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Case Management The Session Long Project for this course is to evaluate and critique a health care facility you are familiar with and compare it to the general principles and standards for quality...

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Case Management

The Session Long Project for this course is to evaluate and critique a health care facility you are familiar with and compare it to the general principles and standards for quality assurance presented in this course.

In the earlier modules you identified a health care facility for the subject of the SLP and presented a description of the facility and it's quality assurance program. You also critiqued the facility's Continuous Quality Improvement program and the Utilization Management Program.

In this module you will discuss and critique the subject facility's Case Management program.


SLP Assignment Expectations

For this module you are to complete the following tasks in a 4- to 5-page paper:

  • Describe and discuss the facility's Case Management program.
  • Compare and critique the subject facility's Case Management program to that of a model facility and whether the facility adheres to the recognized standard for case management, including disease state management.
  • Determine if the facility's quality assurance program results in the patients being helped to maximize their health care benefits.
  • Identify areas for improvement in the facility's Case Management program, if any, and any recommendations you think should be implemented to improve the quality of patient care.

I need 5 pages, APA, 4-5 in-text citations, 4-5 references

Answered Same Day May 16, 2020

Solution

Soumi answered on May 20 2020
124 Votes
Running Head: CASE MANAGEMENT        1
CASE MANAGEMENT        2
    
CASE MANAGEMENT
Table of Contents
Introduction    3
Case management program of Envita Medical Center, USA    3
Comparing the case management program of Envita Medical Center, USA with that of a model facility and disease state management    4
Determining the effectiveness of the case management program    5
Identification of areas of improvement for case management program of Envita Medical Center, USA and suitable recommendations    6
Conclusion    7
References    8
Introduction
Case management in healthcare refers to the combines’ process of planning, processing and monitoring the health care that are given to a patient by a group of healthcare providers. It is designed for meeting the requirements of a customer along with controlling the cost of the organization. This assignment deals with the case management of Envita Medical Center, USA. The shortfalls in the case management have been identified and suitable recommendation for dealing with such shortfalls has also been provided.
Case management program of Envita Medical Center, USA
The case management system of Envita Medical Center, USA is one of the best in that region. There are sufficient emergency rooms to deal with urgent situation. Although, the medical center specializes in treatment of a cancer, the patients are provided all types of healthcare service. In order to deal with emergencies, specialists have been appointed by the unit. Suitable plans are developed with respect to each patient to ensure the best service is provided to the patients. Based on the results of various tests, specialized doctors prepare the plan that indicates the routine of the patient and the manner in which the treatment of that patient will progress.
Due treatment is provided to the patient as per the framed plans. The treatment process is monitored on a regular basis to ensure that the best service is provided to the patients. Due focus is paid on provided treatment to patient suffering from cancer. Patients suffering from other diseases are provided basic treatment and then refe
ed to other healthcare units. This saves the total cost, as the unit does not have to invest in procuring machines for all types of diseases. According to Grover, Crawford and Close (2016), the case managers are liable if the patient faces any issue in the quality of service.
Comparing the case management program of Envita Medical Center, USA with that of a model facility and disease state management
Although Envita Medical Center, USA specializes in Cancer treatment, the firm extend its service to patient suffering from other disease also. However, the firm has not been effective in providing prime quality service to its patients suffering from disease other than Cancer. In addition to that, the firm does not have the latest equipment to provide service to the patients suffering...
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