User Tools

Site Tools


manual:forms_itc

Back to Forms
Back to ITC Workflow
Back to Specialties

Integrated Team Care Forms

In addition to all of the Clinical Record features of MMEx, ITC funded program staff have a range of tools to record and report their work.

You may also be interested in IHPO Forms.

ITC Forms

The following forms are available:

  • Care Co-ordination & Supplementary Services - record care coordination, supplementary services and Medical Aids on the one form
  • Episode of Care Co-ordination - record an episode of care coordination only
  • Outreach Worker Services - record an activity that is classed as neither care coordination or supplementary services
  • Supplementary Services - record supplementary services only.

Each form can be used for one patient at a time and is saved in the patient record when completed.

Care Coordination and Supplementary Services

Firstly select the Patient for whom the service was provided. To add a Supplementary Service item, select the relevant item details from the list. You may use the Find and Highlight box to enter a search term - the item will be highlighted in the lists underneath.

Click on Add Supplementary Service Item the item you have saved will be summarised underneath that button.

To add a Medical Equipment Aid Record, select the relevant data and click Add Medical Equipment Aid the item you have saved will be summarised underneath that button.

Click Save Form to save the Record The form will be saved in the patient's documents list and can be viewed at any time by clicking on the document name.

Episode of Care Coordination

Click Add to save the form.

The form will be saved to the patient's Documents list and can be reviewed at any time by clicking on the document name.

Supplementary Services

Select the patient you are recording Service information for. For the relevant Services- allied Health refrrals or Specialist Referrals, enter the required information.

  • Date of Service
  • Services Purchased: Number of Supplementary Services Purchased
  • Services Brokered: Number of Session brokered by the care coordinator not funded under the Supplementary Services program.
  • Transport Purchased: Total number of transport services purchased for the indicated service. NB: One transport service is considered a return trip. A one way trip is entered as 0.5
  • Transport Brokered: Total number of transport services brokered for the indicated service

Click Add to save the record

The form will be saved in the patient's documents list and can be reviewed by clicking on the document name.

Outreach Worker Services

Select the Patient the activity is to be recorded against, select the date the activities were undertaken and mark the activities that were completed.

Click Add to save the form

The form saves in the patient's Documents list and can be reviewed by clicking on the document name.

manual/forms_itc.txt ยท Last modified: 2019/06/27 03:22 by sarahb