Table 1.

Care plan framework themes.

Theme	Description
Patient preferences	Health issues identified by patients, patient preferences for management goals, process or treatment choice
Setting priorities	Processes to assist clinicians and patients to prioritize health issues/conditions, management goals, outcomes, treatments, or services
Identifying conflicts and synergies between conditions	Identification of conflicts between conditions, medications, and management strategies; barriers to following the care plan; commonalities between conditions, medications, and management strategies; and enablers to following the care plan
Setting dates for reviewing the care plan	Setting dates for reviewing patient goals and priorities