Exceptional Care Plan Documentation

Some patients suffer from chronic or recurring conditions that may present with exacerbations in settings unfamiliar with the patient's specific treatment requirements. Examples include rare bleeding disorders, complement abnormalities, complex metabolic disorders and high-volume multi-emergency department users requiring a consistent approach to management that may differ from prevailing standards.

Clinicians managing such patients may have devised individualized treatment plans that work best for a particular patient with a particular health condition. These "Exceptional Care Plans" (ECP; also referred to as "Emergency Treatment Plans") are documented in Connect Care using a workflow that ensures that the existence of the plan is prominently flagged for other providers, and that relevant review or expiration dates are highlighted.

Exceptional Care Plan Flags

That a patient has an active ECP is highlighted at the top of the patient StoryBoard (left-most column of all opened patient charts in Connect Care) with a "FYI" (flag icon) that can be selected to open the "FYI" activity within a chart. The same activity can be used to add a new ECP flag or to remove an ECP FYI flag if the care plan has expired or is otherwise no longer needed.

  • A "new flag" button at the top left can be used to add a new ECP flag (select "Exceptional Care Plan" from the list of FYI types)

  • Use the ".EXCEPTIONALFYI" SmartPhrase in the new flag comments to generate standardized prompts about where to find the actual care plan

Reviewing Exceptional Care Plans

Existing and active ECPs are chart documents. These are easily found by any of the following means:

  • Use Chart Search to "Jump to" the Exceptional Care Plan chart activity, or seek the activity among the tab options for any opened chart.

  • Use Chart Search to search for the phrase "Exceptional Care Plan" to produce a list of all ECPs attached to a patient chart.

  • Use the Chart Review activity within any opened chart, then the "notes" tab and filter for notes of the "Exceptional Care Plan" type.

  • Look for an Exceptional Care Plans section within the Problem Oriented Charting sidebar, then click on the hyperlink to open the ECP activity.

Selecting an ECP found by any of these means will bring forth the documented plan and associated instructions. Note that these plans may have additional hyperlinks within them.

Authoring Exceptional Care Plans

A new ECP can be documented by using the Exceptional Care Plan activity (found by any of the methods listed above). Instructions are provided within the activity. Note that a new note is created using a standard template which ensures that all ECPs have similar layout and content. Use the F2 key to find wildcards for entering the ECP name/title, the relevant health condition and the specifics of the actual treatment plan.

Clickable (link) areas within the ECP documentation template facilitate rapid access to tools for entering structured data used in the template.