5. Value of Documentation of the Plan of Care from a Number of Safety, Quality, and Payment Perspectives
In this chapter, our patient example continues as we review supporting medical necessity in communication and care coordination for our sample patient. The care planning process continues, looking at using our critical thinking skills of reasoning, analyzing, evaluating, problem-solving, and decision-making to create the best individualized plan of care. The planning process continues with the collection of information, reflection, formulating the plan, and implementing the plan. In this chapter, it is emphasized that the patient's holistic assessment drives the care. In this example, you'll see that problems derived from the assessment deserve thoughtful consideration and care planning with a clear explanation as to why the patient does or does not need care for this the identified problem or deficit.