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Care Plan 2.0

Learn how to create, manage, review, and publish patient care plans using HealthArc's Care Plan 2.0 module. This guide provides a comprehensive walkthrough of every workflow, including care plan creation, templates, assessments, SMART goals, physician app

Written by HealthArc Support

Overview

Care Plan 2.0 is HealthArc's redesigned care planning module that streamlines patient care planning by providing a structured workflow, reusable templates, enhanced documentation, improved risk classification, physician approval workflows, integrated assessments, automated scheduling, AI-assisted call documentation, and improved PDF generation.

The module is designed to help care coordinators, nurses, providers, and care teams efficiently create, manage, review, approve, and update patient care plans while remaining aligned with industry best practices.


What's New in Care Plan 2.0

Highlights include:

  • Completely redesigned interface

  • Structured workflow

  • Care Plan Templates

  • SMART Goals

  • Preventive Services

  • Enhanced Risk Classification

  • SDOH documentation

  • Care Team Review

  • AI-generated Call Notes

  • AI-generated Tasks

  • Evaluation Scheduling

  • Physician Approval workflows

  • Patient and Provider PDFs

  • Program switching support

  • Duplicate Care Plans

  • Improved Billing Timer

  • Better migration support from the legacy Care Plan module


Prerequisites

Before creating a Care Plan, ensure:

  • Patient is enrolled in an eligible program.

  • Patient record exists.

  • Required demographic information is available.

  • Appropriate user permissions are assigned.


Accessing the Care Plan

  1. Open the HealthArc Dashboard.

  2. Navigate to Patients.

  3. Select the desired patient.

  4. Open the Care Plan tab.

The Care Plan page displays:

  • Existing Care Plans

  • Monthly Updates

  • Previous Care Plans

  • Drafts

  • Approval Status

  • Create Care Plan options

Previous Care Plans from the legacy module remain viewable and the latest monthly update can still be edited after migration. If you cannot find a care plan for a specific month, verify whether a care plan was generated for that time. If no care plan exists, there will be nothing to download.

Care Plan 2.0 Overview: Learn more


Creating a New Care Plan

Select the + icon. The following options are available: Note: HealthArc does not support the creation of care plans by uploading PDFs. Care plans must be generated within the system itself.

Create Using Template

Uses a predefined Care Plan Template to automatically populate:

  • Goals

  • Preventive Services

  • Interventions

  • Tasks

  • Program-specific information

Templates significantly reduce repetitive documentation for patients with similar clinical conditions.


Create From Scratch

Creates an entirely new Care Plan.

This workflow guides users through every section individually.


Pull From Previous Care Plan

Duplicates an existing Care Plan and copies all applicable information into a new draft.

Ideal for:

  • Monthly Care Plans

  • Annual renewals

  • Program changes

Only necessary edits need to be made before publishing.


Create via AI (Coming Soon)

Future enhancement that will automatically generate Care Plans using AI assistance. This option was presented as a planned enhancement and is not included in the current release.

Creating a Care Plan: Learn more


Care Plan Workflow

Care Plan 2.0 follows a structured workflow consisting of the following sections:

  1. Personal Details

    1. Basic Info

    2. Family & Social History

    3. Lifestyle & Risk Factors

    4. Medications

    5. Allergies

    6. Behavioral Symptoms

  2. Assessments

  3. Barriers to Care

  4. Social Determinants of Health (SDOH)

  5. Vitals Monitoring

  6. Preventive Services

  7. SMART Goals

  8. Interventions

  9. Self-Management Tasks

  10. Additional Notes

  11. Risk Classification

  12. Care Team Review

  13. Call Notes & Tasks

  14. Next Evaluation

  15. Review & Finalize

Each section can be completed sequentially, and navigation becomes available after the Care Plan is initially created.


Personal Details

The Personal Details section builds the patient's overall health profile. It includes:

  • Demographics

  • Date of Birth

  • Gender

  • Contact information

  • Clinical information

This section serves as the foundation for the remainder of the Care Plan.


Family & Social History

Capture:

  • Family medical history

  • Social environment

  • Living situation

  • Support systems

Historical information migrated from the legacy Care Plan is displayed under Additional Description.


Lifestyle & Risk Factors

Document patient lifestyle information including:

  • Diet

  • Exercise

  • Tobacco use

  • Alcohol use

  • Substance use

Sections may be skipped if not applicable.


Medications

Record:

  • Medication Name

  • Dosage

  • Frequency

  • Prescribing Provider

Legacy medication data is retained separately when migrated from the previous Care Plan.


Allergies

Document:

  • Allergy Name

  • ICD Code

  • Notes

Previously migrated allergy information remains accessible through the Other section.


