Care Plan

2. Action to store changes in the care plan.
4. Desired outcome documented in the care plan.
5. Plan A documented plan including goals and interventions to address consumer needs.
7. Questionnaires designed to obtain information about a consumer's medical, behavioral, and social needs.
8. The system used for managing care plans and assessments.
11. Manager A professional responsible for creating and managing care plans.
13. Actions based on assessment to address consumer health needs.
15. Postpone or cancel a goal or intervention.
17. A person receiving services from the company.

1. Fee-for-Service, a payment model for healthcare.
3. Activities to involve consumers in their health care.
6. Stratification Process of categorizing consumers based on health risk.
9. Health Plan State health plan for eligible residents.
10. Indicates whether a care plan or goal is active, in-progress, or closed.
12. Action to make a problem active in the care plan.
14. List List of issues identified for case management.
16. Patient-Centered Primary Care Home, a model for comprehensive care.