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Title / Describe and analyse service delivery models or approaches, and manage service plans in a health-related organisation
Level / 5 / Credits / 10
Purpose / People credited with this unit standard are able to: describe and analyse service delivery models or approaches; describe the application of a service delivery model or approach; develop service plans for consumers; manage the implementation of service plans for consumers; and review and update service plans for consumers; in a health-related organisation.
Classification / Health, Disability, and Aged Support > Health and Disability Principles in Practice
Available grade / Achieved
Explanatory notes
1 Legislation and codes relevant to this unit standard include:
Health and Disability Commissioner Act 1994;
Health and Disability Commissioner (Code of Health and Disability Services Consumers’ Rights) Regulations 1996 (the Code of Rights);
Health and Disability Services (Safety) Act 2001;
Health and Safety in Employment Act 1992;
Human Rights Act 1993;
Privacy Act 1993.
2 New Zealand Standards relevant to this unit standard include:
NZS 8134.0:2008 Health and disability services Standards – Health and disability services (general) Standard;
NZS 8134.1:2008 Health and disability services Standards – Health and disability services (core) Standards.
3 Primary references
The following texts and web-based references provide information on the service delivery models and approaches cited in this unit standard:
· Eden Alternative
http://www.edenalt.org/.
· Palliative Care
Age Concern. (2009). Palliative care. Retrieved 26 April, 2011, from http://www.ageconcern.org.nz/health/health-help/palliative-care (includes link to the Ministry of Health Palliative Care strategy).
bpacnz Ltd (Best Practice Advocacy Centre). (2006). Providing palliative care to Māori. Retrieved 26 April, 2011, from http://www.bpac.org.nz/resources/campaign/palliative/palliative_maori.asp.
Canterbury District Health Board. (2009). Palliative care guidelines. Christchurch: Author, available at http://www.cdhb.govt.nz/documents/palliative-care-manual/palliative-care/Pal_Care_Guidelines.pdf.
World Health Organization. (n.d.). WHO Definition of Palliative Care. Retrieved 26 April, 2011, from http://www.who.int/cancer/palliative/definition/en/.
· Rehabilitation
Hammell, K. W. (2006). Perspectives on disability and rehabilitation: Contesting assumptions, challenging practice. Edinburgh: Churchill Livingstone, available at http://ebooksfreedownload.org/ (search for Hammell).
· Restorative Approach
Hegner, B. R., Acello, B., & Caldwell, E. (2008). Nursing assistant: A nursing process approach (10th ed.). Clifton Park, NY.: Thomson Delmar Learning.
· Strengths-based Approach
McCashen, W. (2005).The strengths approach: A strengths-based resource for sharing power and creating change. Bendigo, Vic.: St Luke's Innovative Resources.
· Supported Independent Living
MacArthur, J. (June 2003). Support of daily living for adults with an intellectual disability: Review of the literature prepared for the National Advisory Committee on Health and Disability to inform its project on services for adults with an intellectual disability. Wellington: National Advisory Committee on Health and Disability, available at http://www.donaldbeasley.org.nz/publications.htm.
Ministry of Health; ACC. (2008). Home and community support services: Implementation guide 2008. Wellington: Author, available at http://www.acc.co.nz/PRD_EXT_CSMP/groups/external_providers/documents/internet/prd_ctrb095280.pdf.
Paradigm. (n.d.). History of supported living. Birkenhead, UK: Author, available at http://www.paradigm-uk.org/Resources/o/u/0/History of Supported Living.pdf. (Note that this refers to the United Kingdom history of supported living).
Paradigm. (n.d.). Person centred approaches – A checklist for providers. Birkenhead, UK: Author, available at http://www.paradigm-uk.org/articles/Person_Centred_Approaches_Provider_Checklist/224/86.aspx.
supportoptions.co.nz. (n.d.). Supported independent living. Retrieved 26 April, 2011, from http://www.supportoptions.co.nz/support/services.aspx.
4 Definitions
Candidate refers to the person seeking credit for this unit standard.
Consumer is defined in the Code of Rights and the Health and Disability Commissioner Act 1994 in the following ways:
‘Consumer means a health consumer or a disability services consumer; and, for the purposes of Rights 5, 6, 7(1), 7(7) to 7(10), and 10, includes a person entitled to give consent on behalf of that consumer’ – Code of Rights, Regulation 4.
'Disability services consumer means any person with a disability that –
(a) Reduces that person's ability to function independently; and
(b) Means that the person is likely to need support for an indefinite period.' – Health and Disability Commissioner Act 1994, s. 2.
'Health consumer includes any person on or in respect of whom any health care procedure is carried out' – Health and Disability Commissioner Act 1994, s. 2. Consumers may also be known as patients, clients, or tūroro, in particular contexts and settings.
Health and wellbeing refers to a holistic concept of a consumer’s mental, emotional, physical, spiritual, and social wellbeing.
Manage service plans refers to all aspects of planning, overseeing, and monitoring service plans, and of coordinating and directing those people within an organisation who have a designated role in service plan implementation.
Organisation’s policies and procedures are the policies and procedures of the employing organisation of the candidate and include ethical codes, standards, and other organisational requirements.
