Identify any Required Referrals for Specialist Care
13
Update Referrals if Needed
14
Approval: Referrals Review
15
Identify Need for Health Education
16
Add Health Education Notes to the plan
17
Approval: Health Education Notes
18
Final Review of Updated Care Plan
19
Approval: Final Care Plan
20
Save and Exit Epic Care Plan Module
Access Epic Care Plan Module
Access the Epic Care Plan Module in order to begin the care planning process. This module allows you to create, review, and update the care plans for patients. Make sure you have the necessary access credentials and permissions to access the module.
Select Patient Record
Select the patient record for whom you are creating or updating the care plan. Navigate to the patient's profile within Epic and locate the relevant care plan section. Make sure you have the necessary permissions to access the patient's record.
Review Patient's Existing Treatment Plan
Review the patient's existing treatment plan to familiarize yourself with their current care regimen. Pay attention to the interventions, medications, and therapies that are currently prescribed. Take note of any observations or concerns that may have been documented in the plan.
1
Interventions
2
Medications
3
Therapies
Approval: Treatment Plan Review
Will be submitted for approval:
Review Patient's Existing Treatment Plan
Will be submitted
Identify any Changes in Patient's Condition
Identify any changes in the patient's condition since their last care plan update. This includes any new symptoms, complications, or changes in vital signs. Be thorough in your assessment to ensure an accurate understanding of the patient's current health status.
1
Increased pain
2
Fever
3
Shortness of breath
4
Change in appetite
5
Change in sleep patterns
Update Plan with New Recommendations
Update the patient's care plan with any new recommendations based on the identified changes in their condition. This may include adjusting medication dosages, adding or removing interventions, or scheduling additional therapies. Ensure that the recommendations are evidence-based and aligned with best practices.
Review Patient's Medication Regime
Review the patient's medication regime to determine if any adjustments need to be made. Check for adherence to prescribed medications, potential interactions with other medications, and any reported side effects or adverse reactions. Identify any medications that require further evaluation.
1
Medication adherence
2
Medication interactions
3
Reported side effects
4
Medications requiring further evaluation
Check for Medication Interactions
Check for potential medication interactions using reliable drug interaction databases or software. Review the patient's current medication list and identify any potential interactions or contraindications. Take note of any necessary precautions or adjustments that need to be made.
Approval: Medication Regime Review
Will be submitted for approval:
Review Patient's Medication Regime
Will be submitted
Check for Medication Interactions
Will be submitted
Update Medication Plan if Required
Update the patient's medication plan based on the identified medication interactions or contraindications. This may involve discontinuing specific medications, adjusting dosages, or prescribing alternative medications. Ensure that the updated medication plan is safe, effective, and tailored to the patient's specific needs.
1
Discontinue specific medications
2
Adjust medication dosages
3
Prescribe alternative medications
4
Provide additional medication instructions
Input any Newly Diagnosed Conditions
Input any newly diagnosed conditions that are relevant to the patient's care plan. These may include comorbidities, complications, or significant changes in medical status. Ensure accurate documentation of the diagnoses to facilitate appropriate care and treatment.
Identify any Required Referrals for Specialist Care
Identify any required referrals for specialist care based on the patient's current condition and needs. Determine if any additional consultations, testing, or interventions are necessary to optimize the patient's care. Consider the appropriate specialists or healthcare professionals to involve in the patient's treatment plan.
1
Cardiology consultation
2
Endocrinology consultation
3
Physical therapy referral
4
Psychiatry referral
5
Dietitian consultation
Update Referrals if Needed
Update the patient's referrals for specialist care based on the identified requirements. Ensure that the referrals are accurate, specific, and include relevant details regarding the purpose of the referral and any necessary documentation or tests. Coordinate with the appropriate departments or individuals to facilitate the referrals.
1
Referral details
2
Required documentation
3
Referral destination
Approval: Referrals Review
Will be submitted for approval:
Identify any Required Referrals for Specialist Care
Will be submitted
Identify Need for Health Education
Identify the need for health education based on the patient's condition, treatment plan, and current health status. Determine if there are any gaps in the patient's knowledge or areas where additional education would be beneficial. Consider the patient's readiness to learn and any specific educational resources or materials that may be required.
1
Minimal
2
Moderate
3
High
Add Health Education Notes to the plan
Add health education notes to the patient's care plan based on the identified need for education. Document any specific topics, resources, or interventions that will be included in the education plan. Ensure that the notes are clear, concise, and actionable for the patient and healthcare providers.
Approval: Health Education Notes
Will be submitted for approval:
Identify Need for Health Education
Will be submitted
Add Health Education Notes to the plan
Will be submitted
Final Review of Updated Care Plan
Conduct a final review of the updated care plan to ensure accuracy, completeness, and alignment with the patient's current condition and needs. Verify that all interventions, medication changes, referrals, and education notes are appropriately documented. Coordinate with the healthcare team or any relevant stakeholders for additional input or confirmation.
Approval: Final Care Plan
Will be submitted for approval:
Final Review of Updated Care Plan
Will be submitted
Save and Exit Epic Care Plan Module
Save and exit the Epic Care Plan Module to finalize the care planning process. Ensure that all changes, updates, and notes have been properly recorded and saved. Confirm that the care plan is accessible and retrievable for future reference and use.
