A COORDINATED HEALTH AND HUMAN SERVICES DELIVERY SYSTEM AND PROCESS

• Main Authors: LATIF, ZUHAIR, DILWORTH, ROBERT, L, KRIEGER, KARL, JOSEPH, CHAAR, LOUAY, YOURIST, JAY, E
• Format: Patent
• Language: English; French
• Published: 31.08.2006
• Subjects: CALCULATING; COMPUTING; COUNTING; DATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FORADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORYOR FORECASTING PURPOSES; HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATIONTECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING ORPROCESSING OF MEDICAL OR HEALTHCARE DATA; INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTEDFOR SPECIFIC APPLICATION FIELDS; PHYSICS; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE,COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTINGPURPOSES, NOT OTHERWISE PROVIDED FOR

A system (200) and method (500) is provided for a coordinated health care service delivery program. The method can include providing services to clients at high risk for chronic disease including co-morbidities and consequent disabilities associated with the chronic disease, linking community and vocational services for facilitating community inclusion to supplement fundamental clinical and economic goals, creating a comprehensive and dynamic individual development plan to involve the client and family members as active program team members for stressing client-centric collaborative goal setting, and applying action learning to promote behavior modification and lifestyle change. L'invention concerne un système (200) et un procédé (500) permettant de fournir un programme coordonné de services de santé. Ledit procédé peut intégrer la prestation de services à des clients à haut risque de maladies chroniques, y compris la comorbidité et les handicaps qui en résultent, associés à la maladie chronique, la liaison entre les services communautaires et les services professionnels pour favoriser l'implication de la communauté pour compléter des objectifs cliniques et économiques fondamentaux, la création d'un plan de développement individuel exhaustif et dynamique, afin d'impliquer les clients et les membres de leur famille en tant que membres de l'équipe du programme d'intervention directe pour mettre en évidence la quantification des objectifs collectifs axés client et appliquer l'apprentissage pratique pour favoriser les modifications de comportement et les changements de mode de vie.