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The Contributor Cover Page

FEATURES:
The Contributor Cover Page unites the entire care-giving team. And regardless of assistance capabilities throughout treatment- this worksheet records everyone that participates in the delivery of at-home care. This template helps patients, informal caregivers, parents, and guardians band together as a team, enhance care delivery, and communicate the hierarchy of at-home care giving responsibilities to healthcare professionals.

PURPOSE:
The purpose of this worksheet is to help you develop your at-home care-giving team. The challenge to unify a team, especially on short notice or when in ill-health; is straining. You may find that the contributions of those who participate in your at-home care may be limited. And the limitation lies on the Contributor- as they may lack the confidence to deliver care. The Contributor Cover Page is your first qualifier of participation and subtle approach to alleviate the stress of uncertainly.

TIPS FOR USE:

  • Designate a Clearinghouse that can keep up with all Contributors
  • Utilize the Contributor Cover Page and “unearth” additional Contributors that are not regular participants (i.e. If there is a scheduling conflict or as a back-up support)
  • Be sure to include the date on each Contributor Cover Page and it may be revised as often as needed.

The Patient Perspective Self-Identification Tool

FEATURES:
Otherwise known as the “SIPP Tool”, you can consider this template as your financial blueprint for condition management. This is your resource to guild you in choosing the best treatment plan to meet financial goals, and to communicate your economic position with your diagnosing office. The SIPP Tool aids in the self-identification and financial philosophies for you and your doctor to create a realistic, obtainable, plan of treatment.

PURPOSE:
The purpose of this worksheet is to provide preliminary financial guidance for you and your contributors to align your financial standing with the ability to pay for care. The SIPP Tool is used to communicate your analyses (of the financial match) with healthcare professionals. This template allows for quick treatment room decision-making, better money management, and ability to better coordinate your bank account with treatment costs. If financial management is not thoroughly planned, it may leave you and your family at greater risk to run out of funds half-way through treatment. This worksheet is designed to avoid this from occurring.

TIPS FOR USE:

  • Use the SIPP tool for every treatment plan, as your finances change (and the cost of treatment). Base your decision on the purpose and urgency of the treatment (elective, corrective, exploratory etc.)
  • Use the SIPP Tool with The Treatment Plan Calculator together for each treatment plan
  • Share this tool with every clinician, even if they do not utilize Patient Better’s program, you can still utilize this template to summarize your financial position without having to go into detail with every practitioner

The Calendar

FEATURES:
Versatile and unique to Patient Better’s self-managing program, created for you and your Contributors to have a reliable scheduling resource. Consider this template as the team’s foundation for collaborative independence for any health occurrence. This document is used to aid in time management and schedule coordination of all Care-giving participants. This is a month-long time-management overview that outlines, and forecasts, tasks and events to lay-out the most complex schedules. The Clearinghouse is responsible for collaborating and copy distribution as well as efficiently track schedules. The Calender is the caregiver's scheduling tool to collaborate with other caregivers and provide a benchmark of long and short-term goals.

PURPOSE:
Not all calendars are designed for healthcare. The Patient Better Calendar is designed specifically for you to maintain a chronological road map of your health. This Calendar unites the entire healthcare team and is available to re-create as many times as you need. And if you notice a discrepancy, no worries, The Calendar is designed to revise your (or other Contributor’s) new schedule demands. Utilize Patient Better’s Calendar to assist in prioritizing, staying on task, time-management, and productivity.

TIPS FOR USE:

  • Designate one person to maintain schedule updates
  • Elect a Clearinghouse that can be the primary schedule communicator
  • Create one “Master” Calendar and then copy and distribute as needed
  • Revise after the month is complete
  • Assign a day for collection or disbursement if others are participating in a designated spot in the patient’s home

 

The Emergency Room Form

FEATURES:
The Emergency Room Form provides helpful information to healthcare professionals that normally would take some time to uncover. The Emergency Room Form is also known as a Health Care Proxy Form because it acts as your agent in case you are unable to communicate. Take this worksheet with you wherever you go as it serves healthcare professionals as an accurate directive to your demands (and communicator). For various reasons, people with pre-existing health conditions are three times more likely to wind up in the emergency room.

PURPOSE:
Heaven forbid that you would be in an emergency that would leave you unable to communicate. The Patient Better Emergency Room Form is an in-depth detailer to have on your person at all times. Make this template available to any health professional that you may encounter to secure important information from the unknown.

