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SurnameUMRN / Misgiven Name DOB___ Health ServiceResidential Goals of Care SAMPLE ONLY SEPTEMBER 2023AddressGenderPost CodeTelephoneGP / Doctor: ___Please complete this form in discussion with the
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How to fill out beyond goal driven care

01
Identify the specific goals and outcomes that are important to the individual receiving care.
02
Collaborate with the individual and their support system to create a care plan that is personalized and based on their unique needs.
03
Regularly assess and reassess the individual's progress towards their goals, making adjustments to the care plan as needed.
04
Provide ongoing support and encouragement to help the individual stay motivated and on track towards achieving their desired outcomes.
05
Communicate effectively and openly with the individual and their support system to ensure everyone is on the same page and working towards the same goals.

Who needs beyond goal driven care?

01
Individuals who require personalized and goal-oriented care that goes beyond traditional approaches.
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Individuals with complex health conditions or multiple care needs that require a holistic and integrated approach to care.
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Individuals who value collaboration and empowerment in their care decisions and are motivated to actively participate in achieving their goals.
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Beyond goal driven care refers to a healthcare approach that focuses not only on achieving specific patient goals but also considers the individual's overall well-being, preferences, and social determinants of health.
Providers involved in the delivery of healthcare services, particularly those participating in certain programs or models that emphasize patient-centered care, are required to file beyond goal driven care.
To fill out beyond goal driven care, providers should collect relevant patient information, document care plans that prioritize individual needs and preferences, and follow specific guidelines set forth by the governing body or organization overseeing the filing.
The purpose of beyond goal driven care is to enhance patient outcomes by addressing holistic health needs, fostering better patient-provider communication, and integrating social and emotional factors into the care plan.
Information that must be reported includes patient demographics, health status, care goals, treatment plans, and any social determinants affecting health outcomes.
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