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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(1.3 MB)
Our Mission is to help the
people of Canada maintain and improve their health. Health
Canada
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
(42 KB)
Carry Out Client Assessment
Admission
![Arrow pointing down](/web/20061213091515im_/http://hc-sc.gc.ca/images/common/arrow_down.gif)
Develop Client Care
Plan and Case Management
~ Review with Health and Social Services
Team
![Arrow pointing down](/web/20061213091515im_/http://hc-sc.gc.ca/images/common/arrow_down.gif)
Schedule Staff (e.g. Home Care Nurse, Personal Care
Worker)
![Arrow pointing down](/web/20061213091515im_/http://hc-sc.gc.ca/images/common/arrow_down.gif)
Provide Services as Determined in Care Plan
![Arrow pointing down](/web/20061213091515im_/http://hc-sc.gc.ca/images/common/arrow_down.gif)
Complete Client Records and Program Reporting
![Arrow pointing down](/web/20061213091515im_/http://hc-sc.gc.ca/images/common/arrow_down.gif)
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
![Arrow pointing down](/web/20061213091515im_/http://hc-sc.gc.ca/images/common/arrow_down.gif)
Discharge | Revise
Care Plan
(Returns
to
"Develop Client
Care Plan and
Case Management"
Non-Admission
Refers to Other Programs
|