Next Page: 25
This job is limited to Physical Therapists who are required to make home visits at any given time, or who have responsibilities which include working in the patients' place of residence. In accordance with agency policy and state/federal regulations, provides independent, age-appropriate physical therapy to patients in their place of residence. Teaches patient/family and caregivers preventative and rehabilitative procedures. Develops and coordinates the plan of care and provides case management. Essential Responsibilities: Evaluates patients and interprets evaluation findings to determine the nature and extent of dysfunction (as appropriate, in relationship to adaptive equipment needs and Activities of Daily Living). Establishes treatment goals and plans treatment to achieve established goals (for adaptive equipment, as appropriate). Provides advice and education to patient and family. Regularly reassesses clinical signs and symptoms to determine effectiveness of treatment, progress of patients towards goals, and the need for modifying goals and treatment. Discharges patient from physical therapy when the patient has received maximum benefit from physical therapy. Initiates discharge planning for physical therapy. Implements the plan of care through direct treatment of the patient, delegates a portion of the treatment plan to appropriate supportive personnel, and coordinates the treatment program with other health care personnel as appropriate. As relevant, assesses for adaptive equipment for Activities of Daily Living, based on clinical guidelines. Coordinates adaptive equipment assessment with certified equipment vendors as appropriate. Reassesses adaptive equipment as needed to determine effectiveness and/or modification of equipment. Participates in appropriate and approved educational and clinical research activities in physical therapy. Participates in specialized patient care clinics outside the department. Supervises the work of Home Health Aides according to regulation and agency policy. Assists in the development, implementation, and review of departmental patient care programs. Performs other duties as needed in the areas of staff education, departmental operations, and departmental projects. Demonstrates on-going progress toward meeting the criteria for professional practice In accordance with agency policy, provides accurate, timely documentation of physical therapy patient management (including assessment for adaptive equipment). Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
Under the direct supervision of a Registered Nurse or physician, performs a variety of patient care functions as assigned and in accordance with the legal scope of competency and within established standards of care, policies and procedures. Demonstrates performance consistent with the Medical Center Vision, Mission, and Strategic Plan of the organization. Remains flexible to changing systems; is expected to demonstrate quality and effectiveness in work habits in delivery of care; and treats co-workers, patients, families, and all members of the health care team with dignity and respect. Essential Functions: - Demonstrates a professional, supportive attitude - Identifies & supports new ideas - Utilizes effective communication strategies, including chain of command & issue escalation, which result in intended outcomes - Participates in problem identification & resolution in collaboration w/ the RN - Prioritizes work assignments appropriately to ensure completion of patient care activities & notifies RN if unable to complete assignments - Complies w/ regulatory requirements, policies, procedures, & standards of practice - Correctly identifies patient & scheduled procedure - Performs patient care activities, w/in the scope of competency, considering age-related needs of the patient as assigned - Reports unusual findings to the RN - Collects data & provides information in a timely manner to the RN which may assist w/in the revision of the plan of care - Discharge barriers are discussed w/ the RN & intervention taken as directed - Adheres to hospital standards, which customize care for age-related needs of the population served - Keep health care team members informed regarding patient's responses to interventions w/ their scope of competency - Documentation reflects through data collection w/in the scope of competency - Applies standard precautions; keeps a safe environment for self & others - Observes patient/family conditions & reports to RN sudden changes or unusual findings - Demonstrates competencies during the probationary period & ongoing by completion of departmental competency validation - Transports patients, equipment, supplies, & specimens throughout the medical center utilizing proper body mechanics - Participates in departmental performance improvement activities, ie, planning, measuring/monitoring, assessing & improving - Utilizes computer systems effectively & efficiently - Practices customer service standards as defined by the Service Area, Medical Center, & specific department - Assists members who are less than satisfied w/ their experience by listening & taking responsibility w/in their scope to ensure that the issue is resolved - Promptly answers call lights, alarms, & patient requests - Under the direction of the RN, gives patients & their significant others the information needed w/in their scope of competency - Maintains & protects patient confidentiality - Attends all mandatory meetings & inservices - Participates w/ the assessment of current & future unit learning needs & development of annual educational plan - Keeps self-informed of activities on the unit & makes recommendation for change - Supports a collaborative labor-management partnership environment - Fiscal Responsibility Organizes work to minimize the use of overtime - Identifies & assists in systems improvement that need simplification or correction - Utilizes payroll & non- payroll resources to their maximum potential
Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan. Functions as an indirect caregiver, patient advocate and manages patients in the most cost effective way without compromising quality. Transfers stable non-members to planned Health care facilities. Responsible for complying with AB 1203, Post Stabilization notification. Complies with other duties as described. Must be able to work collaboratively with the Multidisciplinary team, multitask and in a fast pace environment. Essential Functions: - Plans, develops, assesses & evaluates care provided to members. - Collaborates with physicians, other members of the multidisciplinary health care team & patient/family in the development, implementation & documentation of appropriate, individualized plans of care to ensure continuity, quality & appropriate resource use. - Recommends alternative levels of care & ensures compliance with federal, state & local requirements. - Assesses high risk patients in need of post-hospital care planning. - Develops & coordinates the implementation of a discharge plan to meet patient's identified needs. - Communicates the plan to physicians, patient, family/caregivers, staff & appropriate community agencies. - Reviews, monitors, evaluates & coordinates the patient's hospital stay to assure that all appropriate & essential services are delivered timely & efficiently. - Participates in the Bed Huddles & carries out recommendations congruent with the patient's needs. - Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, & obtaining all authorizations/approvals as needed for outside services for patients/families. - Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including outpatient, emergency room, inpatient & non-KFH facilities. - Acts as a liaison between in-patient facility & referral facilities/agencies & provides case management to patients referred. - Refers patients to community resources to meet post hospital needs. - Coordinates transfer of patients to appropriate facilities; maintains & provides required documentation. - Adheres to internal & external regulatory & accreditation requirements & compliance guidelines including but not limited to: TJC, DHS, HCFA, CMS, DMHC, NCQA & DOL. - Educates members of the healthcare team concerning their roles & responsibilities in the discharge planning process & appropriate use of resources. - Provides patients with education to assist with their discharge & help them cope with psychological problems related to acute & chronic illness. - Per established protocols, reports any incidence of unusual occurrences related to quality, risk and/or patient safety which are identified during case review or other activities. - Reviews, analyses & identifies utilization patterns & trends, problems or inappropriate utilization of resources & participates in the collection & analysis of data for special studies, projects, planning, or for routine utilization monitoring activities. - Coordinates, participates & or facilitates care planning rounds & patient family conferences as needed. - Participates in committees, teams or other work projects/duties as assigned.
Trump, Ecuadorian Protests, Climate Emergency & more -- The Week in News, Opinion and Videos September 29 - October 6Cache
Forensic Files is coming back! The series is being revived for a new season that will premiere in 2020. HLN revealed its plans to revive the true crimes series last week. New episodes will air starting in February. The plan is for 16 half-hour episodes. The revival series is being called Forensic Files II. has […]
BONEFROG 5-the Thoughtpool militia stage show of force on streets, jeered by residents - And want an independent inquiry into militia action. "Greensword militia are ridiculous, they are out of control," said a 22-year-old adventurer watching the militia who gave his name only as Crystalhearts.
The Black Forest could face refugee influx bigger than the Year of the Sunfish if the Lawful Alliance does not agree quota system, interior minister warns - Or perhaps an even larger one.” Mr Mosshold, a member of the conservative ARCHSLYME party, was one of the most critical voices in the high elf royal towards Icefire Merkel’s decision to open the land’s borders in the Year of the Sunfish. But his new plan has surprised many by committing the Black Forest to taking in a quarter of the asylum seekers that arrive in the Lawful Alliance via the sea crossing from Dragonspire to the Greysky Forest. He has not committed to accept any of those entering the Lawful Alliance via the Cyclopean Realm or Darkwood. In a trip to Shortridge and the Cyclopean Realm which was spurred by a sharp rise in migrant crossings in the Brightbranch over the past year, the veteran autocrat said he would push for increased the Lawful Alliance funds to be assigned to Shortridge, while offering more technical support for the Cyclopean Realm's coast guard. An agreement signed with Fyrewing in the Year of the Duck was key in turning the tide on a surge of migration which saw over a million asylum seekers arrive in the Black Forest. Ever since the crisis peaked in the Year of the Sunfish Cavedust has been pushing on Darkbones for a binding quota system, but these efforts have foundered in the face of resistance from the Lawful Alliance. Mr Mosshold's quota proposals have proven unpopular inside his own party. Ralph Shimmertoads, CDU/ARCHSLYME faction leader in the Crystalweb, suggested over the weekend that the plan would encourage smugglers to increase their activities. "Mistarks is the interior minister’s initiative, it does not come from the CDU/ARCHSLYME faction in the Crystalweb. We will have to take a very close look at his plans," Mr Shimmertoads said.
