Preview

Affect Patients Transfer

Satisfactory Essays
Open Document
Open Document
102 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Affect Patients Transfer
We are hearing from our transition nurses in the field that we continue to have problems with Humana recognizing our NPI and location affiliation. We went through an exercise with Humana contracting to insure that all of our provider demographic is loaded into the Humana’s systems back in late Spring. However, if you read below there is a disconnect still happening that is affecting patients transfer. We need to get to the bottom of this as it is causing frustration within our organization, I am sure the hospitals are feeling the residual effects, but more importantly the patients are being adversely affected.
Continue Reading
View Writing Issues

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Nursing Informatics Specialist Case Study
    • 176 Words
    • 1 Page

    Nursing Informatics Specialist Case Study

    The multidisciplinary committee will consist of the Nursing Informatics Specialist (NIS), Chief Financial Officer (CFO), and a Chief Nursing Officer (CNO). This upper level of management will ensure that decisions are made within the schedule timeline. The lower level participants in this committee will provide valuable recommendations based on their experience and knowledge. They will consist of a physician with EHR experience, Director of the information technology department, and a Nurse Educator.…

    • 176 Words
    • 1 Page
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    UHC Cbcm's Analysis
    • 179 Words
    • 1 Page

    UHC Cbcm's Analysis

    Over the past 2 -3 months Kelly has repeatedly been recognized by provider's during my face-to-face visits, they have described her as an exceptional advocate for our members and valued collaborator to our providers. One-on-one provider visits are primarily led by the providers to address the topics they feel would be most helpful for them, which almost always leads to requests for a specific guided training or claim resolutions; so it was especially rare and inspiring to have several of them voluntarily make it a point to identify and praise one of our UHC CBCM's. It was encouraging to hear their perspective on how dedicated Kelly is to her members, and how reliable they find her to be in working with them to address any obsticles they may…

    • 179 Words
    • 1 Page
    Satisfactory Essays
    Read More
  • Good Essays

    Hsm 542 You Decide Week 4
    • 691 Words
    • 3 Pages

    Hsm 542 You Decide Week 4

    We need to get some experienced personnel or train our current personnel to do the admissions more accurately. The nursing staff should not have to check vitals and register patients also. Patient registration should be done before the patient even sees the nurse unless it’s a life or death situation. Clear instructions will be given to these staff members to ensure that we have all the current contact and billing information and legible copies of all documents and claims are processed appropriately. With verification of all information, we should see a more smooth billing process and the correct plan codes being applied to the various…

    • 691 Words
    • 3 Pages
    Good Essays
    Read More
  • Satisfactory Essays

    Joint Compassion: A Case Study
    • 228 Words
    • 1 Page

    Joint Compassion: A Case Study

    Our organization is focused on providing compassionate, high quality, cost-effective services in a safe, efficient, and effective manner. In 2012, the Joint Commission implemented a new tool for hand- off communication to help organizations avoid errors and miscues during the passing of important patient information from one individual to another (Joint Commission, 2012). This tool can be incorporated into our project by examining our current handoff process, provides a measurement systems, and assists with guidelines to increase effective communication within our department. In order for our department to be more aligned with both our core values and the recommendations of the Joint commission we must adapt to the following four key outcomes…

    • 228 Words
    • 1 Page
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    'Clearing Paths to the Past' vs. 'To Be of Use': Analysis
    • 289 Words
    • 2 Pages

    'Clearing Paths to the Past' vs. 'To Be of Use': Analysis

    The short story “Clearing Paths to the Past” and the poem “To be of use” by Marge Piercy share a common theme. The common theme that both of these stories share is that sometimes you have to do things you do not want to for the well being of others or to carry on tradition. Piercy’s “To be of use” shows this theme because she tells the story of hardworking people who “jump into work head first and do what has to be done again, and again,” which shows that people do not want to do something but they do it because it has to be done. Similarly in the short story “Clearing Paths to the Past” this theme is conveyed through the story of a man who has to shovel snow off of a long sidewalk everyday so that the children who wait for the bus there do…

