IDT/care plan
What is the purpose for an IDT?
An interdisciplinary approach relies on health professionals from different disciplines, along with the patient, working collaboratively as a team.
What is the purpose for completing a CANS assessment?
Identify the needs and strengths of the youth and caregiver/parent/ legal guardian.
What is a Health Home care manager?
A Health Home Care Manager is expected to help coordinate not just medical, mental health, substance abuse services, but the social service needs of the individual as well.
What are the three areas to successfully follow the Golden Thread?
1. CANS Assessment
2. Care plan/ Plan of care
3. Progress notes
What should a care manager select for a note detail title when completing a note when trying to reach a family for the first month?
Continued search efforts.
Who can be involved in an IDT? (Name at least 4 people)
1. Therapist
2. Parent/caregiver/legal Guardian
3. Youth or child
4. Supervisor
5.Psychaitrist
6. School guidance counselor
7. Care manager
8. Family Member- (aunt, uncle, sister, etc...)
9. Medical Doctor
When do you complete a safety plan?
When a family had history or current case of domestic violence.
What should care managers remind parent/youth/or caregiver during a conversation?
Remind them of the objective and plan.
What error a care manager could do when completing a progress note?
Progress notes address issues that have not been noted in assessments
What should a care manager avoid doing when writing progress notes.
Writing their own opinion
When should a care manager prepare for an IDT?
A month before a care plan is due.
What can a care manager use to start a care plan if family has not been available?
Care manager can use supporting documents such as treatment plan, Psychiatric assessment, or medical assessment to start care plan.
What are the five core services?
1. Comprehensive care management
2. Care coordination and health promotion
3. Comprehensive transitional care
4. Patient and family support
5. Referal to community supports
What is the Golden Thread Connection?
Assessment, Care Plan, and Progress note
What are three reason for writing a progress note?
Monitor
Follow up
Outcome
What is the purpose for creating a care plan?
Care plans are used to guide Care manager and family towards prioritized needs or goals
What are other assessments care managers complete when initially meeting a family? (Name at least 3)
CANS assessment
Comprehensive assessment
Crisis Plan
Safety Plan (if needed-only domestic violence)
What is the purpose for enrolling children into Health Homes?
To coordinate services and decrease hospitalizations
What should a golden Thread tell?
Tell a story
What are progress notes useful for? Name at least 2
1. Keeping a log
2. Represents a record of events
3. Reflects on goals
4. communication for staff
Why is the plan used for the plan of care?
A Plan is used to organize detailed tasks created to assign the client in achieving a successful outcome.
What can assessment be useful for?
Assessments are used to formulate personalized goals and objectives to discuss with family
What can a care manager do for a family? (Name at least 3)
1. Advocate
2. Coordinate services
3. link families to community services
4. Educate
5. Provide resources/option for services
6. Help transition from one service to another
7. support family
Did each piece of documentation (___________, _____________, ____________) flow so the reviewer could see the connection?
---Fill in the Blanks---
Assessment, Treatment plan, Progress notes
What are the 5 W's are CM can use when writing a progress note
1. Who
2. What .
3. When
4.Where
5. Why