Managed Medicaid presentation slides
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Managed Medicaid: Our New Paradigm This document summarizes Texas' transition to managed Medicaid and the implications for long-term care facilities. It discusses the history of Medicaid managed care programs and drivers for the change in Texas. Key points include that over 60,000 long-term care facility residents will be impacted, facilities need to prepare for more complex patients and higher acuity as well as increased collaboration with Medicaid managed care organizations.
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This document contains instructions for administering the Brief Interview for Mental Status (BIMS) assessment to residents. It involves asking residents to repeat three words, stating the year, month, and day, and recalling the three words. Scores on the assessment range from 0 to 15, with higher scores indicating higher cognitive functioning. Interpretations of the BIMS scores are provided to classify cognitive impairment as intact, moderately impaired, or severely impaired. Guidelines are given for conducting the interview in a private setting and introducing it to residents.
OIG UR Handout 5 self administration of medicatons
The document provides instructions and a form for evaluating a resident's ability to self-administer medications in a facility. It involves having the resident bring their medications and assessing if they correctly name, understand the purpose, know the dose, and can demonstrate administering each medication. The evaluation is initially done upon move-in and annually thereafter. If the resident is found to be incapable, a negotiated risk form can be signed to have them still self-administer with the understanding of risks.
Win Residents and Influence Families - Ethics
This document provides information on developing social intelligence and self-awareness. It discusses the importance of empathy, active listening, improving communication skills, increasing self-awareness, removing self-deception, asking for feedback, being open to change, reflecting on actions, and self-motivation. It includes review questions and answers about these topics. A case study is also provided about a person asking for feedback to become more self-aware of their actions.
Breakout B - 2000 LSC for Assisted Living
This document summarizes information from a symposium on quality standards for assisted living facilities in Texas. It discusses the adoption of the 2000 edition of the NFPA 101 Life Safety Code, which requires all new assisted living facilities to have sprinkler systems. It provides details on sprinkler requirements for different types and sizes of assisted living facilities. It also lists the top 10 most frequently cited violation tags regarding life safety codes from fiscal year 2013 inspections of assisted living facilities in Texas.
Breakout B - New Role of Ombudsman in Assisted Living
The document provides an overview of the role and services of state long-term care ombudsmen in Texas. Ombudsmen advocate for residents of nursing homes and assisted living facilities, identifying and resolving complaints regarding quality of care and quality of life. They educate facility staff and residents on residents' rights and investigate issues like food service, building maintenance, medication management, and discharge processes. Ombudsmen make regular quarterly visits to facilities to monitor conditions and be available for residents, expanding services in recent years to more comprehensively cover the growing number of assisted living facilities in the state.
Power of Music - Debi Cost
This document summarizes Coro Health, a media company that specializes in creating therapeutic music programs for use in healthcare settings. It describes how Coro Health was founded in 2008 by a team with expertise in various fields including neuroscience, music therapy, and theology. It discusses a clinical trial conducted in 2010 at UC Davis that found Coro Health's music programs reduced agitation and depression in dementia patients by up to 54%. The document outlines Coro Health's process for designing customized music programs with intended outcomes and lists some of music's physiological and therapeutic benefits according to research.
Unity is strength presentation slides
This document outlines the benefits of collaboration and forming coalitions to achieve common goals. It discusses how to form successful project teams focused on specific outcomes, including having a clear purpose, plan, measurable goals, shared ownership, and open communication. The benefits of collaboration include resource sharing, expertise, community presence, cohesion, shared responsibility, and collective leverage. Successful quality improvement project teams require an organizational culture of quality, shared understanding, accountability, and a blame-free environment focused on system issues rather than human error.
Unity Is Strength - Action plan template
This document outlines a performance improvement plan template that uses the FOCUS methodology. The FOCUS methodology involves finding processes to improve, organizing a team, clarifying the process, understanding variation, and selecting variations to improve using small tests of changes. The template includes sections to identify areas for improvement, action plan steps, completion dates, and measurement strategies with responsibilities assigned.
Unity Is Strength - Team charter
The document provides guidance on creating a Performance Improvement Project (PIP) team charter. It outlines that the charter should define the team's mission, scope, objectives, timeline, and consequences. It notes that endorsement from the Quality Assurance and Performance Improvement (QAPI) Steering Committee is critical to giving the team direction and protection to succeed. It then lists questions for the team to answer to help establish their purpose and boundaries, such as the team purpose and product, how success will be measured, team members, deadlines, and resource limitations. A sample charter is also provided as an example.
Managed medicaid checklist
This checklist outlines steps for facilities to take to educate various stakeholders about managed Medicaid plans and assist residents and their families with enrollment. It involves educating staff, physicians, referral sources, and vendors; identifying managed care organizations in the market; coordinating with those organizations; reviewing documentation for current Medicaid recipients; and identifying and budgeting resources needed to care for higher acuity patients under managed Medicaid plans.
