Inter-Professional Team Case Rounds

Team case rounds underpin the interprofessional nature of the DIVERT-CARE Intervention. The care coordinator facilitates system navigation and aligning supports with the needs of the patient. Interdisciplinary weekly rounds are conducted to identify, discuss, and clarify outstanding issues and update the plan of care. Rounds are an opportunity for collaboration while maintaining a consistent approach to therapeutic goal achievement.

The team should be comprised of those that are directly involved in the ongoing care needs of the patient.  Ideally, rounds should provide an opportunity to share information on progress, clinical stability, goals and support needs.  

Interdisciplinary rounds improve continuity of care and communication. 

View other components of the DIVERT Cardio-Respiratory Model

8.png

SBAR Communication

1.png

Vaccines

2.png

Advance Care Planning

3.png

Medication Review

5.png

Helpline

4.png

15 Week Symptom Management

6.png

Client Oriented Care Record & Action Plan