Evaluating the Process

Chapter 7 suggests that person-centered (shared-care) plans are not a one-time event to be completed and filed away; instead they are meant to be utilized in practice, continually reviewed and updated regularly. Progress notes are defined as a means to facilitate communication and coordination among the team, and as a way to document the goals, objectives and the services being provided. Concurrent/collaborative documentation is described from both an efficiency and person-centered approach to care. Transition and discharge planning, including the components of a discharge summary, are also offered in this chapter. Evaluating the quality of plans, provider performance, and the individual's views of services and fidelity to a person-centered model and outcomes, via a rich variety of tools to accomplish such, are included in this final chapter of the book.