CC 9 - Implementation of Practices/Processes for Developing Regular Individual Care Plans
Activity Weighting: Medium
Subcategory Name: Care Coordination
Description: Implementation of practices/processes, including a discussion on care, to develop regularly updated individual care plans for at-risk patients that are shared with the beneficiary or caregiver(s). Individual care plans should include consideration of a patient’s goals and priorities, as well as desired outcomes of care.
- Individual Care Plans for At-Risk Patients - Documented practices/processes for developing regularly individual care plans for at-risk patients, e.g., template care plan; and
- Use of Care Plan with Beneficiary - Patient medical records demonstrating care plan being shared with beneficiary or caregiver.