NURS FPX 6618 Mobilizing Care for an Immigrant Population Paper Example

NURS FPX 6618 Assessment 2 Mobilizing Care for an Immigrant PopulationNURS FPX 6618 Assessment 2 Mobilizing Care for an Immigrant Population

NURS FPX 6618 Mobilizing Care for an Immigrant Population Paper Assignment Brief

Course: NURS-FPX 6618 Leadership in Care Coordination

Assignment Title: NURS FPX 6618 Assessment 2 Mobilizing Care for an Immigrant Population

Assignment Overview & Understanding Assignment Objectives

This assignment seeks to evaluate your ability to develop a project plan to mobilize coordinated care for an immigrant or refugee population and draft an organizational policy addressing care for this group. You will assume the role of Director of Care Coordination and use your chosen practice setting from Assessment 1 to guide your project plan and policy development.

The Student’s Role

As the Director of Care Coordination, your role is to identify the healthcare needs of an undocumented immigrant or refugee population and develop strategies to address those needs effectively. You will analyze current organizational policies and assess assumptions and biases associated with caring for immigrant populations. Additionally, you will evaluate existing U.S. healthcare policies to ensure fair and ethical treatment for immigrant and refugee communities.

Competencies Measured

This assignment measures your ability to:

  • Develop a project plan to address the healthcare needs of an immigrant or refugee population.
  • Analyze organizational policies related to immigrant and refugee healthcare.
  • Evaluate assumptions, biases, and cultural influences affecting access to care.
  • Assess the impact of U.S. healthcare policies on immigrant and refugee populations.
  • Communicate ideas clearly and concisely using correct grammar, mechanics, and APA style formatting.

You Can Also Check Other Related Assessments for the NURS-FPX 6618 Leadership in Care Coordination Course:

NURS FPX 6618 Assessment 1 Planning and Presenting a Care Coordination Project Example

NURS FPX6618 Assessment 3 Disaster Plan With Guidelines for Implementation: Tool Kit for the Team Example

NURS FPX 6618 Mobilizing Care for an Immigrant Population Paper Example

Introduction

In the contemporary context of globalization, the United States grapples with the challenge of accommodating and providing adequate healthcare to its diverse immigrant population, among which Mexican immigrants represent a significant demographic (American Immigration Council, 2021). This paper aims to elucidate the healthcare needs of Mexican immigrants in the United States and propose strategies for mobilizing care to address these needs effectively.

Rationale for Addressing Healthcare Needs

Mexican immigrants encounter formidable barriers to accessing healthcare services in the United States, including but not limited to, lack of health insurance, linguistic challenges, and cultural disparities (Bustamante et al., 2018). These barriers engender disparities in healthcare access and outcomes, exacerbating adverse health outcomes among Mexican immigrants. Consequently, addressing the healthcare needs of this population is imperative to advance health equity and improve overall health outcomes.

Selection Criteria

The selection of Mexican immigrants for this project is predicated on several criteria, including their substantial presence within the immigrant population, pressing healthcare needs, and vulnerability to various social, economic, and health-related challenges (The Library of Congress, n.d.). Notably, Mexican immigrants constitute one of the largest immigrant groups in the United States, with significant contributions to the labor force and cultural diversity (American Immigration Council, 2021). Their socioeconomic status, cultural background, and legal status within the country further underscore the importance of addressing their healthcare needs.

Assessing the Healthcare Needs

Utilizing the SWOT analysis framework, a comprehensive assessment of the healthcare needs of Mexican immigrants reveals a myriad of internal and external factors impacting healthcare access and outcomes. Weaknesses such as lack of health insurance coverage, language barriers, and limited awareness of available healthcare resources hinder access to care (National Alliance on Mental Illness, n.d.). Moreover, cultural differences and stigma surrounding immigration status pose additional challenges to healthcare utilization among Mexican immigrants. Opportunities for intervention include collaboration with community organizations, implementation of culturally competent healthcare practices, and advocacy for policy changes to improve healthcare access.

Characteristics That Define the Population

Mexican immigrants manifest diverse demographic and cultural characteristics that underscore the complexity of their healthcare needs. These include age distribution, gender representation, socioeconomic status, cultural background, and legal status within the United States (American Immigration Council, 2021). Notably, Mexican immigrants often belong to economically disadvantaged backgrounds, with limited educational attainment and employment opportunities. Cultural beliefs and practices, such as the importance of family and spirituality, significantly influence healthcare-seeking behaviors among Mexican immigrants (Canún, 2022). Understanding these cultural nuances is crucial for developing effective healthcare interventions tailored to the needs of the population.

Identifying Organizations & Stakeholders

A spectrum of organizations and stakeholders play pivotal roles in providing care for Mexican immigrants, including community health centers, nonprofit organizations, local government agencies, and faith-based organizations (The Office of Minority Health, n.d.). These entities collaborate to facilitate access to healthcare services and address the unique needs of Mexican immigrants. For example, community health centers serve as primary care providers for many Mexican immigrants, offering culturally competent care and support services. Nonprofit organizations focused on immigrant rights and advocacy provide essential resources and assistance to undocumented immigrants, while local government agencies collaborate with healthcare providers to enhance healthcare access.

Interpreting Current Organizational Policies for Healthcare Provision

Current organizational policies, notably the Affordable Care Act (ACA) and the Emergency Medical Treatment and Labor Act (EMTALA), serve as guiding frameworks for healthcare provision to Mexican immigrants in the United States. While the ACA extends healthcare coverage to a broader population, undocumented immigrants remain ineligible (National Immigration Forum, 2022). Consequently, Mexican immigrants without legal residency status face significant barriers to accessing affordable healthcare services. Conversely, EMTALA mandates emergency medical treatment for all individuals, irrespective of immigration status (Centers for Medicare & Medicaid Services, n.d.). This policy ensures that Mexican immigrants receive critical emergency care when needed, although it does not address their broader healthcare needs.

Assumptions & Biases Associated

Assumptions and biases inherent within the healthcare system impede equitable access to care for Mexican immigrants. These encompass cultural barriers, language disparities, and socioeconomic inequities that perpetuate disparities in healthcare access and outcomes (Gast et al., 2017). For instance, healthcare providers may hold implicit biases against Mexican immigrants, leading to substandard care or discriminatory treatment. Moreover, cultural and linguistic differences can create barriers to effective communication and understanding between healthcare providers and Mexican immigrants, resulting in misunderstandings and mistrust.

Evaluating Two U.S. Health Care Policies

The Affordable Care Act (ACA) and the Emergency Medical Treatment and Labor Act (EMTALA) constitute pivotal healthcare policies shaping the landscape of healthcare provision for Mexican immigrants in the United States. While the ACA extends healthcare coverage to a broader population, undocumented immigrants remain ineligible (National Immigration Forum, 2022). Consequently, Mexican immigrants without legal residency status face significant barriers to accessing affordable healthcare services. Conversely, EMTALA mandates emergency medical treatment for all individuals, irrespective of immigration status (Centers for Medicare & Medicaid Services, n.d.). This policy ensures that Mexican immigrants receive critical emergency care when needed, although it does not address their broader healthcare needs.

Conclusion

In summation, the imperative to address the healthcare needs of Mexican immigrants necessitates a multifaceted approach that entails collaboration between healthcare providers, community organizations, policymakers, and other stakeholders. By mobilizing coordinated care, implementing culturally competent practices, and advocating for policy changes, equitable access to healthcare services can be achieved, thereby advancing health equity for Mexican immigrant communities. Efforts to address assumptions and biases within the healthcare system are also essential to ensure fair and ethical treatment for all individuals, regardless of their immigration status.

References

American Immigration Council. (2021). Immigrants in the United States. https://www.americanimmigrationcouncil.org/research/immigrants-in-the-united-states

Bustamante, A. V., McKenna, R. M., Viana, J., Ortega, A. N., & Chen, J. (2018). Access-to-care differences between Mexican heritage and other Latinos in California after the affordable care act. Health Affairs, 37(9), 1400–1408. https://doi.org/10.1377/hlthaff.2018.0416

Canún, N. (2022, January 18). The Powerful Role of Family in Hispanic Culture [Unlike U.S. Culture]. Homeschool Spanish Academy. https://www.spanish.academy/blog/the-powerful-role-of-family-in-hispanic-culture-unlike-u-s-culture/

Centers for Medicare & Medicaid Services. (n.d.). Emergency Medical Treatment & Labor Act (EMTALA) | CMS. https://www.cms.gov/regulations-and-guidance/legislation/emtala

Gast, J., Peak, T., & Hunt, A. (2017). Latino health behavior: An exploratory analysis of health risk and health protective factors in a community sample. American Journal of Lifestyle Medicine, 14(1), 97–106. https://doi.org/10.1177/1559827617716613

National Alliance on Mental Illness. (n.d.). Immigrant and Refugee Health. https://www.nami.org/Find-Support/Diverse-Communities/Immigrant-and-Refugee-Mental-Health

National Immigration Forum. (2022, September 21). Fact Sheet: Undocumented Immigrants and Federal Health Care Benefits. https://immigrationforum.org/article/fact-sheet-undocumented-immigrants-and-federal-health-care-benefits/

The Library of Congress. (n.d.). A Growing Community | Mexican | Immigration, and Relocation in U.S. History | Classroom Materials at the Library of Congress | Library of Congress. https://www.loc.gov/classroom-materials/immigration/mexican/a-growing-community

The Office of Minority Health. (n.d.). National Alliance for Hispanic Health – The Office of Minority Health. https://minorityhealth.hhs.gov/omh/content.aspx?ID=9142

Detailed Assessment Instructions for the NURS FPX 6618 Mobilizing Care for an Immigrant Population Paper Example

Assessment 2 Instructions: Mobilizing Care for an Immigrant Population

Top of Form

Bottom of Form

  • PRINT
  • Develop a project plan to mobilize coordinated care for an immigrant or refugee population. Then, draft a 4–5 page organizational policy addressing care for this group, informed by the project plan, that meets current standards of practice.

Introduction

Note: The assessments in this course build upon the work you have completed in the previous assessments. Therefore, complete the assessments in the order in which they are presented.

The United States’ evolving diversity brings prospects and challenges for health care providers, health care systems, and policymakers to produce and deliver culturally-competent services for immigrant and refugee populations. For example, improving health outcomes for undocumented immigrant populations present unique and often difficult challenges for care coordinators at all levels. New arrivals in a community bring with them different cultural backgrounds, beliefs, perceptions, and biases that may influence their seeking access to care and exacerbate health disparities. In addition, they may struggle to navigate a complex and sometimes bewildering health care system.

This assessment provides an opportunity for you to examine an undocumented immigrant population of your choice, develop a project plan to address their care coordination needs, and craft an organizational policy addressing care that meets current standards of practice.

Note: Your work in Assessment 1 will inform your work in this assessment. Therefore, complete the assessments in the order in which they are presented.

Preparation

For this assessment, you will assume the role of Director of Care Coordination in the same practice setting you chose for Assessment 1. Within this context, you will develop a project plan to provide health care for an undocumented immigrant or refugee population of your choice. The population may be of local, national, or international interest, but must not have obtained permanent U.S. residency status.

After completing your project plan, you will then compose an organizational policy that addresses care for this group.

Note:  As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

https://www-sciencedirect-com.library.capella.edu/science/article/pii/S0277953618306208

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Requirements

For this assessment:

  1. Develop a project plan to mobilize coordinated care for an undocumented immigrant or refugee population. Use the care coordination project plan you developed in Assessment 1 as a model for your project plan in this assessment. Include, in your plan, whatever information is appropriate for the specific population you have chosen to address.
  2. Compose an organizational policy addressing care for this group, informed by your project plan, that meets current standards of practice.

Project Plan and Policy Document Format and Length

Format your project plan and policy document using APA style.

. Use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your documents. There is not page length requirement for your project plan but be sure to include:

. A title page and references page. An abstract is not required.

. A running head on all pages.

. Appropriate section headings.

  • Your policy document should be 4–5 pages in length, not includingthe title page and references page.

Supporting Evidence

Cite a combined total of 6–8 sources of scholarly or professional evidence to support your project plan and policy document.

Developing Your Project Plan and Policy Document

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that, at a minimum, you address each criterion. You may also want to read the Mobilizing Care for an Immigrant Population scoring guide to better understand how each criterion will be assessed.

Project Plan

  • Provide a rationale for addressing the health care needs of the chosen undocumented immigrant or refugee population.

. Explain why you chose this particular population for your project plan.

. What criteria did you apply to your selection?

  • Assess the health care needs of the chosen population.

. Apply a project management tool or model (SWOT, AI, Six Sigma) that you are familiar with or use in your organization.

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. What evidence supports your conclusions?

  • Identify the organizations and stakeholders who must participate in caring for the chosen population.

. Consider coordinated care on a local, state, national, or international level, as applicable.

Policy Document

  • Describe the characteristics that define the chosen population.

. Provide demographic information, such as the age, gender(s), location, social, psychological, economic, political, cultural, or other characteristics of the population that you believe are important.

  • Interpret current policies in your organization for providing health care for immigrants and refugees who do not have permanent resident status in the United States.

. What are the key policy elements that guide practice?

. Do the policies and practices keep pace with environmental changes and current legislation?

  • Analyze assumptions and biases associated with a particular immigrant or refugee population, and the influence of culture and linguistic differences on access to care.

. Do any of the assumptions have merit?

. What assumptions or biases might be particularly pernicious or harmful as the basis for decision making?

. How can culture and linguistic differences affect access to care?

  • Evaluate two U.S. health care policies, national initiatives, or pieces of legislation that provide guidance on current standards of care for immigrant or refugee populations.

. Do these policies, initiatives, or laws guarantee fair and ethical treatment?

. Do they provide a sufficient basis for guiding professional practice in the provision of safe, high-quality, and equitable care?

Communications and Information Literacy

  • Write clearly and concisely, using correct grammar and mechanics.

. Express your main points and conclusions coherently.

. Proofread your writing to minimize errors that could distract readers and make it difficult to focus on the substance of your evaluation.

  • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

. Is your supporting evidence clear and explicit?

. How or why does particular evidence support a claim?

. Will your audience see the connections?

Additional Requirements

Be sure that you have used the APA Style Paper Tutorial [DOCX] to format your project plan and policy document. Also, be sure that each document includes:

  • A title page and references page.
  • A running head on all pages.
  • Appropriate section headings.

In addition, be sure that:

  • Your policy document is approximately 4–5 pages in length, not including the title page and references page.
  • You have cited a combined total of 6–8 sources of relevant and credible scholarly or professional evidence to support your project plan and policy document.

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Portfolio Prompt: You may choose to save your project plan and policy document to your ePortfolio.

How to use the scoring guide

Mobilizing Care for an Immigrant Population Scoring Guide

Use the scoring guide to enhance your learning.

VIEW SCORING GUIDE

This button will take you to the next available assessment attempt tab, where you will be able to submit your assessment.

SUBMIT ASSESSMENT

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By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Propose a project for change, for a community or population, within a care coordination setting.

Provide the rationale for addressing the health care needs of a particular immigrant or refugee population. Describe the characteristics that define a particular immigrant or refugee population. Interpret current organizational policies for providing health care to immigrants and refugees in the United States.

Competency 2: Align care coordination resources with community health care needs. Assess the health care needs of a particular immigrant or refugee population.

Competency 3: Apply project management best practices to affect ethical practice and support positive health outcomes in the delivery of safe, culturally competent care in compliance with applicable regulatory requirements.

Analyze assumptions and biases associated with a particular immigrant or refugee population and the influence of culture and linguistic differences on access to care. Evaluate two U.S. health care policies, national initiatives, or pieces of legislation that provide guidance on current standards of care for immigrant and refugee populations.

Competency 4: Identify ways in which the care coordinator leader supports collaboration between key stakeholders in the care coordination process.

Details Attempt 1 Evaluated Attempt 2 Available Attempt 3

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Identify the organizations and stakeholders who must participate in caring for a particular immigrant or refugee population.

Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.

Write clearly and concisely, using correct grammar and mechanics. Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

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Competency Map

Use this online tool to track your performance and progress through your course.

CHECK YOUR PROGRESS

Resources

Cultural Competence

Breen, C., Altman, L., Ging, J., Deverell, M., Woolfenden, S., & Zurynski, Y. (2018). Significant reductions in tertiary hospital encounters and less travel for families after implementation of paediatric care coordination in Australia. BMC Health Services Research, 18(1), 1–10. Chen, J., DuGoff, E. H., Novak, P., & Wang, M. Q. (2018). Variation of hospital-based adoption of care coordination services by community-level social determinants of health. Health Care Management Review, 1, 1–10. Fernández-Gutiérrez, M., Bas-Sarmiento, P., & Poza-Méndez, M. (2019). Effect of an mHealth intervention to improve health literacy in immigrant populations: A quasi-experimental study. Computers, Informatics, Nursing, 37(3), 142–150. Francis, L., DePriest, K., Wilson, M., & Gross, D. (2018). Child poverty, toxic stress, and social determinants of health: Screening and care coordination. Online Journal of Issues in Nursing, 23(3), 1–11. Li, T., Zhang, H., Shewade, H. D., Soe, K. T., Wang, L., & Du, X. (2018). Patient and health system delays before registration among migrant patients with tuberculosis who were transferred out in China. BMC Health Services Research, 18(1), 1–11. Prymula, R., Shaw, J., Chlibek, R., Urbancikova, I., & Prymulova, K. (2018). Vaccination in newly arrived immigrants to the European Union. Vaccine, 36(36), 5385–5390. Sritharan, B., & Koola, M. M. (2019). Barriers faced by immigrant families of children with autism: A program to address the challenges. Asian Journal of Psychiatry, 39, 53–57. Wylie, L., Van Meyel, R., Harder, H., Sukhera, J., Luc, C., Ganjavi, H., . . . Wardrop, N. (2018). Assessing trauma in a transcultural context: Challenges in mental health care with immigrants and refugees. Public Health Reviews, 39(1), 1–20.

Law, Policy, and Ethics

DeYoung, S. E. (2019). Time for coalitions to protect immigrant health. American Journal of Public Health, 109(4), 519. Luque, J. S., Soulen, G., Davila, C. B., & Cartmell, K. (2018). Access to health care for uninsured Latina immigrants in South Carolina. BMC Health Services Research, 18(1), 310–312.

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Van Natta, M., Burke, N. J., Yen, I. H., Fleming, M. D., Hanssmann, C. L., Rasidjan, M. P., & Shim, J. K. (2019). Stratified citizenship, stratified health: Examining Latinx legal status in the U.S. healthcare safety net. Social Science & Medicine, 220, 49–55.

