With health insurance the term affordable means increased access which translates to higher use. More and more people in Wisconsin will have health insurance. More medical staff will need to pick up a pay check for participating in the performance of this health delivery service. More employees will be paid for processing the increased number of medical claims.
A capsule of the health insurance industry remains fixated on the increased number of submitted claims will mean increased insurance fund output. Most predictions cling to a notion that the in coming uninsured group is sicker, and will demand to use more of the insurance fund for benefits.
This change which involves millions of people who lack health insurance becoming part of the pool of insured can sound scary. Any group of business providers that serve more people will have a larger ongoing investment. The cost of doing business costs more when your larger population consumes the available product.
Initially the health insurance industry will compare and contrast the monthly premium the health plan will charge the beneficiaries. Fortunately the monthly premiums will be effected by premium subsidies, changes in benefit design, and ongoing rate review regulations. This insurance product is structured with built in efforts that manage premium cost throughout the plans delivery.
An increased number of people contributing to the fund of the health insurance plan means more intake. Larger groups of insured can negotiate better medical service contracts with health system delivery. Technology is employed by inpatient providers to better manage length of stay and return trips to the hospital. Supportive care (www.homecarepath.com) is utilized when discharged patients need the help of another, but no longer qualify for skilled medical care. This coordination improves care and manages cost.
Participants are being challenged to adapt to changes of service which affords all in the community the opportunity to be cared for by the medical system of delivery. Organizing the system in a way that can spare care delivery without serious financial detriment is the true measure of the affordable part of the Wisconsin health insurance exchange. Home Care Path encourages readers to watch this issue as it unfolds in the next few months.
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
Saturday, August 31, 2013
Thursday, August 29, 2013
Wisconsin's Uninsured Population Draws 13 Health Insurance Providers
Wisconsin will have 13 health insurance providers selling plans on the new health insurance exchange marketplace. Having so many big names competing for consumers is quite unexpected. The names include:
1. Common Ground Health Care Cooperative
2. Compcare Health Services Insurance Corporation
3. Dean Health Plan Incorporated
4. Group Health Cooperative South Central Wisconsin
5. Gundersen Health Plan Incorporated
6. Health Tradition Health Plan
7. Medica Health Plans of Wisconsin
8. Mercy Care HMO Incorporated
9. Molina Health Care of Wisconsin Incorporated
10. Physicians Plus Insurance Corporation
11. Security Health Plan of Wisconsin Incorporated
12. Unity Health Plans Insurance Corporation
13. Arise of WPS Health Plan Incorporated
Like a modern day gold rush, plans will shout benefits in hopes of receiving a large market share of Wisconsin consumers health care dollars. Home Care Path encourages readers to watch this issue as the health insurance exchange in Wisconsin begins to operate.
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
1. Common Ground Health Care Cooperative
2. Compcare Health Services Insurance Corporation
3. Dean Health Plan Incorporated
4. Group Health Cooperative South Central Wisconsin
5. Gundersen Health Plan Incorporated
6. Health Tradition Health Plan
7. Medica Health Plans of Wisconsin
8. Mercy Care HMO Incorporated
9. Molina Health Care of Wisconsin Incorporated
10. Physicians Plus Insurance Corporation
11. Security Health Plan of Wisconsin Incorporated
12. Unity Health Plans Insurance Corporation
13. Arise of WPS Health Plan Incorporated
Like a modern day gold rush, plans will shout benefits in hopes of receiving a large market share of Wisconsin consumers health care dollars. Home Care Path encourages readers to watch this issue as the health insurance exchange in Wisconsin begins to operate.
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, August 27, 2013
Skilled Nursing Following Discharge Agency List
One aspect of the Wisconsin PATH ALONG models comprehensive approach focuses on the need for skilled nursing post discharge. Are there tasks that will require the help of a skilled nurse in the home setting. This is communicated as:
Hospital nurse (transition) Home care nurse
Dynamic component: Nursing summary completed
Rationale: a comprehensive nursing approach to recovery helps prevent rehospitalization
The primary role of a skilled nurse is teaching the patient and family about the tasks that will need to be performed to maintain health. The hospital nurse will go over the nursing summary with the patient and family prior to leaving the hospital setting.
