Case Management

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Case Management

• Catherine T. Horat
• NUR 410
• Community Focused Nursing

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Case Management

• A systematic process by which
• Assesses needs
• Plans for and coordinates services
• Refers to other appropriate providers
• Monitors and evaluate progress to ensure needs
  met cost-effectively

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Possible Case Management Functions
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Practice Arena of Case Management

• Public Health
• Mental Health
• Senior Citizens
• Disease Specific
• Occupational Health

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Roles of Case Manager
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Case Identification

• Eligibility criteria
• Services provided
• Services location
• Population served
• All clients referred requiring qualifying
• Receive referrals from
• If not qualified refer to source to address needs

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Case Management Model

• Arizona Model

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Case Management Models

• Denver Model
• Counselor facilitated hospital discharges
• For high-risk, high-cost conditions
• Indianapolis Model
• Nurses monitored discharged patient
• For appointments
• Rescheduled missed appointments
• Senior Services Model

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Ethical Issues in Case Management