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GP Chronic Care Management Plan (GPCCMP)

This guide outlines the steps to effectively use the GPCCMP feature for chronic care planning before, during and after patient appointments. It allows clinicians to consolidate their notes, clinical context and care plans all in one place.

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Written by Phoebe Kent
Updated over 2 weeks ago

Step 1: Start a New Session

  • Begin by starting a new session in the system.

  • Click on the '+' icon to create a new document.

Step 2: Create GPCCMP Document

  • Select the 'Create GPCCMP' button that appears.

  • A new tab for the chronic care management plan will open.

Step 3: Populate Patient Information

  • Switch to the Context tab where fields are pre-populated.

  • Enter relevant background information about the patient, including:

    • Age, living situation, and family details

    • Chronic conditions (e.g., diabetes, hypertension)

    • Medications and social context (e.g., mobility issues, smoking)

Step 4: Generate your first GPCCMP draft

Step 5: Continue to update and sync changes into your GPCCMP

  • As more information is added into the session through updated transcripts or additional context you can return to your original GPCCMP and Sync Changes.

Tips for Efficiency

  • You can use the GPCCMP at whatever stage of the patient’s consult — before, during or after they have left. It can be created and updated whenever works for you.

  • Utilise the pre-planning phase to gather as much information as possible before the patient arrives.

  • Regularly update the GPCCMP as new information becomes available during the appointment.

Cautionary Notes

  • Ensure all patient information is accurate and up-to-date before generating the draft.

  • Be mindful of patient confidentiality when handling sensitive information.

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