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Department of Health & AgeingNew CDM Care Planning Items & As Compiled by GPV Current 24th September 2005Page1Index 1. a) b) c) d) e) f) 2. a) b) 3. a) b)c) 4. a) b) c) d) 5. a)b) c) d)e) 6. a) b)c)General

How to fill out new cdm care planning

How to fill out new CDM care planning:

1. Understand the purpose: Before filling out the new CDM (Chronic Disease Management) care planning, it is important to understand its purpose. The CDM care planning aims to coordinate and manage the care provided to patients with chronic diseases, ensuring that their healthcare needs are met effectively.
2. Gather relevant patient information: Start by collecting all the necessary information about the patient. This may include their medical history, current medications, allergies, previous treatment plans, and any other relevant details. It is crucial to have a comprehensive understanding of the patient's health status to develop an effective care plan.
3. Assess the patient's needs: Carefully assess the patient's needs and identify their specific requirements related to their chronic disease. This may involve evaluating their symptoms, monitoring their vital signs, conducting tests or screenings, and identifying any barriers to optimal health management.
4. Set goals and objectives: Based on the patient's needs, establish realistic goals and objectives for their care plan. These goals should be measurable, time-bound, and aligned with the patient's preferences and priorities. It is important to involve the patient in this process to ensure their active participation and commitment to the care plan.
5. Develop interventions and strategies: Plan and implement appropriate interventions and strategies to address the patient's needs and achieve the defined goals. This may involve medication management, lifestyle modifications, dietary changes, physical therapy, counseling, or referrals to other healthcare professionals or specialists.
6. Document the care plan: Accurately document all the details of the care plan, including the identified goals, interventions, and ongoing management strategies. Use clear and concise language to ensure that other healthcare providers involved in the patient's care can easily understand and implement the plan. Update the care plan as needed, considering any changes in the patient's condition or preferences.
7. Evaluate and monitor progress: Regularly review and evaluate the patient's progress towards their goals. Monitor their response to interventions, assess any barriers or challenges they may be facing, and make adjustments to the care plan accordingly. Effective communication with the patient and ongoing collaboration with other healthcare professionals are essential in ensuring the success of the care plan.
8. Continuity and coordination of care: Ensure continuity and coordination of care by sharing the care plan with all relevant healthcare providers involved in the patient's treatment. This may include primary care physicians, specialists, nurses, pharmacists, and allied health professionals. Encourage open communication and information exchange to facilitate seamless care delivery.

Who needs new CDM care planning?

1. Patients with chronic diseases: The new CDM care planning is primarily designed for patients who have been diagnosed with chronic diseases. Chronic diseases, such as diabetes, hypertension, asthma, or heart disease, require ongoing management and care coordination to ensure optimal health outcomes.
2. Healthcare providers: Healthcare professionals involved in the care of patients with chronic diseases can benefit from new CDM care planning. It provides a structured framework to develop personalized care plans, facilitates communication and collaboration among multidisciplinary teams, and promotes evidence-based practices for chronic disease management.
3. Caregivers and support networks: Caregivers and support networks of patients with chronic diseases play a crucial role in their overall wellbeing and management. They can utilize the new CDM care planning to enhance their understanding of the patient's needs, actively participate in the care planning process, and contribute to the successful implementation of the care plan.

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