    • 289 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Good Essays

    Assignment 2: How Current Trends Affecting Human Resources Management
    • 692 Words
    • 3 Pages

    Assignment 2: How Current Trends Affecting Human Resources Management

    Shortage of qualified physicians and nurses: There has been an increase in patients due to the Affordable Care Act and more people acquiring health insurance for the first time. Because of this influx in patients there is a shortage of physicians and nurses and organizations are struggling to fill nursing jobs and other critical positions in the hospitals. The demand of care is becoming very hard to keep up with. The author of Addressing staffing shortages in an era of reform states, “It is estimated that by 2030 there will be a shortage of 900,000 nurses and 45,000 primary care physicians” (Sanford, 2013). Human Resource managers (HRM) are combating these increasing numbers and keeping up with the demands of the patient loads by opting to hire more Physician Assistants and Nurse Practitioners. Hiring the nurse practitioners and physician assistants will help lessen the blow when it comes to the decline of physicians.…

    • 692 Words
    • 3 Pages
    Good Essays
    Read More
  • Powerful Essays

    Legal 500
    • 1388 Words
    • 6 Pages

    Legal 500

    The Universal Human Care Hospital has internal and external stakeholders. Some of the internal stakeholders are the patient representatives, the nurses staffing committee, administrative representatives and lawyers. The patient representative investigates and resolves concerns of the patient top leadership as well as staff. They participate in customer service and patient initiatives related to the hospital. The patient representative provides monthly accountability (Duke). The nurses staffing committee are nurses accountable for providing the health and safety of patients in their care. It is in the best interest of patients, and the hospital to ensure there are enough qualified nursing staff to meet the needs of the patient and the hospital (Oregon Nurses Association). The hospital Administrators makes sure the hospital operates efficiently and provides adequate medical care to patients (Career: Hospital Administrator).…

    • 1388 Words
    • 6 Pages
    Powerful Essays
    Read More
  • Good Essays

    Magnet Status Research Paper
    • 1041 Words
    • 5 Pages

    Magnet Status Research Paper

    In the changing environment of hospital based care, the transitional role from L.V.N to R.N has become increasingly mandatory. The Magnet program is requiring hospitals to hold their nurses to excellence patient care and the very best organizational skills. (Scott, 2010)…

    • 1041 Words
    • 5 Pages
    Good Essays
    Read More
  • Good Essays

    Partial Hospitalization Model
    • 1333 Words
    • 6 Pages

    Partial Hospitalization Model

    The combined program (IVIP and Clubhouse Services), unlike the standard services, also involved three, one hour a week of courses and group which utilized cognitive behavioral therapy psychoeducation to address the disempowering beliefs and thoughts as well as identifying/modifying cognitive distortions members had about their ability to work and adapt into community (i.e. “I am terrible at work and I cannot perform my job” and “I never will be able to work like everyone else; I am inadequate”) (Lysaker et al., 2005). The researchers utilized The Bech Hopelessness Scale, The Rosenberg Self-Esteem Scale, and The Work Behavioral Inventory which is a 35 item tool designed to measure the quality of work values and outcomes of the…

    • 1333 Words
    • 6 Pages
    Good Essays
    Read More
  • Good Essays

    Government Accountability Office
    • 919 Words
    • 4 Pages

    Government Accountability Office

    The events are organized depending on the current issues affecting the federal government and other public relation issues. The first issue is on the development of the skilled nursing facilities (Government Accountability Office, 2016). Centers for Medicare and Medicaid Services, abbreviated as CMS, an agency that is found in the Department of Health and Human Services that deals with provision of Medicare-has the responsibility of collecting and reporting data from expenditure reports from skilled nursing facilities, abbreviated as SNF (Government Accountability Office, 2016). However, the agency has not been able to make that data readily available to the public domain. Due to this challenge, the Government Accountability Office has taken the necessary measures to ensure that it is able to check on the accountability of the process. According to the agency, for each of the fiscal years 2011, 2012, 2013, and 2014, direct and indirect cost of care were lower in terms of percentage of revenue for profit skilled nursing facilities as compared to non-profitable and government skilled nursing facilities (Government Accountability Office, 2016). The accountability agency is therefore tasked to keep tabs on the performance of the skilled nursing…

