Case Management in Community Services: Australian Healthcare Report

This report analyzes case management within the Australian healthcare and community services context. It begins by defining case management models and approaches, followed by an exploration of evidence-based practices. The report then addresses mandatory reporting requirements and risk management related to duty of care, particularly concerning vulnerable populations like children, people with disabilities, and those experiencing domestic violence or homelessness. It examines cultural considerations and protocols for diverse client groups, including Aboriginal and Torres Strait Islander peoples, culturally and linguistically diverse individuals, and LGBTQI+ individuals. The report further delves into family structures, communication patterns, and decision-making processes. It outlines specialist services, support networks, and local resources available in Melbourne, Australia, and explains various funding models. Finally, the report covers service referral processes, formal information-sharing protocols, and relevant documentation requirements for case managers.

Communication
Name:
Institution:
Date:

1. Match the description with the correct model case management by writing the
corresponding letters with spaces provided
a) A brief approach to case management where workers attempt to help clients identify
their broker support services and the client’s needs.
 Brokerage case management
b) Utilizes the commonly accepted functions of case management which is characterized
by closer involvement between the client and the organizations management
 Intensive case management
c) Assumption of a comprehensive role for a team of case managers by providing
services such as family consultations, crisis intervention and skills building(Bouzidi,
et al 2018)
 Assertive community treatment case management
d) Provides outreach and a direct service in counselling services with a smaller case load
without a team approach
 Generalist case management
e) Combines rehabilitation or clinical activities combined with case management
 Clinical case management
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f) Focuses on self-direction, clients strength, and use of information on informal help
networks.
 Strengths-based case management(Bouzidi, et al 2018)
2. Briefly explain the Case Management Approach diagram shown below.
The case management approach above shows different approaches that are used in integration
of the case management approach. There are five approaches which are
1. Client based- this is centred on a client in case management approach.
2. Strength base- this is a case management approach centred on strength.
3. Inclusive approach- this is all the management involving all stakeholders inclusively
4. Holistic- it is similar to inclusive, where all the approaches are holistically or wholly
considered (Bouzidi, et al 2018).
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Case
Management
Approach
Client
centred
Evidence
based
HolisticInclusive
Strengths
based

5. Evidence based- this is shown as evidence collected in case management.
In case management approach, all these approaches are used in client management relations.
3. Illustrate the requirements of evidence based practice using a Venn diagram
In evidence based practice; the Venn diagram shows a three component system which
include; patient values and clinical expertise(Jayatilleke, Lai, & Reed, 2018)
4. Choose three true statements about the purpose and scope of case management
standards practice in Australia
a) The standard of practice is designed to enhance the practice of case management
b) Standards of practice provide a basis for quality guarantee, expectations and
accountability for clients, employers and other professionals.
c) Standards of practice reinforce current practices and are designed to provided
objectives and guidelines to assist the case manager in competently practicing case
management.
5). Mandatory reporting requirements and format related to community services:
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Who is mandated to report?
State/Territory: Melbourne
Legislation: community service legislation
Reporting template used in your state/territory
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Link: https://www.google.com/search?
q=reporting+template+of+community+service+work&tbm=isch&source=iu&ictx=1&fi
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r=z-EP-SFdhAJkRM%253A%252CNKrSmMGG9zzRiM%252C_&vet=1&usg=AI4_-
kSCLcPoZJ2ZDcpn-
U46Okuh3h6GJA&sa=X&ved=2ahUKEwir96WO7NbiAhUFJhoKHbSvBj4Q9QEwAX
oECAUQBg#imgrc=z-EP-SFdhAJkRM:
6). Identify 2 risks of harm relating to duty of care in these groups and the
responsibilities as case managers
a. Children and young people
Risks of harm Responsibilities
1. Emotional risks My responsibility as a case manager is to
ensure that children and young people are
protected from any risks or harm associated
with emotional and psychological well-being.
This may be caused by stress, social grouping
or sexual risks (Gallego, 2016,).
2. Psychological risks
b. People with a disability
Risks of harm Responsibilities
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1. Risk of physical harm My responsibility as a case manager is to
ensure that children and young people are
protected from any risks or harm associated
with emotional and psychological well-being.
This may be caused by stress, social grouping
or sexual risks.
