Patients with complex health problems need more than just care. They need “Guided Care” which is, in our definition, smart care with deep support.
Complex health problems require pro-active management that is based on knowing how to navigate the complex healthcare eco-system, how to deal with uncertainty and how to make smart decisions continuously along the journey.
The uncertainty relates to the uber competition for access to services, the many visible and invisible barriers to receiving services, the conflicting opinions about what care is required or optional, the management of expectations of all concerned, the limitations of services once received, the reality of medical mistakes, the lack of information about the availability and distribution of resources, the fuzzy logic of waiting lists, of bumping rules for those on waiting lists and how individual patients are prioritized by the makers of waiting lists.
Here’s a case study:
Mr P.D. had owned and run an automotive repair shop for 43 years. One day he fell at the shop. He continued to fall. He was examined by his GP and then referred to a neurologist. After his normal MRI he had an EMG which indicated that he had ALS. The day that he learned about his diagnosis was the last day at his shop.
It was understandable that the family found this terrible diagnosis very difficult to cope with. The GP was busy at his office and not available. The neurologist booked a followup in 4 months. The community care organization sent a speech language therapist to help with speech and swallowing but she was rushed because she had a very large case load.
What does this family really need? We call the solution to their diverse and ever changing set of needs “Guided Care”. Their needs will change on an almost daily basis. They will need access to a guide on a regular and constant basis.
If you were travelling to Serbia, Turkey or Morocco, you wouldn’t tour the countryside without a guide.
Here is our description of what “Guided Care” should be:
* a medical doctor is on call * 365 and is accessible by phone or email
* you receive immediate answers to any questions about changes in the client’s status or about plans being made for the client
* emotional and social intelligence from the “empathetic” members of the client’s team
* access to and deep support from an extensive network of experts such as RCM’s TOP DOCS TM Canada network
* the experts are accessible by phone or email and are responsive
* access to an extensive network of specialized suppliers of services including home care suppliers and other service providers (SLPs, OTs, PTs) who work in the home
* secure online records that can be shared by the team of care providers
* secure online records that can be accessed by the family
* careful management of medications to ensure that there are no stock outs at home or errors or conflicts with the medications
* co-ordination of all appointments and tests and investigations
* interpretation of all test results and consultation notes
* evaluation of new developments in research and treatment methodologies
* review of financial budgeting for care with the family
* emotional maturity required to face end of life issues with grace, dignity and resolve
That’s our description of “Guided Care” which is available today from Rupert Case Management Inc. (RCM).
Call at any time to discuss how we can help with our “Guided Care” services.
800 620 7551.