Patient Better’s Contributor Cover Page acts as the front page of your health manager and its task is to unify, qualify, and document each at-home caregiver. This template helps patients, family-members, and informal caregivers to band together and delegate tasks as a team, establish care delivery expectations, and communicate the hierarchy of at-home caregiving responsibilities. This worksheet categorizes each at-home participant into two groups (primary and secondary caregivers) and then documents them as a contributor on the care team. Utilize the Contributor Cover Page for your reference as well as provide a snapshot to healthcare professionals in need of the patient’s entire at-home care team.

PURPOSE

The purpose of this worksheet is to help families establish at-home caregiving teams more quickly and easily. The Patient Better Contributor Cover Page is the first qualifier to designate participants and alleviates the confusion of organizing caregiving teams under stress.

TIPS FOR USE

  • The clearinghouse is responsible for overseeing and updating the Contributor Cover Page.

  • Utilize the Contributor Cover Page to “unearth” additional contributors that are not regular participants (i.e., If there is a scheduling conflict or in need of back-up support).

  • Be sure to include the date on each Contributor Cover Page and revised as often as needed.

Click Here to Download Contributor cover page