What is the purpose of a client-centered plan of care?

• A. To document billing and reimbursement requirements for services.
• B. To set goals with the client, outline steps, responsibilities, and track progress; align with client preferences.
• C. To enforce clinician-driven targets regardless of client input.
• D. To record only clinical indicators without client involvement.

Answer: (B)

A client-centered plan of care focuses on working with the client to build the plan around their goals, preferences, and daily realities. It involves setting specific, achievable goals together, outlining the steps to reach them, and clarifying who will do what (including the client’s responsibilities and the support the CHW or others will provide). Progress is tracked with the client, and the plan is adjusted as needs and circumstances change. This collaborative, respect-for-autonomy approach makes the care meaningful and more likely to succeed because it reflects what the client cares about and can realistically do.

In contrast, documenting billing or reimbursement is administrative, not about guiding care with the client. Clinician-driven targets without client input ignore the client’s choices and end-users’ needs. Recording only clinical indicators without client involvement misses the essential partnership that shapes meaningful, sustainable changes.