CASE MANAGEMENT - PowerPoint by ckUJ8w7


									Taranaki DHB Case Management
TDHB Model of Case Management

An interdisciplinary process which
 co-ordinates patient care across
 the continuum from pre-hospital
 to post discharge.
Core components of CM model
         Case Management across the continuum of care
  Home                   Critical Pathway      Recovery

• Patient Focused
• Co-ordinate care across services and
• Critical Pathway Development
• Targeting the 20% of complex patients
   Who sees a Case Manager ?

• Target Group – Patients with
 Complex Needs

• What’s complex?
        Practice Setting

• Mainly Inpatient Focused

• 2 Medical Case Managers

• Orthopaedic and Surgical Specialties

• Surgery and Urology
Primary/Secondary Care Interface

• GP – Practice Nurse
• ACC Case Managers
• Maori Health Providers
• Rest Home Association
• District Nurses
 Case Management Process

• Daily ward rounds with Doctors
• Follow up referrals
• Liaison
• Family group meetings
• IDT meetings
       Strengths and Weaknesses

•   Commitment to patient focused care
•   Knowledge of health processes
•   Optimises Collaborative Care
•   Lack of a national body
•   Lack of understanding of our role
•   Perceived as Non Clinical
•   Lack of involvement in strategic decisions

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