Plan of Care: Development, 90-Day Review, Physician Notification, and Patient Instructions

Requires an individualized written plan of care for every patient, developed with the patient from the comprehensive assessment, signed by the physician or allowed practitioner, containing everything North Carolina and Medicare list; reviewed and revised by the practitioner and the Agency at least every 60 days (which also meets the North Carolina 90-day review by the health care practitioner) and whenever the patient’s condition requires; with prompt notice to the practitioner of changes, communication of every revision, advance notice to the patient of changes, and written visit, medication and treatment instructions with the clinical manager’s contact details.