Mercy Case Management Process

Case Managers have a challenging job, often dealing with patients, community agencies and facilitating their hospital discharge to the next level of care. They collaborate and communicate with the entire healthcare team and mostly with the patient during the hospitalization process. They act as support for all stakeholders to achieve positive patient outcomes. In this paper, I will be interviewing Ian Mopas, who is a Patient Care Coordinator at Kaiser Permanente in Redwood City about his education, work training, goals, and objectives as a Care Coordinator, and his responsibilities in his organization.

The case management process consists of five parts: assessment, treatment planning, linking, advocacy, and monitoring. It is not a linear process and does not follow the order it is written up. There may be some back and forth and returning to certain points.

Rothman, J., & Sager, J. (1998). Case Management: Integrating Individual and Community Practice (2nd ed.). Boston, MA: Allyn and Bacon.

Case management has case managers who effectively assess my healthcare needs. They also provide support systems to help me. Then, they coordinate, monitor, and evaluate my progress and the services that I receive. It promotes quality and cost-effective interventions and outcomes.

Journey’s intake unit completes all initial assessment to assess client for different level of care and accurately assign them to the most appropriate unit. The different level of care ranged from intensive inpatient care unit to medication only. As a practicum student, I worked in the outpatient services unit. The assessment was completed via an online program with an intake staff and the client, usually a week or two before the first scheduled appointment with a clinician. Therefore, once a client is assigned to me, I have access to review their file. The assessment are usually completed in a brief model format, and as the clinician assigned to work with a client, I am expected to use the first two sessions of therapy

Moore and colleagues (2009) defines Case Management as an approach to practice that ensures vulnerable people with multiple, complex and sometimes lifelong needs are provided with a mix of personal, health and welfare supports and services, which enable them to establish and sustain their optimal independent personal and social functioning.

The individuals who utilize UPMC Mercy’s medical detoxification treatment represent a population of diverse educational attainment with chronic addiction and comorbid disorders. However, most of the patients’ socioeconomic status falls between the middle class or lower class. The age of participants ranged from 24 to 65 years. The bulk of admitted patients receives behavioral health care coverage through the Affordable Care Act health care marketplace or the private health care system.

One key principle is that the person’s views and wishes shape the assessment process. Individual is helped to prepare their contribution to the assessment and having the right information. Support and advocacy arrangements available will facilitate this. Assessment should be responsive to people’s changing circumstances of independence over time. Therefore an effective assessment of individual is crucial when appropriate of family members; carers and other care professionals are involved. Implementation assessment process by health and social care agencies will promote better care services and better outcomes for service users and more effective use of professional resources. Basic information will be checked and validated by the agreement of the service users to

Although there are many varying definitions of what case management is; the roles and characteristics of case management are the same. The role of a case manager can be said to “ to undertake assessment, monitoring, planning, advocacy and linking of

The Centralized Housing Intake program within the Western Virginia Continuum is staffed and administrated by Mercy House, Inc. of Harrisonburg. Mercy House serves as the fiscal agent, and is responsible for service delivery. The Mercy House staff is accountable for all coordinated assessment, baseline eligibility determination, issuance of appropriate referrals, and the entry of intake data into the HMIS CallPoint

In addition to this, the two approaches also differ in their aims of practice. Case management primarily aims to build connections between the service user and their community. This is usually enacted by the case manager linking the client to various services available in the community. In addition to this, cost reduction is a major aim of case management, which has a direct effect on the services that are provided to the service users (REF book). The premise of the case management approach is that community-based care is more cost-effective than downstream acute care (Ross, Curry & Goodwin, 2011). This is in contrast to casework, which primarily aims to improve the service user’s emotional, social and functional wellbeing. This improvement

What assessments would you conduct to enhance your understanding of the client’s problems and how would your choice of assessment(s) inform your diagnostic formation and treatment planning? Assessments may include structured or unstructured interviews, valid and reliable assessment measures, and/or formalized assessment procedures that may be conducted by yourself or by someone else referred by you.

The hospital industry has seen a dramatic change since the 1960s. Millions of dollars were poured into the industry causing a huge boom in independent hospitals and respectively a large boom in insurance coverage. Eventually the government had to step back in and reassess their role in health care. Here is what you need to know about the industry. Types of Health Care Programs: - HMOs are Health Maintenance Organizations that provide health care for a fixed monthly fee. - PPOs are Preferred Provider Organizations are usually offered through large employers where patients can more options and not be as restricted as an HMO. Ambulatory health care services are those that are used on an

According to IC & RC, Case Management is defined as, “activities intended to bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals. It may involve liaison activities and collateral contacts” (Herdman, John W., 6th Ed.). Case management is a concerted effort of various professionals in the human social services network that assess’, plans, implements, coordinates, monitors and evaluates options required to meet the client’s health and human service needs. It is characterized by advocacy, communication, resource management and promotes quality cost-effective intervention outcomes. The Case Management Process centers on the client and the client’s support system. It is holistic in its approach to the management of the client’s individual and specific situation and that of the client’s support system. It is adaptive both to the case manager’s practice setting and to the healthcare setting in which the client receives services. Case management is not a profession unto itself however; it is a cross-disciplinary and interdependent specialty practice within the health and human services profession. Everyone directly or indirectly involved in healthcare benefits when healthcare professionals and

In April of 2000, the Downtown Health Clinic (DHC), which is run and overseen by Perpetual Mercy Hospital (PHC), found out some troubling news and was very concerned about it. Perpetual Mercy Hospital was concerned about the possibility of a establishing a similar clinic five blocks north of their facility. The main concerned are that the new and upcoming clinic may take away DHC’s current patients and that such a similar clinic so close could put a damper the DHC’s profitability and financial