Difference between revisions of "The Context of Use Perspective"
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This is the simplest of all the types of plan used with limited scope and complexity. | This is the simplest of all the types of plan used with limited scope and complexity. | ||
− | It may be referred to as "treatment plan" | + | (Note: It may be referred to as "treatment plan") |
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This type of plan is used in managing patients with more complex conditions during an episode of care (usually of limited duration) | This type of plan is used in managing patients with more complex conditions during an episode of care (usually of limited duration) | ||
− | This type of plan is often referred to as "care plan" | + | (Note: This type of plan is often referred to as "care plan" or "plan of care") |
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'''The author(s)''' | '''The author(s)''' | ||
− | * The patient's health care provider(s) | + | * The patient's health care provider(s), or health care team |
'''The Scope and Complexity''' | '''The Scope and Complexity''' | ||
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* Problem-oriented: involving one or more problems | * Problem-oriented: involving one or more problems | ||
* Across multiple disciplines/departments (e.g. involving treating physicians/surgeons, nurses, allied health providers, social workers) | * Across multiple disciplines/departments (e.g. involving treating physicians/surgeons, nurses, allied health providers, social workers) | ||
− | * Within the boundary of same health care | + | * Within the boundary of same health care setting/organization |
+ | * May be used as care coordination tool within the boundary of same health care organization | ||
'''Timeframe/Duration''' | '''Timeframe/Duration''' | ||
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This is the most complex form of plan used for coordinating the care/management of patient with multiple and complex chornic conditions. | This is the most complex form of plan used for coordinating the care/management of patient with multiple and complex chornic conditions. | ||
− | It is also known as "care plan", "shared care plan", or "comprehensive care plan". | + | (Note: It is also known as "care plan", "shared care plan", or "comprehensive care plan"). |
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* Problem(s)-oriented: health problems are complex and chronic | * Problem(s)-oriented: health problems are complex and chronic | ||
* Across multiple-discipline, multiple care settings/organization boundaries | * Across multiple-discipline, multiple care settings/organization boundaries | ||
− | * Used as care coordination tool for managing multiple, complex health problems/conditions | + | * Used as care coordination tool across care setting boundaries for managing multiple, complex health problems/conditions |
'''Timeframe/Duration''' | '''Timeframe/Duration''' |
Revision as of 21:56, 8 January 2014
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There are three different contexts of use. The differentiating characteristics are: the level of complexity and the duration for which the type of [care] plan is used/remains active.
Level 1
This is the simplest of all the types of plan used with limited scope and complexity.
(Note: It may be referred to as "treatment plan")
The Subject/Target
- Patient/subject of care
The Author(s)
- Patient's primary care provider/general practitioner
- Patient's specialist provider in clinic or hospital practice
Scope and Complexity
- Provider centric
- Problem-oriented
- Part of SOAP documentation
- Within boundary of single disciple and single care setting/organization
Timeframe/Duration of Use
- Encounter-based (i.e. a new/different plan is generated per encounter)
- Or problem-based (i.e. the same plan may get revised on subsequent encounter/visit until problem requiring care is resolved)
Level 2
This type of plan is used in managing patients with more complex conditions during an episode of care (usually of limited duration)
(Note: This type of plan is often referred to as "care plan" or "plan of care")
The subject/target
- The patient/subject of care
The author(s)
- The patient's health care provider(s), or health care team
The Scope and Complexity
- Provider-centric
- Problem-oriented: involving one or more problems
- Across multiple disciplines/departments (e.g. involving treating physicians/surgeons, nurses, allied health providers, social workers)
- Within the boundary of same health care setting/organization
- May be used as care coordination tool within the boundary of same health care organization
Timeframe/Duration
- Problem(s)-based: plan in use and subjected to changes in response to changing patient condition
- Episode of care-based: plan in use until the episode of care (e.g. hospitalization) is completed
Level 3
This is the most complex form of plan used for coordinating the care/management of patient with multiple and complex chornic conditions.
(Note: It is also known as "care plan", "shared care plan", or "comprehensive care plan").
The Subject/Target
- the patient/subject of care
- the family/significant others
The author(s)
- The healthcare team
- The patient/family
The Scope and Complexity
- Patient/consumer-centric
- Problem(s)-oriented: health problems are complex and chronic
- Across multiple-discipline, multiple care settings/organization boundaries
- Used as care coordination tool across care setting boundaries for managing multiple, complex health problems/conditions
Timeframe/Duration
- longitudinal/lifelong (for duration of lifespan of chronic condition)