Long Term Services and Support Care Plan

Long-term services and supports (LTSS) are needed by millions of people, including children, adults and individuals over age 65, due to various disabling conditions and chronic illnesses. Long-term services are comprised of a diverse set of assistances designed to help with general care, activities of daily living (ADLs), and instrumental activities of daily living (IADLs) like eating, toileting, dressing, cooking, driving, managing money, etc. These services are provided across various settings from facility-based or institutional care to community-based settings. Services and supports provided in the person’s home or in a community setting are referred to as Community-Based Long-Term Services and Supports (CB-LTSS) or Home and Community-Based Services (HCBS).

The eLTSS Care Plan is available to the care team across facilities to support care collaboration

Whole-person care and care collaboration is enabled with the PatientShare eLTSS Care Plan.  The eLTSS Care Plan editor provides all the tools to create and update the Long Term Services and Support Care Plan and collaborate with other care team members. The PatientShare components support easy access by all members of the care team, even if some care team members do not have access to sophisticated EMR systems.  

The SMART on FHIR eLTSS components are available through a web browser or on your phone, to support  care providers in those community based organizations who are not always connected to their EMR.