As an on-going activity for integrated care, AQH project organized a workshop with an international expert to introduce the principles and main components of individual Care Plans. During the workshop with the working group the content of the Care Plan template was revised and adapted to be used specifically for integrated care intervention. The following day, the international expert had a workshop with multi-disciplinary team (nurses, social workers and doctors) to present Care Plan template and describe how to use it. During the workshop the multi-disciplinary teams practiced how to develop individual Care Plans for patients based on findings from sample Geriatric Assessments.