2. Emotional and psychological risks
c. People experiencing domestic violence
Risks of harm Responsibilities
1. Emotional risks People experiencing domestic violence
experience great emotional and physical
torture. My responsibility is to ensure that
they do not suffer harm or risks associated
with domestic violence by offering
counselling and other types of help.
2. Physical torture risks
d. A situation of elder abuse
Risks of harm Responsibilities
1. Risk of being depressed My responsibility as a case manager is to
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ensure that children and young people are
protected from any risks or harm associated
with emotional and psychological well-being.
This may be caused by stress, social grouping
or sexual risks.
2. Emotional risk
e. Someone contemplating suicide
Risks of harm Responsibilities
1. Death Suicidal people have risks of killing
themselves and being hopeless in life. My
responsibility as a case manager is to help
them see how life is precious and how they
will never be replaced by someone else on
earth. I can also offer guidance and
counselling to them and rehabilitation
facilities.
2. Abandonment and hopelessness
8. Complete the table below by providing the:
 brief history (if applicable)
 protocols & systems
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 considerations
 special needs
of the following diverse client/population:
a. Aboriginal and/or Torres Strait Islander people
b. children and young people
c. culturally and linguistically diverse (CALD)
d. lesbian, gay, bi-sexual, transgender, intersex (LGBTI)
e. older people
f. people experiencing or at risk of homelessness
g. people with a disability
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Aboriginal and/or Torres Strait Islander people
History
Protocols & systems
Guidance: Provide at least three
(3) cultural protocols & systems
that may apply when working
with ATSI people.
Considerations
Guidance: Provide at least three
(3) things workers need to
consider when working with this
group.
Special needs
Guidance: List any needs that
may relate specifically to the
ATSI people, i.e., support, type of
services, etc.
Sociology 1. respect of their culture
2. cultural integrity and
communication
3. confidentiality
1. cultural background
2. uniqueness
3. knowledge and
language
1. resources
food
education
Children and young people
History Protocols & systems
Guidance: Provide at least three
(3) agreed protocols for
Considerations
Guidance: Provide at least three
(3) things that workers need to
Special needs
Guidance: Provide at least three
(3).
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collaborative practice in child
protection.
consider when working with
children and young people.
List any needs that may related
specifically to children and young
people, i.e., support, type of
services, etc.
**No need to fill out this column
1. knowledge of the
children
2. educational
background relating to
child protection
3. good relationship with
children
1. modern culture
2. relationship and
socialization
3. Current trends with
young
1. Love
2. Care
3. Listening
Culturally and linguistically diverse (CALD)
History Protocols & systems
Guidance: Provide at least three
Considerations
Guidance: Provide at least three
Special needs
Guidance: Provide at least three
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(3) that may apply when working
with culturally and linguistically
diverse individuals.
(3) things workers need to
consider when working with
CALD individuals.
(3).
List any needs that may related
specifically to working with
CALD clients.
1. respect of their culture
2. cultural integrity and
communication
3. linguistically
knowledgeable
1. cultural background
2. uniqueness
3. knowledge and
language
1. knowledge of their
language(basic)
2. basic knowledge of their
culture
3. willingness to interact
Lesbian, gay, bi-sexual, transgender, intersex (LGBTI)
History Protocols & systems
Guidance: Provide at least three
(3) that may apply when working
with LGBT individuals.
Considerations
Guidance: Provide at least three
(3) things that workers need to
consider when working with
Special needs
Guidance: Provide at least three
(3). List any needs that may relate
specifically to working with
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LGBTI individuals. LGBTI clients.
1. knowing and accepting
them as they are
2. non-judgemental approach
3. liberal view
1. challenges they face
2. their view of their
sexuality
3. uniqueness
1. knowledge about
LGBTI
2. cultural orientation
3. sexuality
Older people
History
Protocols & systems
Guidance: Provide one (1)
prevailing protocol in your
state/territory that responds to
the service needs of older people.
Considerations
Guidance: Provide at least three
(3) things that workers need to
consider when working with the
elderly.
Special needs
Guidance: Provide at least three
(3). List any needs that may relate
specifically to working with older
client.
**No need to fill out this column State/territory: Melbourne
Protocol/systems:
1. integrated health care
1. Well trained to handle the 1. Emotional intelligence
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system
2. ensure trained staff to
handle them
3. Basic knowledge and
competencies
elderly
2. Emotional intelligence
3. Care and humility
2. Patience
3. Integrity and honor
People experiencing or at risk of homelessness
History
Protocols & systems
Guidance: Provide one (1)
prevailing protocol in your
state/territory that responds to
the service needs of people
experiencing or at risk of
homelessness.
