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Assignment Description Theresa is a 90-year-old patient who was taken to hospital due to certain complications with breathing. She was diagnosed with cardiopulmonary disease, and her health was...

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Assignment Description

Theresa is a 90-year-old patient who was taken to hospital due to certain complications with breathing. She was diagnosed with cardiopulmonary disease, and her health was deteriorating. Theresa has not been responding to treatment. She was advised of possibly passing in the next 3 months. The doctor recommended pain medications and suggested skilled nursing services and personal care for. Unfortunately, the nearest skilled nursing facility has not been doing well and is about to close down. Theresa’s grandchildren have been taking turns caring for her at home. The grandchildren cannot provide the 24-hour care that she needs.

Unless home support is put in place for Theresa, she has to continue hospitalization unless she is guaranteed 24-hour care at home. The grandchildren decided to hire home care for their grandmother, and Theresa was discharged home. Case management permitted discharge and maintenance at home. Unfortunately, Theresa passed away within 20 days of discharge. The business department had prepared the bill for services rendered to her. The bill included the following:

  • Fee for hospital stay per day was $ 700
  • Home health expenses were $ 2,000 within network and $1,500 for outside of network providers
  • Case management fees were $ 750 (due to an effective case management strategy, the family was able to save some money)

Using the case study above, complete the following:

  • Prepare a confidential case report for Theresa showing net cost savings as a result of effective case management.
  • Prepare a case identification process for Theresa regarding her visit to the hospital.
  • What would you do as a potential health care administrator to improve the quality of care of a skilled nursing facility that you have been hired to head?

Your paper must follow APA format, citing at least 4 sources to substantiate your claims.

Answered Same Day Feb 19, 2021

Solution

Soumi answered on Feb 21 2021
165 Votes
Running Head: Healthcare        1
HEALTHCARE        2
HEALTHCARE
REPORT WRITING
Table of Contents
Introduction    3
Confidential Case Report for Theresa    3
Case Identification Process for Theresa    4
Recommendations for Improving Care Quality of Employed Skilled Nursing Facility    5
Conclusion    5
References    6
Introduction
A 90-year-old patient, Theresa, was admitted to the hospital with a complaint of cardiopulmonary disease and was charged 700 dollars per day. Her health was deteriorating. However, it was not possible to allocate good nursing care to her, due to the vicinity lacking it largely. Hence, due to the lack of nearest personal care and effect of low quality care, Grandma Theresa passed away within 20 days of discharge.
Confidential Case Report for Theresa
The family of Grandma Theresa was living far distant from her. Thus, it was very challenging to take care of Theresa. Hence, the grandchildren’s of Theresa was taking care of her by turns and the expenses were 2000 dollars within the network and 1500 dollars outside the network. Nevertheless, they were totally failed to provide care of 24 hours, which was actually the need of the patient. According to Fa
ell et al. (2015), medication education is beneficial to self-manage the mental situation of the patient and it can help to lower the level of depression.
The patient was suffering from various diseases such as cardiopulmonary diseases, Alzheimer, diabetics and memory loss. The cost of caring by the patient’s family was too high as compared to service provided by healthcare care systems. The family of the patient allocated Mrs. Jones to join in the process of care provision. Hence, the net cost savings are as follows—
Hospital fees saved since Theresa was discharged = $700 * 20 days = $14000
Expenditure at home and network = $2000 + $1500 + $750 = $4250
Therefore, net cost savings = $14000 - $4250 = $9750
According to Hua, Ma, Mo
ison, Li and Wunsch (2018), care managers recommend low-cost products and services, which may be available in locality. However,...
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