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“M” Is for Mutual

  • Alexander Blount
Chapter

Abstract

Transparency, empowerment, and activation can be supported by institutionalizing the mutual creation of the treatment plan that guides patients’ care in their primary care setting and in the health system more generally. The desire of patients to participate in creating the documentation of their care that emerged in the pilots of open notes can be addressed care through a process called a patient-centered care plan. A care plan is a brief distillation of the information that is needed to inform a successful treatment. For multiply-disadvantaged patients, who are likely to have a history of difficult experiences in the healthcare system, knowledge of the patients’ hopes about the ways that their health teams should relate to them, when shared with any internal or extended team member, can help to keep partnership intact through difficult or upsetting times. When done well, multiple members of the team are involved in creating a document that reflects the patients’ ideas and values on which a successful relationship would be built. The creation and utilization of the PCCP become a crucial experience in building partnership for both patients and health professionals.

Keywords

Complex patients Patient-centered Care plans Patient participation Patient empowerment Team-based care Healthcare reform 

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Resources

    Developing a Care Plan for Complex Patients

    1. Examples of Shared Care Plans – PCPCI – Patient Centered Primary Care Institute, Portland, OR https://bit.ly/2LBb3AJ.
    2. Whatcom County Shared Care Plan – Institute for Healthcare Improvement http://www.ihi.org/resources/Pages/Tools/MySharedCarePlan.aspx.

    Setting Goals

    1. Setting Goals with People with Complex Needs: A Collaborative Approach. National Committee for Quality Assurance. https://www.ncqa.org/hedis/reports-and-research/measuring-what-matters-most-to-older-adults/.
    2. Goals to Care: How to keep the person in “person-centered”. National Committee for Quality Improvement. https://www.johnahartford.org/newsroom/view/ncqas-goals-to-care-how-to-keep-the-person-in-person-centered-now-available.

    Setting Goals, Care Management, Staff Training

    1. The COACH Model of the Camden Coalition. https://www.camdenhealth.org/the-coach-model/.

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Alexander Blount
    • 1
  1. 1.Department of Clinical PsychologyAntioch University New EnglandKeeneUSA

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