A patient centered care plan in the EHR: Improving collaboration and engagement.

72 Background: The American College of Surgeons Commission on Cancer established a patient-centered standard regarding the delivery of a survivorship care plan to cancer patients. In response to recommendations from the 2006 National Academy of Sciences, Institute of Medicine report, From Cancer Patient to Cancer Survivor: Lost in Transition, a working group developed a set of Continuum of Care standards to address the psychosocial needs of cancer patients. In 2009 Commission on Cancer members had met to discuss a strategic plan for addressing a major shift in accreditation standards from process to patient-centered care with a focus on patient outcomes. According to Cancer Program Standards: Ensuring Patient-Centered Care, the cancer program must implement a process to disseminate a comprehensive care summary and follow-up plan to patients with cancer who are completing cancer treatment. Programs are in full implementation mode and surveys monitoring this Survivorship Care Plan Standard have begun this year. The care plan provides guidance and recommendations for survivors and their healthcare providers to address the medical and psychosocial problems that may arise post-treatment. By delivering a plan, the patient is empowered with information about the treatment they have received, the recommendations for their care going forward, and recommended resources. Methods: Programs submit documentation to describe their process for delivery of care through an electronic activity report. Documentation of this standard includes method of delivery, identification of eligible patients, implementation process and tracking. This presentation will summarize program submissions for 2015-2016 and include an analysis of the details of the standard compliance as reported by accredited programs. Results: This analysis will include responses from all Commission on Cancer accredited programs reporting on this standard. The analysis will provide information about the trends in program implementation and compliance with the standard. Conclusions: This analysis will inform future decisions about the content of plans, the value of plan delivery to the provider and to the patient and summarize current practice.

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Multimorbidity: An Issue of Growing Importance for Oncologists

Journal of Oncology Practice ◽

10.1200/jop.2011.000460 ◽

2011 ◽

Vol 7 (6) ◽

pp. 371-374 ◽

Cited By ~ 46

Author(s):

Christine S. Ritchie ◽

Elizabeth Kvale ◽

Michael J. Fisch

Keyword(s):

Cancer Care ◽

Patient Centered Care ◽

Care Plan ◽

Patient Centered ◽

Centered Care ◽

The Impact

Recognition of the impact of multiple co-occurring conditions on a patient's cancer care plan and development of strategies to address the challenges associated with multimorbidity will enable oncologists to provide higher quality, patient-centered care.

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Addressing the Needs of Individuals with Autism: Role of Hospital-Based Social Workers in Implementation of a Patient-Centered Care Plan

Health & Social Work ◽

10.1093/hsw/hlv032 ◽

2015 ◽

Vol 40 (3) ◽

pp. 245-248 ◽

Cited By ~ 3

Author(s):

Dorothea Iannuzzi ◽

Kimberly Kopecky ◽

Sarabeth Broder-Fingert ◽

Susan L. Connors

Keyword(s):

Social Workers ◽

Patient Centered Care ◽

Care Plan ◽

Patient Centered ◽

Centered Care

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Health Communication Cards as a Tool for Behaviour Change

ISRN Obesity ◽

10.1155/2014/579083 ◽

2014 ◽

Vol 2014 ◽

pp. 1-10 ◽

Cited By ~ 2

Author(s):

Carrie L. Matteson ◽

Thomas D. N. Merth ◽

Diane T. Finegood

Keyword(s):

Health Communication ◽

Behaviour Change ◽

Clinical Care ◽

Patient Centered Care ◽

Care Plan ◽

Systems Science ◽

Communication Tool ◽

Patient Centered ◽

Care Plans ◽

Centered Care

Individuals seeking healthcare treatment in the context of obesity often experience difficulty engaging in discussions around their health and face challenges finding consensus with practitioners on care plans that best suit their lives. The complex set of biological, social, and environmental variables that have contributed to the higher prevalence of obesity are well illustrated in the foresight obesity system map. Effectively understanding and addressing key variables for each individual has proven to be difficult, with clinicians facing barriers and limited resources to help address patients’ unique needs. However, productive discussions inspired by patient centered care may be particularly effective in promoting behaviour change. Tools based on systems science that facilitate patient centered care and help identify behaviour change priorities have not been developed to help treat adult obesity. This project created and pilot tested a card based clinical communication tool designed to help facilitate conversations with individuals engaged in health behaviour change. The health communication cards were designed to help direct conversation between patients and healthcare providers toward issues relevant to the individual. Use of the cards to facilitate patient driven conversations in clinical care may help to streamline conversations, set realistic care plan goals, and improve long term rates of compliance.

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