Considerations
Guidance: Provide at least three
(3) things that workers need to
consider when working with
people experiencing or at risk of
homelessness.
Special needs
Guidance: Provide at least three
(3). List any needs that may relate
specifically to working with
people experiencing or at risk of
homelessness.
**No need to fill out this column State/territory:
1. Well trained to handle the
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Protocol/systems:
1. integrated health care
system
2. ensure trained staff to
handle them
3. Basic knowledge and
competencies
elderly
2. Emotional intelligence
3. Care and humility
1. Well trained to handle the
elderly
2. Emotional intelligence
Care and humility
People with a disability
History
Protocols & systems
Guidance: Provide one (1)
prevailing protocol in your
state/territory that responds to
the service needs of people with
disability.
Considerations
Guidance: Provide at least three
(3) things that workers need to
consider when working with
people with a disability.
Special needs
Guidance: Provide at least three
(3). List any needs that may relate
specifically to working with
people with a disability.
**No need to fill out this column State/territory:
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Protocol/systems:
1. integrated health care
system
2. ensure trained staff to
handle them
3. Basic knowledge and
competencies
1. Well trained to handle the
elderly
2. Emotional intelligence
3. Care and humility
1. Well trained to handle the
elderly
2. Emotional intelligence
3. Care and humility
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Running head: MANAGEMENT
2. List three (3) examples of each of the following as they apply to Community Services in
your state/territory:
a. Specialist services and support available
b. Networks available
c. Examples of local services and supports available in your state/territory
7.)
3. Answer the questions below:
a. Define family structure and family dynamics.
b. List and describe two (2) types of communication patterns followed by families.
c. Describe the three (3) types of decision-making processes utilised by families.
a. Family structure is considered as the family support system that involve two adult
and married individuals who provide care and support to their offspring. The nuclear
family structure is the basic unit of a family (Jayatilleke, Lai, & Reed, 2018)..
Family dynamics are the relationship patterns and interactions between family
members. Dynamics are unique although families have similar patterns.
b. 1. Conversation pattern- where the family have an active verbal or non –verbal

MANAGEMENT
communication patterns between members.
2. Conformity orientation patterns- where members conform to the communication in
progress. E.g follow whatever their father says.
c. 1. Knowledge based-decision making- where knowledge is used to make decisions
2. Experience based decision making-where for example the parent’s makes decisions
for their children based on their experience in life.
3. tacit and explicit- this is also based on both knowledge and experience
Question 9.
List three (3) examples of each of the following as they apply to Community Services in
your state/territory:
d. Specialist services and support available
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MANAGEMENT
e. Networks available
f. Examples of local services and supports available in your state/territory
a. Specialist services and support
1. Family support services
2. Mental health support services
3. Children social care services
b. Networks
1. Child care organizations
2. Churches and religious organizations
3. Counselling services and social
c. Local services and supports
State/territory: Melbourne
1. Religious organizations
2. Child care organizations
3. Family support services
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MANAGEMENT
d.
10. Funding for organisations can be accessed in a number of ways. Briefly explain the
following:
 Commonwealth-direct funding
 Commonwealth-State Agreements
 State/Territory-direct funding
a. Commonwealth-direct funding
This means that funding to support community service is done directly from the
commonwealth meaning that there are no middle parties or any intermediary parties
involved.
b. Commonwealth-State Agreements
Commonwealth sate agreements are agreements within commonwealth countries
headed by the Queen of England. They are agreements made to support community
service which are aligned within the community.
c. State/Territory-direct funding
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This is direct source of funding from a particular state e.g Melbourne or Sydney
11. Identify three (3) occasions when a service may need to refer a client to another
service provider.
1. When the difficulty the client is facing is outside the clients knowledge base
2. When the security of the service provider is at risk
3. When the therapy used is outside the base or not suitable for the client
12. Explain the following formal processes used in case management for information
sharing and planning?
a. Case conferences
b. Case review meetings
c. Formal briefings on client progress
a. Case conferences
1. Case conferences is a formal processes where in case management a client is held
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MANAGEMENT
in a conference talk
b. Case review meetings
This is to review and analyse a case and its current outcomes
c. Formal briefings on client progress
This is a brief of the progress a client has gone through. It is the illustration of the
progress made by the client.
