ThoroughCare has added a new section to the patient centered care plan designated for patient "Interventions". Interventions are activities that either the care manager or patient would like to work on to better the patient's health.
For example, when helping the patient with smoking cessation, the care manager may want to "discuss smoking cessation openly with the patient to determine their readiness to change" (this is an example of an intervention). For information on how to add interventions to a patient's care plan continue reading through the article.
Choosing Interventions in the Care Plan Assessment:
As a Care Manager, you may have noticed a new section within care plan assessment. As you may guess this section is named "Interventions". Click the "Interventions" title within the care plan assessment to navigate to that section.
The user must select the "Yes" option in order to choose patient and care manager interventions. When the "Yes" radio button is selected proceed to the next section.
Note: If a user chooses to not work on interventions with the patient, the section will be skipped entirely. Users can always begin a new assessment and complete the interventions at a later date.
If the patient has a condition that supports an intervention, the first question that will appear focuses on what the Care Manager can do to help the patient understand or deal with their condition. Conditions that have interventions are:
Chronic Back Pain
Chronic Kidney Disease
Coronary Artery Disease/Ischemic Heart Disease
Inflammatory Bowel Disease
Non-Alcoholic Fatty Liver Disease
Obstructive Sleep Apnea
Notice that the first question focuses on what the Care Manager can do to help the patient, not what the patient their selves can do.
After the Care Manager assigns Interventions to themselves they will need to assign interventions to the patient. Notice the very next question after what can the Care Manager do focuses on what the patient can do.
If the patient has no intervention qualifying conditions or if the care manager has finished adding the condition related interventions, the user will be asked to select any of the general interventions that may apply to the patient.
Note: The general intervention questions still follow the same format as the condition related interventions.
Once the Care Plan assessment is marked as "Finalized" the Interventions chosen will appear on the Program Management Page at the bottom of the "Care Plan Progress" tab.
Adding Interventions from the "Care Plan Progress" Tab:
Begin by navigating to the patient's program management page. First, click the CCM option under the "Programs" tab to get to the CCM Worklist.
Once on the Worklist, users can click the "CCM" button under the "Actions" column to jump to the patient's CCM Page.
Once on the program management page, click the "Care Plan Progress" tab.
Make sure to scroll down bellow the Goals and Barriers section to see "Interventions".
If the care manager went through the Intervention questions in the Care Plan they will be listed here. For this example, we will pretend our test patient skipped over the "Interventions" section of the care plan assessment.
In order to add a new intervention click the " + " button to the right of the "Care Plan Interventions" title.
Click the blank drop-down box that appears to select an intervention from ThoroughCare's pre-created list.
Begin typing, or scroll, to select the intervention the user would like to add to the patient's care plan.
Once selected click the "Save" button to create the intervention.
Notice that the new intervention will populate with an orange "Pending" mark. If the intervention is clicked an "Update" section will appear underneath the "Pending" intervention.
Note: This "Update" section may be familiar to users because it follows in line with updating "Goals" and "Barriers"
To add a status change, first begin by clicking the drop-down arrow under "Change Status".
Note: The default change in status is "In Progress".
Document the status change with a quick note. For this smoking cessation status change to "Closed", we will add a note that specifies that the patient quit smoking.
Once the update is finished click the "Save" button to finalize the change in status.
Once clicked, notice that the update will appear under the selected intervention.
For more information on interventions, not discussed in this article, chat with a ThoroughCare professional by clicking the blue chat bubble in the bottom right hand corner of every ThoroughCare screen!