Coordinating Care With Immigrant Populations

Markkula, N., Cabieses, B., Lehti, V., Uphoff, E., Astorga, S., & Stutzin, F. (2018). Use of health services among international migrant children: A systematic review. Globalization and Health, 14(1), 1–10. Trost, M., Wanke, E. M., Ohlendorf, D., Klingelhöfer, D., Braun, M., Bauer, J., . . . Brüggmann, D. (2018). Immigration: Analysis, trends and outlook on the global research activity. Journal of Global Health, 8(1), 1–11.

Research Resources

You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN Program Library Research Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.

Writing Resources

You are encouraged to explore the following writing resources. You can use them to improve your writing skills and as source materials for seeking answers to specific questions.

APA Module. Academic Honesty & APA Style and Formatting. APA Style Paper Tutorial [DOCX].

Capella Resources

Smarthinking. ePortfolio.

This resource provides information about ePortfolio, including how to use the different features of the product.

Additional Resources

The following resources are books you may have used in your previous Care Coordination courses. You may find them helpful in providing background information for this course as well.

American Academy of Ambulatory Care Nursing. (2016). Scope and standards of practice for registered nurses in care coordination and transition management. Pitman, NJ: Author. American Nurses Association. (2018). Care coordination: A blueprint for action for RNs. Silver Spring, MD: Author.

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NURS FPX 6618 Planning and Presenting a Care Coordination Project Paper Example

NURS FPX 6618 Assessment 1 Planning and Presenting a Care Coordination ProjectNURS FPX 6618 Assessment 1 Planning and Presenting a Care Coordination Project

Assignment Brief: NURS FPX 6618 Planning and Presenting a Care Coordination Project

Course: NURS-FPX 6618 Leadership in Care Coordination

Assignment Title: NURS FPX 6618 Assessment 1 Planning and Presenting a Care Coordination Project

Assignment Overview

In this assignment, you will assume the role of a Care Coordinator Project Manager tasked with developing a care coordination project plan for a selected population. You will then create a presentation to gain support from administrative decision makers within your organization.

Understanding Assignment Objectives

The primary objective of this assignment is to formulate a comprehensive strategy for organizing and coordinating care for a specific population, considering their unique needs and challenges. Additionally, you will demonstrate your ability to communicate effectively and garner support from key stakeholders through a compelling presentation.

The Student’s Role

As the Care Coordinator Project Manager, you are responsible for developing a project plan that addresses the care coordination needs of the selected population. This involves identifying key stakeholders, determining resource requirements, establishing project milestones, and outlining outcome measures. Additionally, you will present your plan to decision makers, articulating its significance and addressing potential concerns.

Competencies Measured

  • Strategic Planning: Develop a coherent and comprehensive plan for coordinating care that aligns with the goals and objectives of the organization.
  • Interprofessional Collaboration: Identify and engage relevant stakeholders, including healthcare providers, community organizations, and administrative decision makers, to support the implementation of the care coordination project.
  • Communication Skills: Clearly articulate the rationale, goals, and anticipated outcomes of the project in a persuasive presentation format, addressing the needs and concerns of the audience.
  • Evidence-Based Practice: Support your project plan with scholarly or professional evidence, demonstrating the rationale behind your approach and the potential impact on patient outcomes.

You Can Also Check Other Related Assessments for the NURS-FPX 6618 Leadership in Care Coordination Course:

NURS FPX 6618 Assessment 2 Mobilizing Care for an Immigrant Population Example

NURS FPX6618 Assessment 3 Disaster Plan With Guidelines for Implementation: Tool Kit for the Team Example

NURS FPX 6618 Planning and Presenting a Care Coordination Project Paper Example

Slide 1: Title Slide

Title: Planning and Presenting a Care Coordination Project

Presenter: Jayne McBurney

Date: [Insert Date]

Slide 2: Introduction

Definition of chronic illness and its impact on individuals and healthcare systems.

  • Chronic illness refers to health conditions that persist for a year or longer, requiring ongoing medical care and impacting daily functioning (Nugent, 2019).
  • Chronic diseases have significant implications for individuals and healthcare systems, contributing to high healthcare costs and affecting quality of life.

Overview of the importance of care coordination in managing chronic diseases.

  • Care coordination involves organizing healthcare services and communicating among care team members to ensure comprehensive and effective care for patients (Tharani et al., 2021).
  • Effective care coordination is essential for managing chronic diseases, as it helps optimize treatment outcomes, improve patient satisfaction, and reduce healthcare costs.

Purpose of the presentation: to outline a plan for coordinating care for chronic care patients and gain support from decision makers.

  • The presentation aims to propose a plan for coordinating care for chronic care patients, emphasizing the need for collaboration among healthcare providers and gaining support from decision makers to implement the plan effectively.

Slide 3: Vision for Coordinated Care

Importance of coordinated care for chronic care patients, their families, and healthcare providers.

  • Coordinated care plays a crucial role in improving health outcomes and enhancing the overall experience of patients with chronic diseases (Allegrante et al., 2019).
  • It also benefits families by providing support and guidance in managing their loved one’s condition, and it helps healthcare providers deliver more effective and efficient care.

Definition of care coordination and its role in improving patient outcomes.

  • Care coordination involves the organization and integration of healthcare services to ensure that patients receive the right care at the right time (Allegrante et al., 2019).
  • By facilitating communication and collaboration among care team members, care coordination helps prevent medical errors, reduce unnecessary healthcare utilization, and improve patient satisfaction.

Discussion on the need for collaboration among care providers to deliver comprehensive care.

  • Collaborative care involves healthcare professionals working together across disciplines to address the complex needs of patients with chronic diseases (Allegrante et al., 2019).
  • By sharing information, coordinating treatment plans, and aligning goals, collaborative care teams can provide more holistic and patient-centered care.

Slide 4: Concepts for Organizing Care

Key concepts in organizing care for chronic care patients.

  • Understanding the significance of care coordination in managing chronic diseases is essential for healthcare providers (Tharani et al., 2021).
  • Establishing precise metrics for evaluating the success of care coordination efforts can help identify areas for improvement and measure progress over time.

Importance of establishing metrics to evaluate the effectiveness of care coordination.

  • Metrics such as patient satisfaction, healthcare utilization, and health outcomes can provide valuable insights into the quality of care coordination efforts (Tharani et al., 2021).
  • By tracking these metrics, healthcare organizations can assess the impact of care coordination on patient care and identify areas for improvement.

Discussion on modifying and evaluating treatment plans to meet patient needs.

  • Modifying treatment plans based on patient preferences, goals, and needs is essential for providing personalized care to patients with chronic diseases (Tharani et al., 2021).
  • Evaluating treatment plans regularly can help ensure that patients receive the most appropriate and effective care for their condition.

Slide 5: Organizations and Groups for Chronic Care Patients

Overview of organizations and groups supporting chronic care patients.

  • Healthcare facilities, pharmacies, and other medical centers play a crucial role in providing care and support to patients with chronic conditions (Nugent, 2019).
  • Additionally, nonprofit organizations such as SHARE, Patient Airlift Services, Gracie’s Gowns, and Good Days offer valuable services and resources to help individuals with chronic illnesses.

Description of services provided by organizations such as SHARE, Patient Airlift Services, Gracie’s Gowns, and Good Days.

  • SHARE offers supportive services and vital information to people with breast cancer, including counseling, education, and public health campaigns (Rabbani, 2021).
  • Patient Airlift Services provides charitable flights for patients in need of quick medical assistance, helping families and military personnel nationwide (Van Dijck et al., 2021).
  • Gracie’s Gowns handcrafts unique regular clothes for children with life-threatening illnesses, providing them with comfort and joy during difficult times (Rabbani, 2021).
  • Good Days offers financial assistance to individuals without insurance who are struggling to afford their necessary medications and healthcare costs (Nugent, 2019).

Importance of community support in managing chronic illnesses.

  • Community organizations and groups play a vital role in supporting individuals with chronic diseases, providing them with resources, services, and emotional support to help them cope with their condition (Nugent, 2019).
  • By collaborating with these organizations, healthcare providers can enhance the quality of care and improve outcomes for patients with chronic illnesses.

Slide 6: Examination of Environmental and Provider Resources

Discussion on tools available for managing chronic care within healthcare institutions.

  • The Care Coordination Quality Measure for Primary Care (CCQM-PC) is a valuable tool for assessing care coordination in primary care settings (Nekhlyudov et al., 2019).
  • By evaluating patients’ experiences and perceptions of care coordination, the CCQM-PC helps identify areas for improvement and guide quality improvement efforts.

Overview of the Care Coordination Quality Measure for Primary Care (CCQM-PC) and its role in assessing care coordination.

  • The CCQM-PC measures patients’ perceptions of care coordination in primary care settings, providing valuable feedback on the quality of care delivery (Nekhlyudov et al., 2019).
  • By implementing the CCQM-PC, healthcare organizations can identify strengths and weaknesses in their care coordination processes and implement targeted interventions to improve care quality.

Importance of integrating care coordination into strategic planning and daily operations.

  • Strategic planning and daily operations play a crucial role in supporting effective care coordination efforts within healthcare institutions (Markle et al., 2018).
  • By incorporating care coordination into organizational strategies and workflows, healthcare organizations can ensure that care coordination is prioritized and integrated into routine practices.

Slide 7: Financial Resources Required

Overview of financial resources available for chronic care patients.

  • Medicare is a federal health insurance program that provides coverage for seniors and other eligible individuals (Nugent, 2019).
  • Work Health and Safety Policy plays a vital role in supporting projects for chronic illness self-management and improving access to healthcare resources.

Description of programs such as Medicare and Work Health and Safety Policy.

  • Medicare covers a range of healthcare services, including hospitalization, physician services, pharmaceutical drugs, and hospice care, among others (Nugent, 2019).
  • Work Health and Safety Policy supports projects aimed at improving chronic illness self-management and promoting health and safety in the workplace.

Discussion on eligibility criteria and application process for financial assistance programs.

  • Medicare eligibility is based on age, disability status, or certain medical conditions, and individuals must meet specific criteria to qualify for coverage (Nugent, 2019).
  • Work Health and Safety Policy may offer funding opportunities for projects that promote chronic illness self-management and workplace health and safety, with eligibility criteria varying depending on the program.

Slide 8: Project Milestones

Outline of key milestones in implementing a chronic care management program.

  • The initial stage involves setting goals and objectives for the program and gathering operational data and materials (Garland & Fraser, 2018).
  • Training staff and appointing care managers are essential steps in preparing the healthcare team to implement the program effectively.

Description of tasks including goal setting, patient enrollment, and care planning.

  • Goal setting involves defining the objectives of the chronic care management program and outlining strategies for achieving them (Garland & Fraser, 2018).
  • Patient enrollment requires identifying eligible patients and obtaining their consent to participate in the program, while care planning involves developing individualized care plans based on patient needs and preferences.

Importance of training staff and establishing patient-centered care plans.

  • Training staff ensures that healthcare providers are equipped with the knowledge and skills needed to deliver high-quality care to patients with chronic diseases (Garland & Fraser, 2018).
  • Patient-centered care plans help ensure that patients receive personalized care that aligns with their goals, preferences, and values, improving patient satisfaction and treatment outcomes.

Slide 9: Anticipated Outcomes

Discussion on anticipated outcomes of a chronic care management program.

  • Improved patient outcomes through coordinated care, including better disease management, reduced hospitalizations, and enhanced quality of life (Knopp et al., 2022).
  • Regular follow-up and communication can help ensure that patients stay on track with their treatment plans and receive the support they need to manage their condition effectively.

Explanation of improved patient outcomes through coordinated care.

  • Coordinated care involves collaborating with patients, families, and healthcare providers to ensure that all aspects of the patient’s treatment are well-coordinated and aligned with their goals and preferences (Knopp et al., 2022).
  • By coordinating care across different settings and specialties, healthcare organizations can improve the continuity of care and enhance patient outcomes.

Importance of regular follow-up and communication in achieving positive results.

  • Regular follow-up visits and communication help ensure that patients receive ongoing support and monitoring to manage their condition effectively (Knopp et al., 2022).
  • By proactively addressing any issues or concerns that arise, healthcare providers can prevent complications and improve treatment outcomes for patients with chronic diseases.

Slide 10: Presentation to Decision Makers

As decision-makers, your support and commitment are paramount to the success of our care coordination initiative. By endorsing and championing our project, you can facilitate its effective implementation and maximize its impact on patient care. Our project promises a multitude of benefits, including improved patient outcomes, reduced healthcare costs, and enhanced organizational efficiency. We look forward to your invaluable support in making this vision a reality.

Importance of Administrative Support for Care Coordination Initiatives:

  • Administrative support is critical for the success of care coordination initiatives within healthcare organizations.
  • Decision makers play a pivotal role in providing resources, establishing policies, and championing initiatives that promote effective care coordination (Anderson & Hewner, 2021).
  • By securing administrative support, care coordination projects can overcome barriers and achieve their objectives more efficiently.

Importance of Communication and Coordination in Healthcare Delivery:

  • Effective communication and coordination are fundamental pillars of high-quality healthcare delivery.
  • Care coordination initiatives facilitate seamless communication and collaboration among healthcare providers, patients, and support staff.
  • Through clear communication channels and coordinated efforts, healthcare organizations can enhance patient outcomes, reduce medical errors, and improve overall efficiency (Anderson & Hewner, 2021).

Overview of Project Benefits and Expected Outcomes:

  • The care coordination project aims to deliver a wide range of benefits and outcomes for both patients and healthcare organizations.
  • These benefits may include improved patient outcomes, such as reduced hospital readmissions, better disease management, and enhanced patient satisfaction.
  • Additionally, the project is expected to yield organizational benefits, such as cost savings, improved resource utilization, and increased operational efficiency.

Slide 11: Call to Action

Invitation for Decision Makers to Support the Care Coordination Project:

  • Decision makers are invited to support and champion the care coordination project within the organization.
  • Their support is vital for securing necessary resources, overcoming institutional barriers, and fostering a culture of collaboration and innovation.
  • By endorsing the project, decision makers demonstrate their commitment to improving patient care and driving positive change within the healthcare system.

Emphasis on Collaborative Efforts and Shared Goals:

  • The success of the care coordination project relies on collaborative efforts and shared goals among stakeholders.
  • Decision makers are encouraged to actively engage in dialogue, provide feedback, and work collaboratively with project leaders and stakeholders.
  • Through collective action and shared vision, decision makers can help realize the full potential of the care coordination project and make a meaningful impact on patient care and healthcare delivery.

Slide 12: Conclusion

Summary of key points discussed in the presentation.

  • Chronic care management plays a crucial role in improving outcomes for patients with chronic diseases, and effective care coordination is essential for achieving success.
  • By collaborating with patients, families, and healthcare providers, healthcare organizations can enhance the quality of care and improve outcomes for patients with chronic illnesses.

Importance of coordinated care in improving outcomes for chronic care patients.

  • Coordinated care helps ensure that patients receive the right care at the right time, leading to better disease management, reduced hospitalizations, and enhanced quality of life.
  • By prioritizing care coordination initiatives and gaining support from decision makers, healthcare organizations can improve patient outcomes and reduce healthcare costs.

Call to action for decision makers to support the implementation of the care coordination project.

  • Decision makers play a critical role in supporting and implementing care coordination initiatives within healthcare organizations.
  • By investing in care coordination programs and prioritizing patient-centered care, decision makers can help improve the quality and efficiency of healthcare delivery for patients with chronic diseases.

Slide 13: References

Allegrante, J. P., Wells, M. T., Peterson, J. C., & Corsino, L. (2019). Chronic Disease Management. In The Oxford Handbook of Behavioral Medicine (pp. 241-258). Oxford University Press.

Anderson, M. A., & Hewner, S. (2021). Communication and Collaboration in Care Coordination. In Care Coordination: Models, Tools, and Strategies for Improving the Continuum of Care (pp. 61-76). Springer.

Garland, R. H., & Fraser, M. W. (2018). Implementing Care Coordination Programs. In Implementation Science and Practice in the Human Services (pp. 155-176). Springer.

Knopp, R. H., Schrott, H., & Stein, E. (2022). Patient Outcomes in Chronic Care Management. The New England Journal of Medicine, 386(1), 71-82. https://doi.org/10.1056/NEJMoa1915928

Markle, E. K., & Young, J. L. (2018). Strategic Planning in Healthcare Organizations. In Strategic Planning for Public and Nonprofit Organizations: A Guide to Strengthening and Sustaining Organizational Achievement (pp. 139-168). Wiley.

Nekhlyudov, L., Walker, R., Zafar, S. Y., Wells, M. T., & Samsa, G. P. (2019). Quality Measures in Care Coordination. Journal of Oncology Practice, 15(5), e454-e463. https://doi.org/10.1200/JOP.19.00061

Nugent, R. (2019). Chronic Diseases in Developing Countries. Preventing Chronic Diseases, 16, E42. https://doi.org/10.5888/pcd16.180629

Rabbani, A. (2021). Patient Support Groups. In The 5-Minute Clinical Consult 2022 (pp. 103-104). Wolters Kluwer.

Tharani, A., Bavadekar, S. B., & Venkat Narayan, K. M. (2021). Chronic Disease Management. In The Chronic Conditions: Policy Challenges in the 21st Century (pp. 97-109). Springer.

Van Dijck, A., & Van De Voorde, C. (2021). The Role of Nonprofit Organizations in Health Care. In Innovations in Financing (pp. 269-283). Routledge.

Detailed Assessment Instructions for the NURS FPX 6618 Planning and Presenting a Care Coordination Project Paper Assignment

Assessment 1 Planning and Presenting a Care Coordination Project

Overview

Develop a care coordination project plan for a population that is in need of care from multiple organizations. Then, develop 10–12 slides for use in presenting your plan to administrative decision makers.

Note: Complete the assessments in the order in which they are presented. The assessments that follow will build upon the work you have completed in this first assessment.

The role of professional nursing continues to expand and incorporate increasingly higher levels of expertise, specialization, autonomy, and accountability. This is particularly true in regard to the scope and challenges of providing coordinated care to members of various populations within a community. In addition, care coordination leaders must be confident in their abilities to navigate and lead change in their work environments.

This assessment provides an opportunity for you to formulate a care coordination project planning strategy, develop a care coordination project plan for a selected population, and garner support for your plan from decision makers.

Assessment Instructions

Note: Your work in subsequent assessments will be based on the project plan you develop in this assessment. Therefore, complete the assessments in the order in which they are presented.

Preparation

For this assessment, you will assume the role of Care Coordinator Project Manager in your present organization or in an organization or setting you aspire to work in, are familiar with, or interested in. Within this context, you will develop a care coordination project plan for a population of your choice that is in need of care from multiple organizations.

In this role, you must consider a comprehensive strategy to organize and coordinate care for the selected population on a local, state, national, or international level, depending upon the population. Your project plan will serve as a model for addressing the care coordination needs of another population, or of an entire community, in Assessments 2 and 3.

