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Care Programs versus Integrated Care Management care plans

Key Takeaway

Use a care program when participants must enroll in an offering with their consent captured, using the Program Enrollment flow. Use Integrated Care Management for individual care plans that are FHIR R4 aligned and get recommended problems, goals, and interventions from assessment responses mapped to a PGI library.

Agentforce Health has two tools with similar names that solve different problems. A care program is an offering that people enroll in, such as medication support, financial assistance, education, or a wellness plan. Care programs are built to drive adherence and wellness. A care plan built with Integrated Care Management is how a care manager organizes one patient's problems, goals, and interventions. The care manager uses the care plan to coordinate that patient's care and improve their health. Because the names are similar, it is easy to pick the wrong tool for a customer requirement.

When to use each tool

A care program and a care plan are different things, so start with what the requirement describes.

If the requirement is a program that participants join...

Use care programs.

If care managers need to create care plans and coordinate care for individual patients or members...

Use Integrated Care Management.

If a patient with a care plan also joins a care program...

You can link the care program to the care plan.

Dr. Rao prescribes an inhaler as part of Sam's care plan for asthma. With Sam's consent, she then enrolls him in the inhaler maker's asthma care program. Sam now has a care plan for his own care and a place in a program that other participants can also join.

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