Table 2.

Example of a CHAPS Problem/Topic Intervention Protocol

MEDICATIONS
Nurse care manager Steps for CHAPS Problems/Topics	Examples
Assess furthera	- What is your routine for taking medications – what times, with meals? - How do you remember to take your medications (alarm, watch, clock, varies – a red flag)? etc. - NOTE: Compare to electronic medical record?
Provide information	- Educate that a routine for mediation-taking is important (put dose next to toothbrush, etc.) “Same time every time” - Recommend taking medications when “on”. - Use Siebens Health Care Notebook to provide information. Review levodopa-protein interaction education sheet at end of Section 1, etc.
Problem solve collaboratively	- My HealtheVet - encourage use of prescription refills. - Offer options to use Notebook to help self-manage medication issues (1) Use it to maintain a current medication list in Section 1; (2) If hospitalized, show hospital physicians Provider’s Quick Fact Sheet in Section 6, etc. - Evaluate collaboratively and coach on strategies based on the cause(s): (1) If forgetfulness, then alarm devices (like smart cell phone alarm?); (2) If cause is complexity, then organizers. etc.
Clinical referrals – discuss/facilitate	- Contact Parkinson disease specialist or neurology consultant for Parkinson’s disease at your facility. - Refer to Parkinson disease specialist or neurologist to discuss dopaminergic medication (has new impairment in ADLs). - Consider referring to Pharmacy for a medication review. etc.
Community and Social Service referrals – discuss/facilitate	- Refer to Social Services for financial or other resources relevant to a medication issue. - Refer to local Veteran Service Organization (VSO). - Refer to Business Office of his or her local Veteran Affairs Medical Center. etc.

^a Assess further is root cause analysis of the problem/topic at the individual participant level