13. What are the relevant documentation protocols/requirements observed by Community
Services case managers?
1. Case management plan document
2. Assessment document
3. Evaluation and monitoring document
4. Progress and modification in case management
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14. What are the requirements and boundaries of a case manager’s coordination role in
the community services?
Guidance: Provide at least five (5).
1. Planning
2. Managing and coordinating complex needs
3. Evaluation of services
15. In 150 words, summarise the principles and practices 0f planning for individuals
with complex needs.
The principles of planning and practices in complex needs are The new services will require
each of the individuals in the work place to perform various tasks that are geared towards
enhancing the efficiency of the services. The marketing department will be tasked with
ensuring that the services are well advertised to the public in order to boost sales. The general
employees will ensure that they offer the best quality of service to the clients through
numerous interactions and convincing techniques. The management will supervise the whole
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delivery of the services to the clients
16. In 150 words, summarise the principles and practices 0f working across multiple
services.
The company will work together with the client in order to identify and deal with the barriers
that may affect the desired outcomes of the services. We will organize meetings to fully
discuss these barriers and formulate measures to curb them. The barriers may include wrong
description of the services required, inability to meet the requirements of the clients and lack
of necessary capacity by the organization to fully support the client (Jayatilleke, Lai, & Reed,
2018).. The management will also be involved in order to deal with the challenges relating to
the capacity of fulfilling the client’s needs and the measures that will have to be put in place
to ensure that the client is fully serviced.
17. What are the issues/concerns/barriers that may cause client confusion when they are
accessing multiple services?
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1. Cost
2. Time
3. Type of therapy
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MANAGEMENT
18. What are the issues faced by clients, their family and carers when accessing multiple
services?
1. Problem dealing with the client because many of them have mental issues
2. High cost associated with care giving
3. Relapse into the original state and the cycle continues
4. Sometimes the therapy given may not be good for the client
5. Fatigue associated with care giving
19. What are the impacts of service duplication to clients, families and carers?
1. Excessive fatigue to carers and families
2. Mental health condition may be passed to the groups
3. Emotional difficulties such as anger, fear, anxiety, self-low esteem and sadness
4. Mental health challenges such as eating disorders, sleeping disorders, depression, self-
harm and suicidal thoughts.
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MANAGEMENT
20. Identify and explain at least three (3) impacts of generational abuse to individuals
who have experienced this.
1. Emotional difficulties such as anger, fear, anxiety, self-low esteem and sadness
2. Problems with abuse of drugs and alcohol due to post traumatic stress
3. Mental health challenges such as eating disorders, sleeping disorders, depression, self-
harm and suicidal thoughts.
21. What are the impacts of welfare dependency to individuals?
1. Creation of a culture of dependency within the family
2. Causes the snowball effect within generations
3. Transmission of welfare dependency from parents to their children
4. Serious economic consequences for the future of the kids.
22. What is the basic feature of multiple and complex needs affecting client groups?
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1. Chronic illness is a basic feature
2. High care cost associated with this groups
3. Complex care associated with this group
4. A lot of additional support on daily basis.
1. Establish coordination function
1a.
Email
From: HR
To: All employees
Subject: New services
The purpose of this email is to inform you of the taking effect of the new services that have
been introduced by the organization based on the meetings that have been held by the
management. All of you are aware of these services as you have been part and parcel of its
formulation. Therefore, this is just a reminder to ensure everyone align themselves to the new
services in order for us to serve our clients well.
Thanks
HR
1b
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Report
The new services will require each of the individuals in the work place to perform various
tasks that are geared towards enhancing the efficiency of the services. The marketing
department will be tasked with ensuring that the services are well advertised to the public in
order to boost sales. The general employees will ensure that they offer the best quality of
service to the clients through numerous interactions and convincing techniques. The
management will supervise the whole delivery of the services to the clients.( Bouzidi,
Haddar, Abdallah,& Haddar,2018)
1c
There is need to develop a plan to capture all the services and the timeframes that will be
required for this services. The company will be offering IT support services which will
include provision of soft wares and the upgrading of the soft wares from time to time. The
service is appropriate as it will enable the clients to be in touch with the technological
advancements through the upgrades of their system. The time frame is not defined as the
service depends on the invention of more updated soft wares thus it will vary from time to
time. The expected outcome is that the services will provide the clients with a more reliable
computer services that will take care of their needs. (Gallego, Chalé-Góngora, Llorens,
Fuentes, Álvarez, Génova,& Fraga,2016)
1d
From: IT manager
To: account manager
Subject: funding for services
This is to inform you of the urgent requirements that we need in order to ensure that the
provision of the services is not interfered with. I have attached the necessary budget estimates
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that we require in order to ensure the smooth process of service provision. It is my hope that
you consider our request soon enough.
