Reviewing the delivery of comprehensive care is important for ensuring patients are receiving care that meets their clinical and personal needs; that risks are efficiently and effectively identified and mitigated; that the agreed comprehensive care plan is achieving what it aimed to; and that patient goals and expectations are being met.
The delivery of comprehensive care should aim to address the health issues the patient was admitted with, and the risks of harm identified, to achieve the agreed clinical and personal goals of care.
A documented comprehensive care plan (or plan for care) reflects shared decisions made with patients, carers and families about the tests, interventions, treatments and other activities needed to achieve the goals of care.
To focus care on patients’ needs, and determine the most appropriate model of care for the patient, it is important that health services identify and assess patients’ risk of harm. Identifying patients who may be at risk of harm, and mitigating the risks for those patients is a core part of comprehensive care planning and treatment.
Goals of care describe what a patient wants to achieve during an episode of care, within the context of their clinical situation. Goals of care are the clinical and personal goals for a patient’s episode of care that are determined through a shared decision-making process.
The first step in delivering comprehensive care is undertaking a clinical assessment. Clinical assessment should be based on the patient’s subjective report of the symptoms and course of the illness or condition, and objective findings from clinical assessment to determine provisional and differential diagnoses.
The Commission has developed information for consumers on some key safety and quality issues, and health conditions.
Effective infection prevention and control practices reduce the risk of transmission of infections between patients, healthcare workers and others in the healthcare environment.