TIPS FOR USE:

  • Always keep form with you, as it is common knowledge that people are 3 times more likely that you end up in the emergency when health is impaired
  • Complete the Emergency Room form in its entirety
  • Recreate annually or after a visit to the ER

The Home Health Care Form

FATURES:
This worksheet is designed for you to find the right home service provider- the first time around. This mutual resume is interactive and is a reliable guide to match your needs to the home health care services’ offering. Tutorial found in Section 2 Article 2 Titled: “Home Health and Home Care Services”.

PURPOSE:
One of the greatest challenges is finding a Home Health or Home Care center that matches your unique needs. If you are lucky enough, you will have a trusted home health facility in your community or have a referral from your doctor’s office. Without these conveniences, people are more at-risk to not finding the right facility (and this could happen for various reasons). Write your specifications for each company on the back of the worksheet. By doing this you will better analyze and communicate your necessities and expectations to either the home health and/or home care center, and find the right representative or professional to come to your home- the first time.

TIPS FOR USE

  • Print this out for every company, representative, or professional
  •  Include the company’s representatives into The Calendar and The Treatment Plan Calculator if that is your demands and share the Patient Better Program as needed
  • Use this worksheet as a self-examination to identify desired tasks to match the right representative to the skill requirement

The Medication Form

FEATURES:
Not all Medications are alike. The in-depth tutorial is found in Section 2 Article 3 (video series and user guide) Titled: “Prescription Medications” that explains how vital your account of actual use is. Statistics show that the prescriber can only assume that you have picked up medication and were compliant. Use The Medication List Form, not as a duplicate from of the pharmacy, but as proof that you have followed the doctor's direction. This form to track actual usage and incorporate all medications and supplements and as a one-source documenter. If there is not a pharmacy- put the place where you got the supplement such as “GNC” or “Amazon.com”. So far, this is the best communicator we have on the market to show providers your compliance and commitment to following the treatment plan.

PURPOSE:
“According to the Center for Disease Control and Prevention (CDC), only 50% of prescribed medication is filled [and of that] only 30% of that medication is taken properly.” However, the prescriber has [no other choice] but to assume that you took the medication properly [unless otherwise specified]. This worksheet is designed to track actual usage. If you feel uncomfortable in any way with the treatment plan as the doctor ordered; by all means, this worksheet is your tool to bring up your concerns (try a different regime or discuss possible alternatives).

TIPS FOR USE:

  • Document the manufacturer and lot number tracking (for recall purposes) and save the packaging in Self-Health Manager pocket labeled “MEDS”
  • Assign each pharmacy number on the "peach colored box" (left side of form) even if you only have one pharmacy- so that people can quickly identify your over the counter medication in instances when you obtain all therapies in one retail location such as Walgreen's or Walmart
  • Once completed, document that you have finished the medication; if left blank, it is understood that you are 1. Still taking the medication 2. Not compliant (so you need a reason why you did not take it as prescribed)

The Durable Medical Equipment Form

FEATURES:
With all the Durable Medical Equipment companies out there, locating the right one is more important than ever. Find a qualified company to get exactly what the doctor prescribed quickly. Tutorial found in Section 2 Article 4 Titled: “Durable Medical Equipment (DME)”.

PURPOSE:
Financial approvals vary, and DME is on the front-line of confusion. Since social medicine has emerged, durable medical equipment approval has become scarce. Furthermore, manufacturer representatives may live far away from the immediate scope of your healthcare. Utilize this form to help you gage the time and cost of the ever changing DME approval confusion and create a better relationship with those involved in your equipment.

TIPS FOR USE:

  • Equipment can be an extremely useful tool to use throughout therapy, (if used correctly) make sure that you have the instructions handy in the Self-Health Manager’s pocket labeled “DME”
  • Place all the durable medical equipment’s documentation and the representative’s information in the pocket behind the tab labeled “DME” in the Self-Health Manager
  • Be sure to visit article 2.4 Durable Medical Equipment in your Patient Better User Guide prior to getting an approved and then later denied claim reversed

The Surgical Form

FEATURES:
Used to record identification numbers and all surgical service provider’s information and affiliations. Used as a forever-record to track manufacture’s recalls and safety alert throughout time.

PURPOSE:
There are many reasons to have surgery. Some operations can relieve or prevent pain. Others can reduce a symptom of a problem or improve body function. Some surgeries are performed to find a problem. Nevertheless, all surgeries should be well documented. You can consider this Surgical Form as your tracking tool to record a day in your life that you would have otherwise forgotten.