Should the patient need additional skilled nursing in the home setting, hospital staff should be able to help schedule this. Often the patient and family will be presented with a list of Medicare certified skilled nursing agencies that can make home visits. The skilled nursing visits are scheduled according to the patients need. Skilled nursing visits usually involve a new medical diagnosis, with medication changes, or dressing changes. Here the nurse is teaching the patient and family how to recover in the home setting.
A skilled nursing agency is not assigned to home visits to perform ADL's and IADL's. Bathing, dressing, eating, meal prep, medication reminders, scheduled toileting, dressing, walking, mobility, transfers, are all performed by a supportive care agency (www.homecarepath.com ). This can be confusing for the patient and family who may perceive that the skilled nurse will be assigned under Medicare to make lengthy home visits and fill this additional need for the dwelling.
This is where the Wisconsin PATH ALONG model communicates to the population being served the important difference in the service that will be performed in the home setting. Sending a patient who needs help with 2 or more ADL's or IADL's with just skilled nursing is not the best approach to coordinating care that will result in a readmission free recovery.
The take home message is always review the nursing summary prior to discharge from an inpatient setting. Question if your at home needs will involve skilled nursing and supportive care and how those needs will be adequately met upon discharge.
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
Hospital nurse (transition) Home care nurse
Dynamic component: Nursing summary completed
Rationale: a comprehensive nursing approach to recovery helps prevent rehospitalization
The primary role of a skilled nurse is teaching the patient and family about the tasks that will need to be performed to maintain health. The hospital nurse will go over the nursing summary with the patient and family prior to leaving the hospital setting.
Should the patient need additional skilled nursing in the home setting, hospital staff should be able to help schedule this. Often the patient and family will be presented with a list of Medicare certified skilled nursing agencies that can make home visits. The skilled nursing visits are scheduled according to the patients need. Skilled nursing visits usually involve a new medical diagnosis, with medication changes, or dressing changes. Here the nurse is teaching the patient and family how to recover in the home setting.
A skilled nursing agency is not assigned to home visits to perform ADL's and IADL's. Bathing, dressing, eating, meal prep, medication reminders, scheduled toileting, dressing, walking, mobility, transfers, are all performed by a supportive care agency (www.homecarepath.com ). This can be confusing for the patient and family who may perceive that the skilled nurse will be assigned under Medicare to make lengthy home visits and fill this additional need for the dwelling.
This is where the Wisconsin PATH ALONG model communicates to the population being served the important difference in the service that will be performed in the home setting. Sending a patient who needs help with 2 or more ADL's or IADL's with just skilled nursing is not the best approach to coordinating care that will result in a readmission free recovery.
The take home message is always review the nursing summary prior to discharge from an inpatient setting. Question if your at home needs will involve skilled nursing and supportive care and how those needs will be adequately met upon discharge.
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, August 25, 2013
Count On The Lab
Wisconsin's PATH ALONG model puts its trust in today's lab procedures. Inpatient and community clinic providers depend on the lab values to determine proper treatment. The PATH ALONG model looks at it this way:
Hospital lab (transition) Clinic lab
Dynamic component: All pending labs have been reviewed by hospital staff.
Rationale: treatment and medication doses will be most effective when they have been adjusted to the latest lab values.
Hospital discharge medications should be in line with your most recent blood lab values. An effective dose often depends on the latest lab results. It is not advisable to leave the hospital setting with labs pending. Access to all the labs will give the provider the ability to determine a more comprehensive approach to recovery. Understanding the lab schedule required for some prescribed medications can help improve a persons level of participation. This all helps reduce the need for a rehospitalization.
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
Hospital lab (transition) Clinic lab
Dynamic component: All pending labs have been reviewed by hospital staff.
Rationale: treatment and medication doses will be most effective when they have been adjusted to the latest lab values.
Hospital discharge medications should be in line with your most recent blood lab values. An effective dose often depends on the latest lab results. It is not advisable to leave the hospital setting with labs pending. Access to all the labs will give the provider the ability to determine a more comprehensive approach to recovery. Understanding the lab schedule required for some prescribed medications can help improve a persons level of participation. This all helps reduce the need for a rehospitalization.
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, August 23, 2013
Decertify Critical Access Hospitals for Cost Containment???
