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Managed Care Option

Managed Care Option

What is the Managed Care option?

Managed Care is an option offered by Prairie Mountain Health (PMH) Home Care Program. It consists of two sub-options:

Self Managed Care enables clients with assessed Home Care needs to accept full responsibility for their personal care as Self Managers. Individuals who choose this option rather than receiving their services through the regular PMH Home Care Program are responsible for coordinating, managing, and directing the non-professional services they need to continue living at home and in the community.

Family Managed Care enables the families of clients with assessed Home Care needs to accept full responsibility for their family member as a Family Manager. The Family Manager who chooses this option for meeting their family member’s needs is responsible for coordinating, managing, and directing the non-professional services needed by their family member to continue living at home and in the community. 

To be eligible for Home Care/Managed Care Individuals must:

  • be a Manitoba resident
  • registered with Manitoba Health
  • require health services or assistance with the activities of daily living
  • require service to remain safely in their homes
  • require more assistance than is available from existing supports and community resources.

How Do I Apply For Managed Care?

To apply for Managed Care you or your family member need to be a client of PMH Home Care Program and be eligible to receive Home Care Attendant / Home Support Worker services. If you or your family member is already receiving services from PMH Home Care Program, contact your Home Care Case Coordinator to discuss your interest in Managed Care and whether Managed Care is an appropriate resource for you or your family member.

If you or your family member is not a client of PMH Home Care and would like to determine eligibility for PMH Home Care services including Managed Care; please call your local Home Care Case Coordinator.

Key Points about PMH Managed Care Option

  • Self/Family Managers will receive funding to either purchase services or to employ staff following the completion of a formal assessment and a signed agreement with PMH.
  • Self/Family Managers are expected to use those funds to employ staff, or an agency, to meet the assessed care needs.
  • An assessment by a PMH Home Care Case Coordinator will determine the type, and amount, of service needed according to the standards applicable to the PMH Home Care Program. This assessment will determine the amount of funding received by the Self or Family Manager.
  • A reassessment will be conducted on a regular basis by a PMH Home Care Case Coordinator; at the request of the client or family member; or when the level of assistance required by the client changes.  This will enable adjustments to be made as the need for services increases or decreases.
  • Clients in Managed Care remain eligible for Home Care’s professional services such as Nursing.
  • In the event of a violation of the Managed Care agreement, the agreement with PMH may be terminated and alternate PMH Home Care services will be arranged dependent on eligibility.
  • The responsibility of ensuring backup services will be the responsibility of the Self/Family Manager.
  • The Self/Family Manager will arrange to meet the needs of the client in accordance with the PMH Managed Care agreement.
  • All Self/Family Managers will be required to set up and maintain a separate bank account. This account is used solely for receiving and expending Self/Family Managed Care funds and will be subject to semi-annual reports and audit reviews by PMH.
  • As per Manitoba Health, Seniors and Active Living policy, hiring of family members is not allowed except in unique circumstances and with the approval of PMH.
  • As per Manitoba Health, Seniors and Active Living policy, a one year enrollment in Home Care may be required if there are concerns of care or client instability.
  • As a Self/Family Manager you may choose to hire an agency to provide the funded home care services or you may choose to directly employ your own staff. If you choose to employ staff as a Self/Family Manager you take on full responsibilities as an employer including: Registering with Canada Revenue Agency, Employment Insurance, Workers Compensation, making required payroll deductions etc. A payroll company may be hired to assist with these employer obligations. Alternatively, you may choose to engage a personal care agency to provide the care.

Craving Change

What is Craving Change™ (CC)?

CC is an educational program led by trained facilitators.  This program will help participants develop a healthier relationship with food. 

CC will help you to:

  • understand why it’s hard to change your eating.
  • identify your personal triggers for problematic eating.
  • learn to respond to your triggers differently.
  • maintain these changes.

Who would benefit?

CC is suitable for adults 18 years of age and older.  CC is not advised for those with a medical condition who do not understand their diet needs, such as someone with newly diagnosed type 2 diabetes.  Diet counselling and teaching are not part of the program. 

Can I bring a support person?

Participants are welcome to bring a friend, family member or other support person to the program.

Is there a cost?

The program is available at no cost.

How long is the program?

Group classes are offered.  Programs are planned for two hours per session.  Sessions are once a week for a total of three weeks. 

 

Do I have to come each week?

To get the most of the program, participants should attend all sessions. 

What can I expect at a session?

The sessions will help you build confidence to manage your eating through group activities and discussions.  Each participant will receive a CC workbook which includes self-assessment worksheets and strategies to practice at home between sessions.

To register for CC in your area: 

Call our Toll Free Number: 1-877-509-7852

Space is limited so you must pre-register.

For more information about the program visit cravingchange.ca or contact one of our CC Coordinators: 

Sherrill-Lee Hyra:  tel. 204-328-7541This email address is being protected from spambots. You need JavaScript enabled to view it.

