Benefits of a CCP
The CPP can be used as a _____________?
Communication tool
You can only submit the consent form if it is signed by the client/SDM?
No - under signature you can write verbal consent received
What does ICL stand for?
Integrated Care Lead
Who determines the goals for the CCP?
The client with the direction of the care team
People who would benefit from having a CCP are: multiple chronic conditions, complex needs, impacted by social determinants of health, frequent use of heath care service, may benefit from a team approach ?
True
Clients requiring coordination of ____________ service providers ?
Multiple
Who can provide consent ?
Client, POA, SDM,
What is the role of the ICL? ( hint 5 answers)
Identifies need
Has good rapport
Leads the team
Organizes and facilitates
Works collaboratively
Goals and actions plans must be …..
Client centered
Reflective of what the client identified
CCP has been identified, you can start the CCP without discussing consent?
False- Consent is always needed
Clients with multiple _________ conditions and ________ needs
chronic and complex
What forms would you need to fax in to start a CCP?
Initiation forms
Consent form
What is the role of client?
Provides consent
Participates in CCP
Works towards achieving the goals
Engages in exploring their needs, goals, strengths and opportunities
CCP Process is identify, interview, care conference, ________, transition, ongoing management
Implementation of actions
The CCP can be shared via email?
False - based on current protocol PDF documents can not be shared via email, they require a password
True/ False
CCP and outlined goals and actions are driven by the client?
True
When would the SDM/POA sign the consent form?
When capacity has been assessed and found incapable
If the client is not able to make the decision (ill)
When should an ICL transition a client?
Assess for readiness
When additional goals need to be completed
When goals are met
CCP has ________ sections and _____ appendices
9 & 4
Client's goals are determined by the care team?
False- the CCP is client goal focused
What would the benefits of the be? (hint 4 answers)
Coordinates services
Reduces duplication
Reduces # of hospitalization
Promotes smoother transitions
What do you do if there isn't enough room on the consent form to add all of the care team members ?
Complete a second consent form and attach it when you fax it in
Who is responsible for updating the CCP when a client has been hospitalized?
Anyone who has access to HPG
Anyone notified of the hospitalization
Where would you input clients goals in the CCP? (actual heading )
"What I hope to achieve "
A client presents with 4 health DX and is connected to 3 community partners. Would the client qualify for a CCP
Yes