Multidisciplinary Shared Care Plan
EVENTS, RECURRENCE
The activities to be performed are related to different specialties and disciplines from various levels of care but are shared in a common care plan. A care plan represents the workflow of how a treatment is planned to be addressed. It has a layered structure with 3 levels of elements, comprising, from bottom to top, tasks, activities, and groups of activities. Tasks are what is ultimately actionable. They represent things like “the third session of physiotherapy at the hospital gym,” “filling in some questionnaires for the second time,” and “the fifth day of receiving nutritional tips.” Activities generate identical tasks over a period with a given recurrence. They can be started or ended automatically by linking them to events related to other activities. Groups of activities help enabling or disabling activities at a higher level (eg, baseline assessments; weekly follow-ups).The structural dependencies between the above elements, in the sense of the care plan or service workflow that represents the treatment, translate into 2 main concepts: semiautomated processes, comprising activities that are dependent on or related to the outcome or completion of other activities; and overridability, that is, using structures that do not impose strict rules on professionals, so they can override any decision with proper motivation; this is registered into the system for accountability.