Critical Access Hospital's deliver urgently needed care to rural populations in Wisconsin. Critical Access Hospitals are Medicare certified with ER service available 24 hours per day, 7 days per week. Usually no more than 25 inpatient beds with an average length of stay no more than 96 hours for an acute need. These hospitals move the patients with more complex needs to the larger hospital setting. Critical Access Hospitals receive a higher level of Medicare reimbursement.
The Health and Human Services (HHS) Office of Inspector General has recommended The Centers for Medicare and Medicaid (CMS) begin to reassess and decertify many Critical Access Hospitals due to location requirements. This activity means Medicare reduces the out flow of money. The act of decertifying Critical Access Hospitals will increase risk reserve Medicare funds.
Current regulatory guidelines call for removing the Critical Access Hospital designation for any hospital within 10 miles of another hospital. This will be a large deficit for the rural hospitals annual budget. A larger portion of the rural Wisconsin hospital's total population served will have Medicare as a pay source. This subtracts more money per individual Medicare claim being reimbursed to the hospital.
Removing this money from a small rural hospitals annual budget will result in the loss of service to the community. The measure to decertify Critical Access Hospitals turns a blind eye to the fiscal techniques utilized to maintain a safe level of health delivery in the rural Wisconsin setting.
Wisconsin Senator Tammy Baldwin has pushed legislative action to help rural hospitals minimize this approaching change. Home Care Path encourages readers to continue to follow this issue as it unfolds.
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
The Health and Human Services (HHS) Office of Inspector General has recommended The Centers for Medicare and Medicaid (CMS) begin to reassess and decertify many Critical Access Hospitals due to location requirements. This activity means Medicare reduces the out flow of money. The act of decertifying Critical Access Hospitals will increase risk reserve Medicare funds.
Current regulatory guidelines call for removing the Critical Access Hospital designation for any hospital within 10 miles of another hospital. This will be a large deficit for the rural hospitals annual budget. A larger portion of the rural Wisconsin hospital's total population served will have Medicare as a pay source. This subtracts more money per individual Medicare claim being reimbursed to the hospital.
Removing this money from a small rural hospitals annual budget will result in the loss of service to the community. The measure to decertify Critical Access Hospitals turns a blind eye to the fiscal techniques utilized to maintain a safe level of health delivery in the rural Wisconsin setting.
Wisconsin Senator Tammy Baldwin has pushed legislative action to help rural hospitals minimize this approaching change. Home Care Path encourages readers to continue to follow this issue as it unfolds.
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, August 22, 2013
The Nursing Assistants Always Know
The nursing assistants always know what the hospitalized patient is needing help with. Wisconsin's PATH ALONG model communicates this important aspect of an inpatient's needs this way:
Hospital nurse aide (transition) In home supportive care
Dynamic component- ADL's and IADL's needing assistance
Rationale: Assistants to perform needed tasks helps prevent a rehospitalization
When a hospitalized individual requires the help of another with eating, meal prep, bathing, dressing, daily hygiene, oral care, hair care, medication reminders, laundry, scheduled toileting, walking, transferring, arranging appointments, or communicating on the phone, it is likely they will need this help when discharged.
Medical system coordinators know all people recover on their own unique schedule. The goal at discharge is to arrange for post acute support needed to contribute to a rehospitalization free recovery period.
Wisconsin's PATH ALONG model explains how attention to "CARE TRANSITIONS" during the inpatient stay is a primary intervention required in today's health delivery practice. The nursing assistant is a strong participant in the future of medicine.
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
Hospital nurse aide (transition) In home supportive care
Dynamic component- ADL's and IADL's needing assistance
Rationale: Assistants to perform needed tasks helps prevent a rehospitalization
When a hospitalized individual requires the help of another with eating, meal prep, bathing, dressing, daily hygiene, oral care, hair care, medication reminders, laundry, scheduled toileting, walking, transferring, arranging appointments, or communicating on the phone, it is likely they will need this help when discharged.
Medical system coordinators know all people recover on their own unique schedule. The goal at discharge is to arrange for post acute support needed to contribute to a rehospitalization free recovery period.
