Implement goal directed care planning

Formats and tools

Unit Description
Reconstruct the unit from the xml and display it as an HTML page.
Assessment Tool
an assessor resource that builds a framework for writing an assessment tool
Assessment Template
generate a spreadsheet for marking this unit in a classroom environment. Put student names in the top row and check them off as they demonstrate competenece for each of the unit's elements and performance criteria.
Assessment Matrix
a slightly different format than the assessment template. A spreadsheet with unit names, elements and performance criteria in separate columns. Put assessment names in column headings to track which performance criteria each one covers. Good for ensuring that you've covered every one of the performance criteria with your assessment instrument (all assessement tools together).
Wiki Markup
mark up the unit in a wiki markup codes, ready to copy and paste into a wiki page. The output will work in most wikis but is designed to work particularly well as a Wikiversity learning project.
Evidence Guide
create an evidence guide for workplace assessment and RPL applicants
Competency Mapping Template
Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners. A template for developing assessments for a unit, which will help you to create valid, fair and reliable assessments for the unit, ready to give to trainers and students
Observation Checklist
create an observation checklist for workplace assessment and RPL applicants. This is similar to the evidence guide above, but a little shorter and friendlier on your printer. You will also need to create a seperate Assessor Marking Guide for guidelines on gathering evidence and a list of key points for each activity observed using the unit's range statement, required skills and evidence required (see the unit's html page for details)

Self Assessment Survey
A form for students to assess thier current skill levels against each of the unit's performance criteria. Cut and paste into a web document or print and distribute in hard copy.
Moodle Outcomes
Create a csv file of the unit's performance criteria to import into a moodle course as outcomes, ready to associate with each of your assignments. Here's a quick 'how to' for importing these into moodle 2.x
Registered Training Organisations
Trying to find someone to train or assess you? This link lists all the RTOs that are currently registered to deliver CHCCM702B, 'Implement goal directed care planning'.
Google Links
links to google searches, with filtering in place to maximise the usefulness of the returned results
Books
Reference books for 'Implement goal directed care planning' on fishpond.com.au. This online store has a huge range of books, pretty reasonable prices, free delivery in Australia *and* they give a small commission to ntisthis.com for every purchase, so go nuts :)


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

1. Undertake care planning to address identified client needs and goals

1.1 Work with client to identify realistic and relevant goals as a basis for care planning

1.2 Undertake care planning to address identified goals and in line with needs assessment and document in line with organisation requirements

1.3 Undertake consultation with other organisation representatives to plan care in complex situations where multi-organisation involvement is required

1.4 Ensure care plan recognises and supports person's strengths and abilities as well as addressing their needs

1.5 Recognise and respect person's right to self-determination within legal parameters

1.6 Plan care in consultation with the person, their carer/s and family, friends or others involved in advocacy or decision-making on their behalf

1.7 Support person to make informed decisions about their care, reflecting understanding of their current situation, probable future situation and ensuing care needs

1.8 Investigate range of options available to address client-identified needs and achieve their goals

1.9 In conjunction with client, structure a range of services in a manner that supports informal care arrangements such as family support, and support of friends and/or neighbours

1.10 Devise alternative strategies to meet identified client needs when specific services are not available

1.11 Provide the person with cost details as required and work with them to ensure care plan is within their financial resources

1.12 Identify work health and safety (WHS) risks and plan for their management

1.13 Write care plan and clearly identify all work tasks and who is to perform them

2. Implement care plan in conjunction with relevant others

2.1 Seek and obtain person's consent before undertaking any referrals

2.2 Provide person with clear understanding of available services and choices, so they are an informed participant in all stages of care planning

2.3 Work in collaboration with appropriate professionals and organisations to ensure services are provided in a manner that maximises person's potential for achieving their goals and addresses identified needs

2.4 Ensure planning clearly articulates roles and responsibilities of each service provider, including coordination role/s

2.5 Maximise involvement of client and carer/s in care planning processes and decision-making

2.6 Ensure effective involvement of relevant health/ community services professionals in care planning where clients have chronic or complex needs

2.7 Establish and maintain communication strategy and processes to ensure effective implementation of care plan

2.8 Ensure mechanisms are in place to support sharing of information between organisations and maintenance of updated information to all involved organisations

2.9 Support and develop person's ability to independently access alternative resources to ensure their needs are addressed in an appropriate manner

3. Monitor implementation of client care plan

3.1 Regularly monitor planned services, support and resources against client-identified goals to ensure effective implementation of their care plan

3.2 Ensure appropriate level of rapport and communication with client is maintained as required to support disclosure of information regarding delivery of services and resources in line with care plan

3.3 Maintain collaborative relationships with clients, carers and other service providers to support people with complex needs

3.4 Promptly identify problems with implementation of care plan and make adjustment as necessary to best meet person's needs

3.5 Document and report any variations to care plan in line with organisation requirements and communication strategy

4. Undertake review of care plan

4.1 Respond appropriately to informal monitoring of health and well being of the person and/or their carer by volunteers, carers or family

4.2 Undertake regular and systematic reviews to ensure assessed needs of clients are being addressed effectively

4.3 Use regular reviews to re-prioritise client needs for service and to ensure equitable access based on ongoing appraisal of prioritised needs

4.4 Contribute to adjustments in care plan in response to changes in client or carer health; review of risk management/WHS needs; or as specified in person's care plan or as required by personal circumstances

5. Respond appropriately to diversity

5.1 Ensure care planning for CALD and Aboriginal and Torres Strait Islander clients is culturally sensitive

5.2 Ensure appropriate interpreter support is provided in line with organisation protocols

5.3 Where appropriate, work in conjunction with ethno-specific and multicultural organisations and with Aboriginal and Torres Strait Islander communities and organisations

5.4 Recognise and support the role of these organisations in linking their communities into the service system

5.5 Where appropriate involve Aboriginal and Torres Strait Islander community and/or organisation representatives in the care planning process

6. Respond appropriately to people with different levels of need including those with complex needs

6.1 Facilitate access to assessment for people with different levels of need including those in complex circumstances and identified as having high levels of need

6.2 Maintain and promote inter-organisation relationships and agreements as appropriate to address client, family and carer needs

6.3 Ensure care planning builds on person's strengths and motivation to improve their quality of life

7. Evaluate client outcomes

7.1 Undertake periodic evaluation of care planning based on analysis of outcomes

7.2 Obtain information from clients, carers, families and other service providers to determine progress and evaluate against identified goals in care plan

7.3 Take into account adjustments made to services and resources to better address person's ongoing situation and changing needs

7.4 Ensure evaluation includes determination of client satisfaction, comparison of costs against benefits received and assessment of quality and effectiveness of service delivery and case management components

7.5 Work with person to evaluate ongoing support needs to meet their goals, including review of parameters for disengagement, where applicable

7.6 Demonstrate accountability for adjustments to the care plan and associated financial outcomes

7.7 Identify opportunities for person to maintain or develop independence within any aspects of their overall care

7.8 Document and report quantifiable impacts experienced by person as a result of implementation of care plan and indicate how client-centred outcomes have been achieved