Consent Use Cases

Back to: Patient-Centered Care Team Domain Analysis Model

Use Case 1: Patient as care team leader/coordinator

• History:

- A 55-year-old female patient was discharged from hospital after the acute phase of stroke. She suffered some mild disabilities from the stroke: mild hemiparesis, dysarthria, and dysphasia.

• Care Team:

- She decided to take on the responsibility of coordinating her own post stroke care and rehabilitation. She established a care team which included her usual general practitioner / family doctor as her primary care provider, a neuro-rehabilitation physiotherapist, a speech pathologist, and a dietitian

- She established a care coordination plan using a spreadsheet

• Consent:

- She has a personal health record (PHR) and established a consent individually with each of her care team member to have access and contribute to the contents of her PHR

- She also coordinated establishment of a multi-lateral consent to share relevant medical/health information between members of her care team

• Scope of consent:

- Access to:

- Medical/health history

- Medication history

- Treatment plan

- Progress notes

Use Case 2: Virtual care team with no team leader/coordinator

• Hisotry:

- A 50 year-old male patient with medical history of asthma.

- The patient has good health literacy, motivated, and relatively compliant with treatment/therapy

• Virtual care team

- Patient's condition was managed primarily by his general practitioner. He visited his community pharmacist regularly for medications and education on effective use of his COPD medications. He also periodically visited a respiratory physiotherapist

- Patient was seen by a respiratory specialist through referral when necessary

- No one in the virtual care team assumed or was nominated as a care team leader or coordinator

- The patient did not actively assume care coordinator or leader role

• Consent:

- He has a personal health record (PHR)

- He established individual consent with each of the virtual care team member to have access and contribute to his PHR

- He also established individual consent between virtual care team member pairs on an "as needed" basis for information sharing

• Scope of consent:

- Access to/sharing of:

- Medical/health history

- Medication history

- Treatment plan

- home-based monitoring of respiratory function: e.g. FEV1

- Progress notes