Promote, Protect and Heal

Promouvoir, protéger et guérir

The CFHS Case Management

Program

By: Lillian Hall &

Brenda Krawchenko

Date: 6-7 February 2012

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Promouvoir, protéger et guérir

What is Case Management• Popular means to coordinate patient care and control

resources.

• A process model that provides a mechanism for managing cases across the continuum of care, thereby providing a seamless, integrated care process.

Promote, Protect and Heal

Promouvoir, protéger et guérir

Who are we?

National Program

Experienced Nurses

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The CM program will provide standardized services to eligible CF members based upon a population health focus that is:

Client centred

Seamless

Respectful

Timely & appropriate

Effective & efficient

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Our PurposeTo help members :

• Get the care they need, when they need it

• Become more knowledgeable about their medical condition and benefits for which they may be eligible

• Achieve continuity of care

• Make a smooth transition back to duty/work or to civilian life

Promote, Protect and Heal

Promouvoir, protéger et guérir

Promote, Protect and Heal

Promouvoir, protéger et guérir

Who do we see?• CF members referred by an attending

clinician with complex needs including acute health care requiring coordination of services likely to exceed 3 months from time of onset;

• CF member who is medically releasing (3a/3b); and 5F deemed disabled;

• CF member referred by an attending clinician for Complex Return to Work;

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Who do we see?• CF member assigned a Permanent Medical Category

with Medical Employment Limitations by D Med Pol;

• CF member on period of retention and/or posted to JPSU (Service Personnel Holding List (SPHL) (screening required), and

• CF Member referred for a second extension (>1 year) of a Temporary Medical Category.

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What do we do?• Help members and families navigate the

military and civilian healthcare systems

• Provide information and contact points• Inform members about when and how to

apply for benefits and services • Help members coordinate their medical

care

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Family Resource Center

Family

RTW Coord OSISS/ISN Peer Sp

BPSO

Royal Canadian Legion

Unit/ AO

JPSU

Sp platoon

VAC Client SVC TeamRelease Section

Service Canada

SISIP Rep

Financial Counselor

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What we don’t do• Determine medical categories

• Make administrative decisions regarding careers

• Arrange a medical release or a period of retention

• Decide entitlement to benefits such as CPP & VAC

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Challenges• Confidentiality

• Developing and maintaining relationships with other service providers

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Confidentiality

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Communication

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Case Management Team Ottawa• Christine Besnard, CD, RN, BScN (Team Leader)• Brenda Krawchenko, RN, BScN• Darlene Devon, RN, BScN• Rachelle Malboeuf, RN, BScN• Christine Marier, RN, BScN• Lillian Hall, RN, BScN• Brian Black, CM Assistant

613-945-1601+Case Management National-Gestion de cas National@CMP

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