Behavioral Symptoms

Capture patient behavioral and mental health information, including:

  • Depression

  • Anxiety

  • Stress

  • Sleep concerns

Migrated behavioral notes are preserved for reference.

Patient Information & Clinical Sections: Learn more


Assessments

Assessments can be:

  • Sent to patients by Email or SMS

  • Proctored during an encounter

Completed assessments are stored within the Care Plan for future reference.


Barriers to Care

Identify factors affecting adherence, such as:

  • Mobility

  • Financial limitations

  • Accessibility

  • Vision impairment

Selected barriers are saved as part of the patient's Care Plan.


Social Determinants of Health (SDOH)

The SDOH section documents:

  • Economic Stability

  • Education Access

  • Healthcare Access

  • Environmental Factors

  • Social & Community Support

These responses contribute to a more comprehensive understanding of patient health beyond clinical data.


Vitals Monitoring

Manage:

  • Existing RPM vitals

  • Manual vitals

  • Additional vital records

Vitals may be added, edited, or deleted directly within the Care Plan.

Assessments, Social Determinants of Health (SDOH) & Vitals: Learn more


Preventive Services

Track recommended preventive care including:

  • Vaccinations

  • Screenings

  • Preventive Care Tasks

  • Patient Tasks

  • Care Team Tasks

Migrated preventive services remain available under legacy records.


SMART Goals

Create measurable patient goals with defined targets and timelines to support improved clinical outcomes.


Interventions

Define care activities associated with each SMART Goal to support patient progress. Interventions are linked directly to goals for better care coordination.


Self-Management Tasks

Assign patient-driven activities such as:

  • Tracking vitals

  • Lifestyle changes

  • Home monitoring

  • Daily logs

These tasks encourage patient engagement throughout their care journey.

SMART Goals, Interventions & Self-Management: Learn more


Risk Classification

The Risk Classification section evaluates the patient's overall health risk based on factors such as chronic conditions, medications, recent hospitalizations, functional status, Social Determinants of Health (SDOH), and patient engagement. Assigning an appropriate risk level helps care teams prioritize high-risk patients, determine the intensity of care management services, and guide follow-up activities.

Risk Classification: Learn more


Care Team Review & AI Call Notes

This section facilitates collaboration among healthcare professionals involved in the patient's care. The Care Team Review allows clinicians to review and validate the Care Plan before physician approval, while AI Call Notes automatically generate structured summaries and follow-up tasks from patient interactions. These features improve documentation quality, streamline workflows, and reduce administrative effort.

Care Team Review & AI Call Notes: Learn more


Evaluations & Review Workflow

The Evaluations & Review Workflow enables periodic reassessment of a patient's health status and Care Plan. During an evaluation, care teams review assessments, medications, vitals, goals, interventions, and overall progress to determine whether updates are needed. Regular evaluations ensure the Care Plan remains accurate, relevant, and aligned with the patient's current clinical needs.

Evaluations & Review Workflow: Learn more


Physician Approval Workflow

The Physician Approval Workflow provides clinical oversight by requiring completed Care Plans to be reviewed and approved by the assigned physician. Providers can approve the Care Plan, request revisions, or add clinical recommendations before final publication. This process ensures that Care Plans meet clinical standards and organizational compliance requirements.

Physician Approval Workflow: Learn more


Care Plan Templates

Care Plan Templates provide standardized, reusable Care Plans for common conditions and care management programs. Templates can include predefined assessments, SMART Goals, interventions, preventive services, and patient education, allowing care coordinators to quickly create consistent Care Plans while still customizing them to each patient's unique needs.

Care Plan Templates: Learn more


Provider & Patient PDF Generation

Care Plan 2.0 allows users to generate professionally formatted Provider and Patient PDF versions of a Care Plan. The Provider PDF includes comprehensive clinical documentation for healthcare professionals, while the Patient PDF presents a simplified, easy-to-understand version focused on goals, self-management, and education. These PDFs support communication, care coordination, and patient engagement.

Provider & Patient PDF Generation: Learn more


Program Switching

The Program Switching feature enables organizations to transition patients between different care management programs—such as CCM, RPM, PCM, or AWV—without losing historical Care Plan data. When a program is changed, a new Care Plan is created for the selected program while previous Care Plans remain available for reference, ensuring continuity of care and preserving the patient's complete clinical history.

Program Switching: Learn more


Billing Timer & Time Logging

The Billing Timer & Time Logging feature records the time spent providing care management services. Users can track activities using an automatic timer or manually log time for work completed outside the platform. Accurate time logging supports billing compliance, productivity tracking, and reimbursement by maintaining a detailed record of qualifying patient care activities.

Billing Timer & Time Logging: Learn more


Best Practices & FAQs

Best Practices & FAQs: Learn more


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