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NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

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Presentation to Colleagues on Care Coordination

Everyone has a good morning. Today, we will discuss one of the most critical aspects of health care services: coordinated care. Coordinated care is critical for transforming the way we provide care in order to improve care quality, access to care, and communication between colleagues, patients, their families, and other stakeholders (Peterson et al., 2019). Care coordination is another term for coordinated care. Please keep in mind that the terms used in this presentation are interchangeable.

Prior to delving into the presentation’s content, it’s critical to understand what the term “care coordination” actually means. Care coordination, according to one definition from the NEJM catalyst, is “the delivery of a patient’s health care by multiple providers, specialists, and stakeholders with the goal of improving health care outcomes, patient outcomes, and health care professionals’ outcomes while reducing costs and eliminating redundant procedures and practices” (NEJM Catalyst, 2021).

Consider the following examples to better understand this.

In a relay race, athletes pass the baton to other athletes, and their job is complete once the baton is passed. While coordinated and synchronous, it does not constitute fully coordinated care. In health care, nurses, pharmacists, physicians, and other specialists collaborate to assess disease and then determine the best course of treatment. Thus, care coordination is not a one-way street; it also involves two-way communication (Weaver & Jacobsen, 2018).

 

Now, let us consider the opposing viewpoint.

 

It’s interesting to note that such an approach can occasionally result in lower-quality care due to redundant procedures. For instance, sending patients to the emergency department when the ED health care providers communicated clearly to other professionals that the patient did not require ED care. Another example is inquiring about a patient’s medical history when the information has already been collected and stored in EHRs (Marsden et al., 2018).

 

Another example is that failing to communicate with patients and families about allergies, medical history, cultural and spiritual needs, and other aspects of care in order to provide patient-centered care results in adverse events such as reactions, mortality, and morbidity. This necessitates developing and implementing effective strategies in collaboration with patients and families in order to provide high-quality care (Lynch et al., 2018).

 

Outlining effective strategies for collaborating with patients and their families is based on holistic care approaches that are patient-centered, culturally sensitive, and evidence-based. The strategies are as follows:

NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

Multidisciplinary care initiative led by nurses, in which nurses are at the center of the process, communication, and decision-making (Marsden et al., 2018).

Empowering patients and families through their participation in discussions, decision-making, and treatment (Sefcik et al., 2018).

Providing support in multiple languages, providing holistic care based on culture, and demonstrating respect and empathy in order to improve the patient-nurse-physician relationship (Song et al., 2017).

Adopting a collaborative decision-making model and sharing knowledge with colleagues and peers to enable informed decision-making (Bunn et al., 2018).

Direct communication is preferred over indirect communication. For instance, direct communication is effective during diagnosis, whereas indirect communication may result in conflicts (Garry et al., 2020).

Using assertive communication during discussions and decision-making promotes better treatment selection decision-making, whereas persuasive communication promotes better treatment selection decision-making (Omura et al., 2018).

By involving patients at the system, individual, and organizational levels, nurses, patients, physicians, and other stakeholders can improve coordination, as everyone is involved in direct communication, discussion, and decision-making (Clay & Parsh, 2016).

Patient safety is improved by limiting the use of messaging applications and increasing the use of discussions, reporting systems such as error reporting, and medication prescribing, dispensing, and administration (Hefner et al., 2019).

Utilizing the EBP model to implement change and evaluate outcomes in a coordinated manner to improve communication and knowledge sharing between HCPs (Menear et al., 2016).

Implementing root-cause analysis and conflict management techniques is critical for resolving issues and managing colleagues effectively (Grubaugh & Flynn, 2018).

Peer support and education on how to provide emotional, spiritual, academic, and holistic support is critical because it results in a safer practice environment. This helps to increase health literacy (Ofei & Paarima, 2021).

By promptly reporting errors and adhering to government and hospital policies, you demonstrate a high level of transparency and accountability (Clay & Parsh, 2016).

 

It is critical now to identify aspects of change management that have a direct impact on patient care and experience, as they define and control how strategies are implemented and their outcomes.

 

The first factor affecting change management and care quality is the EBP model that will be used to implement and evaluate the strategies. Utilizing models such as Iowa EBP, ACE (Academic Center for Evidence-Based Practice), Johns Hopkins Nursing Evidence-Based Practice Model, and Lewin’s model of change assists in implementing strategies, evaluating outcomes, and changing or updating strategies.

The second aspect is leadership, which is critical for motivating and empowering nurses and HCPs to adopt care coordination strategies, as it has an effect on how nurses perceive the strategies and the effectiveness of communication and collaboration between the interdisciplinary and multidisciplinary team (Song et al., 2017). The third factor is the economic model employed, as well as the resources provided to implement the strategies, as changes necessitate funding and resources to be implemented successfully (Peterson et al., 2019). The fourth aspect is nurses’ and HCPs’ training and competency levels; the greater their competencies in culture-based care, patient-centered care, nurse-patient relationships, patient safety and security, and patient family management, the better the outcome (Sefcik et al., 2018).

The fifth aspect is providing care in a variety of languages, as communities often include members of various cultures. Failure to provide support in multiple languages reduces patient satisfaction and makes it more difficult for patients to improve their health literacy. The sixth factor to consider is the nurse-to-patient ratio; the lower the ratio, the greater the risk of burnout and errors. Medication errors, administration errors, and record errors all contribute to a decrease in the quality of care and the reputation of health care facilities.

Ethical decision-making is critical for any decision-making process because it highlights potential consequences of the decision.

The coordinated care plan is founded on ethical decision-making because it addresses fundamental ethical principles such as justice, fairness, equity, accountability, honesty, trust, openness, and respect, as well as transparency. The component of justice is addressed through the use of patient-centered and culturally competent care, in which each patient is treated according to their unique characteristics and characteristics (Omura et al., 2018). Fairness is addressed through direct communication, in which all patients are treated with compassion, inclusion, and support. As a result, it improves the quality of care and patient satisfaction (Grubaugh & Flynn, 2018).

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Also Check Out: NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

Equity is critical to the coordinated care plan because cost-effective care is a major component of the plan, which ensures that everyone has equal access to health care and its services and is treated equally but in accordance with their unique needs, such as cultural needs (Ofei & Paarima, 2021). Additionally, the aspect of patient empowerment, consent, and family involvement emphasizes ethical decision-making. The implication is that it builds community trust in health care services and also empowers patients (Garry et al., 2020). Additionally, the plan advocates for disclosing any errors to the patient openly and honestly, as well as providing any necessary information about the health condition through education (Hefner et al., 2019). As such, it embodies an ethical dimension of transparency as well. The implication is that it improves patient satisfaction and access to high-quality care.

While the plan appears to be sound, it is based on four assumptions. They are as follows: everyone in the organization, including patients, the community, and families, will accept the change and adhere to the coordinated plan (Menear et al., 2016); the funding and resources necessary to successfully implement the change will be provided; all ethical considerations will be adhered to; and the plan will be effective and implementable without resistance or a limited number of challenges or obstacles (Marsden et al., 2018).

 

When it comes to the potential impact of specific health care policies and provisions on the plan, such as the Affordable Care Act, the HIPPA act, effective treatments through preventive care, and other policies.

 

The Affordable Care Act (ACA) contains critical provisions such as cost-effective care, a focus on prevention, effective treatments, quality improvement, and easy access to health care. These provisions have an effect on the care plan; they complement one another because both aim to provide high-quality care using cost-effective treatments (Brooks et al., 2017). Cost-effective care improves patient satisfaction, while a lower nurse-to-patient ratio decreases nurse burnout. As a result, it is logical to conclude that provisions have a beneficial effect on the coordination plan (Chu et al., 2020).

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Additionally, quality improvement provisions assist in the implementation of high-quality patient-centered care, prevention, and disease management (Edmonds et al., 2016). As a result of this, it can be concluded that provisions for preventive measures reduce disease rates. Additionally, the HIPPA act and insurance claims and fraud prevention policies promote improved documentation, electronic health records, and the security of patient information in order to improve insurance claim outcomes and data protection (Shaw et al., 2014). According to logical analysis, one negative effect may be that it becomes more difficult to provide high-quality care with a high nurse-to-patient ratio at an affordable cost, as Medicaid does not cover all conditions, treatment plans, and medications (Chu et al., 2020). Taking everything into consideration, it is clear that nurses like you and me are the central aspect of health care services, serving not only as nurses but also as policymakers, decision-makers, educators, advocates, caregivers, responsible and ethical professionals, leaders, and coordinators. Thus, we are a critical component of health care services in numerous ways, and our combined efforts have the potential to transform the way coordinated care is delivered.

References

 

G. Brooks, J. Hoverman, and C. Colla (2017). The Affordable Care Act and the delivery of cancer care. 23(3), 163-167. The Cancer Journal. https://doi.org/10.1097/ppo.0000000000000259

 

F. Bunn, C. Goodman, B. Russell, P. Wilson, J. Manthorpe, et al (2018). Supporting shared decision-making with older adults who have multiple health and social care needs: a realist synthesis 18th BMC Geriatrics (1). https://doi.org/10.1186/s12877-018-0853-9

 

Q. Chu, T. Li, M. Hsieh, Y. Yi, J. Gibbs, J. Lyons, and X. Wu (2020). The Patient Protection and Affordable Care Act’s Medicaid expansion has benefited Louisiana women diagnosed with breast cancer. Cancer, vol. 127, no. 5, pp. 688-699. https://doi.org/10.1002/cncr.33265

 

A. Clay & B. Parsh (2016). Patient- and family-centered care is no longer limited to pediatrics. The American Medical Association’s Journal Of Ethics, 18(1), pp. 40-44. https://doi.org/10.1001/journalofethics.2016.18.1.medu3-1601

 

J. Edmonds, L. Campbell, and R. Gilder (2016). A national survey of public health nursing practice in the era of the Affordable Care Act. The Journal of Public Health Nursing, 34(1), pp. 50-58. https://doi.org/10.1111/phn.12286

 

Szerencsy, A., Jones, S., Testa, P., & Kang, S. Garry, K., Blecker, S., Saag, H., Szerencsy, A., Jones, S., Testa, P., & Kang, S. (2020). Patient experience with radiology result notification: a comparison of direct communication and use of the patient portal. American College Of Radiology Journal, 17(9), 1130-1138. https://doi.org/10.1016/j.jacr.2020.01.046

 

M. Grubaugh & L. Flynn (2018). The relationships between nurse manager leadership abilities, conflict resolution skills, and unit teamwork. The Journal Of Nursing Administration, 48(7/8), pp. 383-388. https://doi.org/10.1097/nna.0000000000000633

 

J. Hefner, S. MacEwan, A. Biltz, and C. Sieck (2019). Patient portal messaging for care coordination: a qualitative study of experienced chronic disease users’ perspectives. BMC Family Practice, 20 (supplement) (1). https://doi.org/10.1186/s12875-019-0948-1

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S. Lynch, W. Witt, M. Ali, J. Teich, R. Mutter, B. Gibbons, et al (2018). Coordination of care for children and adolescents with behavioral health conditions in emergency departments. Pediatric Emergency Care, Advance Publication. https://doi.org/10.1097/pec.0000000000001545

 

E. Marsden, A. Craswell, A. Taylor, K. Coates, J. Crilly, et al (2018). Multidisciplinary initiatives led by nurses to improve outcomes and decrease hospitalizations in older adults: The Care coordination through Emergency Department, Residential Aged Care, and Primary Health Collaboration project. The Australasian Journal On Aging, 37(2), pp. 135–139. https://doi.org/10.1111/ajag.12526

 

M. Menear, M. Gervais, E. Careau, M. Chouinard, G. Cloutier, et al (2016). Patient and family engagement strategies and outcomes in collaborative mental health care: a protocol for a systematic and realist review. 10.1136/bmjopen-2016-012949. BMJ Open, 6(9), e012949.

 

Catalyst for the New England Journal of Medicine (2021). Care coordination is defined as the process of coordinating care. Catalyst.nejm.org. Retrieved from https://catalyst.nejm.org/doi/full/10.1056/CAT.18.0291 on 4 July 2021.

 

A. Ofei & Y. Paarima (2021). Nurse managers’ care coordination practices as perceived by nurses at the unit level. 24(1), International Journal Of Care Coordination, pp. 17–27. https://doi.org/10.1177/2053434521999978

 

M. Omura, T. Stone, J. Maguire, and T. Levett-Jones (2018). A qualitative study based on the Theory of Planned Behavior to examine Japanese nurses’ perceptions of the importance and use of assertive communication in healthcare. Today’s Nurse Educator, 67, pp. 100-107. https://doi.org/10.1016/j.nedt.2018.05.004

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K. Peterson, J. Anderson, D. Bourne, M. Charns, S. Gorin, et al (2019). Theoretical frameworks for health care coordination: a systematic review to improve their understanding and application in practice. J. Gen. Intern. Med., 34(S1), pp. 90-98. https://doi.org/10.1007/s11606-019-04966-z

 

J. Sefcik, D. Petrovsky, M. Streur, M. Toles, M. O’Connor, et al (2018). “In Our Corner”: a descriptive qualitative study of patient engagement in a community-based care coordination program. The Journal of Clinical Nursing Research, 27(3), pp. 258-277. https://doi.org/10.1177/1054773816685746

 

F. Shaw, C. Asomugha, P. Conway, and A. Rein (2014). Patient protection and affordable care act: prevention and public health opportunities. The Lancet, 384(9937), pp. 75–82. doi:10.1016/s0140-6736(14)60259-2.

 

H. Song, M. Ryan, S. Tendulkar, J. Fisher, J. Martin, et al (2017). Between primary care providers, team dynamics, clinical job satisfaction, and patient care coordination are examined. Journal of Health Care Management, 42(1), pp. 28-41. https://doi.org/10.1097/hmr.0000000000000091

 

S. Weaver & P. Jacobsen (2018). Coordination of cancer care: research opportunities in healthcare delivery. The Journal of Translational Behavioral Medicine, vol. 8(3), pp. 503-508. https://doi.org/10.1093/tbm/ibx079

Develop a 20-minute presentation for nursing colleagues highlighting the fundamental principles of care coordination. Create a detailed narrative script for your presentation, approximately 4-5 pages in length, and record a video of your presentation.

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