Feature Overview: Care Plan 2.0

BI - Forum Moderator
BI - Forum Moderator
  • Updated

Care Plans document a Client's care and progress over a given period of time. They are designed to provide a holistic view of a Client's health needs and facilitate care planning, scheduling, and clinical reporting within the web and mobile applications.

Care Plans are configured at the system level. Individual Care Plans can then be created for Clients

Certain elements within the Care Plan will flow through into the Visits for the use of the Care Provider

warning_icon.jpg The Care Plan 2.0 and Forms 2.0 Feature Flags must be enabled together.  It is not possible to turn on one feature without the other. 

Configure Care Plans at the System Level

Care Plans are configured at the system level.

It is also possible to create Care Plan Libraries. Care Plan Libraries allow you to define standard templates to use in the creation of individual Client Care Plans. 

Learn more:

Care Plans at the Client Level

While only a single Care Plan can be active for a Client at a given time, you can create several Care Plans  and consult them at any time, allowing you to review any past or future planned care. You can use Care Plan Libraries to speed up or standardize the creation process of new Care Plans. You have the option to print a Client's Care Plan for reference.

Care Plan contain up to three types of items: Diagnoses, Goals, and Interventions.

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Diagnoses

Diagnoses are the health problems that a Client's Care Plan is designed to address — in other words, the reasons the Client is in care. Care Plans are created to manage the Diagnoses by implementing Interventions and setting Goals.  The Diagnoses of a Care Plan are those relevant for the care that is being provided and not necessarily the medical diagnosis (ICD-10 diagnosis) for the Client.

You can add TagsDepartments, and Services to your Diagnoses for filtering and reporting purposes only.

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Goals

Goals represent what the outcomes of the Care Plan should be. They generally serve as the link between the Client's Diagnoses and Interventions. For example, a Client with the Diagnosis "Risk for Falls" may have the related Goal "Client should be able to walk 1000m without support." Interventions like "Walk for 5 minutes without support" and "Balance exercises" might then be implemented to help the Client resolve the Diagnosis and achieve the Goal set on the Care Plan.

You can add TagsDepartments, and Services to your Goals for filtering and reporting purposes.

Learn more:

Interventions

Interventions are the actions performed by Care Workers during Visits to help Clients resolve the Diagnoses and reach the Goals on their Care Plan.

You can add TagsDepartments, and Services to your Interventions for filtering and reporting purposes.

Interventions can be linked to another Module in AlayacareForms, Vitals, Medication, or Infusion

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Following the Care Plan During a Visit

Care Worker completing a Visit for a Client with an Active Care Plan will be able to complete Interventions and update Goals from the Care Plan that are assigned as Service Tasks to an individual Visit. The specific Interventions and Goals assigned to a specific Visit will depend on the items' Start and End Dates, whether they are linked to the Service, and the Intervention Frequency Types set for the Interventions. All Interventions, Goals, and Forms that should be completed during a particular Visit will be found in the Service Tasks tab for the Visit

Learn more:

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