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Biomedical subjects

F E Netting

Publications and source records attributed to F E Netting.

At least 37 records · Page 2Linked to original sources

Implementing computer information systems for hospital-based case management.

Like all health care services, case management is a process that relies on information. Based on the experiences in implementing computer information systems in six hospital-based case management programs, several financial, technical, and management issues are reviewed. These issues, which are also relevant for other specialized hospital-based programs, include information priorities, user acceptance, quantifying data, data entry methods, data security, and systems integration. The lessons learned regarding these issues are discussed, and categories of software alternatives are presented.

Arizona↗

Lessons from the implementation of CCRC regulation.

Oversight staff in 23 of the 30 states with legislation regulating continuing care retirement communities (CCRCs) completed a questionnaire surveying features of implementation experience such as problems encountered with the scope of regulation, the appropriateness of oversight placement, the adequacy of staff and financial resources, the use of discretionary agency authority, and attitudes toward various changes in applicable state law. These findings have relevance for consumers, legislators, lobbyists, and professionals working to make CCRCs a responsible long-term care alternative.

Aged↗

Policies to enhance coordination in hospital-based case management programs.

Social work practitioners in health and social services are expected to develop and implement programs and client care plans that require cooperation and coordination with numerous other individuals and programs. Such cooperation and coordination often are accomplished through informal networking. As programs develop, these relationships may be formalized in written policy agreements. In this article, the authors examine four policies designed to improve cooperation and coordination at different levels in hospital-based case management systems. Implications for social work practice are discussed.

Community Health Services↗

CCRC statutes: the oversight of long-term care service delivery.

A 1987 national survey revealed 27 states with continuing care or life care legislation. State oversight staff in 22 states responded to questions concerning characteristics of the regulated continuing care retirement community (CCRC) industry, the regulation of health and human service delivery within CCRCs, and interdepartmental working relationships between oversight agencies and other state units. Discussion focuses on the regulation of long-term care service provision in the CCRC industry.

Aged↗

The design and implementation of hospital-based coordinated care programs.

This article contains the initial findings of an ongoing evaluation of a hospital-based coordinated care demonstration. The goal of the demonstration is to investigate the appropriateness and feasibility of providing hospital-based case management services for extended periods to elderly individuals living in the community. The rationale for the demonstration is reviewed, and the structure of each participating hospital's coordinated care program is described. Data are presented on the characteristics of clients served by the programs during the first six months of the demonstration. The factors that influenced implementation and early operations of these programs are analyzed, and their implications for hospital managers are discussed.

Aged↗

Volunteerism and community building in continuing care retirement communities.

In summary, CCRCs are arenas in which four types of natural helping and volunteerism occur. The CCRC may, therefore, be a microcosm of a community system, serving multiple functions in a campus setting. Volunteer program coordinators can benefit from the experiences of others, and research into helping patterns and the process of community building may provide insight as new CCRCs develop.

Aged↗

Establishing interfaces between community- and hospital-based service systems for the elderly.

The gerontological service delivery system often fails to integrate the different types of services needed at different times by older clients. Social workers need to address the urgent and increasing need for communication among acute care hospitals that are diversifying into areas previously the domain of community-based providers of services for the aged. Coordinated care case management programs were developed in seven hospitals to determine whether hospitals could serve as a logical entry point of frail elderly persons into the system. Examination of the experiences of these hospitals illustrated the need for models of service integration and resulted in several approaches to comprehensive service delivery and coordination. Social work professionals in both acute and long-term care settings need to understand all aspects of the service delivery system to ensure that elderly clients receive appropriate levels and continuity of care in a complex and constantly changing system.

Aged↗

Volunteers in hospital-based case management programs.

This article examines the use of volunteers within hospital-based long-term care case management programs. As hospitals diversify into long-term care, the roles played by volunteers are also diversifying. A brief description of the involvement of volunteers with the frail elderly is followed by a comparison of the roles and relationships of volunteers within existing hospital auxiliaries and long-term care case management programs. Three models for structuring hospital-based volunteer programs that address the needs of the frail elderly within diverse communities are presented. Implications surrounding the involvement of volunteers beyond hospital walls are discussed.

Aged↗

Comparison of self and health professionals' ratings of the health of community-based elderly.

Perceptions of 269 community-based elderly persons and eighty health-care professionals were compared for opinions related to the health-care needs of the elderly, and major barriers faced by the elderly to the utilization of health services. The data indicate a high degree of incongruence between the perceptions of the elderly and those of the professionals. Health professionals were not good predictors of the health status of the elderly, and they did not accurately predict the barriers faced by the elderly seeking health care. Congruence of responses was found only related to the cost of health services. Reasons for these differences were explored, and recommendations for future program planning were made.

Activities of Daily Living↗