Whether it is stand alone care management or a combination of care management and companion services or skilled therapy services, the clinical process we use is the same: (1) Comprehensive Assessment; (2) Care Plan Development; (3) Care Plan Implementation; and (4) Care Plan re-assessment and review until the client's goals are achieved. The following describes our clinical process:
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Client and Program Services
CHC Services specializes in expert clinical services for seniors and individuals with special needs.
Assessment
We begin our process by conducting comprehensive assessments of clients in order to determine the individual and family’s needs. Once the initial assessment is completed and information is gathered from the client and family, the data is reviewed with our Medical Director, Administrator, and Care Manager. Some client needs may be straight forward requiring a few hours of Care Management only, or needs may be extensive, requiring 24 hour care, therapy service, and Care Management services.
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Care Plans
After the comprehensive assessment we develop Care Plans to meet the client's immediate needs as well as to foster greater independence and enhanced quality of life. This is accomplished through the application of care management and rehabilitation strategies. Each Care Plan identifies an individual or team of experienced healthcare professionals who works directly with the client and their families. The Care manager and team, as applicable, provide ongoing feedback to the client and family on the progress of the client based on data collected and from re-assessments.
Read more about our Comprehensive Care Plan development and implementation:
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Our clients include older and disabled adults and others who have one or more of the following characteristics:
- Are alone or may be at risk for being unsafe at home
- Have a loved one at home who is unable to handle the burden
- Have families living far away
- Have significantly compromised health status
- Have a new or complex diagnosis
- Have significantly impaired mobility
- Have significantly impaired cognitive or behavioral skills and need support and supervision
- Are recovering after discharge from a hospital, nursing home, or rehabilitation facility
Our services are designed to address the broad spectrum of needs of individuals and families who may be struggling to manage their healthcare needs, the complex healthcare system, or who want to remain at home independently, but are having challenges doing so.