The ONC/LCC Perspective

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The following is extracted from the LCC Care Plan Exchange Use Cases & Functional Requirement Document:

- Care Plan: A consensus-driven dynamic plan that represents all of a patient’s and Care Team Members’ prioritized concerns, goals, and planned interventions. It serves as a blueprint shared by all Care Team Members, including the patient, to guide the patient’s care. A Care Plan integrates multiple interventions proposed by multiple providers and disciplines for multiple conditions. A Care Plan represents one or more Plan(s) of Care and serves to reconcile and resolve conflicts between the various Plans of Care developed during the continuum of care for a specific patient. Unlike the Plan of Care, a Care Plan includes the patient’s life goals and enables Care Team Members to prioritize interventions. The Care Plan also serves to enable longitudinal coordination of care.

- Plan Of Care: A clinician driven plan that focuses on a specific health concern or closely related concern. It represents a specific set of related conditions that are managed or authorized by a clinician or provider or certified by a clinician or provider. The Plan of Care represents a single set of information that is generally developed independently. When two or more Plans of Care exist, these plans are reconciled into a Care Plan.

Examples: Home Health Plan of Care

- Treatment Plan: A domain-specific plan managed by a single discipline focusing on a specific treatment or intervention.

Examples: Physical Therapy Treatment Plan, Nutrition Treatment Plan, Invasive Line Treatment Plan

* S&I LCC Interoperable Care Plan Exchange Use Cases (23 July 2013):

File:LCC Care Plan Exchange Use Case FINAL.pdf

The following is extraction from the LCC Care Plan Glossary document:

- The S&I LCC believes that a “care plan” considers the whole person and focuses on a number of health concerns to achieve high level goals related to healthy living.

- In contrast, some clinicians use the concept of “plan of care” to focus on discrete problems, the specific interventions to address the problem, and achieve a certain goal related to the problem.

- The S&I LCC WG believes that both the Care Plan and Plan of Care share the universal components: health concern, goals, instructions, interventions, and team member

* S&I LCC Care Plan Glossary document (December 2012):

File:Care Plan Glossary v25.doc