Care plan templates
Care planning “templates” have been developed by a number of healthcare organisations and Divisions of General Practice to assist GPs and practice nurses to more quickly develop care plans for their chronically ill patients. These can be of great assistance in the care planning process.
However, they require considerable effort to customise to individual patients so as to include specific patient targets, allied health contact details, and appointment schedules. They require manual “cut and paste” to handle comorbidities, common to many chronically ill patients.
Care plan templates are also under constant surveillance by the Professional Services Review, which has warned against the inappropriate use of “cut and paste” templates. The Professional Services Review has stated that cdmNet “exceeds Medicare requirements”.
But most critically, care plan templates, no matter how good they are, only cover a small part of the complete care planning and management process. They therefore cannot provide the same productivity and quality of care improvements as cdmNet.
| Saves time: cdmNet can more than double practice productivity by | ||
| Automatically generating standardised best practice GP Management Plans (GPMPs) able to be manually customised | ||
| Automatically customising GPMPs to individual patient needs | ||
| Automatically generating a single composite GPMP for patients with comorbidities | ||
| Automatically sharing Team Care Arrangements (TCAs) and eliminating communication overheads between GP and care team | ||
| Automatically generating GPMP and TCA Reviews and Annual Cycles of Care | ||
| Eliminates paperwork: cdmNet can dramatically reduce the time and cost of administration by | ||
| Automatically producing, electronically signing, distributing and storing all documentation, including GPMPs, TCAs, Reviews, Allied Health forms, HMR Referrals, and other documents | ||
| Automatically sending SMS and email reminders and recalls to patients for appointments and reviews | ||
| Simplifies collaboration: cdmNet removes the overhead of collaboration with other care providers and the patient by | ||
| Automatically generating an Electronic Health Record that is shared with the care team and patient | ||
| Extending the EHR to record patient progress notes and appointment details | ||
| Allowing update of the EHR and clinical measurements by the care team and the patient | ||
| Automatically sharing GPMPs, TCAs, and Reviews with the care team and the patient | ||
| Facilitating electronic communication and eliminating the overhead of collaboration across the care team | ||
| Improves outcomes: cdmNet signficantly improves adherence to evidence-based guidelines by | ||
| Bringing best practice guidelines to the point of care | ||
| Automatically including full details and schedule of Allied Health and other services in TCAs | ||
| Automatically tracking progress against the care plan, ensuring timely follow up and intervention | ||
| Automatically reminding patients to make planned appointments in a timely way | ||
| Automatically generating Patient Views of the care plan to assist with patient self management | ||
| Automatically alerting the GP and care team of upcoming or overdue tasks, including Reviews and Annual Cycles of Care | ||
| Increases net revenues: cdmNet can substantially multiply net revenues from chronic disease management services by | ||
| Allowing the practice to manage systematically their entire chronic disease population | ||
| Greatly reducing the time required for providing the complete set of Medicare CDM items | ||
| Automatically generating and distributing GPMP and TCA Reviews and Annual Cycles of Care documentation | ||
| Automatically generating, signing and distributing Allied Health and Home Medicines Review referrals | ||
| Increasing number of Practice Nurse Incentive Payments, Practice Incentive Payments, and Service Incentive Payments | ||
| Reduces risk: cdmNet tracks patient care and facilitates Medicare compliance by | ||
| Ensuring that all Medicare process requirements are met | ||
| Providing a complete audit trail of GP and care team activities | ||
| Helping ensure compliance with best practice guidelines, including timely review and follow up | ||
| Through automatic patient reminders and tracking of patient appointments, assisting the GP meet duty of care obligations | ||
| Maximises flexibility: cdmNet works in any practice environment by | ||
| Supporting solo practices and large practices with shared or individual patient registers | ||
| Supporting care management activities by either practice nurses and GPs or GPs alone | ||
| Supporting any practice workflow, including systematic recall or ad hoc patient visits | ||
| Allowing access anywhere, anytime by all members of the care team, including the patient |