, and medical provider affords the Doctor and Pharmacist the opportunity to shed a bit of the manual preparation activities.  These providers can then utilize their expertise in a more human to human equation. 

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

Web site www.homecarepath.com

 

Twitter  https://twitter.com/seniorcareWI

 

Facebook https://www.facebook.com/pages/SENIOR-CARE-AT-HOME-CARE-PATH-COM/124865717538950?ref=hl

 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

Price Point In the Name of Hospital Transparency

The (WHA) Wisconsin Hospital Association employs the Wisconsin Price Point System within the WHA Information Center.  The WHA Information Center is a wholly owned subsidiary of the Wisconsin Hospital Association.

The Wisconsin Hospital Association Information Center operates from 5510 Research Park Drive, Madison Wisconsin 53711.  Contracted since 2003 with the Department of Administration to collect information.  A user friendly web platform with a design that demonstrates accountability for transparency. 

This facilitates the distribution of current, accurate information related to charges and services being delivered through Wisconsin Hospitals and Ambulatory Surgery Centers.   A care manager can speculate on the expected investment a client with worsening symptoms of pneumonia will experience.  Listing an average inpatient stay with a diagnosis of pneumonia as 3.2 days.  The average daily charge being 6,173.00.  The average total charge being 19,912.00. 

This gives the community a better understanding of the revenue a 3 day hospital stay can generate. 
Connecting service provided to the expense generated can help long term health planners determine safe and sound policy directed at containing over all cost. 

The identified trend is shorter hospital inpatient stays and more treatments and procedures performed in the outpatient clinic setting.  Outpatient specialty delivery settings and processes are consistently being improved to maintain productive and safe operation.


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

Web site www.homecarepath.com

 

Twitter  https://twitter.com/seniorcareWI

 

Facebook https://www.facebook.com/pages/SENIOR-CARE-AT-HOME-CARE-PATH-COM/124865717538950?ref=hl

 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

Social Security Administration Widow- Lump Sum Benefit

The woman's husband passed away and she received hard copies of the death certificate through the funeral directors office.  The death certificate is taken to the local Social Security Administration Office.  If the deceased husbands monthly Social Security pay out is higher than her monthly pay out, she can surrender hers and draw the husbands. 

The Social Security Administration will start the widow lump sum claim using the information from the death certificate.  The Social Security Administration clerk will then schedule a telephone appointment.  The clerk on the telephone appointment will ask several questions and record the information on the computer screen. 

The final step will be bringing the marriage license in to the Social Security Office. An acceptable copy of the marriage license can be retrieved through the County at the Register of Deeds Office. 

This process results in the widow being able to draw the spouses higher monthly Social Security benefit.  Included in this activity is the flow of the one time death benefit of approximately 250.00 in to your designated bank account.  The staff at Home Care Path and the Wisconsin PATH ALONG model encourage families to work through the Social Security Offices current process to receive their earned benefits.

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

Web site www.homecarepath.com

 

Twitter  https://twitter.com/seniorcareWI

 

Facebook https://www.facebook.com/pages/SENIOR-CARE-AT-HOME-CARE-PATH-COM/124865717538950?ref=hl

 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

Health Insurance Prepaid Care and past delivery perceptions

There was once the idea that if you had health insurance you would be given everything the medical staff felt you needed.  This was a model of prepaid care.  With the health delivery systems need to change from treating acute incidence of illness to caring for more chronic complex disease processes this looks a little different. 

More and more medical procedures are being scheduled and conducted in an outpatient setting.  Services that once were done in a hospital resulting in a stay, can now be done in a clinic room and the person is sent home.  With the expansion of outpatient specialty service staff are challenged to document a plan of adequate support post procedure to reduce the risk of a hospital admission.

This transition can be a bit different for the medical provider and the family.  Often after a procedure the person will need additional help with medications, meals, dressing, toileting, walking, transferring, and organizing follow up appointments.  The outpatient delivery staff are required to document how these daily needs will be met, but there is no designated pay source for this type of service.  Health insurance pays a percentage of the bill while you are in the outpatient setting receiving the service, but once you leave the insurance payment stops.

The health insurance (payer) plan is defining the skilled outpatient procedure as a separate part of the patients treatment and recovery experience.  The Public and Private (payer) health insurance provider is designating the skilled outpatient services as different from the post procedure care a supportive home care organization can deliver at a lower cost. 

Medical providers express feeling awkward referring a family to a service that is not covered by insurance.  Families express difficulty finding the information that would facilitate an informed decision when hiring a supportive home care organization to deliver the temporary post outpatient procedural care needed at home.

A big part of this shift to increased scheduled outpatient procedures is connecting the family to a supportive care agency that can help at home for a short time. 

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

Web site www.homecarepath.com

 

Twitter  https://twitter.com/seniorcareWI

 

Facebook https://www.facebook.com/pages/SENIOR-CARE-AT-HOME-CARE-PATH-COM/124865717538950?ref=hl

 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