TIPS FOR USE:

  • Form belongs in the pocket behind the tab labeled “SURG”
  • Include implants, device numbers and Identification Cards
  • Document all surgeries, including inpatient, outpatient, or elective

Research Index Cards

FEATURES:
Show your provider that you are invested and interested in your health care. Document your research and bring your findings back to your provider to authenticate your discovery and ensure that you will get a professionally researched answer to your query. In-depth tutorial found in Section 3 Article 7 Titled: “Research Smart”.

PURPOSE:
These cards are there for your disposal and for you to capture all of your medical curiosities. Today’s healthcare professional understands that their patients often conduct research on the web before an office visit. Today's clinician expects their patients to be more forthcoming and involved in their care as well as feel more comfortable to openly discuss findings. These cards are designed for you to use to organize your interests and discoveries in a uniform presentation.

TIPS FOR USE:

  • Look for current, unbiased information
  • Preform a check in websites in the “About Us” page
  • Use cards to document any communication channel. Books, magazines and newspapers include the page number and location if necessary

The Chronic Conditions Form

FEATURES:
Recollection of chronic condition onset while in the treatment room- is simply not enough. Fill this template out before your office visit and provide a quick snapshot of the condition(s), onset, and current treatment regimen to save you and your service provider a significant amount of time. By completing this form you will pave the way for a more information-driven appointment. An in-depth tutorial found in Section 3 Article 6 Titled: “Chronic Conditions and the American Payout”. This worksheet is designed for you to “pick up where you left off ” meaning that if you have neglected condition and you have found the right provider to get you back to health. The backside of this worksheet is for you and your professional to start collaborating!

PURPOSE:
According to the CDC, the leading causes of death and disability as well as the leading drivers to the nation’s $3.5 Trillion annual healthcare costs- are chronic conditions. Six out of ten adults have a chronic condition and 4 out of 10 have 2 chronic conditions or more. This worksheet frees up the valuable treatment room time recalling your condition(s) and allows for a quick assessment and advance in a more in-depth evaluation. This is a mid-level worksheet is designed for chronic conditions that have been previously diagnosed.

TIPS FOR USE:

  • Fill out the form to the best of your ability
  • Copy the information if you need to update the worksheet and share it will every professional
  • Don’t throw this Chronic Condition From away after use, instead, put it in your Specialty pocket behind label “SPC”

The Patient SOAP Note

FEATURES:
This worksheet is the core centerpiece of the Patient Better program. Used for recording all concerns and occurrences in-between office visits. Use this worksheet to capture pertinent information regarding specific issues and incidences. Provide this form to applicable providers in the most widely used format of note taking by professionals. Fill out a SOAP Note for each provider visit. This in-depth tutorial for creation is found in Section 5 Article 1 Titled: “Writing, Organizing, and Keeping Notes and Records”.

PURPOSE:
The purpose of The SOAP Note is to better the productivity in your office visit. The goal of this strategic worksheet is to document your concerns to reduce additional visits and unnecessary phone calls.

TIPS FOR USE:

  • To better prepare and be more productive in the treatment room
  • Use for strategic treatment planning
  • Use as an outline and overview of occurrences
  • Create a SOAP Note for each provider, (i.e. Woman’s wellness, post-surgical checkups) and create a follow-up SOAP Note as a continuum for each appointment

The Treatment Plan Calculator

FEATURES:
This worksheet calculates plans and helps you weigh out the most financially feasible treatment plan. Used in conjunct with the Calendar and SIPP Tool. This is a worksheet used to roughly project Contributor’s participation, allows for a heightened patient experience, and analyze direct and indirect the overall expenditures. The in-depth tutorial found in Section 5 Article 2 Titled: “Treatment Planning”.

PURPOSE:
This high-level worksheet forecasts participation of who can deliver at-home care within a projected time. The Treatment Plan Calculator is a companion to the Contributor Cover Page, the Calendar, and the SIPP Tool, this worksheet provides invaluable insight to upcoming expenses, overall treatment costs, and ability to evaluate who would be the best contributor to assign to any given task.

TIPS FOR USE:

  • Identify schedule conflicts with The Calendar
  • Treatment Plan Calculator should be revisited every 6 weeks to 3 months
  • Jot down at least 3 Pros and 3 Cons of each treatment possibility