Patient-Focused Interdisciplinary Care Planning: Tools and Processes for Home Anti-Infective Therapies

Abstract

A systematic, patient-focused approach to home care planning transcends organizational, clinical discipline and departmental boundaries. True patient-focused care planning incorporates collaborative management of the factors critical to successful patient outcomes. This article discusses operational and content issues seen in interdisciplinary care planning, as well as approaches and considerations for successful home care planning. Tools provided by the authors include a communication checklist for home anti-infective therapy and a sample interdisciplinary care plan/care coordination record. A home anti-infective therapy case illustrates the concepts, processes, and benefits of moving from the “drug related problems” approach to patient-focused interdisciplinary care planning.