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Discussion Question

1-In thinking of five social determinants of health as identified in Healthy People 2020, identify the social determinants specifically that may be barriers to home care and case or care management services, and explain why.

2- APA style

3- 3 paragraphs 3 sentences each

4- 2 references

Chapter 12: Care Management, Case Management,
and Home Healthcare

Chapter Highlights #1
Defining care management and case management
Situating case management as a key component of home visiting
Historical overview and definition of home care practice
Description of the home care provision of services

Copyright © 2020 Wolters Kluwer · All Rights Reserved
Chapter Highlights #2
Examining types of home care agencies, services, and reimbursement
Exploring role and scope of home care nursing practice during a home visit
Identifying interprofessional roles in models of care delivery and use of telehealth
Describing types of chronic care conditions found in home care patients
Review of current healthcare reform and home healthcare delivery

Question #1
Is the following statement true or false?
Case management is the development and coordination of care for a selected client and family.

Answer to Question #1
True
Rationale: Case management—development and coordination of care for a selected client and family.
Care management—coordination of a plan or process to bring health services together as a common whole in a cost-effective way.

Care and Case Management
Care management—coordination of a plan or process to bring health services together as a common whole in a cost-effective way
Case management—development and coordination of care for a selected client and family

Home Healthcare #1
Home care is part of a continuum of care where clients have the opportunity to live and move through the experiences of subacute, chronic, and end-of-life care.
The care given in home care settings is often managed and directed by a registered nurse.

Copyright © 2020 Wolters Kluwer · All Rights Reserved
Home Healthcare #2
Many aspects of the care in both generic and hospice home care are part of a larger care management plan that is individualized using a case management approach.
The care given in home care settings is interdisciplinary in nature.

Copyright © 2020 Wolters Kluwer · All Rights Reserved
Question #2
Is the following statement true or false?
Home healthcare is part of a continuum of care where clients have the opportunity to live through the experiences of subacute, chronic, and end-of-life care.

Answer to Question #2
True
Rationale: Home healthcare is part of a continuum of care where clients have the opportunity to live through the experiences of subacute, chronic, and end-of-life care.

Role and Scope of Home Health Practice #1
Assessment by collecting data about home care clients
Diagnosis through the analysis of these data
Outcome identification that helps home care nurses identify nurse-sensitive measures

Role and Scope of Home Health Practice #2
Planning in the form of nurse-sensitive interventions directed to the identified outcomes
Implementation-identified nurse-centered actions in collaboration with clients and families
Evaluation outcome accomplishment through nurse-sensitive interventions

Copyright © 2020 Wolters Kluwer · All Rights Reserved
Interdisciplinary Care
Various members of the healthcare team, not just nurses, contribute their expertise to client management in the home.

Types of Agencies
Private/voluntary (not-for-profit)
Hospital-based
Proprietary (for-profit)
Official

Financing and Regulation of Home Care
Homebound
Plan of care
Skilled needs
Intermittent care needs
Necessity

Role and Scope of Home Health Practice
ANA’s Scope and Standards of Home Health Nursing Practice
Key elements of nursing process
Standards of professional performance

Interprofessional Care
Interprofessional collaboration
Medical home model
Population health management

Question #3
Is the following statement true or false?
Telehealth is a form of electronic communication to deliver chronic care and specialty consultations.

Answer to Question #3
False
Rationale: Telehealth is a form of electronic communication to deliver acute care, not chronic care, and specialty consultations.

Telehealth
Telehealth is a form of electronic communication used to deliver
Acute care and specialty consultations
Home telenursing
Electronic referrals to specialists in expert health facilities

Home Care Models
Assisted living
Home visits to the homeless
Parish/faith community nursing

Home Visit #1
Initiating the visit
Preparation
Equipment
Directions
Personal safety

Home Visit #2
The in-home visit
Assessing for risk of medication errors
Assessing for risk of falls
Assessing for risk of abuse and neglect
Termination of the visit
Post-visit planning

Nurse–Family Interactions in Home Care
Culture
Contracting
Privacy, confidentiality, and security

Key Chronic Conditions and Quality Improvement in Home Care
Family
Environment
Nurse’s capacity to attend to assessment and intervention criteria

Copyright © 2020 Wolters Kluwer · All Rights Reserved
Case Management, Home Healthcare, and Current Healthcare Reform
Medicare
Healthcare home model (PCMH)

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