WGU D053-Contemporary Topics and the Influence on
Healthcare Today
providers from different professions cooperate by establishing a
an interprofessional collaborative means of ongoing communication with each other and with the
team can be defined as patient and family to create a management plan that integrates
and addresses the various aspects of the patient's healthcare
needs
The inclusion of health service coordinators on interprofessional
Health Service Coordinator role collaborative teams is also relatively new, a change that offers
patients personalized, well-supported care, which can be
invaluable in their healing, recovery, and restored good health.
Doctor rounds have been done for several decades, especially in
hospital settings. However, interdisciplinary rounds are relatively
new and have several positive outcomes that benefit the entire
healthcare system, especially at the micro-level. A key purpose of
interdisciplinary rounds
interdisciplinary rounds is to ensure patient-centered,
coordinated care. "Coordination of care should begin with a review
of the patient's current status with input from each team
member. This should be followed by a discussion and
clarification of the patient's goals and expected outcomes of
care. Finally, a comprehensive plan of care should be
developed or modified as appropriate"
Rounding is the process whereby a team of care providers
stops by each of their patients' rooms periodically to check on
how each patient is doing/feeling, to monitor their progress, and
"Rounding" (at a hospital setting) to determine if any adjustments may be needed to the patient's
existing treatment plan. The reading for this section describes how
interdisciplinary rounds can be a valuable strategy used in
collaborative interprofessional teams to communicate, share
expertise and information, and discuss care options with patients
and their families.
, Shared care plans are complex planning tools that incorporate
input from the entire interprofessional team, including the patient
and their families. "A shared care plan is a patient-centered health
Shared Care Plan
record designed to facilitate communication among members of
the care team, including the patient and providers. Rather than
relying on separate medical and behavioral health care (treatment)
plans, a shared plan of care combines both aspects to
encourage a team approach to care"
Integrated care plans are similar to shared care plans in that they
are developed by the entire integrated care team in consultation
with the patient and family. The emphasis of integrated care is
on the whole spectrum of patient needs that are addressed by
one team, such as behavioral health needs in the form of mental
health and/or substance use needs to be combined with chronic
health physical needs; or multiple chronic conditions combined
with old age, and so on.
“An integrated care plan (ICP) is a living document that captures
Integrated care plan (ICP) information and decisions regarding how a care team intends to
(and does) deliver evidence-based, coordinated, continuous and
person-centered care to a particular patient over time and across
professionals and settings. ICPs are used to organize and
monitor integrated care delivery. ICPs incorporate elements of
the following tools:
Clinical guidelines (i.e., standards of care based on evidence);
Treatment plans (i.e., goals of treatment, treatment options, possible
side effects, and Expected length of treatment for a particular
phase of care such as systemic treatment or survivorship);
Disease pathways (i.e., the sequence of assessments and
interventions for patients with a particular diagnosis); and
Personalized care plans (i.e., care goals and interventions are
developed jointly with the patient)” (Cancer Care Ontario, n.d., p. 4).
Interprofessional treatment plans are also done by an engaged
team of health professionals with a patient. Treatment plans
can be developed in response to any illness, but often refer to
Interprofessional Treatment Plans behavioral or addiction treatment where patients work with a
central case manager (a health service coordinator could assume
this position) plus a team of other professionals and programs.
The treatment plans would be developed by this cohesive team
and be monitored throughout time until recovery occurs.
Shared decision-making occurs when health professionals work
Shared Decision Making
with patients to help them make the best decisions about their own
health and healthcare options.
Which collaborative strategy Shared decision making
directly supports a patient with
evidence-based options to
consider their choices and
, personal preferences?
What will happen if we wait
What are the 5 questions and watch? What are your test
health professionals can use to or treatment options?
guide shared decision making? What are the benefits and harms of
these options? How do the benefits and
harms weigh up for you? Do you have
enough information to make a choice?
"Giving patients the opportunity to help develop and
negotiate their care plans transforms the relationship between
Benefits of shared care plans
patients and providers. By emphasizing transparency and
cooperation in developing shared care plans, your practice can
reshape and improve its relationship with patients.
