20. How a care map is built
Clinicians with complex patients Planned episode, referrals and the system. How a three-year care map is built, cited and used.
Listener title: How a three-year care map is built, cited and used
Listener description: A cohort lead walks through how a Colorado Care Network care map is put together: what belongs in the first year, how evidence is chosen and cited, and how members can contribute without carrying the whole map. For clinicians who care for complex patients and want to share the work of planning their care.
Run of show (about 40 minutes)
| Time | Segment | What happens |
|---|---|---|
| 0:00 to 2:00 | Opening | The host introduces the topic and the guest's role, a cohort lead. The guest discloses any industry relationships and notes that they speak for themselves, not for the network. No patient information on this episode. |
| 2:00 to 9:00 | The shape of a map | The host summarizes the shape from the structure page: a patient cohort defined by one anchor question, and seven roles (anchor, genetics, specialists, diagnostics, therapies, behavioral health and nutrition, community) across three yearly cycles, Year 1 Establish, Year 2 Treat and Year 3 Sustain. The guest explains how their cohort arrived at its anchor question, and what they did with ideas that would not reduce to one question. |
| 9:00 to 18:00 | What belongs in Year 1 | Talking point 1. The structure page frames Year 1 as making or confirming the diagnosis, assembling the team and setting the baseline. The guest explains how they decided which studies, referrals and roles go in Year 1 and which wait, and how the map points to the rosters for specialists, diagnostics and therapies. |
| 18:00 to 27:00 | Evidence good enough to include | Talking point 2. On the site, every clinical line on a map carries a citation; where the citation is a guideline rather than a trial, the map says so; where guidelines disagree, the map shows the range. The guest explains how they judge a source good enough, what they do with a statement they cannot source, and how they keep track of the sentence in each source that supports a line. The host asks how the map treats a recommendation a member's own practice does not follow, since care maps recommend and never require. |
| 27:00 to 35:00 | Contributing without carrying the map | Talking point 3. The host walks through how a cohort starts, from the structure page: propose, lead, open, map, present, launch, with a yearly review after that. The guest describes what one member can usefully take on, such as one cell, one citation check or one roster entry, and how a lead keeps the map coherent when many people contribute. |
| 35:00 to 38:00 | Using the map in clinic | The guest explains how the map shows up at an actual visit, how it shapes the question on a referral, and how Year 3 hands the plan back to routine primary care. |
| 38:00 to 40:00 | Closing | One practical takeaway: if you care for patients in a cohort, read one cell of its map and send a reference through the "Suggest a reference" form on the cohort page. Fifteen cohorts are seeking a lead; listeners can say which one interests them through the interest form at coloradocarenetwork.com/join, or write to hello@coloradocarenetwork.com. |
Guest prep questions (sent to the guest a week ahead)
- How did your cohort settle on its anchor question, and what did you leave out to keep it to one question?
- Walk us through your Year 1 column: what went in, what moved to Year 2, and why.
- How do you decide a source is good enough to put on the map, and what do you do with a recommendation you believe but cannot cite?
- If guidelines disagree anywhere in your cohort's area, how does your map show the range?
- What is one piece of the map a member could take on in an evening, and how would they hand it back to you?
Show notes
A cohort lead joins the host to explain how a care map is built: one anchor question, seven roles and three yearly cycles. They discuss what belongs in Year 1, how evidence is chosen and cited, and how members can contribute a piece of a map without carrying all of it. Care maps recommend; they never require.
- Sources and tools:
- Structure: https://coloradocarenetwork.com/structure/
- How the network works: https://coloradocarenetwork.com/how-it-works/
- Boards (including "How to read a care map"): https://coloradocarenetwork.com/cohorts/
- Literature: no reference on the site bears directly on this episode. Sources: the guest supplies them before recording (PubMed, DOI, GeneReviews or guideline sources only).
- No patient information is discussed on this episode.
All planned episodes. To be the guest for this episode, email hello@coloradocarenetwork.com with the episode number.