Healthcare Areas

In a survey conducted from October 2018 to March 2019, Health Quality Alberta asked clients receiving home and community care:

In the last year, I was involved in making my Care Plan.

Clients could choose “Yes a lot / Yes a little / No, not at all / No, I don’t think I should be involved ”

A care plan describes both professional and personal services that will address a home and community care client’s care assessed unmet needs, which means the care plan is informed by the results of a standardized assessment and the client’s preferences (e.g., spiritual and cultural). Case managers facilitate the development of a care plan with the home and community care client and their family, loved ones, or caregivers.

From Health Quality Albertasurvey results, better overall home and community care experiences were reported by clients who felt they were involved in making their care plan.

This data reflects the experiences of seniors aged 65+ receiving long term supportive and maintenance care and are among the largest groups of home and community care clients.

There are a number of factors providers and leaders can consider to better understand and improve client experiences with being involved in the development of their care plan. Some questions they could ask before taking action include:

• How do clients define “being involved” in making their care plan? What are some common experiences among clients who felt sufficiently involved?
• What aspects of making a care plan are most important for clients and their loved ones to be involved in, from both the case manager and client’s perspective?
• How might the timing of engaging clients and their loved ones make a difference? What are the benefits to starting discussions about the opportunities and limitations to being involved in making a care plan before beginning care planning activities?
• How does client involvement in making their care plan improve the delivery of quality, person-centred, and safe care?
• When clients are involved in making their care plan, what impact can this have on their understanding and expectations of care?
• What are some challenges to involving clients in making their care plan? Many teams and patients are incorporating elements of “What matters to you?” campaign to help overcome challenges to client involvement. How might this create engagement opportunities in your context?
• Why is it important for a home and community care client to see their care plan? What are some potential impacts to clients’ experiences of care if they have not seen their care plan? Does the client have a copy of or access to their care plan?
• How are case managers encouraged and supported to overcome these challenges to engage their clients and their family, loved ones, or caregivers in care planning?
• If a client does not want to be involved in making their care plan, how can case managers develop a care plan that results in a positive client experience?

For information about Health Quality Alberta’s Alberta Seniors Home Care Client Survey, please visit Health Quality Alberta’s website.