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Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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Community Based Intervention01:30

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
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Planning Nursing Care II01:29

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A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
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Restorative Care01:19

Restorative Care

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Related Experiment Video

Updated: Aug 25, 2025

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
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Implementation and 12-Month Health Service Utilization and Cost Outcomes from a Managed Care Health Plan's Permanent

Sarah B Hunter, Adam Scherling, Ryan K McBain

    Rand Health Quarterly
    |October 14, 2022
    PubMed
    Summary

    Permanent supportive housing (PSH) programs provide housing subsidies and case management to homeless individuals with chronic health conditions. This study found PSH programs can offset their costs through reduced healthcare utilization.

    Keywords:
    CaliforniaHealth Care AccessHealth InterventionsHomeless PopulationsHomelessnessResidential HousingSocial Determinants of Health

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    Area of Science:

    • Public Health
    • Health Services Research
    • Health Economics

    Background:

    • Homelessness is a significant public health challenge, disproportionately affecting individuals with chronic physical or behavioral health conditions.
    • High healthcare utilization and associated costs are common among homeless populations with complex health needs.
    • Permanent Supportive Housing (PSH) models aim to address these challenges by integrating housing assistance with intensive case management.

    Purpose of the Study:

    • To evaluate the implementation and outcomes of a PSH program operated by a managed care plan.
    • To determine if the costs of the PSH program were offset by reductions in healthcare utilization and costs within the health system.
    • To analyze participant flow and healthcare costs associated with program exit.

    Main Methods:

    • Quasi-experimental research design with an observational control group.
    • Analysis of healthcare utilization and costs for program participants and a control group.
    • Differentiation of program effects during transitional (pre-housing) and post-housing periods.
    • Review of participant flow through program milestones and associated costs.

    Main Results:

    • The study assessed healthcare utilization and costs before and after housing placement.
    • Participant flow through referral, enrollment, housing, and exit stages was documented.
    • Programmatic expenditures were compared against changes in healthcare costs to determine the net financial impact.

    Conclusions:

    • The PSH program's impact on healthcare costs was evaluated, considering both transitional and post-housing phases.
    • The study provides insights into the cost-effectiveness of PSH for high-need, high-cost populations.
    • Findings aim to inform health plans and policymakers about the benefits and costs of PSH interventions.