RESUMO
Increasing costs and budget reductions combined with increasing demand from our growing, aging population support the need to ensure that the scarce resources allocated to home care clients match client needs. This article details how Integrated Home Care for the Calgary Zone of Alberta Health Services considered ethical and economic principles and used data from the Resident Assessment Instrument for Home Care (RAI-HC) and case mix indices from the Resource Utilization Groups Version III for Home Care (RUG-III/HC) to formulate service guidelines. These explicit service guidelines formalize and support individual resource allocation decisions made by case managers and provide a consistent and transparent method of allocating limited resources.
Assuntos
Administração de Caso/normas , Serviços de Assistência Domiciliar/normas , Guias de Prática Clínica como Assunto , Alocação de Recursos/normas , Alberta , Administração de Caso/organização & administração , Tomada de Decisões , Serviços de Assistência Domiciliar/organização & administração , Humanos , Guias de Prática Clínica como Assunto/normasRESUMO
Appropriate utilization of long-term care resources is critical to sustainability. This article reports on the evaluation of the Regina Risk Indicator Tool conducted by the Calgary Health Region in 2000, including an overview of the tool evaluation and a summary of RRIT development within the Regina Health District. The RRIT has provided value to Calgary and Regina in matching client needs with appropriate community and facility-based services.