    • 919 Words
    • 4 Pages
    Good Essays
    Read More
  • Powerful Essays

    Role of the Rn
    • 2596 Words
    • 11 Pages

    Role of the Rn

    The three factor frame work is used in many different settings to determine whether a RN or a RPN will be caring for a certain client. This framework consists of the client, the nurse and the environment (College of Nurses of Ontario [CNO], 2011). These three factors are implemented and have an impact on decision making related to care provider assignment for the RPN and RN. It takes into consideration the client’s needs, the needs for consultation as well as collaboration…

    • 2596 Words
    • 11 Pages
    Powerful Essays
    Read More
  • Good Essays

    Bridging the Gap Between Hospital Discharge and Community
    • 1245 Words
    • 5 Pages

    Bridging the Gap Between Hospital Discharge and Community

    The quality committee has worked closely with the hospital’s team of physicians and other providers as well as all nursing departments, ancillary department’s and all relevant nonclinical staff to propose the funding of a department, staffed by experienced registered nurses, who will be the key players responsible of bridging the gap between hospital and community providing discharge instructions, education and will follow the patient in the weeks coming after they leave the hospital ensuring access to medications and appropriate follow ups. The purpose of this program is to significantly reduce the number of readmissions that are related to ineffective discharge planning and/or poor education. The transition team will consult on every admitted patient in the hospital to assess their ability to effectively transition into the community setting after discharge. Those who have adequate resources, established relationships with primary care, and do not require any social work assistance, the team will still provide a comprehensive discharge planning evaluation, education, and an evaluation of their understanding of the steps to take as soon as they leave our building. Each patient will be given a score based on his or her evaluation that will be associated…

    • 1245 Words
    • 5 Pages
    Good Essays
    Read More
  • Good Essays

    Healthcare Information System Timeline
    • 553 Words
    • 3 Pages

    Healthcare Information System Timeline

    October 1977 - Patient project methodology has been in the works in order to computerize and developed patient care classification and to help localized community health nursing agencies develop a nurse staffing system. Due to technical limitations and lack of funding, the systems were prevented from being functional (Joel Rodrigues, 2009).…

    • 553 Words
    • 3 Pages
    Good Essays
    Read More
  • Good Essays

    Process Improvement In Health Care
    • 791 Words
    • 4 Pages

    Process Improvement In Health Care

    Preregistration was created in an effort to decrease receptionist and billing office workload and patient waiting time on arrival to the clinic. If only 16% of the registrations are completed upon arrival, then patients will have longer wait times as receptionists are gathering demographics and billing offices are completing insurance authorizations. This incomplete registration process creates an escalating effect as nursing staff remains delayed all day and must perform service recovery with patients for the delays. Appointments are generally late and providers sense that patients are frustrated before the physician can begin care. Because staff are rushing through appointments, the billing office has identified that care is given that cannot be reimbursed due to incomplete records. In reviewing each stakeholders’ point of view, preregistration is one large problem that needs process improvement. The goal of this performance improvement project is to streamline the registration process in an effort to decrease wait times upon arrival to the clinic. Removal of wait times will have an inverse relationship with patient satisfaction, thus as wait time decrease, satisfaction scores should…

    • 791 Words
    • 4 Pages
    Good Essays
    Read More
  • Good Essays

    Future of Nursing
    • 854 Words
    • 4 Pages

    Future of Nursing

    Nursing career is one of the few fastest growing fields in the health care industry, not only in the United States, but also in the world. Nurse practice has drastically changed in the last decade and as a result the need for changes in nursing practice is becoming more and more important. The Affordable Care Act of 2010 (ACA) will place many demands on health professionals and offer them many opportunities to create a system that is more patient centered. The legislation has begun the long process of shifting the focus of the U.S. health care system away from acute and specialty care.…

    • 854 Words
    • 4 Pages
    Good Essays
    Read More

Related Topics