TABLE 4.

Key Roles and Responsibilities of a Collaborative Model for a Cloud-Based Shared Care Plan

Key Roles	Characteristics of Individuals and/or System to Fulfill Role	Responsibilities
Team leader	A single individual or team Medical expertise caring for CMC (knowledgeable about the range of child’s medical conditions) Has a 10 000-ft view of the child (understands how 1 change may impact child as a whole) Sees the child most often	Review all sections of the care plan and clarify conflicting, redundant, or confusing content with section “owner” on a routine basis Find contributors to fill gaps in the care plan Maintain an active problem list
Contributors	Has the most current information about a particular section of the care plan (eg, tracheostomy settings, care coordination, family history) Includes caregivers and other family members	Review and update sections of the care plan that pertain to their area of expertise after all encounters with child Caregivers should review the care plan to ensure it is feasible to implement and reflects actual care Caregivers should update child’s family social, or developmental history on a routine basis
HIT system	Cloud-based platform to enable multiuser updates in real time Robust HIPAA-compliant data infrastructure Copy and paste functionality to transfer editable content from provider notes Capability to set permissions at the user level (eg, edit content, view only, share, download)	Autopopulate relevant content from the EHR to various sections of the care plan Auto-sign off when changes are made with person, date and time stamp Trigger users to update the care plan at specified intervals Grant access to sections of the care plan depending on user’s permission level