Why It Matters
This document includes problems, interventions, and goals.
What are care plans?
This is when a care plan is first initiated.
What is admission or start of care?
These are the 3 components of a care plan.
What are problems, interventions, and goals?
This must be documented for goals to pull into the visit note.
What is the progress or field note?
The two organizations that set the standards for hospice care plans.
What are CMS & CHAP?
These are the 3 stages of care planning.
What are initiate, update, and resolve (close)?
If you are unsure what timeframe to use for a care plan goal, this is recommended timeframe to start with.
What is two weeks?
These type of visits are used only for unexpected or unplanned needs.
What are PRN visits?
These four elements make up the 4 M's of care.
What are What Matters, Medication, Mentation, and Mobility?
This is when the care plans are updated.
What are patient visits, phone calls, and IDT meetings?
This is the individual or group responsible for maintaining and updating the care plan.
Who is the Interdisciplinary team (IDT)
The new recommendation for entering visit order ranges.
What is vary by 1 (1-2 or 2-3)?
The discipline group that should be used when entering in care plan problems.
What is the Interdisciplinary Team (IDT)?
Excludes CNAs
The two sections of the care plan that can be customized.
What are interventions and goals?
These are the services or actions performed by the care team during visits.
What are interventions?
Section of the care plan documentation that will now be mandatory.
What is Progress Towards Goals?
This is the primary person who guides the development of the care plan.
What is the patient and/or family?
This is when a care plan problem should be resolved/completed.
What is when the goal is achieved or the patient is discharged?
These 3 characteristics define a well-written care plan goal.
What are measurable, realistic, and patient-centered?
When entering a PRN order, this is now required to enter.
What is additional info comment for why the PRN visit is needed?