THE CARE PLAN -PREFERENCES Dr. Catherine Textor MD, CCFP (EM) April - PowerPoint PPT Presentation

THE CARE PLAN -PREFERENCES Dr. Catherine Textor MD, CCFP (EM) April 15 th , 2016 MOIS U

Conflict of Interest

THE CARE PLAN

WHAT? - evolving/a “work in progress” .

WHY?  To improve communication between physicians (and between team members in the future).  To decrease documentation  To improve quality of documentation  To improve patient care/experience  To improve communication between acute care/community care and the primary care home.

WHEN?  NOT on every patient  At complex care visits  At subsequent visits as new information arises  At times of transition (ie. Hospitalization, change in level of care, new diagnosis)  Specified time interval (ie. Review MOST qyearly or review a narcotic contract q6mo)  Whenever it seems appropriate

WHERE?  In MOIS  Uploaded to Powerchart  Attached to some referral letters  In the future, attached to some Interprofessional Team referrals

PREFERENCES

WHAT?  Consent  Directive  Disclosure  Advanced Directive  Not indicated  Contraindication  Precautions

WHAT? CONSENT:  Pharmanet  Inphonite DIRECTIVE:  HIV Screening  Pt Declines intervention ie. Colonoscopy, PSA screening, paps, weights, vaccines  Narcotic contract DISCLOSURE:  Pt allows us to communicate with a family member

WHAT? ADVANCED DIRECTIVE :  Level of intervention NOT INDICATED:  Mammogram in pt with bilateral mastectomy  Pap in pt with hysterectomy for benign pathology  Hep B Vaccination in pt who has already been infected with the virus CONTRAINDICATION:  Betablockers in pt with asthma  Live vaccines in immunocompromised patients  OCP in pt with migraine with aura  MRI in pt who has intra-orbital metallic foreign body

WHAT? PRECAUTION:  MRSA  Syncope with injections

HOW?  Example of entering a “contraindication”  How to enter an advanced directive re: level of intervention  How to upload to powerchart

EXAMPLE - contraindication

EXAMPLE -contraindication

EXAMPLE -contraindication

EXAMPLE -contraindication

Level of intervention

LEVEL OF INTERVENTION

LEVEL OF INTERVENTION M3, C2 initiate resuscitation instruction

LEVEL OF INTERVENTION

LEVEL OF INTERVENTION -attaching the MOST form

LEVEL OF INTERVENTION -attaching the MOST form

LEVEL OF INTERVENTION

LEVEL OF INTERVENTION

LEVEL OF INTERVENTION

LEVEL OF INTERVENTION

How to Upload your Care Plan to Powerchart

UPLOADING TO POWERCHART 1. Go to patient’s care plan and click “Copy to Clipboard” on the top right Copy to Clipboard

UPLOADING TO POWERCHART 2. Log into Power Chart 3. Open your patient’s chart

Uploading to Powerchart 4. Click on Documents on the left hand side 5. Click on Add button (small paper symbol with a star)

Uploading to Powerchart 6. In the Type drop down menu, select Shared Care Plan 7. Type “shared care plan” in Subject 8. Paste the care plan into the blank field. 9. Click Sign, and Save & Close

Uploading to Powerchart -Viewing the Shared Care Plan

Uploading to Powerchart -Viewing the Shared Care Plan

NEED HELP? 1. AiHS  User manual on MOIS “Help”  “user manual”  User forum on website www.aihs.ca  1 on 1 training (call 250-564-2644). Included for FREE in annual licencing fee  Recurrent themes will be addressed in newsletters, at conferences and at workshops 2. Divisions of Family Practice  Coaching – for MOAs and Doctors  Contacts: North Peace 250-793-1164 maugustine@divisionsbc.ca Pacific Northwest 250-877-9354 zdavies@divisionsbc.ca Northern Interior Rural 250-626-7056 ewinter@divisionsbc.ca Hazelton 778-202-2589 Julia.Sundell@northernhealth.ca Prince George 250-561-0125 gbrawn@divisionsbc.ca 3. NH IT Helpdesk – for NH funded clinics (250-565-2784)