After completing your project plan, you will then develop a presentation of your plan to gain the support of administrative decision makers in the organization.

Note: Remember that you can submit all or a portion of your draft documents to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

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Presentation Tools

You may use Microsoft PowerPoint or another suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your instructor to avoid potential file compatibility issues.

Use the speaker’s notes section of each slide to develop your talking points and cite your sources, as appropriate. If you need help designing your presentation, you are encouraged to review the presentation resources provided for this assessment. These resources will help you to design an effective presentation, whether you choose to use PowerPoint or other presentation software.

You have the option of either recording a voiceover track for your presentation or creating a video. In either case, you may use Kaltura Media or other technology of your choice for your audio or video recording.

If using Kaltura Media, refer to Using Kaltura for directions on recording and uploading your video in the courseroom, per directions listed in Resources.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.

Requirements

For this assessment:

  1. Develop a care coordination project plan for a population of your choice. For example:

Children or the elderly. Chronic care patients. Patients with disabilities. End-of-life care patients. Special needs patients. Inner city or rural area residents.

  1. Develop a presentation of your plan for administrative decision makers in the organization to obtain their support.

Note: Choose any population you are familiar with and interested in addressing. However, you will have an option to address the care coordination needs of an undocumented immigrant or refugee population in the next assessment, so do not choose this population for this assessment.

In addition to the requirements outlined below for developing and presenting your project plan, you are encouraged to include whatever additional information is appropriate for the specific population for whom you have chosen to provide a care plan.

Project Plan and Presentation Format and Length

You may use either Microsoft Word or Excel to format your project plan.

For Word documents, use the APA Style Paper Template [DOCX]. An APA Style Paper Tutorial is also provided (linked in the Resources) to help you write and format your project plan. There is no required page length but be sure to include:

A title page and references page.

An abstract is not required.

A running head on all pages.

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Appropriate section headings. For Excel spreadsheets, be sure to include properly formatted citations and references.

At a minimum, your presentation must include the following slides:

Title. Purpose (the reasons for your presentation). References (at the end of your presentation).

Your slide deck should consist of 10–12 slides, not including the title, purpose, and references slides.

Supporting Evidence

Cite 5–7 sources of scholarly or professional evidence to support your project plan.

Developing and Presenting Your Project Plan

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that, at a minimum, you address each criterion. You may also want to read the Planning and Presenting a Care Coordination Project scoring guide to better understand how each criterion will be assessed.

Articulate your vision of interagency coordinated care for this population. Consider how you would organize and consolidate care for this population. What assumptions underlie your vision?

Identify the organizations and groups who must participate in caring for this population. Consider coordinated care on a local, state, national, or international level, as applicable. Identify the team members who will comprise your interprofessional care coordination team.

Determine the resource needs of this population. Operational and capital budgeting needs, including:

General supplies. Staffing. Capital purchases.

Costs: Estimated funds. Assumptions.

Identify project milestones and outcome measures. Determine the key steps in attaining your goals for this project. Determine timeframes for each milestone. Identify outcome measures for your project.

Present your project plan to administrative decision makers. Be clear and focused about the why this care coordination project plan is important to successfully support this population. Address the anticipated needs and concerns of your audience. What questions or alternative points of view might you expect? How will you respond? Express your main points, arguments, and conclusions coherently. Proofread your slides to minimize errors that could distract the audience and make it more difficult to focus on the substance of your presentation.

Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

Is your supporting evidence clear and explicit? How or why does particular evidence support a claim?

Will your audience see the connection?

Additional Requirements

Be sure that you have used the APA Style Paper Template [DOCX] to format your project plan and that your document includes:

A title page and references page. A running head on all pages. Appropriate section headings.

In addition, be sure that:

Your slide deck consists of approximately 10–12 slides, not including the title, purpose, and references slide. You have cited 5–7 sources of relevant and credible scholarly or professional evidence to support your project plan.

Portfolio Prompt: You may choose to save your project plan and presentation to your ePortfolio.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Propose a project for change, for a community or population, within a care coordination setting.

Articulate a vision of interagency coordinated care for a population.

Competency 2: Align care coordination resources with community health care needs.

Determine the resource needs of a population.

Competency 3: Apply project management best practices to affect ethical practice and support positive health outcomes in the delivery of safe, culturally competent care in compliance with applicable regulatory requirements.

Identify project milestones and outcome measures.

Competency 4: Identify ways in which the care coordinator leader supports collaboration between key stakeholders in the care coordination process.

Identify the organizations and groups who must participate in caring for a population.

Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.

Present a project plan to administrative decision makers. Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

Competency Map

Use this online tool to track your performance and progress through your course.

CHECK YOUR PROGRESS

Details Attempt 1 Evaluated Attempt 2 Available Attempt 3

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Resources

Assessing Community and Population Needs

Centers for Medicare and Medicaid Services. (2019, March). Care coordination toolkit [PDF]. Available from https://www.cms.gov/ Institute for Healthcare Improvement, IHI White Papers. (n.d.). Care coordination model: Better care at lower cost for people with multiple health and social needs. Retrieved from http://www.ihi.org/resources/Pages/IHIWhitePapers/IHICareCoordinationModelWhitePaper.aspx Resources for Integrated Care. (n.d.). Behavioral Health Integration Capacity Assessment tool. Retrieved from https://www.resourcesforintegratedcare.com/tool/bhica U.S. Department of Health & Human Service, Agency for Healthcare Research and Quality. (n.d.). Care coordination measures database. Retrieved from https://primarycaremeasures.ahrq.gov/care-coordination Williams, M. D., Asiedu, G. B., Finnie, D., Neely, C., Egginton, J., Finney Rutten, L. J., & Jacobson, R. M. (2019). Sustainable care coordination: A qualitative study of primary care provider, administrator, and insurer perspectives. BMC Health Service, 19(92), 1–11.

Recommendations for Care Coordination

Cordeiro, A., Davis, R. K., Antonelli, R., Rosenberg, H., Kim, J., Berhane, Z., & Turchi, R. (2018). Care coordination for children and youth with special health care needs: National survey results. Clinical Pediatrics, 57(12), 1398–1408. Foster, S. D., Hart, K., Lindsell, C. J., Miller, C. N., & Lyons, M. S. (2018). Impact of a low intensity and broadly inclusive ED care coordination intervention on linkage to primary care and ED utilization. American Journal of Emergency Medicine, 36(12), 2219–2224. Robertson, M. M., Waldron, L., Robbins, R. S., Chamberlin, S., Penrose, K., Levin, B., . . . Nash, D. (2018). Using registry data to construct a comparison group for programmatic effectiveness evaluation: The New York City HIV Care Coordination Program. American Journal of Epidemiology, 187(9), 1980– 1989.

Research Resources

You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN Program Library Research Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.

Effective Presentations

The following resources will help you create and deliver more effective presentations.

Capella University Library: PowerPoint Presentations.

Links to PowerPoint and other presentation software resources.

Microsoft. (2016). Record a slide show with narration and slide timings. Retrieved from https://support.office.com/en-us/article/Record-a-slide-show-with-narration-and-slide-timings-0b9502c6- 5f6c-40ae-b1e7-e47d8741161c?ui=en-US&rs=en-001&ad=US

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https://courserooma.capella.edu/bbcswebdav/institution/MSN-FP/MSN-FP6618/191000/Course_Files/cf_care_coordination_toolkit.pdf

http://www.ihi.org/resources/Pages/IHIWhitePapers/IHICareCoordinationModelWhitePaper.aspx

https://www.resourcesforintegratedcare.com/tool/bhica

https://primarycaremeasures.ahrq.gov/care-coordination

http://library.capella.edu/login?qurl=https://search.proquest.com/docview/2235670989?accountid=27965

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https://academic-oup-com.library.capella.edu/aje/article/187/9/1980/5000160

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https://support.office.com/en-us/article/Record-a-slide-show-with-narration-ink-and-slide-timings-3dc85001-efab-4f8a-94bf-afdc5b7c1f0b

A tutorial on recording slide narration and setting slide timing.

Writing Resources

You are encouraged to explore the following writing resources. You can use them to improve your writing skills and as source materials for seeking answers to specific questions.

APA Module. Academic Honesty & APA Style and Formatting. APA Style Paper Tutorial [DOCX].

Capella Resources

Using Kaltura. Disability Services. Smarthinking. ePortfolio.

This resource provides information about ePortfolio, including how to use the different features of the product.

Additional Resources

The following resources are books you may have used in your previous Care Coordination courses. You may find them helpful in providing background information for this course as well.

American Academy of Ambulatory Care Nursing. (2016). Scope and standards of practice for registered nurses in care coordination and transition management. Pitman, NJ: Author. American Nurses Association. (2018). Care coordination: A blueprint for action for RNs. Silver Spring, MD: Author.

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How to use the scoring guide

Planning and Presenting a Care Coordination Project Scoring Guide

Use the scoring guide to enhance your learning.

VIEW SCORING GUIDE

This button will take you to the next available assessment attempt tab, where you will be able to submit your assessment.

SUBMIT ASSESSMENT

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NURS FPX 6616 Assessing the Best Candidate for the Role A Toolkit for Success Paper Example

NURS FPX 6616 Assessment 3 Assessing the Best Candidate for the Role: A Toolkit for SuccessNURS FPX 6616 Assessment 3 Assessing the Best Candidate for the Role: A Toolkit for Success

NURS FPX 6616: Assessing the Best Candidate for the Role: A Toolkit for Success Paper Assignment Brief

Course: NURS-FPX6616 Ethical and Legal Considerations in Care Coordination

Assignment Title: NURS FPX 6616 Assessment 3 Assessing the Best Candidate for the Role: A Toolkit for Success

Assignment Instructions Overview

In this assignment, you will design a role for a care coordinator to assist with healthcare services either within an organization or on a larger scale in the community. Your task is to create a job description outlining the essential attributes required for this role, develop 4–6 interview questions that reflect effective leadership qualities, and analyze the ideal candidate’s knowledge across various domains pertinent to care coordination.

Understanding Assignment Objectives

This assessment aims to evaluate your ability to analyze ethical guidelines and practices, evaluate legal implications in care coordination, critically appraise collaborative relationships with stakeholders, determine components of effective care coordination environments, assess data outcomes for care coordination processes, and communicate effectively.

The Student’s Role

As a student, your role is to act as a care coordination leader tasked with designing the role of a care coordinator. You will develop the necessary tools to select the most suitable candidate for this role, considering ethical principles, legal implications, stakeholder dynamics, cultural competence, and data management within care coordination.

Competencies Measured

This assignment will measure your competency in:

  • Analyzing the use of ethics to enhance coordinated care.
  • Evaluating the legal implications in care coordination.
  • Critically appraising collaborative and interprofessional relationships with care coordination stakeholders.
  • Determining components of an effective, culturally competent, diversity-aware care coordination environment.
  • Assessing data outcomes for care coordination processes.
  • Communicating effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.

You Can Also Check Other Related Assessments for the NURS-FPX6616 Ethical and Legal Considerations in Care Coordination Course:

NURS FPX 6616 Assessment 1 Community Resources and Best Practices Example

NURS FPX 6616 Assessment 2 Summary Report on Rural Health Care and Affordable Solutions Example

NURS FPX 6616 Assessing the Best Candidate for the Role A Toolkit for Success Paper Example

Introduction

In today’s healthcare landscape, the demand for efficient care coordination is ever-growing, particularly in communities and organizations serving diverse populations across various regions. Providing healthcare services to patients at home is essential, especially for elderly individuals and those with serious health issues. Many of these patients face challenges in visiting hospitals regularly (Dojchinovski et al., 2019). By receiving care at home, they can avoid occupying hospital beds and resources, allowing hospitals to allocate resources more efficiently. Care coordination plans, managed by experts in the field, play a vital role in addressing the needs of these patients. These plans focus on improving patient outcomes by minimizing unnecessary care, managing budgets effectively, and fostering collaboration among different healthcare professionals. Therefore, when selecting the right candidate for a care coordination role, it’s crucial to provide a detailed job description outlining the candidate’s understanding of the subject matter and adherence to ethical guidelines (Heinen et al., 2019).

Crafting a toolkit to guide the selection of the most suitable candidate for such a critical position is essential for ensuring the delivery of high-quality care. This assessment will concentrate on creating a job description and formulating interview questions for a leadership position within a healthcare organization. It aims to assess the candidate’s knowledge of ethical principles, laws, and policies relevant to care coordination. Additionally, it will evaluate the candidate’s understanding of the importance of stakeholders and interprofessional teams in improving care and patient outcomes.

Job Description and Interview Questions

In the position of a care coordinator, the primary responsibility is to evaluate the needs of patients and ensure they receive optimal care. This involves not only facilitating communication between care providers, patients, and their families but also educating patients about their health conditions. Care coordinators oversee every aspect of a patient’s care plan, from assigning caregivers to managing medications and coordinating medical procedures. Essentially, the nurses’s role is crucial in ensuring patients receive comprehensive and coordinated care (Greenstone et al., 2019).

To excel in this role, one needs exceptional communication skills, both in face-to-face interactions and online settings. It’s also essential to adhere to evidence-based practices and government policies to carry out one’s responsibilities effectively. Additionally, a strong understanding of ethical codes of conduct is necessary. As a care coordinator, one is bound to face various challenges, so possessing skills such as team management, time management, problem-solving, and decision-making is crucial (Peahl et al., 2020).

Interview Questions

Interview questions serve to assess your capabilities (CDC, 2019). Here are some potential interview questions for a care coordination leadership position:

  • Previous Experience: Can you tell us about your previous job role and provide some details about your responsibilities?
  • Handling Challenges: Describe a challenging problem you encountered in your previous role and how you handled it.
  • Strengths and Weaknesses: What do you consider to be your greatest strength and weakness as a care coordinator?
  • Project Examples: Can you share examples of projects where you provided care coordination?
  • Technological Proficiency: What technological tools are you proficient in for enhancing care coordination?
  • Problem-Solving Approach: How do you approach problem-solving in complex care scenarios?
  • Managing Multiple Patients: Have you ever coordinated care for multiple patients simultaneously? Share your experience in coordinating care for multiple patients simultaneously.
  • Handling Dissatisfaction: How do you address patient dissatisfaction with care coordination plans?

Candidate’s Understanding of Ethical Guidelines

In the leadership role, it’s essential for the candidate to grasp patient care plans and abide by ethical guidelines governing care provision and resource allocation (McKenna et al., 2018). Financial aspects, including policies like the Affordable Care Act, significantly influence these plans. Ethical considerations outlined by the ANA emphasize prioritizing patient well-being, avoiding harm, respecting patient autonomy, and ensuring fairness (Haddad & Geiger, 2021).

Workplace Ethical Standards

Deontology, a duty-based ethical approach, underscores patient safety as the foremost duty of healthcare providers. Care coordinators are expected to demonstrate compassion, problem-solving abilities, and impartial care delivery, irrespective of social, racial, or cultural factors. Meeting these ethical standards requires a combination of education, training, and practical experience. Making informed decisions, prioritizing patient welfare, and demonstrating empathy are pivotal for success in this role (Bell et al., 2020).

Utilization of Evidence-Based Practices

Effective care coordination hinges on a profound understanding of the external healthcare landscape and the application of evidence-based practices. Care coordinators must possess prior knowledge, classification skills, and the capability to utilize evidence efficiently. Failure to do so could compromise the care coordinator’s ability to deliver optimal patient care (Murray & Cope, 2021).

Candidate’s Familiarity with Laws and Regulations

In the healthcare domain, it’s imperative for the candidate to abide by laws and regulations to uphold the quality and standard of care provided (Moore & Frye, 2019). Adhering strictly to these legal frameworks is crucial to safeguard sensitive matters such as information dissemination and patient well-being. A robust comprehension of these regulations is vital to enhance knowledge and practices, thereby fostering patient trust in healthcare providers. While care coordination plans outline detailed service modules, the integration of laws and policies ensures their legitimacy. Government involvement in healthcare is essential to maintain patient data confidentiality and ensure quality management (CDC, 2019). Policies like HIPAA play a pivotal role in furnishing security and privacy guidelines to enhance the quality of care and health outcomes. Aspiring healthcare professionals must acquaint themselves with policies and quality standards delineated by reputable organizations such as the CDC, as this knowledge aids in identifying potential issues that may arise if healthcare institutions deviate from policy standards (Murray & Cope, 2021).

Candidate’s Understanding of Stakeholders and Interprofessional Collaboration

In the realm of healthcare, it’s crucial for the candidate to grasp the importance of stakeholders and interprofessional teams in ensuring effective care coordination (Heckert et al., 2020). Identifying these stakeholders is pivotal as they play a multifaceted role in the care coordination process. From gathering and organizing patient data to determining suitable interventions for addressing health issues, stakeholders are integral to the process. They also contribute to the evaluation of pertinent policies and regulations and measure outcomes to gauge the success of the care provided (Ahmed et al., 2019).

These stakeholders encompass various entities, including the management or administration team of the healthcare institute and an interprofessional team consisting of healthcare experts, nurses, and staff members. Patients and their families are equally significant stakeholders as they are the direct beneficiaries of the care provided and can offer valuable insights into the patient’s health status and needs. Collaborative involvement of all stakeholders is indispensable for ensuring the delivery of high-quality, patient-centered care.

Roles within Interprofessional Teams

The candidate holds specific responsibilities intertwined with stakeholders and members of the interprofessional team. When issues arise, it becomes imperative for the care coordinator to address them through coordination and collaboration with team members. The candidate’s attentiveness to the sensitivity of the matter significantly impacts the success of the resolution (Davison et al., 2021).

Interprofessional teams comprise a diverse array of healthcare professionals, including nurses, physicians, and both surgical and non-surgical staff members. Understanding the significance of the issue at hand and the involvement of all stakeholders is paramount for resolving problems effectively. Once the candidate comprehends the entire process, they must gather relevant information to be communicated to both healthcare staff and patients, thereby defining the roles patients are expected to play in addressing the problem.

Candidate’s Understanding of Data Management in Care Coordination

In the realm of healthcare, it’s essential for care coordinators to have a solid grasp of data management to enhance care coordination services (Murala et al., 2023). As integral members of the healthcare sector, care coordinators adopt a decision-oriented approach, navigating through data from various sources and information systems while addressing conflicting opinions, data gaps, and structures. Among these systems, the Electronic Health Records (EHR) system holds paramount importance, serving as a repository of crucial patient information. Care coordinators are tasked with verifying the authenticity of data stored in the EHR and utilizing it effectively for patient care purposes.

Daily updates on the patient’s progress are imperative, requiring the coordinator to employ efficient methods for handling EHR data and ensuring its accuracy (Haldane et al., 2019). Moreover, they must ascertain the reliability of the data source and provide patients access to their information, fostering transparency and trust. Such practices not only enhance the reputation of the healthcare institute but also encourage patients to engage in compliant behavior.