Wisconsin's PATH ALONG model explains how attention to "CARE TRANSITIONS" during the inpatient stay is a primary intervention required in today's health delivery practice. The nursing assistant is a strong participant in the future of medicine.
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, August 18, 2013
MD Care Transitions and Hospital Discharge
Care transitions become more easily understood when broken down by discipline specific providers. The Wisconsin's PATH ALONG model https://www.facebook.com/pages/PATH-ALONG/423669527722964?ref=hl delivers the information in a comprehensible structure.
Community members involved with a hospital stay soon find they are being seen by more than one medical doctor. The senior will have their primary medical doctor who they will see in the family clinic, and the hospital will have a doctor on staff for the inpatient treatment process. The PATH ALONG model views this care transition like this:
Hospitalist (transition) Primary MD
Dynamic component- ongoing monitoring tasks requiring an MD order are communicated to the Primary MD
Rationale: rapid care through primary MD helps prevent a rehospitalization
Consider a family member being prescribed an anti seizure medication as part of their hospital treatment. The patient is discharged with a script for anti seizure medications to be filled by the corner drug store for in home consumption. Part of this new anti seizure medication is the ongoing blood draws to allow the lab to determine the therapeutic dose. The lab will require an MD order to conduct the needed on going blood draws.
The family clinic can get the MD order to the lab and schedule the ongoing blood draws which will be an important part of this new anti seizure treatment. The primary MD will be the provider who assesses and monitors the patient's response to the newly prescribed treatment regimen.
The Centers for Medicare and Medicaid (CMS) believe closer attention to care transitions is the means to reduce the need to return to the hospital for additional help.
You are cordially invited to download your free PATH ALONG app today
http://appsmakerstore.com/appim/j6kcdet8xvwk4s
Home Care Path (www.homecarepath.com) received a Healthy Community Partnership Grant from St. Clare Health Care Foundation to demonstrate how attention to care transitions can keep families from having to run back and forth to the hospital. This is a free event and everyone is invited to attend. This includes Pizza from 2 Brother's Pizza and Buffet 221 Broadway Wisconsin Dells https://www.facebook.com/2BrothersPizzaBuffet
Date and Location of free presentation to simplify care transitions
Monday August 19, 2013 - 1 pm
Baraboo Senior Center (Civic Center)
124 Second Street, Baraboo WI 53913
PLEASE PLAN TO ATTEND!!!
Community members involved with a hospital stay soon find they are being seen by more than one medical doctor. The senior will have their primary medical doctor who they will see in the family clinic, and the hospital will have a doctor on staff for the inpatient treatment process. The PATH ALONG model views this care transition like this:
Hospitalist (transition) Primary MD
Dynamic component- ongoing monitoring tasks requiring an MD order are communicated to the Primary MD
Rationale: rapid care through primary MD helps prevent a rehospitalization
Consider a family member being prescribed an anti seizure medication as part of their hospital treatment. The patient is discharged with a script for anti seizure medications to be filled by the corner drug store for in home consumption. Part of this new anti seizure medication is the ongoing blood draws to allow the lab to determine the therapeutic dose. The lab will require an MD order to conduct the needed on going blood draws.
The family clinic can get the MD order to the lab and schedule the ongoing blood draws which will be an important part of this new anti seizure treatment. The primary MD will be the provider who assesses and monitors the patient's response to the newly prescribed treatment regimen.
The Centers for Medicare and Medicaid (CMS) believe closer attention to care transitions is the means to reduce the need to return to the hospital for additional help.
You are cordially invited to download your free PATH ALONG app today
http://appsmakerstore.com/appim/j6kcdet8xvwk4s
Home Care Path (www.homecarepath.com) received a Healthy Community Partnership Grant from St. Clare Health Care Foundation to demonstrate how attention to care transitions can keep families from having to run back and forth to the hospital. This is a free event and everyone is invited to attend. This includes Pizza from 2 Brother's Pizza and Buffet 221 Broadway Wisconsin Dells https://www.facebook.com/2BrothersPizzaBuffet
Date and Location of free presentation to simplify care transitions
Monday August 19, 2013 - 1 pm
Baraboo Senior Center (Civic Center)
124 Second Street, Baraboo WI 53913
PLEASE PLAN TO ATTEND!!!
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