14Feb
The Personalised Care Plan is now live
The newest in the suite of electronic shared care plans, the Personalised Care Plan (PCP), went live on 14 February.
The plan, which is accessed via HealthOne or Health Connect South, documents patients’ needs and goals to achieve better daily health with complex health conditions. The aim is to support patients to work with care teams to coordinate care around their needs and priorities and to make the goals and activities visible to other clinical teams.
The plan includes an overarching statement of what matters most to the patient. Under this sit 14 life areas such as food/drink/healthy weight or legal/ financial. Within each of these life areas, clinical teams can document current Issues for the patient, agreed Goals to work towards and the Actions taken by either the care team or the patient themselves which underpin the goals.
For more information about the plan, including frequently asked questions and a quick guide to creating/ adding to a PCP, visit the Collaborative Care pages on the CCN website. A step-by-step guide is also available on HealthPathways.
If you have any other questions or comments, email a member of the Collaborative Care Team via rebecca.muir@ccn.health.nz or Donna.hahn@ccn.health.nz
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