Yours,
IT manager
From: Account manager
To: IT manager
Subject: Funding for services
Thank you very much for your email. I am pleased to inform you that we have already done
our budget estimates and the requirements that you had requested for have been fully
incorporated. The funds will be available to you as soon as it is signed off by the director
Thanks,
Account manager
2. Support the clients to access multiple services
2a
Workplace policy
The organization shall ensure that the needs of the clients are accorded the first priority at all
times.
The duty of the organization is to ensure that the clients are supported in full through the
services that will be offered by the organization.
The various departments are to ensure they coordinate together in order to ensure the
provision of quality services.
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The framework of the service guidelines should be shared across the departments in the
organization to ensure everyone is aware of the standards for service provision. (Jayatilleke,
Lai, & Reed,2018)
2b
Minutes of meeting on coordination with the client
The members present were the manger and the client. The following issues were discussed
The client was provided information on how the coordination of services works in the
organization.
The client was taken through a number of coronation activities in order for him to fully
understand how the system works.
The client issued his reservations on some parts of the coordination activities and requested
for amendments to better improve them.
The manager provided a number of channels for solutions to the client in which he can ue to
address some of the problems that may arise.
2c
The channels of communication between the organization and the client have been discussed
and the requirement such as timely response to issues raised by client has been addressed.
Another requirement that was agreed on is the need to keep all communication channels open
at all times to enhance efficiency.( Klier, Klier,& Muschter, 2017)
2d
Workplace policy
The policy details the guidelines in case of a need for an interpreter.
The organization shall provide an interpreter in case the communication with the client is
hindered in any way.
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The associated costs that comes with the interpreter shall be borne by the organization
The interpreter shall be used only to advance the organization interest in dealing with the
client.
2e
The company will work together with the client in order to identify and deal with the barriers
that may affect the desired outcomes of the services. We will organize meetings to fully
discuss these barriers and formulate measures to curb them. The barriers may include wrong
description of the services required, inability to meet the requirements of the clients and lack
of necessary capacity by the organization to fully support the client (Pyöriä, & Ojala, 2016).
The management will also be involved in order to deal with the challenges relating to the
capacity of fulfilling the client’s needs and the measures that will have to be put in place to
ensure that the client is fully serviced.
2f
The needs of these services are many and thus have to be prioritized in order to ensure a
smooth flow of service delivery. The top priority will be the timely support of the system in
order to ensure that the client does not suffer loses. The service providers need to ensure that
they offer the highest quality of support at all times. The service providers also need to
inform the clients of the new services that may have as time goes by.( Lauesen,2018)
2g
Notes
The need to provide efficient services require the company to minimize confusion in terms of
what the client needs. This will require the coordination of other services in the organization
to achieve this. This can be through
Engaging other departments that assist the work of the service being provided
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Engage the management in order for them to understand what the clients need and the
necessary things to be done to achieve this (Pyöriä, & Ojala, 2016).
Ensure that the client is specific on the service that he requires in order to provide the best to
him.
2h
Minutes of meeting for coordination of responsibilities
The members present are all the employees of the organization. The meeting came up with
the following
The HR defined the responsibilities of each member of the organization and the standards
that have to be met.
The employees asked for clarity on a number of roles that were overlapping in the
organization.
The management insisted on the need for proper coordination for quality service delivery.
The HR asked the various heads to ensure the full coordination of activities in the
organization to ensure overall service delivery.
