Stream: patient empowerment
Topic: Patient perspective - careplan
John Moehrke (Jul 03 2019 at 20:58):
There has been discussion that there is a need in our Implementation Guides for a "Impact on the Patient" section. Here is a first draft by @Emma Jones on the "impact on the patient" perspective guidance to be potentially inserted into the CarePlan Implementation Guide.
John Moehrke (Jul 03 2019 at 20:58):
The patient is the central aspect of the IHE DCP Care Planning profile. The DCP FHIR implementation guide constrains the patient element as required (1..1) in the care plan structure definition.
The DCP IG is meant to be for the patient’s use by providing the structures and transactions patients can use for participating in and for planning their care. It can also be used for creating, updating and sharing their Care Plans.
DCP IG provides the ability to target appropriate services and to coordinate care over time, across multiple clinicians and sites of service, with the engagement of the patient (i.e., longitudinal coordination of care). This is essential to alleviating fragmented, duplicative and costly (direct and indirect) care.
With the recent integration of the DCP IG with care team management, DCP enables the patient to coordinate, direct and participate in the provision of care as an integral care team member, including role as care team lead when needed.
John Moehrke (Jul 03 2019 at 20:59):
additional comment by Dr Stephen Chu
John Moehrke (Jul 03 2019 at 20:59):
I will add that Patient Care WG (and Learning Health System) is about enabling patient-centred care which has the following characteristics:
- planning, delivering, and evaluating health care that is grounded in mutually beneficial partnerships among health care providers, patients, families and communities" (adapted from the Institute for Patient and family centered care)
Central to this is:
- Patient as a unique person
* characteristics
* wishes
* beliefs, values, wishes, preferences
- Care relationships characterised by
* power and equality balance
* partnership in decision and care processes
The Care Plan, Care Team standards and dynamic care planning processes and their associated IGs are designed to facilitate Patient Centered Care.
Grahame Grieve (Jul 26 2019 at 22:05):
I feel as though both still contain too much insider jargon
Bart Carlson (Jul 29 2019 at 22:41):
I couldn't agree more.
Last updated: Apr 12 2022 at 19:14 UTC
