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

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

Oct 11, 2023 43 likes •394 views

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

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THE CARE PLAN

  • PREFERENCES
  • Dr. Catherine Textor MD, CCFP (EM)

April 15th, 2016 MOIS U

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Conflict of Interest

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THE CARE PLAN

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WHAT?

  • evolving/a “work

in progress”.

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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.

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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
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WHERE?

  • In MOIS
  • Uploaded to Powerchart
  • Attached to some referral letters
  • In the future, attached to some Interprofessional Team

referrals

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PREFERENCES

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WHAT?

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

PRECAUTION:

  • MRSA
  • Syncope with injections
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HOW?

  • Example of entering a “contraindication”
  • How to enter an advanced directive re: level of intervention
  • How to upload to powerchart
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EXAMPLE- contraindication

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EXAMPLE -contraindication

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EXAMPLE -contraindication

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EXAMPLE -contraindication

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Level of intervention

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LEVEL OF INTERVENTION

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LEVEL OF INTERVENTION

M3, C2 initiate resuscitation

instruction

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LEVEL OF INTERVENTION

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LEVEL OF INTERVENTION

  • attaching the MOST form
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LEVEL OF INTERVENTION

  • attaching the MOST form
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LEVEL OF INTERVENTION

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LEVEL OF INTERVENTION

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LEVEL OF INTERVENTION

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LEVEL OF INTERVENTION

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How to Upload your Care Plan to Powerchart

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UPLOADING TO POWERCHART

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

Copy to Clipboard

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UPLOADING TO POWERCHART

  • 2. Log into Power Chart
  • 3. Open your patient’s chart
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Uploading to Powerchart

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

  • Viewing the Shared Care Plan
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SLIDE 34

Uploading to Powerchart

  • Viewing the Shared Care Plan
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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)