Monitor client progress
3a
From: IT manager
Internal memo
This is to inform the service providers to ensure that they take a critical look of the service
that they are providing in order to ensure that there is no duplication of services. There has
been a complaint by the client in regards to this matter and therefore it is important for us to
ensure that the mistake does not happen again and maintain the quality of our services
3b
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Monitoring of the progress towards the outcomes need to be done in conjunction with the
client. Therefore, there is need to arrange meetings with the client in order to discuss on how
the project is fairing on and the various ways in which it can be improved further. The client
may also from time to time demand to see the kind of work done and thus the company will
ensure that it provides the same to the client.( Moen, Kelly, Fan,Lee, Almeida, Kossek, &
Buxton,2016)
3c
The following were the client feedback regarding the service provided.
The service met the requirements that were specified.
The service provided was of high quality.
The support services are excellent and timely.
3d
Work policy
The policy advocates for other support that may be required to ensure the progress of the
outcomes.it stipulates the need for further engagement in order to meet the desired outcomes.
Notes
There is need to come together and analyze on the changing needs that may affect the
outcome of the service progress. The company and the client need to come together and chart
a way to be used to support the service delivery. (Pyöriä, & Ojala,2016)
Minutes of meeting for further support
The members present were the client and the company representative. They discussed the
following
There is need to change tact due to the changing needs of the services provided.
The client has to increase the payment due to the changes that have occurred
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The company will take care of the emerging needs fully based on conditions that are
agreeable to the client (Moen, et al,2016)..
4. Planned and coordinated multiple resources
Client 1
The approach will involve meeting with the client in order to understand his needs. This will
be followed by incorporating the requirements in the kind of service that the client will be
provided. A coordinating team will be formed and the necessary support will be offered to the
client. Also we will monitor the progress to ensure the client is fully satisfied.
Client 2
The client is a multinational and thus the approach requires a careful consideration. It will
include all the stages mentioned above with a high detail of information to ensure that the
client gets the right service. The approach will include granting several employees the task of
supporting the client in order to minimize any chances of errors in the service delivery
(Pyöriä, & Ojala, 2016).
Client3
The government has subscribed to the services and thus we need to approach the service
delivery in manner to ensure that the government services are not interfered with. The
approach is not as complicated as the multi-national one but there are key components to be
looked into. The four stages of service delivery will be included and we will coordinate with
the relevant people in the government that will be handling the service delivery. The
approach will involve meetings with the government specialists in order to formulate proper
strategies that will ensure the efficient delivery f the services to the government.
( Woldeamlak, Diabat, & Svetinovic, 2016)
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References
Bouzidi, A., Haddar, N., Abdallah, M. B., & Haddar, K. (2018, October). Alignment of
business processes and requirements through model integration. In 2018 IEEE/ACS 15th
International Conference on Computer Systems and Applications (AICCSA) (pp. 1-8). IEEE.
Gallego, E., Chalé-Góngora, H. G., Llorens, J., Fuentes, J., Álvarez, J., Génova, G., & Fraga,
A. (2016, December). Requirements quality analysis: A successful case study in the industry.
In International Conference on Complex Systems Design & Management (pp. 187-201).
Springer, Cham.
Jayatilleke, S., Lai, R., & Reed, K. (2018). A method of requirements change
analysis. Requirements Engineering, 23(4), 493-508.
Klier, J., Klier, M., & Muschter, S. (2017). How to manage IS requirements in complex
public sector structures: toward an action design research approach. Requirements
Engineering, 22(4), 419-432.
Lauesen, S. (2018, March). Problem-Oriented Requirements in Practice–a Case Study.
In International Working Conference on Requirements Engineering: Foundation for
Software Quality (pp. 3-19). Springer, Cham.
Moen, P., Kelly, E. L., Fan, W., Lee, S. R., Almeida, D., Kossek, E. E., & Buxton, O. M.
(2016). Does a flexibility/support organizational initiative improve high-tech employees’
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well-being? Evidence from the work, family, and health network. American Sociological
Review, 81(1), 134-164.
Pyöriä, P., & Ojala, S. (2016). Precarious work and intrinsic job quality: Evidence from
Finland, 1984–2013. The Economic and Labour Relations Review, 27(3), 349-367.
Woldeamlak, S., Diabat, A., & Svetinovic, D. (2016). Goal‐Oriented Requirements
Engineering for Research‐Intensive Complex Systems: A Case Study. Systems
Engineering, 19(4), 322-333.
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CHCCCS004 RPL Kit Version No.1.1 Produced 22 September 2017
© Inspire Education Pty Ltd. Page 39