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 care management process. They therefore cannot provide the same productivity and quality of care improvements as cdmNet.

Capability
Templates
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