The Comprehensive Care Plan: A Patient-Centered, Multidisciplinary Communication Tool for Frequently Hospitalized Patients

Maria E. Theodorou, Bruce L. Henschen, Margaret Chapman

Research output: Contribution to journalArticle

Abstract

Comprehensive care plans are dynamic documents maintained by an interdisciplinary team that contain specific, actionable information for clinicians and staff across multiple care settings. They promote communication and continuity of care by suggesting communication strategies, medical plans, and psychosocial resources. This article describes the structure and development process of comprehensive care plans for frequently hospitalized patients enrolled in a program designed to improve care for this vulnerable population. These care plans are widely used, with inpatient physicians referring to the care plan in their notes during 92.0% of admissions.

Original languageEnglish (US)
Pages (from-to)217-226
Number of pages10
JournalJoint Commission Journal on Quality and Patient Safety
Volume46
Issue number4
DOIs
StatePublished - Apr 2020

ASJC Scopus subject areas

  • Leadership and Management

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