Care Plan, Plan of Care and Treatment Plan Storyboard: workflow scenarios and use of the three types of plans LCC Perspective: The only difference between the three plans is the level of complexity A treatment plan is for one health concern/problem. If there are multiple health concerns, there are multiple treatment plans. When a patient has multiple health concerns or plans from multiple specialists (treatment plans) and there are conflicts between the plans that need to be resolved a Plan of Care is created. With all this said, it is ok to have a Care Plan for only one health concern Scenarios and Actors Treatment Plan Plan of Care Care Plan A 42 yo female patient is newly diagnosed by his PCP (primary care provider)/GP (general practitioner) to have rheumatoid arthritis PCP/GP initiates a treatment plan that Treatment plan nil Nil includes: agreed to by Health concern/problem: patient rheumatoid arthritis and slightly overweight implementation Health goals: of plan actions effective pain control (interventions) prevent acute exacerbation starts effective weight control self-care participation LCC LCC Perspective: … Interventions: Perspective:There 1 Plan of Care - Meds: e.g. NSAIDS, corticosteroid, will be 2 Clinician Ca++, VitD treatment plans reconciles Rest, proper positioning of joints as the patient has conflicts of … Follow-up appointment in 4 weeks to 2 health Treatment Plans discuss longer term plan of care concerns) into a Plan of Each health Care PCP/GP discusses health concerns/problem, concern has a goals and interventions with patient treatment plan. Patient agrees to treatment plan Start the patient journey with one health concern (overweight) Patient returns to PCP/GP clinic after 4 nil weeks Patient is assessed for: Health status Progress of health problem Updated LCC Perspective: The PCP/GP reviews the previous treatment treatment plan Updated Plan of plan and updates the plan according to new LCC Perspective: Care assessment findings Updated treatment plans
Care Plan, Plan of Care and Treatment Plan Storyboard: workflow scenarios and use of the three types of plans LCC Perspective: The only difference between the three plans is the level of complexity A treatment plan is for one health concern/problem. If there are multiple health concerns, there are multiple treatment plans. When a patient has multiple health concerns or plans from multiple specialists (treatment plans) and there are conflicts between the plans that need to be resolved a Plan of Care is created. With all this said, it is ok to have a Care Plan for only one health concern Scenarios and Actors Treatment Plan Plan of Care Care Plan A 42 yo female patient is newly diagnosed by his PCP (primary care provider)/GP (general practitioner) to have rheumatoid arthritis PCP/GP initiates a treatment plan that includes: Health concern/problem: rheumatoid arthritis slightly overweight Health goals: effective pain control prevent acute exacerbation effective weight control self-care participation … Interventions: Meds: e.g. NSAIDS, corticosteroid, Ca++, VitD Rest, proper positioning of joints … Follow-up appointment in 4 weeks to discuss longer term plan of care PCP/GP discusses health concerns/problem, goals and interventions with patient Patient agrees to treatment plan Treatment plan agreed to by patient and implementation of plan actions (interventions) starts LCC Perspective:There will be 2 treatment plans as the patient has 2 health concerns) Each health concern has a treatment plan. Start the patient journey with one health concern (overweight) nil LCC Perspective: 1 Plan of Care - Clinician reconciles conflicts of Treatment Plans into a Plan of Care Nil Patient returns to PCP/GP clinic after 4 weeks Patient is assessed for: Health status Progress of health problem The PCP/GP reviews the previous treatment plan and updates the plan according to new assessment findings Updated treatment plan LCC Perspective: Updated treatment plans LCC Perspective: Updated Plan of Care nil
PatientJourney-PCP_care-and-Types_of_CarePlan_v-2013-11-27_SChu_LCCv2.docx