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New role of ombudsman in assisted living presentation slides
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Feeding plate for a newborn with Cleft Palate.pptx
A feeding plate is a prosthetic device used for newborns with a cleft palate to assist in feeding and improve nutrition intake. From a prosthodontic perspective, this plate acts as a barrier between the oral and nasal cavities, facilitating effective sucking and swallowing by providing a more normal anatomical structure. It helps to prevent milk from entering the nasal passage, thereby reducing the risk of aspiration and enhancing the infant's ability to feed efficiently. The feeding plate also aids in the development of the oral muscles and can contribute to better growth and weight gain. Its custom fabrication and proper fitting by a prosthodontist are crucial for ensuring comfort and functionality, as well as for minimizing potential complications. Early intervention with a feeding plate can significantly improve the quality of life for both the infant and the parents.
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The Power of Superfoods and Exercise.pdf
Healthy Eating Habits:
Understanding Nutrition Labels: Teaches how to read and interpret food labels, focusing on serving sizes, calorie intake, and nutrients to limit or include.
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Benefits of Regular Exercise:
Physical Benefits: Discusses how exercise aids in weight management, muscle and bone health, cardiovascular health, and flexibility.
Mental Benefits: Explains the psychological advantages, including stress reduction, improved mood, and better sleep.
Tips for Staying Active:
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Maintaining a Balanced Lifestyle:
Integrating Nutrition and Exercise: Suggests meal planning and incorporating physical activity into daily routines.
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Pediatric Emergency Care for Children | Apollo Hospital
Pediatric Emergency Care for Children | Apollo HospitalApollo 24/7 Adult & Paediatric Emergency Services
At Apollo Hospital, Lucknow, U.P., we provide specialized care for children experiencing dehydration and other symptoms. We also offer NICU & PICU Ambulance Facility Services. Consult our expert today for the best pediatric emergency care.
For More Details:
Map: https://cutt.ly/BwCeflYo
Name: Apollo Hospital
Address: Singar Nagar, LDA Colony, Lucknow, Uttar Pradesh 226012
Phone: 08429021957
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留信网认证的作用:
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Trauma Outpatient Center .
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This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
Top massage center in ajman chandrima Spa
We are one of the top Massage Spa Ajman Our highly skilled, experienced, and certified massage therapists from different corners of the world are committed to serving you with a soothing and relaxing experience. Luxuriate yourself at our spas in Sharjah and Ajman, which are indeed enriched with an ambiance of relaxation and tranquility. We could confidently claim that we are one of the most affordable Spa Ajman and Sharjah as well, where you can book the massage session of your choice for just 99 AED at any time as we are open 24 hours a day, 7 days a week.
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Managed Medicaid presentation slides
- 1. Managed Medicaid: Our New Paradigm Patsy Tschudy, RN, CCM, Director of Managed Care Cantex Continuing Care Network Paul Gerharter, RN, C, Director, Post-Acute Services Touchstone Communities …
- 2. Industry History • Medicare 1965 • Medicare HMO’s 1980s • Hospice 1982 • DRGs 1983 • TILEs 1989 • PPS 1998 • Harris County Star Plus Demonstration
- 3. • Medicare PDP Programs – 2006 • Affordable Care Act - 2010 • Medicaid RUG transition - 2008-2010 Industry History
- 4. • When??? – March 2015 • Why??? – Increasing Lifespan – Increasing Beneficiaries – Workforce Decreasing Managed Medicaid
- 5. • Passed – 83rd Session • Medicaid HMO • Impacts 60K+ Facility Residents • 19 States Preceded Texas • HHSC – Standards & Regulations Senate Bill -7
- 6. • Goal – Quality Improvement • ↑ Access • ↑ Outcomes • ↓ Cost • ↓ Readmissions • ↓ Preventable Events Senate Bill -7
- 7. • Eligibility – State Determines • 5 MCOs – Texas – UHC – Amerigroup – HealthSpring – Molina – Superior Senate Bill -7
- 8. • MCOs - Distribute Enrollment Packets • Plans - Provide Care Coordinator • No Admission Pre-Certification • 100% Medicaid RUGs Reimbursement • Pay For Performance Senate Bill -7
- 9. What Does This Mean To Referral Sources?? • Education: – Marketing – Discharge Planners – Physicians
- 10. What Does This Mean To Me? • Understanding – Change – Appropriate Placement – Pre-Certification Requirements
- 11. • Prepare List – Facility Providers • Be Available - MCO Site Visits • Coordinate MCO Facility Orientation • Host Resident Council • Host Open House – Families • Review Admission Process • Review Documentation What Do I Need To Do Now?
- 12. • Collaboration With Payors • Care Coordinator Involvement – Care Planning & Family Meetings – Discharge Planning • Higher Acuity – Beds To Fill The Future?
- 13. • Current Clinical Skills • Needed Resources – IV Certification – TPN – 24/7 RNs – Complex Wounds – Resp. Therapy – Pulmonary Unit - Vents The Future?
- 14. Dual Demonstration Project • Targets Traditional Medicare Beneficiaries and Medicaid Recipients • Effective 3-1-15 • Passive Enrollment to Medicare HMO over 6 Months • Goal: ↑ Care Coordination