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 language||English (US)|
|Number of pages||10|
|Journal||Joint Commission Journal on Quality and Patient Safety|
|State||Published - Apr 2020|
ASJC Scopus subject areas
- Leadership and Management