Health Quality Ontario has launched a newly revised coordinated care plan (CCP) template. Using Quality Improvement methodology, they worked with system partners to review the current CCP template, aligning the updated content with innovative practices. The goal of this refresh is to increase patient engagement by focusing on patient values, wishes, and concerns and by outlining the patient’s journey rather than episodic events. This new CCP includes physical, mental, and social components and will help integrate care plans among patients, providers, and caregivers. To achieve this goal, the new CCP template includes the following key updates:
- The new template is shorter and modular. Optional sections (medication lists, assessments, recent hospital visits) are now placed in the appendix.
- The “More About Me” section includes questions on the social determinants of health.
- Language now aligns with the Health Care Consent Act, the Substitute Decision Act, and the Personal Health Information Protection Act.
- A new section on palliative care has been added.
A comprehensive user guide is included with the revised template. In addition, further discussion is underway on how best to support teams in integrating this version into their current processes including the use of electronic solution to enable coordinated care. More information on this will follow in the future. Relevant Links: