Clinical Tools

Activity Plan

Minnesota Health Partnership- Activity Plan

What is an Activity Plan?

The Activity Plan is a written communication tool intended to help facilitate communication to a patient about their functional abilities as well as other treatment recommendations that affect the patient's ability to perform normal daily activities. It is the patient's responsibility to return the form to the employer or any third party requestor if accommodations are needed. It was developed by the Minnesota Health Partnership and used in their Coordinated Health Care and Disability Prevention project . Input from both employer, consumer and physician focus groups and from a 1-week test drive of the form by 5 primary care physicians from different care systems was obtained as part of the development of the Activity Plan. It was then refined during the clinic implementation phase of the project based on provider feedback. It is impossible to create one from that meet all needs, so we have created a form to meet most needs.