Holly Reimer:  tel. 204-629-3002This email address is being protected from spambots. You need JavaScript enabled to view it. 

 


Agency Nurses


Practicum Students


 Private Healthcare Providers

Private healtcare providers are trained health care professionals who may hold a license with a regulatory body as applicable e.g. College of Physiotherapists of Manitoba.  They provide a clinical health service and are not employed or contracted by Prairie Mountain Health (PMH). The Private Providers Provision of Health Care Services policy guides the safe provision of private health care provider services in PMH sites/programs operated and staffed by PMH.

Click here for all information including the Private Providers Provision of Health Care Services policy.


 Volunteers

  • Click here for information about volunteering at Brandon Regional Health Centre.

Accessibility

The Accessibility for Manitobans Act (AMA) was passed on December 5, 2013 and provides a clear, proactive process to identify, prevent and remove barriers to accessibility.

Under this legislation, the Manitoba government will develop mandatory accessibility standards to address barriers to accessibility with respect to the following five areas:

  • Customer service
  • Employment
  • Transportation information
  • Communication
  • Built environment

The implementation of AMA will have positive impacts on access to health care services. The removal of barriers addressed through the five standards will result a more welcoming environment for everyone using health care services and for staff, students, volunteers and visitors.

The Prairie Mountain Health (PMH) Accessibility Plan was approved by the PMH Board of Directors on April 27, 2017.  This plan is a living document and will be updated as additional information becomes available.

If you would like additional information about Accessibility in Prairie Mountain Health, please contact:

Lara Bossert,

Executive Director – Communications & Corporate Operations

Prairie Mountain Health

This email address is being protected from spambots. You need JavaScript enabled to view it.

 

One of our first steps is to gain an understanding of the barriers to accessibility in our healthcare facilities are.

What are Barriers to Accessibility?

Barriers to accessibility are obstacles that make it difficult - or sometimes impossible - for people with different abilities to fully participate in school, work, social situations or receive health services. Barriers usually develop because accessibility needs are not considered. There are many different types of barriers, both visible and invisible. They include:

Attitudinal Barriers - may result in people with disabilities being treated differently than people without disabilities (e.g., talking to an individual's support person assuming the individual with a disability will not be able to understand; assuming a person who has a speech impairment or speaks a different language cannot understand you; thinking a person with an intellectual or mental health disability cannot make decisions, etc.).

Informational and Communication Barriers - arise when a person with a disability cannot easily receive and /or understand information available to others (e.g., print is too small to be read by a person with impaired vision; public address systems alert only people who can hear, etc.).

Technological Barriers - occur when technology, or the way it is used, is not accessible (e.g., websites not accessible to people who are blind and use screen reader software; accepting only online registration forms for programs, etc.).

Systemic Barriers - are policies, practices or procedures that result in some people receiving unequal access or being excluded (e.g., not considering the needs of persons with disabilities at the event planning stage; not being aware of policies that support accessibility, etc.).

Physical and Architectural Barriers - in the environment prevent physical access for people with disabilities (e.g., a door knob cannot be turned by a person with limited mobility or strength; aisles are narrowed by displays or equipment making them impassable by a person using a wheelchair or walker, etc.).

Access to Records - FIPPA

Access to Records

Freedom of Information and Protection of Privacy Act (FIPPA)

 

The Freedom of Information and Protection of Privacy Act (FIPPA) provides you with the following rights:

  • the right of access to your personal information maintained by Prairie Mountain Health (PMH),

  • the right to request a correction to any information maintained about you by PMH, and

  • the right of access to information in records maintained by PMH.

FIPPA also protects your personal information. It establishes rules for how we are permitted to collect, use and disclose your personal information.

FIPPA does not apply to information contained in health records/medical records. For information about accessing your personal health information, refer to our section entitled Access to Records - Personal Health Information Act (PHIA).


 Requests for access to information under FIPPA are managed centrally within PMH by the Access and Privacy Program.

If you would like more information about your rights under FIPPA, you can contact the Regional Manager – Access and Privacy at:

Deloraine Satellite Office - c/o Privacy

Box 447 - 119 Kellet Street South

Deloraine, MB R0M 0M0

Ph: 204-483-6175

Fax: 204-747-3958

Email:  This email address is being protected from spambots. You need JavaScript enabled to view it.


 How to Request Records Maintained by PMH:

Complete the application form to access information in records held by Prairie Mountain Health. Describe the information you wish to access as clearly and as specifically as possible. Include your name, address and telephone (or fax) number. Remember to sign the form. Mail or fax the application to the PMH Access and Privacy Program.

Mail or fax the application to the PMH Access and Privacy Program at:

PMH Access and Privacy Program

Souris Regional Office

PO Box 626

Souris, MB R0K 2C0

Fax:  204-578-2810

Email:  This email address is being protected from spambots. You need JavaScript enabled to view it.


For more information about FIPPA, click here.

 

 

 

 

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