Tcm Workflow Analysis

When the referral is received from a physician outside the healthcare provider’s network, paper medical records relating to the health issue are requested, including office notes and test results. After the patient’s paper medical records are received by the scheduling office, the scheduler manually reviews the records for the diagnosis and reason for the referral to determine how to appropriately schedule the office visit. For example, if the patient recently suffered a stroke, the patient would be scheduled with a stroke specialist rather than a general neurologist.

The hospital that I worked for while working as a case manager was not in network with Kaiser Permanente. It was also the time when the hospital started to hire hospitalists to manage patient care while they are a patient in the hospital. It actually worked out because it filled in the gap in patient care. The hospitalists were acting as the patient's primary care provider. Kaiser as with many other insurance have a case manager designated to ensure that the patient is meeting criteria not only for an inpatient hospital stay but for the level of care they are receiving as well such as ICU, Stepdown, or Med-Surg. I would have to give them an updated clinical information daily or every 3 days depending on the severity of illness. As a case manager, I was responsible for discharge planning and I preferred to transfer the patients to

The office would need to establish a goal to accommodate all post-discharge patients. When appointments cannot be made then an escalation process to the office manager needs to occur. In order to foster communication with professional partners, an investigation of the system failures. How can the transition to home be improved? The workflow should include a validation step that would entail hand-off communication between hospital rounders and office schedulers. If missteps occur, then the office staff could catch the near misses and call the patient at home. Care coordination among providers on an outpatient basis could be supported by the electronic medical record and having verbal care conferences. Next strategy could involve the hospital completing a call back within twenty-four hours to all patients discharged. This intervention could potentially catch some of the missed opportunities. Another approach involves face to face reinforcement of the patient-centered partnership with H. H. According to Counsil et al. (2012), “patient-centered care plans for complex patients changed the relationships with the health team” (p. 190). The development of this patient directed plan of care and partnership is

Employees should check the answering service for any messages left overnight and record those messages in the message book. After recording the messages, go pull the correct patient’s medical record for the medical assistant to retrieve any information for the patient and follow up with them.

Identification and monitoring of discharged with less than two day stay is not occurring timely.

The no-show rate for our discharge clinic dropped from 50% to 35 % in 6 months. There was also reduced the length of time for the patients follow up which went from a 3-month interval between visits to 6 weeks. An unanticipated benefit of this was that it improved the working

Discharge planning/Follow-up: The patient will follow up in one month for medication management and updates on the inpatient detoxification center. Howbeit, the patient will have some blood work done as part of the inpatient assessment as she has repeatedly refused laboratory studies.

Patient receives a reminder email one (1) day after scheduled appointment and three (3) days before appointment visit with link to VA site to request all VA medical records.

The Joint Commission. (2015, June 3). PC.01.02.03: The Hospital assesses and reassess the patient and his or her condition according to defined timeframes. Retrieved from The Joint Commission:

Have you ever wondered how games work,well I’m about to tell you. Well this game called FourSquare,it tells you where you are at and can get you for example get you reservations at a restaurant. FourSquare uses something like Google maps to tell you where you are at. When you are using FourSquare you have to be at the restaurant you tell it your at.

Transitional Care Mode (TCM) –this program is for elderly that are high-risk for readmissions, such as patients who experienced heart failure or a heart attack or has chronic conditions. Advance practice nurses do home visits for these patients for three months, and are the nurses are available by phone seven days a week.

As a Hospitalist NP, the patients that I admit for our group are not critically ill. Most times, the conditions for which are they are admitted warrant an admission, but they are treatable conditions. If the treatment is successful, the patients are discharged within two to four days. If they decompensate during their hospitalization, a rapid response code is called. Their disposition

UP.01.03.01 requires a time-out before the start of the procedure. The Site Identification and Verification policy describes the time-out process however the policy falls short of fully meeting the intent of this standard. EP 2 describes which team members must participate in the timeout, EP 3 requires a time-out before each procedure when two or more procedures are being performed, and EP 5 requires documentation of the time-out. These 3 elements are missing from the hospital policy/process and therefore revisions to the process/policy are necessary to include these 3 elements. Nightingale’s Safety Report reveals increasing compliance (nearing 100%) with the time-out process, however as mentioned above, EP 5 requires documentation of the process. In addition to the policy revision, I recommend the development of a unique form which will be used to document

Notified by the patient. Two patient verfier completed. Pt states that she was recently release for endocrinology and her PCM will now address her thyroid disorder. Pt is thyroid last. Informed the pt she recently completed lab work in March. However, I will ask her pcm if labs are needed and call or message her with recommendations. The pt agrees and verbalizes

We attempted to discharge a patient and the family did not want to come to pick up their family member for two days. This is unfortunate because the recipient is the one who is at the mercy of his