Conclusion

The selection of an optimal candidate for a leadership role in care coordination is critical for ensuring the delivery of high-quality healthcare services, particularly in today’s ever-evolving healthcare landscape. This assessment has underscored the multifaceted nature of the role, emphasizing the importance of a candidate’s understanding of ethical guidelines, laws, policies, stakeholder dynamics, interprofessional collaboration, and data management within care coordination. Candidates aspiring for such roles must demonstrate a deep comprehension of ethical principles, including prioritizing patient welfare, navigating complex ethical dilemmas, and upholding standards of fairness and autonomy. Additionally, familiarity with pertinent laws and regulations, such as HIPAA, is essential to safeguard patient confidentiality and ensure quality care provision. Moreover, candidates should grasp the significance of stakeholders and interprofessional teams in care coordination, recognizing their pivotal roles in facilitating patient-centered care delivery. Furthermore, proficiency in data management is paramount for effective care coordination, with care coordinators expected to navigate through various information systems, verify data authenticity, and ensure data accuracy for informed decision-making and transparent patient communication. In essence, selecting the best candidate for a care coordination leadership position demands a holistic assessment of their knowledge, skills, and competencies across these essential domains, ultimately contributing to the enhancement of healthcare quality and patient outcomes.

References

Ahmed, H., Naik, G., Willoughby, H., & Edwards, A. G. (2019). Communicating risk. BMJ, 366, l4140.

Bell, A., & Stefl, M. E. (2020). Ethical issues. Nursing Management: Principles and Practice, 18(1), 163-184.

Centers for Disease Control and Prevention (CDC). (2019). Developing interview guides. Retrieved from https://www.cdc.gov/obesity/downloads/qualitative_guide.pdf

Davison, K., Frankel, T., & Smith, S. (2021). Interprofessional teams. Journal of Interprofessional Education & Practice, 23, 100441.

Dojchinovski, D., Kontopoulos, E., Kompatsiaris, I., & Mulvenna, M. (2019). Elderly healthcare monitoring in the context of ambient assisted living. In Ambient Intelligence (pp. 73-84). Springer, Cham.

Greenstone, C. L., Nichols, L. M., & Stenhjem, E. (2019). Development and implementation of a care coordination program for children and adolescents with special healthcare needs: A feasibility assessment. Journal of Pediatric Health Care, 33(3), 297-304.

Haddad, L. M., & Geiger, R. A. (2021). Nursing ethics and professional responsibility in advanced practice. Jones & Bartlett Learning.

Haldane, V., Zhang, C., Kohler, R. E., & Shemer, J. (2019). Understanding the role of electronic health record adoption in care coordination. AIMS Public Health, 6(3), 294.

Heinen, M., Baseman, S., Melnyk, B. M., & Gaberson, K. B. (2019). Teaching evidence-based practice principles. Journal of Professional Nursing, 35(1), 29-33.

Heckert, T. M., Stawicki, S. P., & Collmann, J. (2020). Interprofessional healthcare teams: Impact of an educational intervention on teamwork and efficiency. OPUS 12 Scientist, 4(1), 4-12.

McKenna, H. P., Keeney, S., & Bradley, M. (2018). Nursing research: Methods and critical appraisal for evidence-based practice. Elsevier Health Sciences.

Moore, A. D., & Frye, M. A. (2019). Nursing informatics: Where technology and caring intersect. Springer Publishing Company.

Murala, J. S., Fung, K. M., Bachmann, J., Hsu, W. H., & Lee, S. L. (2023). Data management framework for home health monitoring systems. Sensors, 23(2), 313.

Murray, C. J., & Cope, S. M. (2021). Quality improvement in healthcare: Putting evidence into practice. Jones & Bartlett Learning.

Peahl, A. F., Smith, R. D., Moniz, M. H., & Dalton, V. K. (2020). Implementation of a comprehensive care coordination program for patients receiving abortion care: A mixed-methods evaluation. Journal of Women’s Health, 29(2), 262-269.

Detailed Assessment Instructions for the NURS FPX 6616 Assessing the Best Candidate for the Role A Toolkit for Success Paper Assignment

Description

Assessment 3 Instructions: Assessing the Best Candidate for the Role: A Toolkit for Success

Top of Form

Bottom of Form

  • Prepare a job description, 4-6 interview questions, and a 2-3 page narrative overview.

Introduction

Note: Complete the assessments in this course in the order in which they are presented.

Communities and organizations are in need of care coordination experts who can lead inter-professional team efforts across a region and for multiple populations. Organizations and communities need to be able to define and assess the best fit for these highly important roles. An expert who is capable of this type of role should have comprehensive knowledge related to the scope and standard of practice for care coordination and how they are applied in practical ways to achieve best practice outcomes for care coordination. Having a toolkit as a guide can help organizations to understand and achieve the selection of the best candidate for this type of critical position.

Note: Complete the assessments in this course in the order in which they are presented.

Preparation

For this assessment, you will create a toolkit that includes a brief job description, interview questions, and a narrative overview in the form of a scholarly document.

Review the Resources for this assessment and conduct your own library research to develop and support your ideas.

Note: Remember that you can submit all, or a portion of, your work to Smarthinking for feedback, before you submit the final version for this assessment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback, if you plan on using this free service.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

Data and quality outcomes are a vital piece of planning and measuring care coordination practices.

  • What are the key elements that leaders in care coordination should understand about measuring quality outcomes?
  • What type of data do you want any type of care coordination to monitor and evaluate when effecting change for care delivery?

As a leader in practice, you will have many stakeholders to consider with every care coordination effort.

  • How do you define and build stakeholder engagement to create and sustain change with the care coordination team?
  • How would you define responsible and accountable care coordination, when leading a team for enhanced care?
  • What type of characteristics does a care coordination team leader need to embody to be an advocate for continual care improvements?

Requirements

Prepare a job description, 4–6 interview questions, and a 2–3 page narrative overview.

Toolkit Format

Use APA format. Create headings based on the scoring guide criteria. Your faculty may provide a template.

Supporting Evidence

Cite 5–7 sources of credible, scholarly, or professional evidence to support your claims and solutions.

Directions

Your community is in need of a new care coordination role to assist with care in an organization or on larger scope in the region. For this assessment, you, as a care coordination leader, design the role of a care coordinator by creating a job description and describing the attributes that you are looking for in a candidate to fill this position.

Following these instructions will help ensure you meet the scoring guide criteria:

  • Describe the care coordinator role need specific to your chosen community or region. This description should include the attributes you deem essential to the role, related to standards of practice.
  • Provide 4–6 interview questions that demonstrate the qualities of an effective, ethical, and culturally aware nurse leader. Think about the standards of practice for care coordination and transition management, leading the interprofessional team in collaborative change, and the candidate’s ability to be a visionary for change in the organization or community.
  • Analyze the ideal candidate’s knowledge related to legal and ethical considerations, stakeholder and interprofessional teams, cultural competence, and data use to improve care coordination in a 2–3 page narrative. In other words, explain what knowledge and skills a care coordinator should demonstrate for this role, such as knowledge of legal and ethical considerations as well as stakeholder and interprofessional team collaboration, being culturally competent, and knowing how to assess and use data to enhance care.

The result will be a toolkit to assist the interview team in understanding how to choose the best candidate.

Scoring Guide Criteria

Your assessment should meet the following scoring guide criteria:

  1. Create a job description and interview questions for a care coordination leadership position.
  2. Analyze the candidate’s knowledge related to ethical guidelines and practices to improve care coordination.
  3. Analyze the candidate’s knowledge of laws and policies within care coordination.
  4. Analyzes the candidate’s knowledge related to stakeholder and interprofessional teams to implement care coordination.
  5. Analyze the candidate’s knowledge related to data outcomes use to enhance care.
  6. Communicate effectively in an appropriate form and style, consistent with applicable professional and scholarly standards.

Additional Requirements

Your assessment should also meet the following requirements:

. Written communication: Written communication is free of errors that detract from the overall message.

. APA formatting: Your paper should demonstrate current APA style and formatting.

. Number of resources: Include 5–7 resources, appropriately cited throughout your paper and in your reference list.

. Length: 2–3 pages, typed and double-spaced, not including the title page and reference list.

. Font and font size: Times New Roman, 12 point.

Portfolio Prompt: You may choose to save this learning activity to your ePortfolio.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

. Competency 1: Analyze the use of ethics to enhance coordinated care.

. Analyze the candidate’s knowledge related to ethical guidelines and practices to improve care coordination.

  • Competency 2: Evaluate the legal implications in care coordination.

. Analyze the candidate’s knowledge of laws and policies within care coordination.

  • Competency 3: Critically appraise collaborative and interprofessional relationships with care coordination stakeholders.

. Analyzes the candidate’s knowledge related to stakeholder and interprofessional teams to implement care coordination.

  • Competency 5: Determine components of an effective, culturally competent, diversity-aware care coordination environment.

. Create a job description and interview questions for a care coordination leadership position.

  • Competency 6: Assess data outcomes for care coordination processes.

. Analyze the candidate’s knowledge related to data outcomes use to enhance care.

  • Competency 7: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.

. Communicate effectively in an appropriate form and style, consistent with applicable professional and scholarly standards.

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NURS FPX 6616 Summary Report on Rural Health Care and Affordable Solutions Paper Example

NURS FPX 6616 Assessment 2 Summary Report on Rural Health Care and Affordable SolutionsNURS FPX 6616 Assessment 2 Summary Report on Rural Health Care and Affordable Solutions

Assignment Brief: NURS FPX 6616 Summary Report on Rural Health Care and Affordable Solutions

Course: NURS-FPX6616 Ethical and Legal Considerations in Care Coordination

Assignment Title: NURS FPX 6616 Assessment 2 Summary Report on Rural Health Care and Affordable Solutions

Assignment Overview

In this assignment, you will develop a 4-5 page summary report addressing rural health care challenges and proposing potential solutions. You will focus on understanding the needs of a specific rural community and a particular patient population within it, identifying interprofessional team providers, analyzing cultural competency requirements, recommending technology-based outreach strategies, identifying legal issues, and explaining the continuation of ethical care in the updated system.

Understanding Assignment Objectives

This assignment aims to evaluate your ability to analyze ethics and legal implications in care coordination, critically appraise collaborative relationships with care coordination stakeholders, recommend care coordination standards, determine components of effective culturally competent care coordination environments, and communicate effectively with diverse audiences.

The Student’s Role

As a care coordination consultant in a rural area, your role is to identify affordable solutions to complex patient issues. You will design a care coordination plan focusing on one specific patient population, considering cultural diversity and legal and ethical considerations.

You Can Also Check Other Related Assessments for the NURS-FPX6616 Ethical and Legal Considerations in Care Coordination Course:

NURS FPX 6616 Assessment 1 Community Resources and Best Practices Example

NURS FPX 6616 Assessment 3 Assessing the Best Candidate for the Role: A Toolkit for Success Example

NURS FPX 6616 Summary Report on Rural Health Care and Affordable Solutions Paper Example

Introduction

Despite financial constraints, residents of rural regions should have access to high-quality medical treatment within their means. Roughly 25 percent of the United States’ total population, or 61 million people, reside in rural regions (Anderson & Singh, 2021). Compared to metropolitan regions, rural areas suffer from fewer people being aware of and educated about health issues, fewer people having access to reliable transportation, more people living in poverty, a larger proportion of the elderly, and fewer people having access to adequate health care. The prevalence of diabetes in the United States is greater in rural regions by 16%. Diagnosis rates for cancer patients in the United States are significantly lower than in other developed countries. Their colon cancer mortality rate is 9-16% higher because they have a harder time getting to treatment centers (Anderson & Singh, 2021).

Case Scenario

Diabetes is a condition identified in Stella; a patient who is 45 years old. She went to the hospital for a physical examination around two weeks ago. She goes through a yearly checkup that is thorough. The electronic health record (EHR) and telehealth systems are experiencing technical difficulties. She cannot fall asleep because she cannot be drawn in any direction by anything. Because of these unfortunate events, she will be late for her arranged meeting. A few days later, she called the institution and found that her information had been erased from the hospital’s database due to a security breach. She obtained this information after calling the facility.

Strategic Approach

This paper aims to recognize a community and its requirements by acknowledging cultural competencies and legal challenges unique to Stella and then to offer technology-based outreach tactics to meet those needs. Now is the time to implement solutions that will remove obstacles to providing healthcare to people in rural areas. Telehealth, coupled with the right training and education to assure its efficacy and not breach their information, is the technique that will assist in delivering both economical and easily accessible care.

Population & Community Needs

This analysis will fous on the healthcare requirements of the United States population, with a specific focus on rural areas. Residents in these regions confront significant challenges accessing healthcare services and information, often resulting in delayed diagnoses of serious illnesses such as cancer and diabetes. Ensuring affordable and easily accessible healthcare services is paramount for these individuals. Introducing telehealth solutions can effectively address these needs by providing remote access to healthcare resources, thereby improving their overall quality of life and enabling better management of their health conditions. Moreover, telehealth initiatives have demonstrated cost-effectiveness, with potential savings of up to $34 per patient (Haleem et al., 2021).

Within rural healthcare settings, it is imperative for healthcare teams to be adequately equipped to serve the diverse demographics of their patient population. Effective communication becomes crucial, especially in navigating potential language barriers that may impede patients from articulating their healthcare needs effectively. Additionally, fostering cultural awareness among healthcare providers is essential, as it enables them to understand and respect the various religious and cultural backgrounds of their patients. Cultivating cultural competence within healthcare teams can help dismantle barriers to care, leading to enhanced patient safety, decreased healthcare expenditures, and improved efficiency in healthcare delivery (Gerchow et al., 2020).

Analyzing Current Interprofessional Team Providers & Resources

In rural healthcare delivery, fostering interprofessional collaboration is indispensable for ensuring comprehensive patient care. However, the advent of telehealth introduces complexities in preserving patient privacy and confidentiality. Healthcare practitioners are mandated to adhere to legal frameworks such as the Health Insurance Portability and Accountability Act (HIPAA) to protect patient information and uphold trust in the healthcare system. Effectively managing communication channels among team members while safeguarding patient privacy emerges as a critical component of efficient care coordination.

In the sphere of healthcare, safeguarding patient confidentiality transcends mere legal compliance; it serves as a cornerstone for cultivating trust between healthcare providers and patients (Keshta & Odeh, 2020). Protecting sensitive patient information is paramount for safeguarding patient safety and preserving the sanctity of the doctor-patient relationship. Breaches in patient confidentiality not only pose substantial risks to patient well-being but also erode the trust reposed in healthcare providers on a global scale. Addressing this challenge entails a collective commitment to upholding principles and guidelines that safeguard patients’ right to privacy during medical interventions. Legal instruments like the Data Protection Act play a pivotal role in establishing robust standards for the handling and security of private health information, thereby reinforcing the ethical foundation of confidentiality in healthcare (Keshta & Odeh, 2020).

While effective communication and collaboration among healthcare team members are paramount for delivering optimal care, it is imperative to ensure that sensitive patient information is shared judiciously, only with individuals directly involved in the patient’s care. Regrettably, instances of healthcare providers divulging patient details to unauthorized parties are not uncommon, whether stemming from negligence, carelessness, or malice. Such breaches undermine the trust essential to the doctor-patient relationship and may have detrimental effects on patient health outcomes. Diminished trust between patients and healthcare providers can result in hesitancy in seeking treatment and adhering to follow-up appointments, ultimately compromising the quality of care provided (Eastwood & Maitland-Scott, 2020).

Areas of Cultural Competency to be Addressed

In the context of healthcare, nurses play a crucial role in delivering culturally competent care, which necessitates a thorough understanding of diverse cultural backgrounds. It is imperative for nurses to receive education and training aimed at enhancing their cultural competence to effectively navigate language barriers and foster collaborative teamwork (Kaihlanen et al., 2019).

Cultural Competence

Cultivating cultural competence among nurses fosters a supportive environment that positively impacts patient care by promoting openness and respecting patients’ cultural perspectives. This approach acknowledges the moral and ethical implications of cultural sensitivity, emphasizing the importance of patient privacy and autonomy in aligning with their cultural beliefs. Nurses should possess comprehensive knowledge of various cultures, religions, and worldviews to deliver cutting-edge care that enhances patients’ quality of life and ensures effective management of their health conditions (Červený et al., 2022).

Healthcare providers must be equipped with the necessary cultural competence to facilitate patients’ access to appropriate care and support them in making positive lifestyle changes. Effective therapy hinges on maintaining confidentiality, tailoring interventions to individual needs, and demonstrating sensitivity to cultural norms and differences. Nursing instructors play a pivotal role in training nurses to approach patient care with respect for diverse cultural backgrounds and to overcome linguistic barriers to communication and collaboration effectively (Liu et al., 2022). Moreover, it is essential to consider environmental factors that may influence both patients and healthcare providers during the implementation of cultural competence initiatives.

Technology-Based Outreach Strategies

In modern healthcare, safeguarding patient health information (PHI) is paramount, especially within the framework of the Health Insurance Portability and Accountability Act (HIPAA). PHI, as defined by HIPAA, encompasses any electronically communicated or stored health information, extending beyond mere spoken exchanges to include electronic transmissions (Grispos et al., 2021). For instance, inadvertent disclosures in public spaces, such as discussing surgical procedures in crowded elevators, can constitute HIPAA violations. Key components of PHI within medical records include admissions criteria, billing history, patient information, prescription records, consultations, and appointments for discharge and aftercare. Compliance with HIPAA security and privacy standards is mandatory for all healthcare facilities to ensure the confidentiality and integrity of patient data (Grispos et al., 2021).

Ensuring the privacy and security of individual patient health records is crucial in the face of advancing information technologies. Historically, healthcare providers have utilized patient data for research while preserving anonymity. However, contemporary regulations prohibit the use of protected health information (PHI) that could identify patients or their associates, necessitating careful redaction (Tariq & Hackert, 2019).

Maintaining the Privacy and Integrity of Individual Patients’ Health Records

HIPAA legislation serves as a cornerstone for safeguarding patient privacy and security in healthcare settings. Comprising both the Privacy Rule and the Security Rule, HIPAA sets forth stringent guidelines for the use and protection of digitally stored health information (Edemekong & Haydel, 2019). The Privacy Rule specifically delineates categories of identifiers that constitute protected health information (PHI), encompassing data related to individuals’ health status and medical care provision or payment. HIPAA’s enactment aimed to address three primary aspects of patient care: ensuring portability of health insurance coverage, streamlining administrative operations through electronic record-keeping, and enhancing technological advancements while safeguarding against PHI breaches (Edemekong & Hayden, 2019).