PACT Patient aligned care team
Healthcare Today
providers from different professions cooperate by establishing a
an interprofessional collaborative means of ongoing communication with each other and with the
team can be defined as patient and family to create a management plan that integrates
and addresses the various aspects of the patient's healthcare
needs
The inclusion of health service coordinators on interprofessional
Health Service Coordinator role collaborative teams is also relatively new, a change that offers
patients personalized, well-supported care, which can be
invaluable in their healing, recovery, and restored good health.
Doctor rounds have been done for several decades, especially in
hospital settings. However, interdisciplinary rounds are relatively
new and have several positive outcomes that benefit the entire
healthcare system, especially at the micro-level. A key purpose of
interdisciplinary rounds
interdisciplinary rounds is to ensure patient-centered,
coordinated care. "Coordination of care should begin with a review
of the patient's current status with input from each team
member. This should be followed by a discussion and
clarification of the patient's goals and expected outcomes of
care. Finally, a comprehensive plan of care should be
developed or modified as appropriate"
Rounding is the process whereby a team of care providers
stops by each of their patients' rooms periodically to check on
how each patient is doing/feeling, to monitor their progress, and
"Rounding" (at a hospital setting) to determine if any adjustments may be needed to the patient's
existing treatment plan. The reading for this section describes how
interdisciplinary rounds can be a valuable strategy used in
collaborative interprofessional teams to communicate, share
expertise and information, and discuss care options with patients
and their families.
, Shared care plans are complex planning tools that incorporate
input from the entire interprofessional team, including the patient
and their families. "A shared care plan is a patient-centered health
Shared Care Plan
record designed to facilitate communication among members of
the care team, including the patient and providers. Rather than
relying on separate medical and behavioral health care (treatment)
plans, a shared plan of care combines both aspects to
encourage a team approach to care"
Integrated care plans are similar to shared care plans in that they
are developed by the entire integrated care team in consultation
with the patient and family. The emphasis of integrated care is
on the whole spectrum of patient needs that are addressed by
one team, such as behavioral health needs in the form of mental
health and/or substance use needs to be combined with chronic
health physical needs; or multiple chronic conditions combined
with old age, and so on.
“An integrated care plan (ICP) is a living document that captures
Integrated care plan (ICP) information and decisions regarding how a care team intends to
(and does) deliver evidence-based, coordinated, continuous and
person-centered care to a particular patient over time and across
professionals and settings. ICPs are used to organize and
monitor integrated care delivery. ICPs incorporate elements of
the following tools:
Clinical guidelines (i.e., standards of care based on evidence);
Treatment plans (i.e., goals of treatment, treatment options, possible
side effects, and Expected length of treatment for a particular
phase of care such as systemic treatment or survivorship);
Disease pathways (i.e., the sequence of assessments and
interventions for patients with a particular diagnosis); and
Personalized care plans (i.e., care goals and interventions are
developed jointly with the patient)” (Cancer Care Ontario, n.d., p. 4).
Interprofessional treatment plans are also done by an engaged
team of health professionals with a patient. Treatment plans
can be developed in response to any illness, but often refer to
Interprofessional Treatment Plans behavioral or addiction treatment where patients work with a
central case manager (a health service coordinator could assume
this position) plus a team of other professionals and programs.
The treatment plans would be developed by this cohesive team
and be monitored throughout time until recovery occurs.
Shared decision-making occurs when health professionals work
Shared Decision Making
with patients to help them make the best decisions about their own
health and healthcare options.
Which collaborative strategy Shared decision making
directly supports a patient with
evidence-based options to
consider their choices and
, personal preferences?
What will happen if we wait
What are the 5 questions and watch? What are your test
health professionals can use to or treatment options?
guide shared decision making? What are the benefits and harms of
these options? How do the benefits and
harms weigh up for you? Do you have
enough information to make a choice?
"Giving patients the opportunity to help develop and
negotiate their care plans transforms the relationship between
Benefits of shared care plans
patients and providers. By emphasizing transparency and
cooperation in developing shared care plans, your practice can
reshape and improve its relationship with patients.
PACT Patient aligned care team