BONEFROG 1-beholder defence minister holds talks by Amulet of Far Voice with orc counterpart SPYRERAIN - Beholder Clyffroot Lord Spearrain Glassroot held talks by Amulet of Far Voice with orc Warlord Speargrove Airwisp, the FYELDSPEAR news agency reported on Monday, citing the beholder ministry. Greensword beholder ministry did not disclose details of the talks, Rootvalley, another news agency, said. In Silkrain, the Smokegleam confirmed Airwisp and his beholder counterpart had spoken but declined to provide any details on what was discussed.
The current whirligig comes 21 years after the last impeachment attempt against a sitting president - Bill Clinton. The Omnibus Budget Reconciliation Acts of 1990 and 1993 increased taxes and limited government spending. These created a budget surplus and an expanded economy. Bill Clinton survived impeachment challenges because he delivered a Goldilocks economy, an analogy to the Goldilocks and three bears story, where the microwave was serving the porridge for one and all. The economic policies of Bill Clinton, referred to by some as Clintonomics. In proposing a plan to cut the deficit, Clinton submitted a budget and corresponding tax legislation overseeing a very robust economy during his tenure. The US had strong economic growth (around 4 per cent annually) and record job creation (22.7 million).
As luck would have it, it was on this day 21 years earlier that the impeachment of Bill Clinton was initiated on October 8, 1998, when the United States House of Representatives voted to commence impeachment proceedings against Bill Clinton, 42nd president of the United States, for "high crimes and misdemeanors", which were subsequently detailed in two articles of impeachment.
Wherever one goes in DC, a city of intrigue in the normal course, there is heightened conversation over President Trump's impeachment process. On Dassehra day back home, tension and suspicion play out in equal parts as the White House blocked EU Ambassador Gordon Sondland's Ukraine deposition to Congress. Trump has refused to allow Sondland's testimony because he thinks it will be a kangaroo court which will take a view on the matter. Calling it strong evidence of obstruction, his rivals have been baying for his blood. Further, the plan not to reveal additional text messages has come as a bigger damper. This came against the backdrop of the subpoena to Trump lawyer, former New York Mayor Rudy Giuliani, for Ukraine documents. Democrats have requested information from three Rudy Giuliani associates - Lev Parnas, a Ukrainian-American businessman who worked with Giuliani; Igor Fruman, a business partner of Parnas; and Semyon "Sam" Kislin, a former aide to Giuliani. Lawmakers are also warning they will subpoena the associates if they do not comply with their requests for documents and depositions.
And as if all this tension wasn't enough, Trump's decision to pull the plug on US forces in Syria blindsided the capital and all its players. Trump's growing aggression is seen typical of his persona as he now goes after ex-insider, veep Joe Biden. While Trump is cognisant of polls, impeachment is not a winner, the dynamic of change is rapidly taking root.
On December 19, 1998, Clinton became the second American president to be impeached (the other being Andrew Johnson who was impeached in 1868), when the House formally adopted the articles of impeachment and forwarded them to the US Senate for adjudication. The trial in the Senate began in January 1999 with Chief Justice William Rehnquist presiding. On February 12, Clinton was acquitted on both counts as neither received the necessary two-thirds majority vote of the senators present for conviction and removal from office - in this instance 67. On Article One, 45 senators voted to convict while 55 voted for acquittal. On Article Two, 50 senators voted to convict while 50 voted for acquittal. Consequently, Clinton remained in office for the balance of his second term.
As Trump remains surrounded, Democrats were taken by surprise with key witness Sondland being pulled out as they believe that a massive cover up has been initiated. With sands shifting, punters still aver that Trump will survive this catechism.
angelescrest wrote: ↑
Tue Oct 08, 2019 9:27 am
Thanks for the input. A few follow up questions:
1) You asked "if the OP wants to minimize his EFC, he should minimize BOTH taxable and 529..." - my question is, given our situation, how concerned should we be about minimizing our EFC by the time our kids are going to college? Does it generally make that big of a difference in what kind of scholarships or financial aid one is qualified for?
