1. Amanda Woods February 22, 2014 HSA4850

2.  Advantage Wellness Services is a traveling physician group who specializes in geriatrics providing primary care. They have nurse practitioners who travel to different independent and assisted living facilities in Florida.  www.855awsteam.com  The nurse practitioner’s have a collaborating physician who works with them and signs off on needed paperwork.  Advantage Wellness Services works with several companies to make sure residents receive the care they need such as lab, x-ray, and therapy companies.

3.  I found this company through a friend who was working their at the time. I went in to volunteer with them and they offered me a position for an administrative office assistant.  I work with the company full-time, but my manager stays with me two times a week after work to train me for this internship on different situations. I started going to facilities with nurse practitioners and in this case I change my hours and stay late.

4.  7 out of 10 people over 65 will need long term care and will ultimately move to an assisted living facility (“Resident Profile,”2014).  735,000 people currently living in assisted living facilities in the United States (“Resident Profile,”2014).  The centers of Medicare & Medicaid services provides insurance to 100 million people over the age of 65 a year (www.CMS.gov).  From 2000 to 2010 there has been an increase of 24.6% more people over the age of 65 (“Aging Statistics,”2013).  By 2050, it is estimated that their will be over 1.2 million people over the age of 60 (“Aging Statistics,”2013).

5.  Insurance Verification  Creating Marketing Supplies  Follow an ARNP in Assisted and Independent Living Facilities  Transition to a meaningful use compliant office  Creating SOAP notes and superbills  Obtaining insurance authorizations for procedures  Marketing events  Health fair  Bill ECC Oversight Invoices  Bill PPD and Physical Invoices  Learn Kareo (EMR) practice management and billing  Some of these duties continue for multiple weeks depending on the complexity and amount of work

6.  According to the Morbidity and Morality Weekly report 25% of people living in a resident care community is depressed.  When going to the facilities with the practitioners I encountered this.  Using what I learned in my sociology of aging course (SYP4730) I can better handle these situations.

7.  15% of residents in Resident Care Communities were born in countries where English is not the primary language (Harrington 2014).  The cultural diversity class taught me how to handle different situations such as this.  Specifically, I learned how to relate to someone who a different background than myself.

8. Common Legal Paperwork for Geriatrics Do-Not-Resuscitate Guardianship Power of Attorney VA Paperwork Living Will Health Care Surrogate  In a study of 1,069 residents in nursing homes 69% of them had a do-not-resuscitate order (DNR).  Working with geriatrics legal paperwork is a huge issue that needs to be completed correctly.  The health care law class (PLA4522) helped me to understand these laws and make sure that I handle them appropriately.

9.  Advantage Wellness Services reaches out to the community for different events.  Part of my new responsibilities is to create marketing supplies and events.  CGS1000 and GEB3213 helped me to learn how to effectively use Microsoft office in order to create flyers and marketing supplies.

10.  Aging Statistics. (2013) Retrieved February 20,2014, from www.aoa.gov/AoARoot/Aging_Statistics/index.aspx  Allen, R., & Bailey, A. (2012). Do-not-resuscitate orders in the last days of life. Journal of Palliative Medicine, 15(7), 751-759.  Harrington, A. (2014). The importance of culture and spiritual life for older people: A practice development initiative. Australian Nursing and Midwifery Journal, 21(7), 36.  Quick stats. n.d. Morbidity and Mortality Weekly Report, 63(4), 83  Resident Profile. (2014). Retrieved February 20,2014, from www.ahcancal.org/ncal/resources/pages/residentprofile.aspx  www.CMS.gov