The Level I plan of care (POC) is a client-specific, comprehensive care/service plan document that must be developed by a registered nurse or licensed social worker in partnership with the family/client. The Level I plan of care is a client-specific, comprehensive care/service plan developed once within an eligibility year. It is comprised of client demographics, insurance coverage, medical, social, educational, and functional strengths or needs, medical providers, medication taken and medical supplies needed. Problems and goals are developed based on the information obtained.

CSHCS data is collected on a fiscal year calendar (October 1 - September 30).  Note that 2023 data is provisional (11/13/2023)

2023 Plan of Care QI Project

Currently the CSHCS Plan of Care (POC) is printed, mailed to the family for signature and returned to the office.  The process is cumbersome, the document is long with limited formatting options and the return rate of signed POCs is low.  The project will be implemented and piloted in FY 23 with the goals to to improve the formatting and completion of a POC by CSHCS nurses, and to increase the rate of signed, returned POCs with families. 

PHASE 1: Conversion of paper Plan of Care to digital POC - in progress
Start date: February 2023
Project staff: Program Supervisor, Public Health Analyst, Public Health Services Manager

PHASE 2: E-signature and email submission/approval of POC 
Start date: August 2023
Project staff: IT, Qualtrics, Public Health Analyst, Compliance Officer, Program Supervisor, Public Health Services Manager

PHASE 3: Increase the percentage of POCs signed and returned to CSHCS  (data and target to be determined
 in quarter 4 of FY 2023)
Start date: 10/1/23
Project staff: Program Supervisor, CSHCS Public Health Nurses, Public Health Analyst

Data: 863 POC completed and mailed in FY 22-23.  Outstanding signature pages as of 10/12/23 = 327 (38%)