Patient Health Information (PHI) encompasses various types of data transmitted or stored electronically, as stipulated by HIPAA regulations. This includes admissions criteria, billing history, patient demographics, prescription records, referrals, and appointments for discharge and follow-up care (Isola & Al Khalili, 2020). Compliance with HIPAA regulations is essential to uphold patient confidentiality and security across healthcare delivery settings.

Possible Legal Issues

The regulations outlined in the Health Insurance Portability and Accountability Act (HIPAA) are applicable to nearly all facets of hospital and medical facility operations. Protected health information (PHI) must be safeguarded both within the workplace and at home. Healthcare providers are obligated to disclose only the minimum necessary health information, such as HR or related services, when interacting with patients (Chuma & Ngoepe, 2021). For instance, pharmacists should ensure patients understand how to properly take prescribed medications before initiating any detailed discussions. HIPAA prohibits extensive conversations with patients in the presence of others.

Similarly, HIPAA regulations extend to communications between healthcare workers involved in patient care. While a radiologist may inquire about the necessity of a particular test with the ordering medical resident, such discussions must remain within the realm of patient care and not be shared with unrelated parties (Solimini et al., 2021). Prior consent from the patient is essential before disclosing any medical information to third parties, whether in text, audio, or video format.

Legal considerations are paramount in telehealth to safeguard patients from harm, particularly concerning data breaches and confidentiality. Collaboration between nurses and IT professionals is crucial to mitigate the risks of security breaches associated with telemedicine (Solimini et al., 2021). Non-compliance with telehealth policies may lead to criminal prosecution and other legal repercussions. Obtaining patient consent before recording or storing any patient data is essential, and efforts to increase public awareness and education on telemedicine ethics are imperative (Gajarawala & Pelkowski, 2020).

Continuation of Ethical Care in the System

Despite technological advancements, maintaining patient confidentiality remains a challenge in healthcare settings. While efforts are made to uphold confidentiality, breaches may sometimes be unavoidable but not necessarily unethical. Healthcare professionals understand the importance of confidentiality but may face challenges in preventing breaches. To address this, a preliminary ethical code of conduct for clinical settings has been proposed, outlining guidelines for maintaining confidentiality and circumstances where breaches may be acceptable. This draft encompasses factors such as patient privacy, management concerns, organizational ethics, and the doctor-patient relationship (Elhoseny et al., 2021).

In this context, it is crucial for all healthcare practitioners to safeguard patient information, whether it is stored in paper or digital records. Familiarity with the Health Insurance Portability and Accountability Act (HIPAA), enacted in 1996, is essential, as it establishes regulations for protecting patient information, including rules for record storage, inspection, and measures to prevent data misuse (CDC, 2018).

The concept of absolute confidentiality is challenged when concerns arise regarding the safety of a third party or public health. In modern medicine, sharing patient data without their consent should generally be avoided unless justified by normative standards. Exceptions to complete confidentiality without patient agreement include situations such as legally valid requests, actions in the patient’s best interest, safeguarding society’s welfare, and protecting third parties from serious harm or threats (Varkey, 2021).

Ensuring ethical care continuity in telehealth practices requires careful consideration of patient confidentiality and security. Nurses must be educated on compliance with various policies to maintain ethical standards in the system. Transparency and competent care delivery are essential, and no information should be disclosed online or to other professionals outside of work without proper consent. Identifying potential risk points in the system and collaborating with IT experts are vital steps in preventing breaches (Keenan et al., 2020).

Conclusion

In conclusion, addressing the healthcare needs of rural populations requires a multifaceted approach that encompasses technological innovation, legal compliance, cultural competence, and ethical considerations. Telehealth emerges as a promising solution to bridge the gap in healthcare access for rural residents, offering cost-effective and easily accessible care. However, ensuring the privacy and confidentiality of patient information remain paramount, necessitating adherence to legal frameworks like HIPAA and the implementation of robust security measures. Moreover, fostering cultural competence among healthcare providers is essential to deliver patient-centered care that respects diverse cultural backgrounds. The development of ethical guidelines and ongoing education can further support the continuity of ethical care in telehealth practices. By integrating these strategies, healthcare systems can enhance the quality and accessibility of healthcare services for rural populations while upholding ethical principles and legal standards.

References

Anderson, R., & Singh, D. (2021). Health needs assessment in rural America: The paradox of long-term care access. Journal of Rural Health, 37(2), 241-244.

CDC. (2018). Health Insurance Portability and Accountability Act (HIPAA). Centers for Disease Control and Prevention. https://www.cdc.gov/phlp/publications/topic/hipaa.html

Chuma, T. L., & Ngoepe, M. A. (2021). Understanding the Health Insurance Portability and Accountability Act (HIPAA): A legal perspective. Journal of Law, Medicine & Ethics, 49(1_suppl), 45-49.

Červený, M., et al. (2022). Cultural competence in nursing: A scoping review. Nursing Ethics, 29(1), 157-169.

Eastwood, K. A., & Maitland-Scott, C. (2020). Maintaining patient confidentiality in healthcare: A practical approach. Journal of Medical Ethics, 46(1), 45-49.

Edemekong, P. F., & Haydel, M. J. (2019). Health Insurance Portability and Accountability Act. In StatPearls [Internet]. StatPearls Publishing.

Elhoseny, M., et al. (2021). Ethical considerations in healthcare: A scoping review. Journal of Medical Ethics, 47(1), 33-37.

Gajarawala, S. N., & Pelkowski, J. N. (2020). Telehealth ethics: A scoping review. Journal of Bioethical Inquiry, 17(1), 21-29.

Gerchow, L., et al. (2020). Cultural competence in healthcare: A systematic review. Journal of Cultural Diversity, 27(2), 45-52.

Grispos, G., et al. (2021). Security and privacy in healthcare: A review. Journal of Biomedical Informatics, 113, 103655.

Haleem, A., et al. (2021). Telehealth: A scoping review of ethical considerations. Journal of Medical Ethics, 46(1), 45-49.

Isola, A., & Al Khalili, Y. (2020). Security and privacy of patient health information: A review. Journal of Cybersecurity, 4(1), 45-52.

Kaihlanen, A. M., et al. (2019). Cultural competence in nursing: A systematic review. Journal of Transcultural Nursing, 30(4), 395-404.

Keenan, K., et al. (2020). Ethical considerations in telehealth: A systematic review. Journal of Telemedicine and Telecare, 26(1-2), 13-22.

Keshta, I. A., & Odeh, M. (2020). Patient confidentiality in healthcare: A systematic review. Journal of Patient Safety & Quality Improvement, 8(2), 45-52.

Liu, Y., et al. (2022). Cultural competence in nursing education: A scoping review. Journal of Nursing Education, 61(1), 45-52.

Solimini, A. G., et al. (2021). Legal and ethical considerations in telehealth: A systematic review. Journal of Legal Medicine, 41(1-2), 45-52.

Tariq, J., & Hackert, B. (2019). Health data protection in healthcare: A review. Journal of Health Informatics, 25(1), 45-52.

Varkey, P., et al. (2021). Patient confidentiality in telehealth: A scoping review. Journal of Medical Internet Research, 23(1), 45-52.

Detailed Assessment Instructions for the NURS FPX 6616 Summary Report on Rural Health Care and Affordable Solutions Paper Assignment

Description

Assessment 2 Instructions: Summary Report on Rural Health Care and Affordable Solutions

Top of Form

Bottom of Form

Prepare a 4-5 page summary report of a rural health care problem and potential solutions.

Introduction

Note: Complete the assessments in this course in the order in which they are presented.

Turning barriers into bridges is a skill you will want to develop as a care coordination expert. Today, care coordination is required often in rural areas where there are limited resources and the need to work creatively with inter-professional team members who may reside outside of the local area. The use of telehealth becomes a bridge to care coordination as a collaborative tool for health care providers as a team of specialist.

Note: Complete the assessments in this course in the order in which they are presented.

Preparation

For this assessment, you will develop prepare summary report for improved rural health in the form of a scholarly document.

Review the Resources for this assessment and conduct your own library research to develop and support your ideas.

Note: Remember that you can submit all, or a portion of, your work to Smarthinking for feedback, before you submit the final version for this assessment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback, if you plan on using this free service.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

As you think about rural areas and care coordination efforts, consider the importance of effectively utilizing interprofessional teams.

  • What types of communication strategies would you, as a care coordination team leader of interprofessionals, consider to enhance collaborative understanding and respectful partnerships?
  • How can you help the interprofessional team prepare to be a competent care delivery team of evidence-based care?

Implementing or changing the use of technology is ongoing in care coordination practice.

  • What type of strategy would you consider to enhance collaborative efforts with interprofessional team members with technology?
  • How does technology alter the care coordination efforts when used effectively?
  • What types of issues do you need to keep at the forefront when using technology to enhance communication and care?

In each population or community, a care coordinator will have specific needs and challenges.

  • What is most important when you consider cultural competence for the care coordination team within the context of legal and ethical care delivery?

Requirements

Prepare a 4–5 page summary report of a rural health care problem and potential solutions.

Summary Report Format

Use APA format. Create headings based on the scoring guide criteria. Your faculty may provide a template.

Supporting Evidence

Cite 5–7 sources of credible, scholarly, or professional evidence to support your claims and solutions.

Directions

There are many opportunities to turn barriers into bridges when working with limited resources. Imagine you are working as a care coordination consultant in a rural area and you need to find affordable solutions to many complex patient issues. You have decided to start with one type of patient population to design a path for care coordination using the resources in the community in conjunction with telehealth with regional outreach partners.

Following these instructions will help ensure you meet the scoring guide criteria:

  • Identify and describe a rural community, the patient issues they face, and one specific population you can assist with this plan. Address any cultural or diversity-aware responsibilities the care coordinator should consider.
  • Identify the interprofessional team providers currently available in the rural community. Analyze how they can be assisted by telehealth partners in the region, and any other stakeholders that may be involved.
  • Describe the nuances for this population related to cultural competence for the interprofessional team, and how this affects care coordination and collaboration.
  • Recommend technology-based outreach strategies supported by evidence-based research. Incorporate proven educational and evidence-based strategies, and how they might be modified using the outreach partners to enhance care in this rural community. Also, do consider the legal issues with telehealth and how this new strategy provides a clear path to ethical practice into the future.
  • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

Scoring Guide Criteria

Your assessment should meet the following scoring guide criteria:

  1. Describe a specific population need and the community.
  2. Analyze current available interprofessional team providers and resources.
  3. Identify areas of cultural competency the team must address.
  4. Recommend technology-based outreach strategies supported by evidence-based research.
  5. Identify possible legal issues.
  6. Explain the continuation of ethical care in the updated system.
  7. Communicate effectively in an appropriate form and style, consistent with applicable professional and scholarly standards.

Additional Requirements

  • Your assessment should also meet the following requirements:
  • Written communication: Written communication is free of errors that detract from the overall message.
  • APA formatting: Your paper should demonstrate current APA style and formatting.
  • Number of resources: Include 5–7 resources, appropriately cited throughout your paper and in your reference list.
  • Length: 4–5 pages, typed and double-spaced, not including the title page and reference list.
  • Font and font size: Times New Roman, 12 point.

Portfolio Prompt: You may choose to save this learning activity to your ePortfolio.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Analyze the use of ethics to enhance coordinated care.
  1. Explain the continuation of ethical care in the updated system.

. Competency 2: Evaluate the legal implications in care coordination.

  1. Identify possible legal issues.

. Competency 3: Critically appraise collaborative and interprofessional relationships with care coordination stakeholders.

  1. Analyze current available interprofessional team providers and resources.

. Competency 4: Recommend care coordination standards of practice for working with stakeholders.

  1. Recommend technology-based outreach strategies supported by evidence-based research.

. Competency 5: Determine components of an effective, culturally competent, diversity-aware care coordination environment.

  1. Describe a specific population need and the community.
  2. Identify areas of cultural competency the team must address.

. Competency 7: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.

  1. Communicate effectively in an appropriate form and style, consistent with applicable professional and scholarly standards.
  • SCORING GUIDE

Use the scoring guide to understand how your assessment will be evaluated.

VIEW SCORING GUIDE

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NURS FPX 6616 Community Resources and Best Practices Paper Example

NURS FPX 6616 Assessment 1 Community Resources and Best PracticesNURS FPX 6616 Assessment 1 Community Resources and Best Practices

Assignment Brief: NURS FPX 6616 Community Resources and Best Practices Paper

Course: NURS-FPX6616 Ethical and Legal Considerations in Care Coordination

Assignment Title: NURS FPX 6616 Assessment 1 Community Resources and Best Practices

Assignment Overview

In this assignment, you will develop a presentation consisting of 8–10 slides for the leaders of a healthcare organization or community-based care delivery service. The purpose of the presentation is to explore current organizational or community resources for a specific situation related to care delivery. You will analyze legal and ethical considerations, propose recommendations for improvement, identify evidence-based interventions, and outline strategies for sustainability.

Understanding Assignment Objectives

As a student, your role is to conduct a thorough exploration of care delivery practices and associated legal and ethical implications. You will need to critically evaluate current practices, propose evidence-based interventions, and develop recommendations for improvement. Your goal is to enhance care delivery by addressing the complexities of ethical and legal considerations in healthcare.

Competencies Measured

This assignment assesses your ability to:

  • Analyze ethical issues pertaining to the use of health care information systems for care coordination.
  • Evaluate the legal issues associated with current practices and propose potential changes.
  • Compare current outcomes to outcomes seen with best practices.
  • Identify appropriate evidence-based interventions relevant to the specific care delivery situation.
  • Define the roles of stakeholders and interprofessional teams in implementing interventions.
  • Explain the use of data-driven outcomes, including data measures and evaluation periods.
  • Recommend ongoing practices to sustain intervention outcomes.
  • Communicate effectively in a scholarly and professional manner consistent with academic expectations.

You Can Also Check Other Related Assessments for the NURS-FPX6616 Ethical and Legal Considerations in Care Coordination Course:

NURS FPX 6616 Assessment 2 Summary Report on Rural Health Care and Affordable Solutions Example

NURS FPX 6616 Assessment 3 Assessing the Best Candidate for the Role: A Toolkit for Success Example

NURS FPX 6616 Community Resources and Best Practices Paper Example

Title Slide:

Title: Enhancing Care Delivery: Exploring Ethical and Legal Considerations

Subtitle: Leveraging Community Resources and Best Practices

Presenter: [Your Name]

Date: [Presentation Date]

Slide 2: Purpose

  • Greetings esteemed leaders of [Healthcare Organization/Community-Based Care Delivery Service].
  • Today’s presentation focuses on enhancing care delivery through the exploration of ethical and legal considerations.
  • We aim to underscore the significance of understanding ethical and legal implications in healthcare delivery.
  • Emphasize the pivotal role of evidence-based interventions and interprofessional collaboration.
  • Augment patient outcomes and foster quality care delivery.

Speaker Notes:

Greetings esteemed leaders of [Healthcare Organization/Community-Based Care Delivery Service]. Today, I am honored to present on the topic of enhancing care delivery through the exploration of ethical and legal considerations, coupled with the utilization of community resources and best practices. The purpose of this presentation is to delve into the intricacies of care coordination, emphasizing the significance of understanding ethical and legal implications in healthcare delivery. Furthermore, we will underscore the pivotal role of evidence-based interventions and interprofessional collaboration in augmenting patient outcomes and fostering quality care delivery.

Slide 3: Specific Situation

  • Scenario: Optimization of care coordination for elderly patients transitioning from hospital to home care.
  • Objective: Identify and evaluate current organizational or community resources.
  • Resources:
    • Care coordination programs.
    • Home health agencies.
    • Community support initiatives.
  • Tailored services to meet the unique needs of elderly population.

Speaker Notes:

Allow me to introduce a specific scenario germane to our discussion: the optimization of care coordination for elderly patients transitioning from hospital to home care. In this context, our aim is to identify and evaluate current organizational or community resources available to address this critical phase of patient care. These resources may encompass a spectrum of services including but not limited to care coordination programs, home health agencies, and community support initiatives tailored to meet the unique needs of our elderly population.

Slide 4: Legal and Ethical Issues

  • Importance of Addressing Legal and Ethical Considerations:
    • Patient privacy and confidentiality.
    • Informed consent.
  • Challenges:
    • Utilization of health information systems.
    • Compliance with regulatory frameworks (e.g., HIPAA).
  • Strategies for Mitigation:
    • Ensuring patient data integrity.
    • Upholding ethical standards of practice (Kushinka & Kushinka, 2019).

Speaker Notes:

As we navigate the landscape of care coordination, it is imperative to confront the legal and ethical considerations inherent in our practices. The utilization of health information systems for care coordination raises ethical concerns surrounding patient privacy, confidentiality, and informed consent. Moreover, compliance with regulatory frameworks such as the Health Insurance Portability and Accountability Act (HIPAA) poses formidable challenges in safeguarding patient data integrity and upholding ethical standards of practice. Through a comprehensive analysis, we endeavor to elucidate these intricate issues and explore strategies for mitigating associated risks.

Slide 5: Recommendations for Improvement

  • Recommendations:
    • Alignment with ethical and legal imperatives (Dawson & Verweij, 2018).
    • Implementation of evidence-based interventions (McGonigle & Mastrian, 2018).
    • Transformative impact on practice outcomes.
  • Positive Ramifications:
    • Fortifying ethical and legal practices.
    • Enhancing quality and efficacy of care delivery.

Speaker Notes:

Drawing upon our analysis of current practices, we proffer recommendations for improvement aimed at aligning our endeavors with ethical and legal imperatives. By juxtaposing these recommendations against existing practice outcomes or data, we aspire to delineate the transformative impact of implementing evidence-based interventions. It is incumbent upon us to underscore the positive ramifications of these interventions in fortifying ethical and legal practices, thereby enhancing the quality and efficacy of care delivery.

Slide 6: Evidence-Based Intervention

  • Identification of Evidence-Based Interventions:
    • Supported by empirical research (Nelson et al., 2018).
    • Tailored to specific care delivery scenario.
  • Stakeholder Engagement:
    • Healthcare organizations.
    • Care providers.
    • Patients.
    • Caregivers.

Speaker Notes:

In our pursuit of excellence, we turn our attention to evidence-based interventions supported by empirical research. By identifying interventions tailored to our specific care delivery scenario, we lay the groundwork for stakeholder engagement and collaborative partnership. It is paramount to recognize the diverse stakeholders vested in our endeavors, ranging from healthcare organizations to care providers, patients, and caregivers. Through inclusive engagement, we endeavor to foster a synergistic approach towards achieving optimal patient outcomes.

Slide 7: Interprofessional Support

  • Roles and Responsibilities:
    • Various stakeholders involved.
    • Clear delineation for intervention development, implementation, and sustainability (Levett-Jones & Bourgeois, 2017).
  • Principles:
    • Effective communication.
    • Teamwork.

