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Key Topics
The Future of Home Health Care: A Strategic Framework for Optimizing Value
1. What do the authors identify as the drivers of change for the future of home health services? Identify each and briefly describe.
2. What do the authors propose as the key characteristics of the home health agency of the future based on the qualitative findings of this article?
The Wraparound Approach in Systems of Care
1. What are the 6 guiding principles of the Child and Adolescent Service System Program (CASSP)?
2. What are the positive and negative findings for Wraparound services? If there are any negative findings what may be the cause?
The Future of Home Health Care: A Strategic Framework for Optimizing Value
Answer 1
The authors have identified the following drivers of change for the future of home health service. The first driver is Demographic impetus and cost. The rising population of old age people in the United States is one of the major factors of change in health care. Due to the graying of the population, the expenditure on health is also increasing. The second driver is Health care delivery system reform. The health care delivery system reform aims to achieve the Triple aim, i.e., improvement in the experience of the patient care, improvement in the health of the population, decreasing the per-capita cost of the healthcare. Third is Misaligned incentives persist and block progress. The incentives which are misaligned are the barrier in the way of progress. The fourth driver is consumers driving care. The healthcare system is striving to empower the patients in their care which is ultimately making them engage in their care.
Answer 2
The key characteristics of the home health agency proposed by the authors are the following. The first key characteristic of the home health agency is that it should be patient and person-centered. The provided care should be responsive and respectful to the preference of the individual patient. The second key characteristic is that it should be seamlessly connected and coordinated. The third characteristic is that it should be of high quality. The home health agency should ensure that high-quality service is being delivered. The fourth one is that it should be technology enabled. Technology allows the patient to make contact with the health professional easily.
The Wraparound Approach in Systems of Care
Answer 1
The six guiding principles of the Child and Adolescent Service System Program are the following;
1) Children and adolescents deserve to live and grow in nurturing families.
2) The need for permanency, culture, and security of the children and adolescents ties in the family relationship must encompass all planning.
3) For the children and adolescents, the first focus for treatment should be the family setting. The last alternatives should be hospitalization or out-of-home placement.
4) To ensure alternatives such as home-based service, day treatment facilities, respite care, etc. for the out-of-home placement, a rich array of services for children and their families should be developed by the communities
5) In all service planning decision, the participation of children and parents should be ensured.
6) There should be an advocate for each child.
1) Children and adolescents deserve to live and grow in nurturing families.
2) The need for permanency, culture, and security of the children and adolescents ties in the family relationship must encompass all planning.
3) For the children and adolescents, the first focus for treatment should be the family setting. The last alternatives should be hospitalization or out-of-home placement.
4) To ensure alternatives such as home-based service, day treatment facilities, respite care, etc. for the out-of-home placement, a rich array of services for children and their families should be developed by the communities
5) In all service planning decision, the participation of children and parents should be ensured.
6) There should be an advocate for each child.
Answer 2
The positive findings of wraparound services are the following;
The services are more effective and resulted oriented. It has also helped in promoting adaptive functioning in the children and family and increased self-esteem. Apart from this the following have also been reported; reduction of externalizing behavior problems, reduction of out-of-home placement, increased patient and family satisfaction, improved family management function, and skills, increased the level of functions.
Negative findings
It has been found that those who receive only MST show more improvement in clinical symptoms than those who receive the only wraparound. The wraparound plans are individualized, therefore; it has a mixture of ineffective and effective treatment.
The services are more effective and resulted oriented. It has also helped in promoting adaptive functioning in the children and family and increased self-esteem. Apart from this the following have also been reported; reduction of externalizing behavior problems, reduction of out-of-home placement, increased patient and family satisfaction, improved family management function, and skills, increased the level of functions.
Negative findings
It has been found that those who receive only MST show more improvement in clinical symptoms than those who receive the only wraparound. The wraparound plans are individualized, therefore; it has a mixture of ineffective and effective treatment.
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Landers, S., Madigan, E., Leff, B., Rosati, R. J., McCann, B. A., Hornbake, R., ... & Lee, T. (2016). The future of home health care: a strategic framework for optimizing value. Home health care management & practice, 28(4), 262-278.
Winters, N. C., & Metz, W. P. (2009). The wraparound approach in systems of care. Psychiatric Clinics, 32(1), 135-151.
Winters, N. C., & Metz, W. P. (2009). The wraparound approach in systems of care. Psychiatric Clinics, 32(1), 135-151.
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