Request: Do you have any templates or ideas?
Our work identified three plans of care—all related but used for different purposes.
- The medical plan of care: this is the provider’s plan to manage the diagnosis and/or conditions.
- The self-management care plan: this is the plan where the patient’s desires and goals are the basis for the plan.
- The care manager plan: this is the plan that outlines the care manager implementation steps to achieve both the medical plan of care and the patient self-management care plan.
Mi-CCSI formed a Patient Advisory Council, a group of eight patients with chronic conditions or who cared for a loved one with one or more chronic conditions.
Two key findings from the Patient Advisory Council: