Collaborative Action Plans (CAPs)

CAPs (Collaborative Action Plans) support continuity of care planning by providing common protocols across settings. A unique automated feature of interRAI systems, CAPs are based on systematic reviews of international literature and our large data holdings. CAPs are not intended to automate care planning; rather, they are designed to engage the person and clinicians in a dialogue to support collaborative decision-making.

In the past, the term CAP often referred to “Clinical Assessment Protocol” and was designed to support clinical decision-making and care planning. Moving forward, interRAI has refocused CAP as “Collaborative Action Plan” to further emphasize inclusion of the person as part of the team when determining the steps needed to help them achieve their goals.

CAP structure

  • Problem descriptions
  • Overall goals of care
  • Triggers to facilitate improvement / prevent decline
  • Guidelines
  • Additional resources

CAPs manuals can be purchased from the interRAI Print Catalog. CAPs are also built into all licensed software solutions.

Available CAPs manuals:

  • Adult/Elderly Care
  • Palliative Care
  • Adult Mental Health
  • Child and Youth Mental Health
  • Intellectual Disability

 

Manuals & Forms