Service Development Just in Case plans became BOPDHB-recognised documents at the end of 2021. This means hospital clinicians can now introduce and develop Just in Case plans to support the wishes of patients and provide a safer transfer of care as they return home. The hospital version requires the review and countersign of the GP or NP within two weeks for the Just in Case plan to remain valid. Some Just in Case plans may be completed more thoroughly than others depending on the context and relationship between the patient and hospital clinician. It is therefore important that the patient and family/ whānau can go over their understanding, wishes and content of the Just in Case plan with their general practice provider who has ongoing care of them. Reviewing the Just in Case plan can be done as a virtual or in-person consult, and modifications and additions can be made to the existing plan. The medication chart prescriptions must be countersigned or added to, and the top of the first page signed and dated. A copy of the countersigned Just in Case plan needs to be given to the patient and a copy sent to Health Records.
Process checklist 1. Virtual or in-person consult with patient. Relevant family/ whānau members included in the process. The funding provided is generally expected to cover the consult costs. 2. Review understandings, wishes and content of plan. Provide advice around when to contact the General Practice team, and discussing any concerns around cost and transport (discretionary fund and home-visit options could be discussed here). 3. GP or NP to sign Just in case plan and Just in case medications. 4. Copy of countersigned Just in Case plan given to patient (to put above their fridge) 5. Scan and save Just in Case plan as a PDF, then request upload to CHIP/MCP via ereferral to Health Records (see figure 1 below). 6. Send a manual invoice of $160 GST inclusive per plan to PracticeClaims@wboppho.org.nz, providing patient NHI, GP/NP, consultation date.