Improving Chronic Illness Care
Improving Chronic Illness Care

The Planned Care Visit

The Planned Care Visit presentation is designed to demonstrate how health care teams implement innovations in care for people who live with chronic illness. The 34-minute clip takes viewers on a planned care visit in a typical office setting. The first segment is seen through the eyes of a diabetes patient, the other two are seen through those of health care providers. While a diabetes patient is featured, these elements of planned care can be applied to people who live with any chronic condition. Based on our work, The Planned Care presentation assumes viewers have a basic understanding of the Model. A diagram of the Model is included along with a Facilitator Discussion Guide at the end of this introduction. Our presentation includes subtitles that highlight important concepts.
 
The Patient Experience
The first segment walks viewers through a planned care visit, starting with the outreach call and preparation, through the activities of the visit and ending with the second follow-up call. Viewers follow Mrs. Adams, a person with diabetes, as she experiences an outreach call from her physician’s office and participates in visits with her doctor and the team nurse. In these interviews, Mrs. Adams begins taking control of her disease management by agreeing to start basic lifestyle changes. While portions of the physician and self-management interviews have been edited, the actual time elapsed for each encounter is displayed at the end of each segment.
 
The Provider Point of View
The second segment shows the activities of the health care team as they implement the elements of planned care. The emphasis is on preparation, teamwork and communication to provide guideline-driven care and to support Mrs. Adams in managing her condition on a daily basis.
 
The Self-Management Interview
The nurse and patient self-management interview from the first segment with Mrs. Adams is shown here in its entirety, including the use of collaborative goal-setting, creating an action plan and problem-solving to overcome self-management barriers. Subtitles are used throughout the segment to highlight useful techniques for engaging and supporting patients and teaching self-management skills.

Please note: We are no longer producing VHS tapes of this presentation.  Now streamed online, you can watch planned care in action right here.  To watch the streamed presentation, you must have the latest version of Adobe Flash Player installed. You can find it here.