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

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)

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Module 1Day 1 2-4pm

• Organizational Assessments

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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

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Organizational Readiness

Vision

Represents the ultimate goal or desired outcomes.

Culture

The attitudes and behavior that are characteristic of the organization.

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Values

• Organizational

• Personal

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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.

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Organizational Assessment

Strength (internal)

Weakness/Challenge (internal)

Opportunity (external)

Threat (external)

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Client Needs Assessment

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Module 2Day 1

• Designing Quality Services

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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

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Seven Characteristics of a Well-Designed Service System

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

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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.

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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.

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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.

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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.

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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.

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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

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Mapping the road to success

Logic Model

SMART Objectives

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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

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Problem Statement

Problem Statement: Identifies the problem based on the existing conditions

Problem Statement

Existing Conditions

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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

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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

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EvaluationImplementation

Inputs Activities Outputs

Outcomes

Evaluation

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

Problem Statement

Existing Conditions

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SMART Objectives

Specific

Measurable

Achievable

Realistic and Relevant

Time-phased

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Module 3Day 2

8:45-11amHIV Prevention and Care:

Advancing HIV Prevention

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Case Management Basics

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

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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.

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Advancing HIV Prevention (AHP) Initiative

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

• Further decrease perinatal HIV transmission

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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.

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Advancing HIV Prevention (AHP) Initiative

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

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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.

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Module 4Day 2

• Behavioral Change

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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

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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)

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Principles of Harm Reduction

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Motivational Interviewing

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Module 5Day 2

2:35-3:15• Evaluation

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Evaluation

• Goal Based

• Process Based

• Outcome based

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Module 6Day 2

• Funding

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Funding

Sustaining or expanding

Case Management Services

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

continue providing Case Management Services