Family Health
Read chapter 20 of the class textbook and review the PowerPoint presentation under Lectures.  Once done answer the following questions;
1.  In your own word and using the appropriate evidence-based references define family and describe the different types of family.
2.  Identify characteristics of the family that have implications for community health nursing practice.
3.  Discuss a model of care for families.
4.  Describe strategies for moving from intervention at the family level to intervention at the aggregate level.Chapter 9
Case Management
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
Case Management …
“… is a collaborative process of assessment,
planning, facilitation, care coordination,
evaluation and advocacy for options and
services to meet an individual’s and family’s
comprehensive health needs through
communication and available resources to
promote quality cost-effective outcomes.”
– The Case Management Society of America (2009)
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
2
Nursing Case Management …
… is “a dynamic and systematic collaborative
approach to provide and coordinate health care
services to a defined population. The framework
includes five components: assessment,
planning, implementation, evaluation and
interaction.”
– American Nurses Credentialing Center, ANA
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
3
Care Management
Overall goal: Improve the coordination of
services provided to clients who are enrolled in
a care management program.


A collaborative process
An emerging concept that is…

evidence based
➢ patient centered
➢ clinical care focused
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
4
Care Coordination

Target chronically ill persons at risk for
adverse outcomes and expensive care

Identify full range of problems that increase
patients’ risk of adverse health events
➢ Educate in self-care, optimization of treatment,
and integration of care
➢ Monitor patients for progress and early signs of
problems

Hope to raise quality of care, improve health
outcomes, and reduce need for costly
hospitalizations and medical care
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
5
Patient-Centered Medical Homes

Seven characteristics:







Patient’s relationship with primary care physician
Physician-led, team-based care
“Whole persons” require comprehensive care at
various stages of life
Integration and coordination of care
Quality and safety
Improved access to care
Payment system that accurately reflects the efforts
and care provided by the team
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
6
Purposes of Case Management

Client centered


Help the client through a complex, fragmented,
and often confusing health care delivery system
and achieve specific client-centered goals.
System-centered


Recognizes that resources are finite
Promote cost-effective, high-quality care
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
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Possible Case Management
Functions







Identifying the target
population
Determining screening
and eligibility
Arranging services
Monitoring and followup
Assessing
Planning care
Reassessing


Helping clients through
a complex, fragmented
health care system
Care coordination and
continuity
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
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Case Managers



Must have appropriate educational
background
A minimum skill level is needed to ensure
success in the role
Certification as a case manager is available

Case Management Association of America
(CMSA)
➢ American Nurses Credentialing Center (ANCC)
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
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Role Functions of Case Managers
(CMSA, 2002)

Essential activities of case management

Assessment
➢ Planning
➢ Facilitation
➢ Advocacy
➢ Collaboration
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
10
Case Management in Community
Health




Community case management models
Public health clinic settings
Occupational health settings
High-risk clinic settings




Clients with chronic diseases
Home health and hospice
Case management research
International settings
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
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