Care plan creation and updates

Step-by-Step Breakdown

Detailed explanation of each automated stage in the workflow.

1. 1

   Trigger

   Patient Assessment Completed

   A new patient assessment is submitted or an existing patient's condition update is recorded in the home health system. This triggers the care plan creation or revision process.

   AxxessAlayaCare
2. 2

   Action

   Extract Clinical Data

   The system pulls relevant patient information including medical history, current medications, functional status, and assessment scores. Clinical protocols and care standards are also retrieved based on diagnosis codes.

   AxxessMatrixCare
3. 3

   Decision

   Determine Care Plan Type

   The workflow evaluates if this is a new care plan creation or an update to existing plan based on patient status. Different approval workflows and documentation requirements apply to each scenario.

   AlayaCare
4. 4

   Action

   Generate Care Interventions

   AI automatically creates personalized care interventions, visit frequencies, and goal targets based on clinical protocols and patient needs. The system matches appropriate caregiver skill levels to required services.

   ClearCareAxxess
5. 5

   Action

   Route for Clinical Review

   The draft care plan is automatically assigned to the appropriate clinical supervisor or case manager for review and approval. Notifications are sent with priority levels based on patient acuity.

   Homecare HomebaseAlayaCare
6. 6

   Action

   Update Caregiver Schedules

   Once approved, the system automatically updates caregiver assignments and schedules based on the new care plan requirements. Visit routing is optimized and caregivers receive mobile notifications.

   ClearCareMatrixCare
7. 7

   Output

   Distribute Finalized Care Plan

   The completed care plan is distributed to all relevant stakeholders including caregivers, family members, and physicians. Documentation is stored for compliance and billing purposes.

   BrightreeAxxess

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