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First Nations & Inuit Health

Program Service Delivery

Minister of Public Works and Government Services Canada
2000
ISBN: 0-662-28523-9
Cat. No.: H34-105/2000-5E

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Program Service Delivery (PDF version will open in a new window) (1.3 MB)


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Table of Contents

About this Handbook
Purpose
Using this Handbook
Other Supporting Material and Useful Reference Tools

Introduction

Carry Out Client Assessment

Preparations Prior to Home Visit
Conducting the Assessment Interview
Completing the Assessment Tool
Admission
Non-Admission

Develop a Client Care Plan and Case Management
Develop a Client Care Plan
Collecting Client Data
Case Management

Schedule Appropriate Staff

Provide Services as Determined in the Care Plan

Complete Client Records and Program Reporting

Reassess Client on a Regular Basis
Reasons for Reassessment
Revise Care Plan
Discharge
Program Monitoring

Appendices


5. Program Service Delivery Flowchart

4.Preparation Activities for Program Service Delivery (PDF version will open in a new window) (42 KB)


Carry Out Client Assessment
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Admission
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Develop Client Care Plan and Case Management
~ Review with Health and Social Services Team
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Schedule Staff (e.g. Home Care Nurse, Personal Care Worker)
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Provide Services as Determined in Care Plan
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Complete Client Records and Program Reporting
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Reassess Client on Regular Basis and Monitor Program
~ Put Together Program Reports
~ Analyze Reports for Care Trends and/or Make Improvements to the Program as Required
~ Forward Information as Required
~ Implement Quality Control Activities

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Discharge          |          Revise Care Plan

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 (Returns to
"Develop Client
Care Plan and
Case Management
"

Non-Admission
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Refers to Other Programs

 

Last Updated: 2005-05-30 Top