The manager of a small clinic has cross-trained the nurses not only to provide basic nursing care, but also to perform ECG testing, phlebotomy, and some respiratory therapy interventions. This clinic is an example of which delivery model?

Question

1. Managed care
2. Case management
3. Client-focused care
4. Critical pathways

Answer 1

3. Client-focused care

Rationale:
Client-focused care is a delivery model that brings all services and care providers to the client. Activities provided by auxiliary personnel (physical therapy, respiratory therapy, ECG testing, and phlebotomy) are moved close to the client, thereby decreasing the number of personnel involved and the number of steps to get the work done. Managed care focuses on cost-effective, quality care which results in decreased costs and improved outcomes. Case management is a way to integrate health care services for individuals or groups and involves multidisciplinary teams that assume collaborative responsibility for planning, assessing needs, and coordinating, implementing, and evaluating care. Critical pathways are used to track the client's progress in case management.