case management 1 what will be covered? 1. organizational assessments (module 1) 2. designing...

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Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing HIV Prevention (AHP) (Module 3) 4. Behavioral Theories (Module 4) 5. Evaluation (Module 5) 6. Program Funding (Module 6)

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Page 1: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management1

What Will be Covered?1. Organizational Assessments (Module

1)

2. Designing Quality Services (Module 2)

3. HIV Prevention and Care Advancing HIV Prevention (AHP) (Module 3)

4. Behavioral Theories (Module 4)

5. Evaluation (Module 5)

6. Program Funding (Module 6)

Page 2: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Module 1Day 1 2-4pm

• Organizational Assessments

Page 3: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Organizational Readiness

Mission

• Communicate your purpose in a way that inspires support

• Articulate a concept in with language that is easy to comprehend –

jargon free

• Use proactive verbs to describe what you do

• Short, concise and easy to repeat

Page 4: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Organizational Readiness

Vision

Represents the ultimate goal or desired outcomes.

Culture

The attitudes and behavior that are characteristic of the organization.

Page 5: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Values

• Organizational

• Personal

Page 6: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Defining Case Management Services

The fundamental principles are that case managers

facilitate linking clients to the complex delivery system

help clients navigate through and access psychosocial interventions.

Page 7: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Organizational Assessment

Strength (internal)

Weakness/Challenge (internal)

Opportunity (external)

Threat (external)

Page 8: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Client Needs Assessment

Page 9: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Module 2Day 1

• Designing Quality Services

Page 10: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Designing Quality Services

1. Identify the target market

2. Define the service

3. Develop service strategy Marketing

Operations

Monitoring and Controlling

Recovery Services

4. Develop service delivery process

Page 11: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Seven Characteristics of a Well-Designed Service System

Each element of the service system is consistent with the operating focus.

Page 12: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Seven Characteristics of a Well-Designed Service System

The system is user-friendly.

This means that the customer can interact with it easily—that is, it has good signage, understandable forms, logical steps in the process, and service workers available to answer questions.

Page 13: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Seven Characteristics of a Well-Designed Service System

The system is robust.

That is, it can cope effectively with variations in demand and resource availability.

Page 14: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Seven Characteristics of a Well-Designed Service System

The system is structured so that consistent performance by staff and systems is easily maintained.

This means the tasks required of the workers are doable, and the supporting technologies are truly supportive and reliable.

Page 15: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Seven Characteristics of a Well-Designed Service System

The system provides effective links between the back office and the front office so that nothing falls between the cracks.

Page 16: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Seven Characteristics of a Well-Designed Service System

The system manages the evidence of service quality in such a way that customers see the value of the service provided.

Page 17: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Seven Characteristics of a Well-Designed Service System

The system is cost-effective.

There is minimum waste of time and resources in delivering the service

Page 18: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Mapping the road to success

Logic Model

SMART Objectives

Page 19: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Existing Conditions

Existing Conditions: Are contributing factors that put a population at risk, such as knowledge, attitudes, beliefs, behaviors, lack of skills, access, policies, and environmental conditions.

Existing Conditions

Page 20: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Problem Statement

Problem Statement: Identifies the problem based on the existing conditions

Problem Statement

Existing Conditions

Page 21: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Implementation

Implementation

Inputs Activities Outputs

Inputs: Resources used in an intervention.

Activities: Services that the intervention provides to accomplish its objectives.

Outputs: Direct products or deliverables of the intervention.

Problem Statement

Existing Conditions

Page 22: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

OutcomesImplementation

Inputs Activities Outputs

Outcomes

Immediate Outcomes: Immediate results of the intervention.

Intermediate Outcomes: Intervention results that occur some time after the intervention is completed.

Problem Statement

Existing Conditions

Page 23: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

EvaluationImplementation

Inputs Activities Outputs

Outcomes

Evaluation

Evaluation: Provides qualitative and quantitative data to determine the effectiveness of the implemented intervention.

Problem Statement

Existing Conditions

Page 24: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

SMART Objectives

Specific

Measurable

Achievable

Realistic and Relevant

Time-phased

Page 25: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Module 3Day 2

8:45-11amHIV Prevention and Care:

Advancing HIV Prevention

Page 26: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management26

Case Management Basics

• Opening Client Case• Client Intake& Assessment• Client Enrollment• Client Care Plan• Progress Reports/Clinical Notes• Reassessment• Discharge/Transition

Page 27: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Advancing HIV Prevention (AHP)

Initiative

Four key strategies:

• Make HIV testing a routine part of medical care.

• Implement new models for diagnosing HIV infections outside medical settings.

Page 28: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Advancing HIV Prevention (AHP) Initiative

• Prevent new infections by working with persons diagnosed with HIV and their partners

• Further decrease perinatal HIV transmission

Page 29: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Advancing HIV Prevention (AHP)

Initiative

Objectives:

1. Reduce barriers to early diagnosis of HIV infection.

2. Increase access to and utilization of quality medical care.

3. Provide ongoing prevention services for those living with HIV.

Page 30: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Advancing HIV Prevention (AHP) Initiative

AHP utilizes a medical model to address the current HIV epidemic.

Page 31: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Advancing HIV Prevention (AHP) Initiative

Through AHP every HIV infected person should have the opportunity to be tested and have access to state-of-the-art medical care and HIV prevention services.

Page 32: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Module 4Day 2

• Behavioral Change

Page 33: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Factors that Influence Readiness to Change

1. Perception of NeedPerson’s experience of discrepancy between the pain of present and potential for future improvement

2. Belief that Change is possible and Can Be PositivePositive outcome is perceived as achievable within a reasonable period of time

Page 34: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Factors that Influence Readiness to Change

3. Sense of Self Efficacy

Belief by the person that he/she has choices andcan take an action to make a change

4. A Stated Intention to Change

Statements the person makes relative to theneed to

change

Source: Miller and Rollnick(1991)

Page 35: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Principles of Harm Reduction

Page 36: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Motivational Interviewing

Page 37: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Module 5Day 2

2:35-3:15• Evaluation

Page 38: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Evaluation

• Goal Based

• Process Based

• Outcome based

Page 39: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Module 6Day 2

• Funding

Page 40: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Funding

Sustaining or expanding

Case Management Services

Page 41: Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing

Case Management

Thank you, and we wish you great success as you develop or

continue providing Case Management Services