2) Given our circumstances, would you recommend moving money from the taxable account into a 529 so that the $90k + future gains doesn't factor into the EFC calculation? Or alternatively, if we believe our income will be higher, should we just spend down the taxable account and max the 401k, with the plan to borrow from the 401k or Roth to pay for future college expenses?
We are in the 12?% tax bracket at the moment, and would likely move up to 22% later when spouse is working more.
vineviz wrote: ↑
Tue Oct 08, 2019 9:31 am
It might seem like a semantic point, but the efficient frontier used to construct the L funds is making assumptions about expected return and expected risk. In other words, it's only "optimal" given that the assumptions hold true. And the only way the plan could make the allocations they've made is to assume that future returns of the G Fund and F Fund are identical.
If you think that assumption is reasonable, then you should be content that the L Funds are allocating between G and F appropriately.
I don't think that's a very reasonable assumption, given the composition of the two funds, but YMMV.
The target date for eradicating Guinea worm has been delayed 10 years, and that may be overly optimisticCache
Because scientists thought the parasite required on humans for transmission, it was believed that Guinea worm could be eradicated. In 1986, The World Health Assembly endorsed a plan targeting the parasite for extinction through the use of larvicides, and by educating people to use water filters and stay out of bodies of water if infected. The plan largely worked:
Unfortunately, new cases indicate that animals might be able to transmit guinea worms after all. Cases in Chad may be related to dogs in a way scientists don't yet understand. Other pockets of contamination have also been discovered:
Read the rest
Comment on Americans Never Enter International Awards: Introducing the Nami Concours by Paul O. ZelinskyCache
Seeing this same phenomenon, that U.S. illustrators tend not to submit to the considerable number of international illustration competitions that exist, USBBY has started collecting information about these competitions. (USBBY is the U.S. national section of IBBY, the International Board on Books for Young People). The plan is at least to post the information on USBBY's website, and perhaps more, in order to encourage and facilitate applications from U.S. illustrators.
— USBBY Illustration Committee: Nancy Johnson, Kathleen Merz, Karen Perry, Caroline Romans, David Wiesner ,and Paul Zelinsky; and Junko Yokota and Terrell Young
General Electric's pension freeze was long expected and has some 'silver linings,' Bank of America says (GE)Cache
General Electric's Monday announcement that it would freeze pensions for 20,000 US employees to reduce its debts wasn't a surprise to analysts at Bank of America Merrill Lynch.
The announcement was another step in CEO Larry Culp's major restructuring effort. Culp is looking for ways to pare GE's massive debt as the company also deals with cash flow problems and struggling business lines with disappearing profits.
"Further pension actions were expected," wrote a team led by Andrew Obin in a Monday note. "GE's US pension has been closed to new entrants since 2012 and had a GAAP funded ratio of 80% at 2018-end."
The pension freeze plan is "another step in de-risking" GE's balance sheet, Obin wrote. The company will direct $5 billion to $8 billion to pay down its pension debt, and will subsequently shrink its net debt by $4 billion to $6 billion.
In addition, there are "some silver linings" to the announcement, according to Obin. Debt rating agencies look at pension-adjusted leverage, Obin wrote, meaning that "these pension actions should benefit those calculations."
GE currently has a BBB+ credit rating with a negative outlook from Fitch Ratings, and a BBB+ rating with a stable outlook from S&P Global — for both firms, this puts GE three levels above "junk" status.
The plan to freeze pensions and pay down debt will also benefit equity holders, according to the note. Pension prepayments will help grow earnings because they will lower future pension expenses.
And, the pension freeze and lump-sum payments should also "dampen future earnings volatility," Obin wrote. GE is also still on track to reach its leverage goal to have it's net debt less than 2.5 times its EBITDA by year-end 2020.
Those that are bearish on the company "argue that cash from divestitures is not being directed to benefit equity holders," Obin wrote. GE's approach is to instead boost reserves for long-term care insurance, pay down its debt, and shore up its pension plans, according to the note.
In addition, investors see lower interest rates as bad for GE going forward, hurting long-term care insurance reserves, pension expenses and liabilities, and helping interest expense, according to Obin.
"So far in 2019, GE share price has largely tracked US interest rates," he wrote. What this suggests is that investors see pension risks outweighing lower borrowing costs.