Speaker Notes:

Central to our efforts is the cultivation of interprofessional support and collaboration. By delineating the roles and responsibilities of various stakeholders, we foster a cohesive framework for intervention development, implementation, and sustainability. Effective communication and teamwork emerge as cornerstone principles guiding our collaborative endeavors. It behooves us to acknowledge the instrumental role of interprofessional teams in navigating the complexities of care coordination and driving positive change.

Slide 8: Data Use and Evaluation

  • Utilization of Data:
    • Informed decision-making (The Office of the National Coordinator for Health Information Technology, n.d.).
    • Driving continuous improvement.
  • Baseline Data:
    • Assess current practices and outcomes.
    • Provide insights for intervention effectiveness.
  • Systematic Evaluation:
    • Benchmarking.
    • Ongoing assessment and refinement.

Speaker Notes:

At the heart of our intervention lies the utilization of data-driven insights to inform decision-making and drive continuous improvement. Baseline data serves as a cornerstone for assessing the effectiveness of our intervention, providing invaluable insights into current practices and outcomes. Through systematic evaluation and benchmarking, we chart a course for ongoing assessment and refinement, ensuring alignment with evolving patient needs and best practices in care delivery.

Slide 9: Recommendations for Sustainability

  • Long-term Strategies:
    • Foster a culture of continuous improvement (Kushinka & Kushinka, 2019).
    • Promote organizational resilience and adaptability.
  • Vigilance:
    • Address emergent ethical and legal challenges.
    • Demonstrate foresight and ingenuity.

Speaker Notes:

As we embark on this transformative journey, we must contemplate strategies for sustaining intervention outcomes and fostering a culture of continuous improvement. By articulating recommendations for long-term sustainability, we chart a course for organizational resilience and adaptability. It is incumbent upon us to remain vigilant in our pursuit of excellence, addressing emergent ethical and legal challenges with foresight and ingenuity.

Slide 10: References

HHS. (n.d.). Health information privacy. Retrieved from https://www.hhs.gov/hipaa/index.html

Kushinka, J. E., & Kushinka, M. (2019). Health informatics: Practical guide for healthcare and information technology professionals. CRC Press.

Levett-Jones, T., & Bourgeois, S. (Eds.). (2017). The clinician’s guide to quality and safety in healthcare. Cambridge University Press.

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning.

Nelson, R., Staggers, N., & Health Information Management Systems Society. (2018). Health informatics: An interprofessional approach (2nd ed.). Mosby.

The Office of the National Coordinator for Health Information Technology. (n.d.). What is interoperability? Retrieved from https://www.healthit.gov/topic/interoperability

Detailed Assessment Instructions for the NURS FPX 6616 Community Resources and Best Practices Paper Assignment

Description

Assessment 1 Instructions: Community Resources and Best Practices

Overview:

  • You will develop a presentation consisting of 8 –10 slides for the leaders of a health care organization or community-based care delivery service in which you explore current organizational or community resources for a specific situation related to care delivery.

Note: Complete the assessments in this course in the order in which they are presented.

To affect quality care coordination as a leader in practice, you have to understand the outcomes you want to achieve, the best practice that supports the outcomes, the related legal and ethical concerns and how to determine recommendations to produce the outcomes. This includes collaboration with the interprofessional team, data use, and the ability to communicate clearly and precisely.

SHOW MORE

Assessment Instructions

Note: Complete the assessments in this course in the order in which they are presented.

Preparation

This assessment requires you to create a presentation and develop a script For each slide as it would be presented. 

  • For tips on creating a PowerPoint presentation, refer to the Effective Presentations section in the Resources for this assessment. Refer to the Using Kaltura tutorials to learn how to use Kaltura to record your presentation.

Note: Remember that you can submit all, or a portion of, your draft care plan to Smarthinking for feedback, before you submit the final version for this assessment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback, if you plan on using this free service.

Context

Using health care information systems to effect change is critical to creating quality outcomes. A leader in practice for care coordination needs to be able to measure and evaluate change using data.

Requirements

You will develop a presentation for the leaders of a health care organization or community-based care delivery service in which you explore current organizational or community resources for a specific situation related to care delivery. Your presentation will include either voice-over or video of you speaking about your presentation to the audience. Your slides should include bulleted points (one line each) that highlight your points for each topic. Your slides should not be text-intensive; put all the details in the speaker notes.

PRESENTATION FORMAT AND LENGTH

At a minimum, your presentation must include the following slides:

  • Purpose (the reasons for your presentation).
  • A specific situation related to care delivery and current organizational or community resources.
  • The legal and ethical issues that can occur due to the current practice.
  • Recommendations for improvement and a comparison to current practice.
  • An evidence-based intervention.
  • Explanation of data use and interprofessional support.
  • References (at the end of your presentation).
  • The content of your presentation should consist of 8–10 slides, not including the title, purpose, and references slides. Do not exceed 10 slides as this could create problems for submitting your work to SafeAssign.

Note: You may vary from the suggestion above, but you must meet all the criteria listed below. Please read the full instructions carefully.

SUPPORTING EVIDENCE

In your presentation:

  • Cite 5–7 sources of credible, scholarly, or professional evidence to support your analysis and recommendations.
  • List your sources on the references slide.

PRESENTATION TOOLS

You may use Microsoft PowerPoint or any other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.

Use the speaker’s notes section of each slide to develop your talking points and cite your sources, as appropriate. If you need help designing your presentation, you are encouraged to review the various presentation resources provided for this assessment. These resources will help you to design an effective presentation, whether you choose to use PowerPoint or other presentation software.

You have the option of either recording a voice-over track for your presentation or creating a video of you speaking about your presentation to the audience. In the latter, the presentation will be in the background and you will be on camera. In either case, you may use Kaltura or similar software for your audio or video recording. If using Kaltura, refer to the Using Kaltura tutorials for directions on recording and uploading your media in the courseroom.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations.

Directions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your presentation addresses each point, at a minimum. You may also want to read the Community Resources and Best Practices Scoring Guide to better understand how each criterion will be assessed.

For this assessment, you will create a presentation for the leaders of a health care organization or community-based care delivery service to explore current organizational or community resources for a specific situation related to care delivery. Following these instructions will help ensure you meet the scoring guide criteria:

    • Begin your presentation with a description or summary of a specific situation related to care delivery and current practices. Analyze the legal and ethical issues that can occur due to the current practice.
    • Recommend best practices (interventions) and compare against current practice outcomes or data. Include the positive effects of the intervention for the support of ethical and legal practices.
    • Identify an effective evidence-based intervention from existing research applicable to your situation. Define stakeholders, including organizations, settings, and populations affected. Be inclusive when considering the range of stakeholders.
    • Define interprofessional support for the intervention. Explain not only if this includes stakeholders, but also who is responsible in collaboration with care coordination leader for developing, implementing, and sustaining the intervention.
    • Explain how you will measure baseline data. (What data are currently in place? Does current data show if practices are effective? Are benchmarks being met? Is there a gap in practice?) Define the scheduled evaluation periods you will use to monitor and measure data outcomes (for example, systematic evaluations or other).
    • Conclude by developing recommendations to sustain the intervention outcomes for improved practice.

Scoring Guide Criteria

Your assessment should meet the following scoring guide criteria:

  • Analyze the ethical issues pertaining to using health care information systems for care coordination.
  • Evaluate the legal issues of current practices and potential changes.
  • Compare current outcomes to outcomes seen with best practices.
  • Identify an appropriate evidence-based intervention.
  • Define role of stakeholders and interprofessional teams in an intervention.
  • Explain the use of data-driven outcomes, including data measures and evaluation periods.
  • Recommend ongoing practices to sustain outcomes.
  • Communicate effectively in a manner consistent with professional and scholarly expectations.

Additional Requirements

Your assessment should also meet the following requirements:

    • Communication: Communicate in a manner that is scholarly, professional, respectful, and consistent with expectations for professional practice in education. Original work and critical thinking are required regarding your assessment and scholarly writing. Your writing must be free of errors that detract from the overall message.
    • Media presentation: Include 8–10 slides, with notes or a transcript to ensure accessibility to everyone. Upload the presentation.
    • Resources: Include 5–7 scholarly resources, other than the text or articles in the Resources. Include citations at the end of the presentation.
    • APA guidelines: Resources and citations are formatted according to current APA style and format. When appropriate, use APA-formatted headings.
    • Font and font size: Use a professional-looking font of appropriate size and weight for presentation, generally 24–28 points for headings and no smaller than 18 points for bullet-point text.
    • Portfolio Prompt: You may choose to save this learning activity to your ePortfolio.

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NURS FPX 6614 Disseminating the Evidence Scholarly Video Media Submission Paper Example

NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media SubmissionNURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission

NURS FPX 6614 Disseminating the Evidence Scholarly Video Media Submission Paper Assignment Brief

Course: NURS-FPX6614 Structure and Process in Care Coordination

Assignment Title: NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission

Assignment Overview

In this assignment, you will produce a 5–8 minute video discussion script of your care coordination intervention for a peer-reviewed media platform. This video will serve as a means to disseminate the outcomes of your intervention and provide recommendations for sustaining its success.

Understanding Assignment Objectives

The primary objective of this assignment is to effectively communicate the findings of your care coordination intervention and provide recommendations for sustaining the achieved outcomes. By creating a scholarly video, you will demonstrate your ability to convey complex information in a professional and accessible manner.

The Student’s Role

As a nursing student, your role in this assignment is to act as a healthcare professional who has successfully implemented a care coordination intervention aimed at addressing a clinical priority. Your task is to present the key findings of your intervention and offer recommendations for future initiatives.

You Can Also Check Other Related Assessments for the NURS-FPX6614 Structure and Process in Care Coordination Course:

NURS FPX6614 Assessment 1 Defining a Gap in Practice Executive Summary Example

NURS FPX 6614 Assessment 2 Enhancing Performance as Collaborators in Care Presentation Example

NURS FPX 6614 Disseminating the Evidence Scholarly Video Media Submission Paper Example

Greetings esteemed colleagues,

I am Jennie Bowlin, and it is my privilege to share with you today the culmination of my intervention and the strategies I propose to sustain its successes. In the realm of nursing, disseminating evidence is the cornerstone of progress, entailing the sharing of research, insights, and outcomes with fellow healthcare professionals (Chambers, 2018). It is the conduit through which innovation and best practices permeate our collective efforts to enhance patient care.

Introduction

Before looking at the details of my intervention, it’s imperative to grasp the foundational elements. The core of my endeavor was to address a pressing clinical concern through evidence-based practice. To achieve this, I posed a PICOT question:

In overweight adults with hypertension, do lifestyle modifications compared to antihypertensive medications result in low blood pressure within 6 months?

This question stems from the recognition of the intricate relationship between obesity and hypertension, both prevalent and interrelated health issues. By examining the efficacy of lifestyle modifications versus medication, I aimed to discern the most effective approach in managing hypertension in this specific population.

Care Coordination Efforts

Introduction to the Issues

Obesity and hypertension often coexist, exacerbating symptoms and complicating management. Research suggests that obesity contributes to a significant portion, around 65 to 78%, of hypertension cases. The accumulation of extra fat tissue in the body can lead to various physiological changes that contribute to or worsen hypertension (Ahmadi et al., 2019). Lifestyle modifications, such as changes in diet and exercise habits, are crucial for managing hypertension effectively. Studies have shown that these lifestyle adjustments yield more favorable outcomes compared to relying solely on antihypertensive medications (Olowofela & Isah, 2018). Given this, my intervention focused on empowering patients with the necessary knowledge and resources to prioritize lifestyle modifications as the primary strategy for managing hypertension.

Promoting Lifestyle Changes for Hypertension Management

Healthcare providers play a pivotal role in educating patients about the benefits of lifestyle changes. By imparting knowledge and promoting behavioral modifications, practitioners can significantly influence patient behavior and empower individuals to take control of their health (Shayesteh et al., 2018). Educational initiatives aimed at raising awareness about the link between lifestyle factors and hypertension are essential for promoting healthier habits and improving disease management among hypertensive patients (Shayesteh et al., 2018).

The PICOT Question

  • Population: Overweight adults
  • Intervention: Lifestyle modifications
  • Comparison: Lifestyle modifications versus medications
  • Outcome: Low blood pressure
  • Time: Six months

Key Care Coordination Efforts

Central to my intervention was the concept of care coordination, a collaborative approach involving a diverse team of healthcare professionals (Kruk et al., 2018). This multidisciplinary team, comprising dietitians, nurses, cardiologists, physiotherapists, and information technologists, worked synergistically to address the multifaceted needs of hypertensive patients. Regular team meetings fostered alignment on patient goals and ensured comprehensive care delivery (Will et al., 2019).

Implications

The adoption of care coordination not only enhances patient outcomes but also aligns with the triple aim of health reform, striving for improved population health, enhanced patient experience, and reduced healthcare costs (Kohl et al., 2018). By leveraging this approach, we endeavor to achieve holistic and sustainable improvements in the management of hypertension among obese individuals.

Change in Practice Related to Services and Resources

Resources

According to the Centers for Disease Control and Prevention (CDC, 2020), healthcare professionals should educate patients about the benefits of making lifestyle changes. This can be achieved through various means such as providing fact sheets, guidelines, social media messages, and handouts.

Services

In the realm of care coordination, nurses and other healthcare professionals play a crucial role in supporting obese hypertensive patients. They offer encouragement and assistance, empowering patients to take control of their health (Hansen et al., 2021). Additionally, as part of a care coordination team, healthcare professionals collaborate to develop personalized care plans tailored to each patient’s needs. Telehealth is also utilized to educate patients on self-management techniques (Hansen et al., 2021).

Key Care Coordination Efforts

Team-based care is essential for achieving goals related to value-based care and ensuring a positive patient experience. Recognizing that multiple stakeholders are involved in a patient’s care, team-based care emphasizes collaboration among healthcare providers. Multidisciplinary team meetings, where medical practitioners from various specialties come together, facilitate discussions on patient conditions and diagnoses. These sessions aim to align treatment plans with evidence-based guidelines, ultimately enhancing patient outcomes and inter-professional communication (Rollet et al., 2021).

Efforts to Build Stakeholder Engagement

Efforts to Build Stakeholder Engagement are foundational to successful practice change, requiring a systematic approach to identify, assess, and address stakeholder needs (Sperry & Jetter, 2019). By fostering open communication and collaboration, we ensure that all voices are heard and valued in the pursuit of shared goals. This process involves systematically identifying, evaluating, organizing, and executing actions to influence stakeholders, analyzing each stakeholder’s needs and demands to ensure their requirements are addressed.

Leading the Change in Practice

Leading the Change in Practice demands strategic leadership and effective communication, utilizing Kurt Lewin’s change theory to guide interventions for obese hypertensive patients (McFarlan et al., 2019). This theory delineates three sequential steps: unfreezing, changing, and refreezing. Initially, stakeholders are identified and engaged through team meetings to establish intervention objectives and address their requirements. Subsequently, interventions are implemented, and patients are educated about lifestyle changes during the change phase. Finally, stakeholders play a vital role in monitoring patients’ adherence to the advised lifestyle changes, ensuring sustained adherence and successful outcomes (McFarlan et al., 2019).

Encouraging and Building Stakeholder Engagement

Organizations should establish a robust stakeholder engagement strategy to understand and address stakeholder concerns effectively. Creating a stakeholder engagement plan is the initial step, outlining pertinent stakeholders, the necessity of their involvement, the approach to engaging them, and the objectives to pursue (Boaz et al., 2018). It is crucial to respect stakeholders’ needs, interests, and views to keep them engaged throughout the process. Informing stakeholders about the proposed changes, their benefits, and providing avenues for addressing their queries are essential for effective communication and maintaining stakeholder engagement (Boaz et al., 2018).

Recommendations for Sustainability and Future Initiatives

How to Sustain Current Outcomes

Sustaining positive outcomes necessitates ongoing interprofessional collaboration, patient engagement, and continuous quality improvement efforts (Kruk et al., 2018). Regular team meetings, enhanced communication channels, and a patient-centric approach are integral to maintaining the gains achieved through our intervention.

Recommendations on Moving Forward

Looking ahead, several strategies can further enhance care coordination and optimize patient outcomes:

  • Develop a comprehensive stakeholder engagement plan to ensure alignment and commitment.
  • Prioritize stakeholder needs and preferences to foster a culture of inclusivity and collaboration.
  • Utilize SMART goals to set actionable and measurable targets for patient care.
  • Employ the Plan-Do-Study-Act cycle to iteratively improve care processes and outcomes.
  • Embrace technology to facilitate seamless interprofessional communication and data sharing.

Conclusion

In conclusion, the integration of evidence-based practice in nursing interventions, as evidenced in the case of managing hypertension among obese individuals, highlights the importance of systematic approaches to care coordination and stakeholder engagement. Prioritizing lifestyle modifications over medications and leveraging multidisciplinary team collaboration are key strategies for improving patient outcomes and promoting sustainable health practices. Moving forward, sustained efforts in stakeholder engagement, ongoing education, and the integration of technology will be essential for maintaining the gains achieved and advancing future initiatives in hypertension management. Disseminating evidence in nursing goes beyond mere information sharing; it serves as the catalyst for innovation and the optimization of patient care. Through collective efforts grounded in evidence-based practice and interdisciplinary collaboration, we aim to enhance the health outcomes of our patients and communities.

References

Boaz, A., Hanney, S., Jones, T., & Soper, B. (2018). Does the engagement of clinicians and organisations in research improve healthcare performance: a three-stage review. BMJ Open, 8(3), e018735.

CDC. (2020). Rethinking blood pressure: What healthcare providers should tell their patients about high blood pressure. Retrieved from https://www.cdc.gov/dhdsp/clinical-resources/physician-resources/rethinking-blood-pressure.html

Chambers, D. (2018). Advancing the science of dissemination and implementation in behavioral medicine: Evidence and progress. Annals of Behavioral Medicine, 52(10), 856-862.

Hansen, A. R., Fonder, M. A., & Sherburne, A. (2021). Virtual health care delivery to hypertensive adults: A case report. Journal of Nurse Practitioners, 17(1), 59-62.

Kohl, S., Gabel, P., & Tritz, D. (2018). Care coordination for the obese hypertensive patient: a framework for nurse practitioners. Journal of the American Association of Nurse Practitioners, 30(7), 355-363.

Kruk, M. E., Gage, A. D., Joseph, N. T., Danaei, G., García-Saisó, S., Salomon, J. A., … & Grepin, K. A. (2018). Mortality due to low-quality health systems in the universal health coverage era: a systematic analysis of amenable deaths in 137 countries. The Lancet, 392(10160), 2203-2212.

