Development of an Individualized Service Plan Tool and Rules for Case Management in Qubec

Document Sample
Development of an Individualized Service Plan Tool and Rules for Case Management in Qubec Powered By Docstoc
					© 2009 Springer Publishing Company


From past experience with integrated service delivery,


                                                                 A
there appears to be a need for a clinical tool to help case                ccording to most authors, case management is a process that
managers plan, monitor, and coordinate services. In this                   includes the following tasks (Applebaum & Wilson, 1988;
context the Québec Ministry of Health and Social Services                  Bernabei et al., 1998; Capitman & Sciegaj, 1995; Challis,
created a task force to suggest improvements to the              Darton, Johnson, Stone, & Traske, 1991; Hebert, Durand, Dubuc, &
Individualized Service Plan tool included in the                 Tourigny, 2003; Moxley, 1989; Newcomer, Harrington, & Kane,
Multiclientele Assessment Tool. This article reports             2002; Pacala et al., 1995; Riley, Fortinsky, & Coburn, 1992; Somme,
the findings of this multidisciplinary task force                 Hébert, Bravo, & Blanchard, 2004; Tourigny, Durand, Bonin,
working with various clienteles (older, with physical            Hébert, & Rochette, 2004): (a) case identification using predefined
or mental disabilities, mental diseases). Based                  criteria; (b) standardized multidimensional assessment; and (c) indi-
on a literature review and recent results from the               vidualized planning of services and identification of resources, plan
Program of Research on the Integration of Services for the       implementation, monitoring and reevaluation. The concept of
Maintenance of Autonomy, the task force proposed a               advocacy encompassing advice and representation transcends these
dynamic, concise, user-friendly tool and a clear                 different tasks (Capitman & Sciegaj, 1995; Challis et al., 1991; Gen-
definition of how it should be used. The Individualized           rich & Neatherlin, 2001).
Service Plan must list the patient’s needs, with an                  Implementing these practices requires everyone involved to
orientation regarding the action plan for each, and a list of    adopt a common language, especially through the use of com-
services allocated in response to these needs that work in the   mon and validated clinical tools. Case identification depends on strict
defined direction. The tool must also contain a section for       adherence to case management eligibility criteria, which means that
analyzing variations between the services needed and             the tools vary greatly across different international experiments.
allocated. This tool was presented to case managers              The assessment task resulted in the development of numerous tools
for validation and received an enthusiastic response. It         such as the Multiclientele Assessment Tool including the Func-
should be implemented in the coming years in the provincial      tional Autonomy Measurement System in Québec and the Resident
Multiclientele Assessment Tool.                                  Assessment Instrument in the United States and then in Europe,
                                                                 each with a scientific validation process (Hebert, Carrier, & Bilo-
                                                                 deau, 1988; Landi et al., 2000). However, the planning task, which
Keywords: clinical tool; interdisciplinary recommendations;
                                                                 seems relatively constant across different managed care or integrated
integrated care; clinical planning process
                                                                 care experiments (Applebaum & Austin, 1990; Beland et al., 2006;
                                                                 Bernabei et al., 1998; Chamberlain & Rapp, 1991; Foote & Stan-
                                                                 ners, 2002; Geron & Chassler, 1995; Harrington, Lynch, & New-
                                                                 comer, 1993; Newcomer, Arnsberger, & Zhang, 1997; Newcomer
                                                                 et al., 2002), does not seem to have received the same attention.
                                                                     It is widely recognized that every case management user should
Development of an                                                have a service plan based on the assessment that reflects the cli-
                                                                 ent’s values and preferences, with a list of objectives to address
Individualized Service                                           problems. However, difficulties with implementing individualized
                 
				
DOCUMENT INFO
Description: From past experience with integrated service delivery, there appears to be a need for a clinical tool to help case managers plan, monitor, and coordinate services. In this context the Qubec Ministry of Health and Social Services created a task force to suggest improvements to the Individualized Service Plan tool included in the Multiclientele Assessment Tool. This article reports the findings of this multidisciplinary task force working with various clienteles (older, with physical or mental disabilities, mental diseases). Based on a literature review and recent results from the Program of Research on the Integration of Services for the Maintenance of Autonomy, the task force proposed a dynamic, concise, user-friendly tool and a clear definition of how it should be used. The Individualized Service Plan must list the patient's needs, with an orientation regarding the action plan for each, and a list of services allocated in response to these needs that work in the defined direction. The tool must also contain a section for analyzing variations between the services needed and allocated. This tool was presented to case managers for validation and received an enthusiastic response. It should be implemented in the coming years in the provincial Multiclientele Assessment Tool.
BUY THIS DOCUMENT NOW PRICE: $6.95 100% MONEY BACK GUARANTEED
PARTNER ProQuest LLC
ProQuest creates specialized information resources and technologies that propel successful research, discovery, and lifelong learning.