A well-crafted care plan is more than a static document—it's a living collaboration between healthcare providers, patients, and their support network. It forms a roadmap guiding patients towards health milestones, built on a foundation of active dialogue, patient-centered goals, and mutual participation.
Careteam transforms intricate clinical care plans into actionable steps, revolutionizing patient care. It's not just about creating a plan; it's about nurturing its evolution. As patients progress, these plans adapt, ensuring continuous empowerment for both patients and their support teams. It's a tool that grows and evolves, ensuring alignment and engagement among all involved, culminating in shared success on the path to better health.
In crafting a successful care plan, consider these evidence-based best practices and how Careteam can assist:
- Active listening: engage patients in open dialogue, actively listen to their concerns, preferences, and goals. This is the foundation of creating a successful care plan.
- Goal setting: define measurable and achievable goals in partnership with the patient. In Careteam you and the patient can add and track patient goals. Learn more about patient goals in this article.
- Team collaboration: involve multidisciplinary teams and encourage communication among healthcare providers, ensuring everyone is aligned with the plan. Careteam breaks down this barrier by showing who is on the team - both the health team and support team. Invite health teams or professionals outside of your organization to collaborate in a true shared care plan function. Furthermore, the patient can invite and include key members of their support team (family, friends, neighbours, etc). This is all empowered through Privacy-by-Patient. Learn more in the following articles about inviting organizations to collaborate and adding members to the team.
- Simplify information: use clear, jargon-free language to explain the plan and instructions, ensuring patients understand their role and responsibilities. Learn more about adding or editing Action Plan details and instructions in this article.
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Actionable next steps: often patients and their support team don’t know what to do next and this can lead to nothing happening at all or additional appointments. It is important to identify next steps (tasks, appointments, form, check-ins) and who is responsible and by when - this could be the health team or patient and their support team. Here are some examples:
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Add members to your support team by the end of the week.
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Review the resources added to your Action Plan prior to our next appointment.
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Update the health section in Careteam to ensure everyone is up to date by month end.
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Learn more about adding activities to an Action Plan in this article.
- Empower and educate: provide resources, educational materials, and tools to empower patients to actively participate in their care. No longer are patient resources lost and stuck with one person. Resources are organized in Careteam and accessible to everyone involved - the support team and the health team. Learn more about adding resources to an Action Plan in this article.
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Updates, check-ins and adjustments: schedule regular check-ins to monitor progress, reevaluate goals, and make necessary adjustments to the care plan. Careteam's scheduling and check-ins feature facilitates regular check-ins, fostering continuous care plan refinement based on evolving patient needs. Learn more about adding appointments and check-ins in these articles.
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Accessibility: ensure the care plan is accessible to all involved parties, including the patient and their support team. Even if a patient or a member of their support team does not want to use or access Careteam, their Action Plan can still printed and shared with them. Learn more about printing an Action Plan in this article.
- Communication: Careteam streamlines communication among the health team, patients, and their support network through secure channels, reducing communication gaps and ensuring data privacy and accessibility. Learn more about secure communication in this article.
Careteam provides a comprehensive framework for collaborative care planning, ensuring patient-centered, goal-oriented, and patient success.