You are the director of case management (nurse case managers and social workers work in your unit) for a large hospital. While you and your staff do not directly work for the state, a major portion of your funding comes from the state’s budget from grant money. The state’s grant auditors studied your program’s success to determine the feasibility of continued funding. Their findings revealed that the agency is providing excellent service to middle class clients but is doing a sub-par job in connecting poorer patients with needed ancillary services. You conduct an internal investigation into your case manager procedures and discover that they are making appropriate referrals. The difficulty is that each agency has different intake policies, procedures, and requirements, meaning that clients must spend at least an entire morning or afternoon just applying for each service. Further, many clients do not have time to travel between a few agencies to get the services. (Many do not have reliable transportation.)
In a 4–5 page paper, design a plan for service delivery between multiple agencies that reduces paperwork and intake time. Be sure to include the following in your design:
List some typical obstacles that interfere with the clients’ ability to access services across agencies.
What are some creative ways to facilitate client care between many different types of agencies (e.g., food bank, mental health agency, welfare to work)?
Often agencies have service-specific rules and laws that they must follow. Remember that most agencies must now follow the Health Insurance Portability and Accountability Act (HIPAA) regulations; think about how you can use this knowledge to your advantage. What suggestions do you have for helping agencies in your town to streamline the intake process? Are there ways to facilitate access to services by coordinating some of the intake procedures? Why or why not?
How will you evaluate the effectiveness of your community services delivery plan? How does this evaluation plan measure the effectiveness of reducing the identified obstacles that interfere with the clients’ ability to access services at different agencies?
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