Chapter 11: Case Management

Hilgers TW

Clinical Practice Operations · Workflow and Documentation

Chapter 11: Case Management

Hilgers TW

The Medical and Surgical Practice of NaProTECHNOLOGY, 207-215, 2004

RRM Academy Synopsis

Creighton Model case management ranks chart problems into one plan

The Creighton Model System handles chart problems through case management, which joins them into one ranked plan of action for each client. A 2004 textbook chapter for FertilityCare Practitioners works through one hypothetical 34-day chart. Interns also complete a four-column sheet for supervisors.

Key Findings

The chapter defines case management as identifying, interpreting and integrating every situation that might arise in teaching the CrMS, then building a plan of action that meets the client's needs.
The example chart's problem list includes inadequate descriptions, a poor observational routine, a misidentified Peak Day and misapplied stamps.
The chapter states that a plan adopted jointly with the client through dialogue is integrated better than a plan dictated to her.
The case management sheet has four columns: Situation/Problem, Plan of Action, Rationale and Expected Outcome. A supervisor comments on it and grades it.
The sheet rates case difficulty on four levels, Level I to Level IV, so the supervisor can monitor an intern's client load.

RRM Context

Creighton Model FertilityCare is one named method within restorative reproductive medicine. Charting gives couples and clinicians cycle data. The chapter documents how one method turns chart findings into a follow-up plan.

Our editorial summary of this paper, not the article's abstract.

Abstract

This chapter defines case management in teaching the CREIGHTON MODEL System (CrMS) as the identification, interpretation, and integration of a client's situations or problems into a prioritized plan of action. Hilgers sets out basic principles for the teacher, among them good judgment, sensitivity to the individual needs of client couples, communication skills, and the ability to prioritize problems. The chapter works through a hypothetical 34-day cycle chart, identifying problems such as inadequate descriptions, a misidentified Peak Day, misapplied stamps, possible overreading of lubrication, and possible achieving-related behavior, and then forming a plan of action for each through dialogue with the client. The chapter also describes the case management sheet used in training FertilityCare™ Practitioner interns, with columns for situation or problem, plan of action, rationale, and expected outcome, and a four-level scale of case difficulty.

Topics

Clinical Practice Operations › Workflow and Documentation › Charting Systems and Records · Restorative Reproductive Medicine › NaProTechnology › Protocols and Framework

Thomas W Hilgers

Tom Hilgers, T Hilgers

Hilgers et al. 2004, Hilgers 2004

Chapter 11: Case Management

Creighton Model case management ranks chart problems into one plan

Key Findings

RRM Context

Abstract

Topics

By this author

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