New care plans = 70% Review of care plans = 30% Example number of patients Number with a care plan Number without a care plan 100 20 80 New care plans = 70% (of 80) = 56 care plans Review of care plans = 30% (of 20)= 6 care plans 2) Completing Care Plans 2.1 Which Care Plan? SystmOne - Ardens Users SystmOne - Non Ardens EMIS Web Users Use the relevant condition Continue to use the Continue to use the same specific templates to capture key same Personal Care Personal Care Plan that information. Plan that you used for you used for 17/18 and 17/18 and have used in have used in previous Use the LTC review template to previous years as part of years as part of the help you identify which condition the avoiding unplanned avoiding unplanned specific plans the patient needs. admissions DES. admissions DES. Click on future care planning Ensure patients are Ensure patients are Click on Generic Care Plan correctly with a GSF correctly coded with a GSF (This is the foundation stage / Frailty code, stage / Frailty code, where document) - make sure you where appropriate. appropriate. select the code from the drop down box Click on Specific Care plan - Signpost patients (where Signpost patients (where appropriate) to appropriate) to this will take you to the management support on management support on plans for the Health in Herts the Health in Herts specific conditions webpages. webpages. Signpost patients (where For end of life patients: For end of life patients: Ask appropriate) to self-management Ask for consent to add for consent to add support on the Health in Herts information to the information to the summary webpages summary care record. care record. Use the Use the EPaCCS leaflet EPaCCS leaflet For end of life patients: Ask for to explain how this works consent to add information to the summary care record. Use the EPaCCS leaflet
New care plans = 70% Review of care plans = 30% number of patients Number with a care plan Number without a care plan 100 20 80 Example New care plans = 70% (of 80) = 56 care plans Review of care plans = 30% (of 20)= 6 care plans 2) Completing Care Plans 2.1 Which Care Plan? SystmOne - Ardens Users SystmOne - Non Ardens Users EMIS Web Use the relevant condition specific templates to capture key information. Use the LTC review template to help you identify which condition specific plans the patient needs. Click on future care planning Click on Generic Care Plan (This is the foundation document) - make sure you select the code from the drop down box Click on Specific Care plan - this will take you to the plans for specific conditions Signpost patients (where appropriate) to self-management support on the Health in Herts webpages For end of life patients: Ask for consent to add information to the summary care record. Use the EPaCCS leaflet Continue to use the same Personal Care Plan that you used for 17/18 and have used in previous years as part of the avoiding unplanned admissions DES. Ensure patients are correctly with a GSF stage / Frailty code, where appropriate. Signpost patients (where appropriate) to support on the Health in Herts webpages. For end of life patients: Ask for consent to add information to the summary care record. Use the EPaCCS leaflet to explain how this works Continue to use the same Personal Care Plan that you used for 17/18 and have used in previous years as part of the avoiding unplanned admissions DES. Ensure patients are correctly coded with a GSF stage / Frailty code, where appropriate. Signpost patients (where appropriate) to support on the Health in Herts webpages. For end of life patients: Ask for consent to add information to the summary care record. Use the EPaCCS leaflet management management
CFF%202018%20-2019%20Support%20Pack%20Documentation%20-%20FINAL%20V2.1.docx