Care Planning for Digital Patient Engagement   

Graphnet’s Care Plans and eForms integrate seamlessly into the Shared Care Record, offering care professionals access to a unified, up-to-date version of each individual Care Plan.

With appropriate permissions, professionals can then contribute to these plans. Patients can also actively participate in their own healthcare through the ‘About Me’ eForm via the Graphnet Personal Health Record (PHR) App.

Graphnet's Digital Care Planning Functionality 

All Digital Care Plans share similar functionality, meaning users can: 

• Create and Edit Plans: Easily create new Care Plans or update existing ones using built-in guidance and version control, ensuring previous plans remain accessible.
• Print Paper Copies: Generate PDF or paper copies as needed.
• Use Built-in Logic: Complete eForms using advanced features like mandatory fields, picklists, and logic-driven questions.
• Use Data: Use data captured in Care Plans for reporting and analysis through our Population Health platform.
• Manage Documentation: Upload and store supporting documentation.
• Control Permissions: Manage access with comprehensive Role-Based Access Control (RBAC), ensuring only authorised users can view, edit, or publish forms.

Graphnet’s Care Planning Suite 

Graphnet’s Care Planning Suite revolutionises care delivery by enhancing the quality of life for patients while maintaining efficiency and low costs for care providers.

It supports care teams by enabling multi-agency collaboration and improves outcomes for individuals with long-term conditions, complex needs, or those considering end of life care planning.

Here are some of the Care Plans and eForms we provide:

• Integrated Care and Support Plans: Incorporates 'About Me,' Lifestyle and Environment, Goal Tracking, Contingency Planning, Key Contacts, and Multi-Disciplinary Team (MDT) management.
• Frailty Modules: Covers assessments for cognition, skin health, falls risk, nutrition, well-being, vitals, and more – ensuring proactive care for frail patients.
• ReSPECT Plan: Accredited by the Resuscitation Council, offering a recognised framework for emergency care and treatment decisions.
• EPaCCS End-of-Life Plan: Structured to support advanced care planning for patients nearing the end of life.
• Specialised Plans: Includes modules for Heart Failure, Dementia, Mental Capacity Assessment, High-Risk Pregnancy Monitoring, and Moving and Handling Risk Assessments.

Building a Digital Patient Engagement Platform

Graphnet’s digital care ecosystem enables proactive patient care by using Shared Care Record data to identify and engage specific patient cohorts. Key features include:

• Real-Time Patient Input: Patients can share critical health metrics - such as blood pressure, oximetry readings, or mood details - via PHR questionnaires or wearable devices.
• Interactive Dashboards: Clinicians access real-time data, with RAG ratings to highlight changes requiring attention.
• Holistic Patient Insights: The Shared Care Record provides a comprehensive view of each patient’s health and care history.
• Rules-Based Prompts: Patients receive tailored advice and prompts to enhance self-management and care adherence.

Graphnet’s Care Planning platform delivers a powerful combination of technology, collaboration, and patient engagement tools, to provide thoughtful care for patients while increasing efficiency for care providers.

Contact us today to learn more about how our solutions can transform your care delivery.