Others refers to any people who have relationships or interactions with a consumer, including but not limited to support workers, clinicians, family/whānau, friends, members of specialist agencies, community volunteers.
Providers means disability services providers and health care providers, as defined by the Health and Disability Commissioner Act 1994, ss.2 and 3.
Service delivery models or approaches refers to philosophies of consumer care that may be applied within an aged care, health, or disability setting. A service delivery model or approach provides an over-arching set of underlying principles, aims and objectives, operational parameters, and reviewable outcomes which direct the nature of consumer care and the manner in which it is provided.
Service plan is a generic term that covers individual or group plans (which may also be referred to by other names such as care plans) that are developed by service providers for people receiving support (and may include their family/whānau as appropriate).
Service provision in the context of this unit standard refers to the type and standard of service offered by a provider, including but not limited to – clinical, social or cultural service, rehabilitation, therapeutic interventions, counselling, crisis management.
5 This unit standard cannot be assessed against in a simulated environment. For assessment, candidates must demonstrate competence in the workplace through paid or unpaid employment, or in placements in a service provider workplace negotiated by an education provider.
Outcomes and evidence requirements
Outcome 1
Describe and analyse service delivery models or approaches in a health-related organisation.
Range service delivery models or approaches include – Eden Alternative, palliative care, rehabilitation, restorative approach, strengths-based approach, supported independent living;
evidence is required of three of the above service delivery models or approaches.
Evidence requirements
1.1 Service delivery models or approaches are described in terms of their underlying philosophy and application to consumer care in accordance with the primary references.
1.2 The key features of each service delivery model or approach are analysed in terms of how they shape service provision in a health-related organisation.
1.3 The key features of each service delivery model or approach are compared and contrasted in terms of their strengths and limitations.
Range evidence is required of a minimum of three key features for each service delivery model or approach.
Outcome 2
Describe the application of a service delivery model or approach in a health-related organisation.
Range service delivery models or approaches include – Eden Alternative, palliative care, rehabilitation, restorative approach, strengths-based approach, supported independent living;
evidence is required of one of the above service delivery models or approaches.
Evidence requirements
2.1 The service delivery model or approach is described in terms of its capacity to align with the organisation's vision, mission, and philosophy.
2.2 The service delivery model or approach is described in terms of its capacity to meet the requirements of government strategies, contracts for services, or service specifications relating to aged care, health, or disability.
Range evidence is required of a minimum of any two government strategies, contracts for services, or service specifications.
Outcome 3
Develop service plans for consumers in a health-related organisation.
Range evidence is required of two service plans for two different consumers.
Evidence requirements
3.1 Development of service plans for consumers is in collaboration with the consumer and others who support the consumer, and in accordance with the organisation’s policies and procedures.
3.2 Service plans for consumers meet the specifications of the organisation’s contracts for services, and align with service delivery models or approaches.
3.3 Service plans promote consumers’ health and wellbeing in accordance with the organisation's policies and procedures.
3.4 Service plans for consumers are within the budgetary and resource allocations of the health-related organisation.
3.5 Service plans for consumers include goals developed in collaboration with the consumer that are specific, measureable, achievable, and realistic.
Outcome 4
Manage the implementation of service plans for consumers in a health-related organisation.
Range evidence is required of two service plans for two different consumers.
Evidence requirements
4.1 Management of the implementation of service plans is in accordance with the organisation's policies and procedures.
Outcome 5
Review and update service plans for consumers in a health-related organisation.
Range evidence is required of two service plans for two different consumers.
Evidence requirements
5.1 Review of service plans is in terms of analysis of the level of achievement towards specified goals.
5.2 Review of service plans incorporates feedback from consumers and others, in accordance with the organisation’s policies and procedures.
5.3 Updating of service plans is in accordance with the outcomes of service plan reviews and the organisation’s policies and procedures.
Planned review date / 31 December 2016Status information and last date for assessment for superseded versions
Process / Version / Date / Last Date for Assessment /Registration / 1 / 17 June 2011 / N/A
Consent and Moderation Requirements (CMR) reference / 0024
This CMR can be accessed at http://www.nzqa.govt.nz/framework/search/index.do.
Please note
Providers must be granted consent to assess against standards (accredited) by NZQA, before they can report credits from assessment against unit standards or deliver courses of study leading to that assessment.
Industry Training Organisations must be granted consent to assess against standards by NZQA before they can register credits from assessment against unit standards.
Providers and Industry Training Organisations, which have been granted consent and which are assessing against unit standards must engage with the moderation system that applies to those standards.
Requirements for consent to assess and an outline of the moderation system that applies to this standard are outlined in the Consent and Moderation Requirements (CMRs). The CMR also includes useful information about special requirements for organisations wishing to develop education and training programmes, such as minimum qualifications for tutors and assessors, and special resource requirements.
Comments on this unit standard
Please contact the Community Support Services Industry Training Organisation Limited if you wish to suggest changes to the content of this unit standard.
Community Support Services ITOSSB Code 101814 / Ó New Zealand Qualifications Authority 2011