McFarlan, L., Li, C., & Lau, M. (2019). Changing healthcare provider attitudes toward the obese hypertensive patient using Lewin’s change theory. Journal of the American Association of Nurse Practitioners, 31(4), 1-7.

Rollet, K. M., Shulman, K. M., & Martinez, E. J. (2021). Multidisciplinary team rounds enhance patient care: A systematic review. Journal of Hospital Medicine, 16(5), 306-310.

Shayesteh, S., Paganoni, S., & Khan, A. (2018). Can lifestyle modification influence hypertension awareness and behavior in a primary care practice? Journal of the American Association of Nurse Practitioners, 30(11), 648-654.

Sperry, R., & Jetter, J. (2019). Developing a stakeholder engagement strategy in health information technology projects: Lessons learned from California’s Medicaid meaningful use program. Journal of Medical Internet Research, 21(1), e11763.

Will, J. J., McCauley, A. K., & Mullan, P. (2019). Multidisciplinary teams improve patient outcomes: comprehensive care for chronic diseases. Journal of the American Association of Nurse Practitioners, 31(1), 37-41.

 

****Thank you for your attention and dedication to advancing the field of healthcare through evidence and collaboration.****

Detailed Assessment Instructions for the NURS FPX 6614 Disseminating the Evidence Scholarly Video Media Submission Paper Assignment

Description

Assessment 3 Instructions: Disseminating the Evidence Scholarly Video Media Submission

At the completion of your intervention, you will produce a 5–8 minute video discussion script of your care coordination intervention for a peer-reviewed media platform. 
As an advanced practice health care provider, it’s likely that you will be asked to give a presentation at some point in your career. Now that you have completed this project, it’s time to disseminate the outcomes in the form of a recorded professional presentation. A professional presentation style requires the confidence and ability to convey the right image that you want your audience to see. Unfortunately, it’s easy to miss some of the opportunities available to help you present yourself in the best possible light and, as a result, enjoy the success you deserve. Remember to be forthright about what happened during the project and about how data were collected and analyzed, and present the findings so stakeholders and external parties clearly understand the steps in the process. By completing this final activity, you can help others recreate this type of project and enhance outcomes in other patient care settings.

Assessment Instructions

In Assessment 3, you will build on the work you completed in Assessments 1 and 2.
Assignment Summary
This assessment requires you to prepare a 5–8 minute video discussion script of your care coordination intervention. Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations. If you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment.
You have completed the intervention and achieved enhanced outcomes. Now you need to disseminate your findings and provide recommendations to sustain the results of your intervention. You have been asked by nursing leadership to produce a scholarly video for a peer-reviewed media platform. The video will include 5–8 minutes of scholarly discussion covering the topics listed below.
Grading Criteria
The numbered assignment instructions outlined below correspond to the grading criteria in the Disseminating the Evidence Scholarly Video Media Submission Scoring Guide, so be sure to address each point. You may also want to review the performance level descriptions for each criterion to see how your work will be assessed.

  1. Analyze care coordination efforts related to clinical priorities based on a PICOT question. 
    • Provide the PICOT question and a brief introduction of the issues.
  2. Describe the change in practice related to services and resources that will be available for the interprofessional care coordination team. 
    • Describe the key care coordination efforts.
  3. Explain efforts to build stakeholder engagement within the interprofessional team. 
    • How did you lead the change in practice?
    • Summarize how you encouraged and built stakeholder engagement.
  4. Recommend next steps that that support thoughtful resource utilization and a safe environment in care coordination. 
    • Propose how you will sustain the current outcomes with the coordinated care interprofessional team.
    • Make recommendations on moving forward that support thoughtful resource utilization and a safe environment.
  5. Produce a video that provides insight, understanding, and reflective thought about care coordination.
  6. Communicate audibly and professionally, using proper grammar and including a reference list formatted in current APA style.
  7. Important Note: but do address each scoring guide criterion in the video, including a discussion of authors in the literature who support the ideas presented. Please submit a separate APA-formatted reference list for the resources discussed in your reflection.
    Additional Requirements 
  • Written communication: Write clearly, accurately, and professionally, incorporating sources appropriately.
  • APA guidelines: Resources and citations are formatted according to current APA Style and Format. When appropriate, use APA-formatted headings.

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NURS FPX 6614 Enhancing Performance as Collaborators in Care Presentation Example

NURS FPX 6614 Assessment 2 Enhancing Performance as Collaborators in Care PresentationNURS FPX 6614 Assessment 2 Enhancing Performance as Collaborators in Care Presentation

Assignment Brief: NURS FPX 6614 Enhancing Performance as Collaborators in Care Presentation Assignment

Course: NURS-FPX6614 Structure and Process in Care Coordination

Assignment Title: NURS FPX 6614 Assessment 2 Enhancing Performance as Collaborators in Care Presentation

Assignment Overview

In this assignment, you will leverage your gap analysis to deliver a 12-15 slide recorded PowerPoint presentation highlighting the critical importance of interprofessional collaboration for ensuring safe, high-quality coordinated care. As a leader in practice, your presentation will serve as a guide to stakeholders, providing them with a comprehensive understanding of the steps involved in fostering positive interprofessional communication and collaboration to achieve better health outcomes.

Understanding Assignment Objectives

The primary objective of this assignment is to demonstrate proficiency in analyzing clinical priorities, evaluating available services and resources, creating effective interprofessional collaboration strategies, proposing care coordination processes, and communicating effectively as a scholar-practitioner.

The Student’s Role

As a student, your role is to act as a leader in practice, guiding stakeholders through the process of enhancing interprofessional collaboration for improved patient care outcomes. Your presentation will serve as a tool to educate, inform, and engage stakeholders, fostering transparency and understanding about the proposed changes needed for the improvement project.

Competencies Measured

This assignment measures the following competencies:

  • Analyzing Clinical Priorities: Analyze steps to improve interprofessional collaboration in evidence-based practice for population care.
  • Evaluating Potential Services and Resources: Explain the educational services and resources selected for the population receiving care.
  • Creating Effective Interprofessional Collaboration Strategies: Summarize plans to collaborate and partner with interprofessional team members.
  • Proposing Care Coordination Processes: Propose the outcomes of the new process for improved interprofessional collaboration and describe any ethical considerations supporting change for the specific population with services and resources.
  • Communicating Effectively: Create a professional presentation that can be used to run a working session of an interprofessional team meeting. Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

You Can Also Check Other Related Assessments for the NURS-FPX6614 Structure and Process in Care Coordination Course:

NURS FPX6614 Assessment 1 Defining a Gap in Practice Executive Summary Example

NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission Example

NURS FPX 6614 Enhancing Performance as Collaborators in Care Presentation Example

Title Slide: Enhancing Performance as Collaborators in Care Presentation

Subtitle: The Critical Importance of Interprofessional Collaboration for Safe, High-Quality Coordinated Care

Speaker: Jennie Bowlin

Date: [Insert Date]

Write the information below as an elaborative slide with bullets and brief illustrations:

Slide 1: Introduction

  • Welcome: Esteemed colleagues, I extend a warm invitation to each one of you present here today.
  • Assembly: Let me introduce the diverse assembly before us: nurses, physicians, hospital administrators, nutritionists, physiotherapists, and information technologists.
  • Objective: Our collective endeavor today is to delve into the significance of interprofessional collaboration in addressing the healthcare needs of overweight hypertensive patients.
  • Multidisciplinary Approach: Through this multidisciplinary approach, we aim to educate and empower these patients towards embracing healthier lifestyles.

Slide 2: Background

  • Obesity and Hypertension: These conditions often coexist, presenting a complex challenge in patient care.
  • Role of Pharmacological Interventions: While pharmacological interventions play a vital role, studies indicate that patients may experience adverse effects from medications within the initial stages.
  • Alternative Approach: Lifestyle modifications such as dietary improvements and regular exercise have shown to effectively reduce blood pressure and body weight without adverse effects (Cosimo Marcello et al., 2018).
  • Importance of Collaboration: Hence, it is imperative for healthcare providers to collaborate and devise strategies to educate patients on making healthier lifestyle choices, thereby improving their overall well-being.

Slide 3: Pathway to Improving Inter-professional Collaboration

Overview to Enhance Evidence-based Practice:

  • Advancements in Medical Research: Every day, advancements in medical research contribute to refining treatment modalities and enhancing patient care.
  • Updated Guidelines: New evidence emerges regularly, providing healthcare providers with updated guidelines and approaches to optimize patient outcomes (O’Cathain et al., 2019).
  • Crucial Importance: Therefore, fostering evidence-based practice among healthcare professionals is crucial.

Steps to Improve Evidence-based Practice:

  • Training: Providing adequate training in evidence-based practices is essential for healthcare professionals.
  • Access to Research Resources: Facilitating access to research resources such as journals, databases, and libraries can support healthcare providers in staying updated with the latest evidence.
  • Culture of Continuous Learning: Fostering a culture of continuous learning and knowledge exchange within healthcare organizations encourages professionals to stay updated with the latest research findings and integrate them into practice.

Slide 4: Explanation of the Planning Stage

To effectively enhance evidence-based practice and promote interprofessional collaboration, several key steps can be undertaken:

  • Formation of Interprofessional Teams: Establish multidisciplinary teams comprising nurses, physicians, nutritionists, physiotherapists, hospital administrators, and IT specialists to devise comprehensive care strategies (Lafuente-Lafuente et al., 2019).
  • Appointment of Team Leaders: Designate competent leaders within each team to guide the collaborative effort and ensure adherence to evidence-based practices.
  • Regular Team Meetings: Conduct regular meetings to facilitate communication, align goals, and brainstorm innovative solutions tailored to the needs of overweight hypertensive patients.

 Slide 5: Educational Services and Resources

Educational Methodologies:

  • Empowering Patients: Effective educational strategies are essential for empowering patients to make informed decisions about their health.
  • Leveraging Health Information Technology (HIT): Utilizing HIT, such as telehealth, enables healthcare professionals to remotely educate and monitor patients regarding lifestyle modifications and medication adherence (Chike-Harris et al., 2021).

Strategies for Effective Patient Education:

  • Understanding Learning Styles: Understanding each patient’s preferred learning style and adapting educational materials accordingly enhances engagement and comprehension.
  • Considering Abilities and Limitations: Additionally, considering patients’ abilities and limitations ensures that educational interventions are inclusive and effective.

Slide 6: Collaborate and Partner with Inter-professional Team Members

Implementation Process:

  • Chronic Care Model (CCM): The implementation of the Chronic Care Model (CCM) facilitates comprehensive care coordination for chronic conditions like obesity and hypertension.
  • Thorough Assessments: Through CCM, healthcare providers can conduct thorough assessments to understand the patient’s condition and needs.
  • Patient Involvement: Involving patients in treatment planning empowers them to actively participate in their care and decision-making process.
  • Clear Communication Channels: Establishing clear communication channels within the care coordination team ensures effective information sharing and collaboration (Lee & Bae, 2018).

Collaborative Care Coordination:

  • Multidisciplinary Team: The care coordination team comprises various healthcare professionals, including physicians, nurses, nutritionists, physiotherapists, and the patient’s family.
  • Personalized Care: Collaborating with inter-professional team members allows for the delivery of personalized care tailored to the patient’s unique needs and preferences.
  • Effective Monitoring: By working together, the care coordination team can effectively monitor patient progress, adjust treatment plans as needed, and ensure continuity of care.

 Slide 7: Plans to Collaborate and Partner

Fostering Collaboration:

  • Conducive Social Platform: Creating a conducive social platform where team members can connect, share ideas, and collaborate is essential for fostering teamwork (Schmutz et al., 2019).
  • Regular Interactions: Facilitating regular interactions through meetings, brainstorming sessions, or team huddles encourages communication and collaboration among team members.

Enhancing Collaboration through Technology:

  • Integration into Routine Activities: Integrating collaboration into routine activities ensures that teamwork becomes a natural part of daily workflows.
  • Leveraging Technology: Leveraging technology tools such as collaboration platforms, messaging apps, or telehealth systems facilitates seamless communication and information sharing among team members.

Slide 8: Outcomes of the New Process

Results Assessments:

  • Evaluation Criteria: Evaluation of the proposed strategy will be based on the OECD’s six assessment criteria: relevance, coherence, effectiveness, efficiency, impact, and sustainability (OECD, 2021).
  • Expected Outcomes: Furthermore, successful interprofessional collaboration is expected to yield positive outcomes for overweight hypertensive patients.

Expected Positive Outcomes:

  • Improved Patient Education: Enhanced educational strategies and collaborative efforts are anticipated to result in better patient understanding and knowledge retention.
  • Adherence to Lifestyle Modifications: Effective collaboration and patient engagement are expected to improve adherence to recommended lifestyle modifications such as diet and exercise.
  • Better Health Outcomes: Ultimately, these efforts aim to improve overall health outcomes for overweight hypertensive patients, leading to better management of their conditions and improved quality of life.

Slide 9: Academic Proof

Numerous Studies:

  • Significance of Interprofessional Collaboration: Numerous studies underscore the significance of interprofessional collaboration in improving patient outcomes.
  • Ansa et al. (2020): Ansa et al. emphasize the role of collaboration in optimizing healthcare delivery and enhancing patient satisfaction.
  • Arenson and Brandt (2021): Similarly, Arenson and Brandt highlight the importance of teamwork in achieving patient-centered care and fostering positive healthcare experiences.

Supporting Evidence:

  • Improved Healthcare Delivery: Research findings support the notion that effective collaboration among healthcare professionals leads to improved healthcare delivery and patient outcomes.
  • Patient Satisfaction: Studies indicate that interprofessional collaboration contributes to higher levels of patient satisfaction by ensuring coordinated and comprehensive care.

Slide 10: Ethical Considerations

Ethical Principles:

  • Patient Autonomy: Upholding ethical principles involves prioritizing patient autonomy, allowing individuals to make informed decisions about their healthcare.
  • Confidentiality: Maintaining confidentiality is crucial to respecting patients’ privacy rights and building trust between healthcare providers and patients (Varkey, 2021).

Cultural Sensitivity:

  • Respecting Diversity: Acknowledging and respecting the diverse backgrounds and beliefs of both patients and healthcare team members is essential.
  • Fostering Trust: Cultural sensitivity fosters trust and strengthens collaborative relationships, leading to improved patient outcomes and satisfaction.

Slide 11: Conclusion

In conclusion, effective interprofessional collaboration is indispensable in addressing the complex healthcare needs of overweight hypertensive patients. By implementing evidence-based practices, leveraging educational resources, and fostering a culture of collaboration, we can empower patients to embrace healthier lifestyles and achieve improved health outcomes (Schommer et al., 2018). Let us continue to work together synergistically to deliver patient-centered care and promote holistic well-being.

Slide 11: Conclusion

  • Interprofessional Collaboration: Effective interprofessional collaboration is indispensable in addressing the complex healthcare needs of overweight hypertensive patients.
  • Implementation of Evidence-based Practices: By implementing evidence-based practices and leveraging educational resources, we can empower patients to embrace healthier lifestyles.
  • Fostering a Culture of Collaboration: Fostering a culture of collaboration among healthcare professionals enhances patient care and improves health outcomes (Schommer et al., 2018).

Promoting Holistic Well-being:

  • Empowering Patients: Empowering patients to take control of their health and well-being by providing them with the necessary knowledge and support.
  • Achieving Improved Health Outcomes: Through collaborative efforts, we can achieve improved health outcomes and promote holistic well-being for overweight hypertensive patients.

Slide 12: References

Ansa, B. E., Zechariah, S., Gates, A. M., Johnson, S. W., Heboyan, V., & De Leo, G. (2020). Attitudes and behavior towards interprofessional collaboration among healthcare professionals in a large academic medical center. Healthcare, 8(3), 323.

Arenson, C., & Brandt, B. F. (2021). The importance of interprofessional practice in family medicine residency education. Family Medicine.

Chike-Harris, K., Cook, C., Gamboa, C., & Dent, S. (2021). COVID-19 pandemic: Embracing telemedicine, patient education, and evidence-based practice. Journal of Medical Internet Research, 23(2), e25992.

Cosimo Marcello, I., Luisa, C., Gianni, P., Mario, M., Margherita, F., & Olga, T. (2018). Evidence-based medicine: What it is and what it is not. Clinical Cases in Mineral and Bone Metabolism, 15(2), 161–164.

Lafuente-Lafuente, C., Leitao, C., Kilani, I., Dublanc, S., & Bergmann, J. F. (2019). Interventions for preventing thromboembolism in patients with atrial fibrillation: A systematic review. BMC Family Practice, 20(1), 1-15.

Lee, J., & Bae, S. H. (2018). The role of nursing informatics on promoting evidence-based practice. Journal of Nursing Scholarship, 50(5), 563-571.

OECD. (2021). Measuring the quality of health care across OECD countries. OECD Publishing.

Schmutz, J. B., Meier, L. L., Manser, T., & Wehner, T. (2019). The power of opposites: How teams with dissimilar members manage team processes and performance in healthcare organizations. Health Services Research, 54(S2), 417-429.

Schommer, J. C., Mueller, B. A., & Biesemeier, D. (2018). Team collaboration: Nurses and pharmacists. In R. Boyer & L. P. VanGraafeiland (Eds.), A new era in pharmacy practice: Integration and expansion (pp. 71–89). American Society of Health-System Pharmacists.

Varkey, P. (2021). The importance of ethics in interprofessional collaboration. Journal of Interprofessional Care, 35(2), 173-174.

Detailed Assessment Instructions for the NURS FPX 6614 Enhancing Performance as Collaborators in Care Presentation Assignment

Description

Assessment 2 Instructions: Enhancing Performance as Collaborators in Care Presentation

As a leader in practice, you will use your gap analysis to provide a 12-15 slide recorded PowerPoint presentation on the critical importance of interprofessional collaboration for the provision of safe, high-quality coordinated care.

Introduction

To gain help and support for your implementation of your project, it is important to guide the stakeholders through all the steps in the process. Providing the team with a detailed cohesive presentation will enhance their understanding and give a voice to any divergent opinions about the proposed changes. This type of engagement creates a platform of transparency about the coming changes needed for the improvement project. Fostering positive interprofessional communications with project stakeholders builds trust and understanding, which in turn leads to better health outcomes.

Preparation

Read the following:

. Standard 6: Evaluation.

. Standard 7: Ethics.

. Standard 8: Education.

. Standard 9: Research and Evidence-Based Practice.

. Standard 10: Performance Improvement.

. Standard 11: Communication.

. Standard 12: Leadership.

. Standard 13: Collaboration.

. Standard 14: Professional Practice Evaluation.

Assessment Summary

Now that you defined a gap in practice and started to involve your stakeholders it is time to do a presentation on the critical importance of interprofessional collaboration for the provision of safe, high-quality coordinated care. As a leader in practice, you will use your gap analysis to provide a 10–12 slide recorded PowerPoint presentation.

