Presentation on theme: "HIV/AIDS Patient Care Programs"— Presentation transcript:
1 HIV/AIDS Patient Care Programs Case ManagementHIV/AIDS Patient Care Programs
2 HIV/AIDS Patient Care Programs The anticipated outcomes of case management for clients are the following:Early access to health care and social servicesImproved integration of servicesImproved continuity of careEducation of HIV diseaseReinforcement of positive outcomesPersonal empowermentImproved quality of life
3 Case Management Defined There are two definitions of case management offered under the Patient Care Programs:Comprehensive Case Management :(Medical Case Management as defined by HRSA) a proactive and inclusive case management model intended to service individuals with multiple complex psychosocial and health-related needs and their families.This model is for clients who need more intensive case management.
4 Case Management Defined Con’t Supportive Case Management :(Non-Medical Case Management as defined by HRSA) a model that is responsive to the immediate needs of persons living with HIV/AIDS.This model is for persons with needs that can be addressed in the short term, or for clients who have become self-sufficient and need minimal management.
5 Comprehensive Case Management Comprehensive Case Management includes the following components:Comprehensive Needs Assessment- this document helps the case manager assess the client’s medical, physical, and psychosocial condition and needs; the client’s strengths and resources; any barriers to care; service needs not provided; and assists the case manager in service planning.
6 Comprehensive Case Management Con’t Comprehensive Service Plan- identified needs from the needs assessment are prioritized and translated into the service plan defining specific goals, objectives, and activities to meet those needs. This document must be updated every 6 months.This document outlines the majority of case management work with the client from implementation of the service plan through carrying out the tasks identified.
7 Comprehensive Case Management Con’t In the Comprehensive Case Management model, client contact and monitoring are expected to be frequent and proactive in order to anticipate problems, stabilize the client, avert crises, and support the client in achieving service goals. Types of client contact may include:Telephone ContactsFace-to-Face MeetingsHome VisitsCase Conferences
8 Comprehensive Case Management Con’t Reassessments for Comprehensive Case Managed clients are due annually, or when changes occur. During this process, the case manager reviews the client’s progress, updates demographic information, and reevaluates the current model of case management. New or ongoing needs are identified during this assessment and addressed in the service plan update.
9 Supportive Case Management Supportive Case Management is provided to clients who have short-term needs, or for those clients who no longer need the intensity of the comprehensive model but require maintenance. The following scenarios will provide examples of clients who might benefit from the supportive model:Clients in need of insurance co-pay assistance onlyClients needing support services only such as transportation or food vouchersClients who do not want the intensity of the comprehensive model but are in need of case management servicesClients enrolled in Project AIDS Care (PAC) Waiver and need a support serviceLong term clients with no real needs
10 Supportive Case Management Eligibility staff can provide Supportive Case Management, whereas Comprehensive Case Managers must meet certain educational criteria or have specific HIV/AIDS experience.There is no set amount of client contact though the demographic information must be reviewed at least annually or as changes occur.
11 For Additional Information on Case Management You may visit the following web address for the complete Florida HIV/AIDS Case Management Operating Guidelines ual.pdfComprehensive Medical Case Management Modules are available through AETC at