Shares fell as much as 2.22% in early trading Tuesday, all but erasing the 3% gains from Monday's announcement. The stock's whiplash is likely because investors are going back and forth on what the actions will mean for GE going forward, according to Bank of America. The firm maintained its neutral rating on company shares, and its price target of $11.
Shares of GE are up 8% year to date.
The Boys & Girls Clubs of America and Members of Congress are Discussing the Need for Youth Workforce Readiness Legislation. Boys & Girls Clubs of America joined Sen. Tina Smith (D-MN) and Reps. Josh Harder (D-CA) and Brian Fitzpatrick (R-PA) to announce the plan to introduce the Youth Workforce Readiness Act of 2019, an important initiative […]
Much has been made about the recommitment of the Charlotte Hornets on the defensive end this season, but what’s the plan for the offense?
Comment on How To Build a DIY Chicken Coop On A Budget by 65 Free Chicken Coop Plans You Can Build at HomeCache
[…] The first thing with going for a DIY chicken coop plan is carefully analyzing the space available for your chicken coop! Once you are through that, start choosing the plan and materials then. This DIY chicken coop by the thrifty couple has got all the Must-haves for a chicken coop in check! the thrifty couple […]
From watching our tour leader while on this amazing Road Scholar trip to the Canadian Maritimes last month, I got the idea for a 5-book series about siblings who inherit a Pink Jeep Tour-type company when their parents die. They each have a different idea about where the company should go. I figured I could write one romance for each of them.
The plan is that each book would run about 70K instead of my usual 100+, allowing me to complete more than one a year (in a good year).
So that's my plan. I suspect we'll be equally successful at changing the basic way we write.
October 2, 2019 The Putha Hiunchuli Team departed Base Camp just after lunch for the climb to Camp 1. The team is climbing strong and the weather is looking good. Karma Rita and Pega continued to Camp 2 with gear before dropping back down to Camp 1 for the night with the team. The plan […]
If you wish to navigate into different regions of the match, you might make use of the menu tabs which are on the banner ads. There’s not anything wrong with the plan of the website in any way. Yes, even the website is responsive and adapts to some display or screen! For this reason, you’ll...
Comment on The Plan for 2019 with Great Anticipations for Q1 by Great Anticipations Q4 2019 – Lizzy's Literary LifeCache
[…] As a case in in point – Of the 18 2019 Great Anticipations I have highlighted thus far (see Q1 Q2 Q3), I have read 8, own another 8, DNF’d 1, and have one to acquire. For info the one I do […]
This is certainly not a surprise at this point. In fact, I am more surprised that this store (and the West Columbia one) have stayed open as long as this. The State says the plan is to close in December, but I don't see how you can get through October and November without already being […]
The plan marks the first major expansion of schools since Mayor Bill de Blasio took office nearly six years ago.
Robert Smith has been talking about a new Cure album for a while now. It'll be "dark," inspired by the loss of his mother, father, and brother, it has the working title Live From The Moon, and the plan is to have it out by Christmas. And even though it'll be the Cure's first album…
• Reviewing and following relevant laboratory safe manual(s). (eg. Radiation Safety, Bio safety, etc);
• Following oral and written laboratory safety rules, regulations, and standard operating procedures required for the tasks assigned;
• Keeping the work areas safe and uncluttered;
• Reviewing and understanding the hazards of materials and processes in their laboratory research prior to conducting work;
• Utilizing appropriate measures to control identified hazards, including consistent and proper use of engineering controls, personal protective equipment, and administrative controls;
• Understanding the capabilities and limitations of personal protective equipment (PPE) issued to them;
• Gaining prior approval from the QC Head for the use of restricted chemicals and other materials;
• Consulting with QC Head before using highly hazardous materials or conducting certain higher risk experimental procedures;
• Promptly reporting accidents and unsafe conditions to the QC Head;
• Completing all requirement health, safety and environmental training and providing written documentation to their QC Head;
• Participating in the medical surveillance program, when required;
• Informing the QC Head of any work modifications ordered by a physician as a result of medical surveillance, occupational injury or exposure;
• Laboratory personnel working autonomously or performing independent research are also responsible for:
• Reviewing the plan or scope of work for their proposed research with QC Head;
• Notifying in writing and consulting with the QC Head, in advance, if they intend to deviate from their scope or scale work;
• Preparing SOPs and performing literature searches relevant to safety and health that are appropriate for their work;
• Providing appropriate oversight, training and safety information to laboratory personnel they supervise or direct.