PC.3
1. (Not applicable to Core – Palliative Care specific)
2. The documented plan of care is developed based on the patient’s assessed needs, strengths, limitations, goals, and values.
3. The plan of care is based on a comprehensive interdisciplinary assessment of the patient’s values, preferences, goals, and needs. (see also Standard PM.4 EP 2)
4. The program informs the patient about potential consequences of care, treatment, and services, including consequences if the patient chooses not to follow recommendations.
5. The program delivers care, treatment, and services according to the individualized plan of care.
6. The program provides care, treatment, and services in a manner that meet the patient’s cultural and linguistic needs.
7. The program communicates the plan of care to professionals involved in the patient’s care. (see also Standard IM.1 EP 3)
8. The program informs the patient about the outcomes of care, treatment, and services that have been provided, including unanticipated outcomes and sentinel events. (see also Standard PC.2 EP 5 and Standard PI.4 EP 2)
9. The program evaluates and revises the plan of care to meet the patient’s ongoing needs and documents the revisions in the patient’s medical record.
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