Ruth, this is really exciting. You ask for ideas. My only idea at the moment is about seizing the moment and getting rid of the traditional care plan - problems/interventions/goals, clearly represented by the functionality of Meditech and other systems, or by the preprinted care plans so many hospitals still have - for which nurses still have primary (or even sole) responsibility, and which rarely has any value outside of the academic setting (although I know there are people on this list who have come up with some very slick ideas for morphing the care plan into something more useful).
If HFAP is not looking for a traditional nursing care plan PLUS a problem list, that would be in alignment with JCAHO expectations as I understand them. It sounds like both agencies understand that in most facilities, the nursing care plan is an anachronism. Yet every facility has forms and processes by which nurses and other clinicians know what to do. Without accrediting agencies to insist on a care plan, who is there to make us have one, beyond facility leaders (who will drop it like a hot potato as soon as they are sure they can do so safely, in the name of productivity) or the discipline of Nursing, which invented care plans and whose leaders (academics; AONE) may be unwilling to let go of what they consider to be a unique identifier of the profession's scientific basis and value. Goodbye to care plans? Oh, joy of joys! Oh, the felicity! Freed from the time wasting tyranny of the care plan? It makes my heart go pitter patter. BUT: what saith CMS? My understanding is that THEY still require a care plan for every patient - not just residents on skilled units. Yet, they accept accreditation from HFAP and JCAHO. Am I confused? Sharon (RN) From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Ruth Chapman Sent: Tuesday, May 08, 2007 8:48 AM To: [email protected] Subject: [MEDITECH-L] list Good morning L: Wondering how other sites are going to or are addressing HFAP's requirement - 16.02.03 - for List of Patient's Problems. >From a site that I was conversing with that had been inspected, the inspector recommended: the Problem List needed to be independent of the Care Plan and have each problem evaluated - one surveyor gave the suggestion to maintain the problem list in front of the care plan and evaluate daily; draw a line through, date and initial the identified problem when it is no longer a problem. So what kinds of ideas does anyone have out there in Meditech Land for our NUR users, Ruth Chapman BSN, RN-BC Nursing Analyst Central Michigan Community Hospital [EMAIL PROTECTED] ***Note: The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the Sender immediately by replying to the message and deleting it from your computer. Thank you. Central Michigan Community Hospital
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