Care Goals & Decision Making

Care Goals & Decision Making are elements of the Care Management Determinants that are that can decisively affect patient well-being and patient recovery. Care Goals include a listing of symptoms (S Codes) and determinants (D Determinants) that the Care Plan is developed to improve.

Diagnosis Codes

These are listing of impactable Physical Conditions and Mental Health Conditions determinants (D Codes) that the patient and providers are trying to improve with the Care Plan. These are found in the patient's Medical Record.

Physical and Mental Health Biomarkers

These are listing of impactable Physical Conditions and Mental Health Conditions determinants (D Codes) that the patient and providers are trying to improve with the Care Plan. These biomarkers are typically found in the patient's Medical Record in support of the diagnosis codes.

• Blood Pressure, HbA1C blood test, cholesterol, etc.
• Depression, Anxiety, etc.

Symptoms

These are listing of the patient provided symptoms that the patient and providers are trying to improve with the Care Plan. These are provided by the patient via the Patient Well-Being Assessment or . ==Goals==

• Clinical Conditions
• Functional Conditions
• Behavioral & Lifestyle
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