Grading Criteria

The numbered instructions outlined below correspond to the grading criteria in the Enhancing Performance as Collaborators in Care Presentation Scoring Guide, so be sure to address each point. You may also want to review the performance level descriptions for each criterion to see how your work will be assessed.

  1. Analyze steps to improve interprofessional collaboration in an evidence-based practice for population care.

. Provide an overview of what needs to happen to enhance evidence-based practice.

. Provide an explanation of the planning stages.

  • Explain the educational services and resources selected for the population receiving care.

. What are the education strategies you plan to use with the population receiving the care?

  • Summarize plans to collaborate and partner with interprofessional team members.

. What is the implementation process for the improved care coordination process?

. What are your plans to collaborate and partner with the interprofessional team members?

  • Propose the outcomes of the new process for improved interprofessional collaboration.

. How you will evaluate the outcomes of the new process change?

. Provide scholarly evidence that validates the needed change.

  • Use the scope and standards of practice for care coordination to describe any ethical considerations that supporting the need for change related to services and resources for the specific population. 

. Include information about the ethics that support the process change.

  • Create a professional presentation that can be used to run a working session of an interprofessional team meeting.

. Include a minimum of 5–7 scholarly sources.

  • Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

Additional Requirements

  • Written communication: Write clearly, accurately, and professionally, incorporating sources appropriately.
  • APA guidelines: Resources and citations are formatted according to current APA style and format. When appropriate, use APA-formatted headings. Refer to Evidence and APA for more information.

Portfolio Prompt: You may choose to save your gap analysis to your ePortfolio.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Analyze clinical priorities for a specific population that can influence health outcomes in the care coordination process.

. Analyze steps to improve interprofessional collaboration in an evidence-based practice for population care.

  • Competency 2: Evaluate potential services and resources available for specific populations that are a part of the care coordination process.

. Explain the educational services and resources selected for the population receiving care.

  • Competency 3: Create an effective interprofessional collaboration strategy for improving population health care outcomes as a care coordination process.

. Summarize plans to collaborate and partner with interprofessional team members.

  • Competency 4: Propose a care coordination process for a specific population using the scope and standards of practice for care coordination.

. Propose the outcomes of the new process for improved interprofessional collaboration.

. Use the scope and standards of practice for care coordination to describe any ethical considerations supporting change for the specific population with services and resources.

  • Competency 5: Communicate effectively as a scholar-practitioner to inform best practice.

. Create a professional presentation that can be used to run a working session of an interprofessional team meeting.

. Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

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NURS FPX 6614 Defining a Gap in Practice Executive Summary Paper Example

NURS FPX6614 Assessment 1 Defining a Gap in Practice Executive SummaryNURS FPX6614 Assessment 1 Defining a Gap in Practice Executive Summary

NURS FPX 6614 Defining a Gap in Practice Executive Summary Paper Assignment Brief

Course: NURS-FPX6614 Structure and Process in Care Coordination

Assignment Title: NURS FPX6614 Assessment 1 Defining a Gap in Practice Executive Summary

Assignment Overview

In this assignment, you will develop an executive summary presenting a key gap in practice related to care coordination for a specific population. This executive summary will include a PICOT question that identifies the gap, analysis of potential services and resources for care coordination, assessment of the type of care coordination intervention needed, and explanation of the planning of the intervention and expected outcomes. The goal is to inform decision makers and stakeholders about the identified gap and propose evidence-based strategies for addressing it.

Understanding Assignment Objectives

This assignment aims to assess your ability to analyze clinical priorities for specific populations, evaluate potential services and resources available for care coordination, create effective interprofessional collaboration strategies, propose evidence-based care coordination processes, and communicate findings clearly and effectively.

The Student’s Role

As a student, your role is to critically examine the existing literature and identify a gap in care coordination practice relevant to a specific population. You will then formulate a PICOT question to address this gap and develop an executive summary outlining the key elements necessary to inform decision making and action.

Competencies Measured

This assignment measures several key competencies:

  • Analyze clinical priorities for a specific population to effectively influence health outcomes with a care coordination process.
  • Evaluate potential services and resources available for specific populations that are part of the care coordination process.
  • Create an effective interprofessional collaboration strategy for improving population health care outcomes as a care coordination process.
  • Propose a care coordination process for a specific population using the scope and standards of practice for care coordination.
  • Communicate effectively as a scholar-practitioner to inform best practice.

You Can Also Check Other Related Assessments for the NURS-FPX6614 Structure and Process in Care Coordination Course:

NURS FPX 6614 Assessment 2 Enhancing Performance as Collaborators in Care Presentation Example

NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission Example

NURS FPX 6614 Defining a Gap in Practice Executive Summary Paper Example

Introduction

Hypertension, a pervasive health concern affecting millions worldwide, poses significant risks, including heart disease and stroke (CDC, 2020). Its prevalence is particularly pronounced among obese individuals, exacerbating the condition and necessitating tailored interventions (Oparil et al., 2018). Lifestyle modifications and medication management are central to hypertension treatment, with care coordination playing a pivotal role in optimizing patient outcomes. This executive summary seeks to explore the comparative effectiveness of lifestyle changes versus medications in managing hypertension among overweight patients while emphasizing the importance of care coordination in treatment decisions. By examining existing knowledge gaps, defining key interventions, and outlining expected outcomes, this summary aims to inform evidence-based strategies for addressing hypertension in the context of obesity.

Clinical Priorities for Overweight Hypertensive Patients

Obesity, as defined by the World Health Organization (WHO, 2021), refers to having 20% more weight than the ideal weight. This condition is linked to various adverse health outcomes, including hypertension, Type II Diabetes mellitus, coronary artery disease, heart failure, kidney disease, and hyperlipidemia (WHO, 2021). Not only does obesity cause hypertension, but it also exacerbates its symptoms. Overweight hypertensive individuals often experience hormonal imbalances, abnormalities in their sympathetic nervous system, and kidney function issues. The accumulation of visceral fat in obese individuals increases abdominal pressure, placing additional strain on the cardiovascular system (CVS) (Chrysant, 2019). This strain contributes to uncontrolled or persistent hypertension, leading to symptoms such as dizziness, nosebleeds, headaches, vision changes, chest pain, and muscle tremors (Chrysant, 2019). Therefore, it is imperative to develop effective healthcare strategies, including medication regimens or lifestyle modifications, to help overweight patients manage their hypertensive symptoms.

Care coordination emerges as a critical tool for healthcare providers in assisting overweight hypertensive individuals with managing their hypertension symptoms. A streamlined care coordination process facilitates easier communication between patients and their healthcare team members, including physicians, nutritionists, pharmacists, and nurses (Karam et al., 2021). This team-based strategy aims to involve patients in their own care, emphasizing collaboration among healthcare team members (Karam et al., 2021).

In-depth Analysis or Knowledge Gap

While medications are commonly prescribed for hypertension management, they may lead to adverse effects and medication non-adherence. Gebreyohannes and colleagues (2019) highlight the potential exacerbation of hypertension in obese individuals due to medication side effects. Additionally, the adverse effects associated with antihypertensive drugs hinder patient adherence to medication regimens (Gebreyohannes et al., 2019). In another study by Cosimo Marcello et al. (2019), it is proposed that adopting low-salt diets and engaging in regular exercise could aid obese individuals in managing their hypertension symptoms effectively. By embracing healthy eating habits and incorporating physical activity into their daily routines, patients can safely lose weight and maintain stable blood pressure levels (Cosimo Marcello et al., 2019). However, there remains a gap in understanding the comparative effectiveness of lifestyle modifications versus medications in overweight hypertensive patients.

PICOT Question

The PICOT question aims to assess the effectiveness of lifestyle modifications compared to antihypertensive medications in achieving low blood pressure within a six-month period for overweight adults with hypertension.

  • Population: Overweight adults
  • Intervention: Lifestyle modifications
  • Comparison: Lifestyle modifications versus medications
  • Outcome: Low blood pressure
  • Time: Six months

Explanation of the Selected Gap

According to Alsaigh et al. (2019), proper care planning is crucial to mitigate the potentially fatal consequences of hypertension. Lifestyle changes play a significant role in reducing blood pressure and delaying the onset of hypertension in otherwise healthy individuals. Alsaigh et al. (2019) suggest that patients with hypertension should prioritize lifestyle adjustments before considering pharmacologic therapy. Care coordinators play a vital role in educating overweight hypertensive patients and assessing their understanding through open-ended questions. Guiding patients on behavioral adjustments to achieve desired outcomes constitutes a critical aspect of the care coordinator’s role (Karam et al., 2021).

At the regional level, the Joint National Committee (JNC) recommends lifestyle modifications for hypertensive patients over a six-month period. These modifications include increased physical activity, dietary changes focusing on obesity, reduced salt intake, and limited alcohol consumption (de la Sierra, 2019). The PREMIER trial, the largest clinical trial conducted in the US, examined the impact of lifestyle changes on hypertension management. Results indicated that weight loss, increased physical activity, and dietary improvements effectively managed hypertension without medication (Mahmood et al., 2019). However, Kebede et al. (2022) note that while both lifestyle modifications and medications can lower blood pressure within six months, medications may manifest side effects during this period.

Services and Resources for Care Coordination

Resources

Healthcare teams have various tools at their disposal to educate obese hypertensive patients about lifestyle modifications, including social media messages, fact sheets, and handouts.

Potential Services

In many healthcare facilities, care teams comprise nurses, physicians, pharmacists, information technology specialists, and hospital administrators. Nurses, acting as care coordinators, play a vital role in educating obese hypertensive patients about adopting healthy lifestyle choices. Furthermore, the entire team can leverage telehealth services to monitor patients’ adherence to prescribed lifestyle changes (Volterrani & Sposato, 2019).

Barriers

Despite the benefits of care coordination, several obstacles hinder its effectiveness. One such obstacle is the lack of patient trust in healthcare professionals or their inability to engage in self-management practices, which compromises coordination efforts (Heinert et al., 2019). Additionally, challenges with health information technology implementation may impede the successful execution of care coordination strategies. Limited resources also pose a barrier to effective care coordination. Moreover, the beliefs of obese hypertensive patients, their motivation levels, and the presence of depression can further complicate the care coordination process (Heinert et al., 2019).

The Type of Care Coordination Intervention

Care coordination, as outlined by the Agency for Healthcare Research and Quality (AHRQ), relies on five fundamental pillars. These pillars encompass teamwork between staff and patients, effective utilization of health information technology, care, and medication management, and prioritizing patient-centered care (Agency for Healthcare Research and Quality, 2018).

Specific and Practical Approach

To educate obese hypertensive patients about necessary lifestyle adjustments, healthcare professionals should employ the Chronic Care Model, as suggested by Pilipovic-Broceta et al. (2018). This entails fostering accountability and responsibility within the organization. Regular meetings involving key stakeholders, including nurses, physicians, nutritionists, pharmacists, and information technologists, are essential for effective communication and knowledge exchange. Through these meetings, patient needs and goals can be discussed, and evidence-based care plans can be developed (Pilipovic-Broceta et al., 2018). Post-planning, stakeholders must implement the care plan, support and guide patients in achieving self-management goals, and conduct follow-up assessments (Agency for Healthcare Research and Quality, 2018).

Supporting Collaborative Care Strategies

Healthcare professionals and nurses should prioritize lifestyle modifications as the primary intervention strategy to support collaborative care. Obese hypertensive patients face heightened risks if appropriate lifestyle changes are not adopted (Csige et al., 2018). Optimal health outcomes and minimal side effects are more achievable through adherence to an exercise regimen and a healthy diet than reliance solely on medication. Achieving these goals necessitates collaborative efforts from all stakeholders.

Example Strategies

Kreps (2018) proposed an effective plan for interdisciplinary teamwork to enhance health outcomes. The study recommends the involvement of healthcare providers, administrators, nutritionists, information technology specialists, and consumers in the care process. Holding team meetings facilitates the sharing of relevant patient information among all involved parties (Kreps, 2018). Establishing norms for group interactions, distributing responsibilities, encouraging diverse perspectives, and integrating new information are also critical aspects of successful teamwork.

Specific Nursing Diagnosis

The identified nursing diagnosis is hypertension induced by obesity. Overweight individuals face an elevated risk of developing hypertension, with obesity exacerbating the condition further. Obesity contributes to physiological changes that may lead to or worsen hypertension. Failure to manage weight through lifestyle adjustments can lead to severe hypertension-related complications, including cardiovascular disease, kidney failure, and vision impairment (Shariq & McKenzie, 2020). Nurses play a vital role in educating obese hypertensive patients about lifestyle modifications to manage their condition effectively and restore blood pressure to normal levels (Shariq & McKenzie, 2020).

Planning of the Intervention and Anticipated Results

Care coordinators play a pivotal role in organizing regular meetings to set goals and objectives for obese hypertensive individuals, formulate comprehensive care plans, and garner support from all key stakeholders. The nutritionist will collaborate with patients to devise effective diet plans aimed at weight loss and hypertension management. Meanwhile, the physiotherapist will tailor exercise regimens specifically for obese patients to address their hypertensive symptoms. IT specialists will aid in implementing health information technologies, such as the HIPAA-compliant text messaging platform, streamlining the care coordination process (Liu et al., 2019). Additionally, telehealth services will assist nurses in educating patients about lifestyle modifications and monitoring their adherence to prescribed dietary and exercise routines (Liu et al., 2019). Following the planning phase, the implementation phase commences, during which nurses and physicians will educate obese hypertensive patients on the superiority of lifestyle modifications over medication. Telehealth platforms can facilitate patient education and compliance monitoring for prescribed lifestyle changes.

Expected Outcomes

Individuals with obesity and hypertension are expected to derive greater benefits from this approach upon understanding how lifestyle changes can outweigh the advantages of medication. Furthermore, effective collaboration among healthcare providers is anticipated, which is crucial for achieving optimal health outcomes.

Assumptions

This analysis operates under the assumption that healthcare team efforts in care coordination will empower overweight hypertensive patients to adopt necessary lifestyle modifications. These changes are deemed more favorable than medication therapy due to the side effects associated with medications, which can hinder patient adherence.

Conclusion

In conclusion, addressing hypertension in overweight individuals requires a multifaceted approach that integrates both lifestyle modifications and medication management while leveraging effective care coordination strategies. The significance of lifestyle changes, including dietary adjustments and regular exercise, cannot be overstated in managing hypertension symptoms in this population. However, the comparative effectiveness of lifestyle modifications versus medications remains a gap in practice, underscoring the need for further research to inform evidence-based interventions. Care coordination emerges as a critical tool in facilitating patient education, promoting adherence to prescribed regimens, and fostering collaborative efforts among healthcare providers. By prioritizing patient-centered care and leveraging health information technology, healthcare teams can optimize outcomes for overweight hypertensive patients, ultimately improving their overall health and well-being.

References

Agency for Healthcare Research and Quality. (2018). Care coordination. https://www.ahrq.gov/topics/care-coordination/index.html

CDC. (2020). High blood pressure. https://www.cdc.gov/bloodpressure/index.htm

Chrysant, S. G. (2019). Pathophysiology of obesity hypertension. Hypertension Research, 42(8), 1235–1246.

Cosimo Marcello, C., et al. (2019). Lifestyle interventions to reduce cardiovascular risk in hypertension: Does it work? High Blood Pressure & Cardiovascular Prevention, 26(2), 97–105.

de la Sierra, A. (2019). Hypertension and lifestyle modification. Hypertension Research, 42(8), 1235–1246.

Gebreyohannes, E. A., et al. (2019). Adverse effects and non-adherence to antihypertensive medications in university community-based clinic settings. Clinical Hypertension, 25(1), 1–10.

Heinert, S., et al. (2019). Barriers to care coordination: Lessons learned from successful programs. Journal of General Internal Medicine, 34(1), 75–78.

Karam, S. G., et al. (2021). The role of care coordination in hypertension management: A systematic review. Journal of Hypertension, 39(5), 883–892.

Kebede, T. M., et al. (2022). Lifestyle modification versus antihypertensive medication for blood pressure control in overweight hypertensive patients: A randomized controlled trial. American Journal of Hypertension, 35(3), 309–316.

Kreps, G. L. (2018). The significance of interdisciplinary teamwork and collaboration in achieving public health goals. American Journal of Public Health, 108(S3), S230–S231.

Liu, Y., et al. (2019). The role of telehealth in hypertension management: A review. Telemedicine and e-Health, 25(1), 3–13.

Mahmood, S. S., et al. (2019). Lifestyle modification for lowering blood pressure: A systematic review and meta-analysis. The Journal of Clinical Hypertension, 21(8), 1154–1161.

Oparil, S., et al. (2018). 2018 practice guidelines for the management of hypertension in the community: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension, 71(6), e13–e115.

Pilipovic-Broceta, N., et al. (2018). Implementing the Chronic Care Model in clinical practice: A step-by-step approach. International Journal of Integrated Care, 18(1), 1–5.

Shariq, U., & McKenzie, K. (2020). Obesity and hypertension: A comprehensive review of the evidence. Journal of Hypertension, 38(6), 999–1014.

Volterrani, L., & Sposato, B. (2019). Role of telehealth in care coordination and management of chronic diseases. Future Cardiology, 15(6), 415–418.

WHO. (2021). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

Detailed Assessment Instructions for the NURS FPX 6614 Defining a Gap in Practice Executive Summary Paper Assignment

Description

Assessment 1 Instructions: Defining a Gap in Practice: Executive Summary

Develop a PICOT question that defines a gap in practice and write a 2-3 page executive summary presenting the key elements that decision makers will need to make decisions.

Introduction

Note: Complete the assessments in this course in the order in which they are presented.

It is important to define your ideas clearly and precisely to help develop and sustain stakeholder buy-in with any project being created to improve outcomes. Using a  PICOT  gives the reader a clear idea of your improvement project in one succinct sentence. Another important communication tool is written for the administrative stakeholders in the form of an executive summary. The executive summary provides a brief and precise narrative of what you want to expedite for your improvement project. Executive summaries are commonly associated with business plans, marketing plans, evaluation studies, and other materials that are created to guide decision making and action. As an actionable document, the executive summary is meant to set out the key elements that a decision maker will need in order to make decisions and, as important, to justify those decisions to those to whom the decision maker is responsible.

Preparation

Read the following:

. Standard 1: Assessment.

. Standard 2: Nursing Diagnoses.

. Standard 3: Outcomes Identification.

. Standard 4: Planning.

. Standard 5a: Coordination of Care.

. Standard 5b: Health Teaching and Health Promotion.

Assessment Summary

Develop a PICOT question that defines a gap in practice related to a specific population at the organizational, regional, or national level for care coordination. Write a 2–3 page executive summary (not including the title and reference pages). Include 4–6 scholarly sources on the reference page. You may use the  Evidence-Based Practice in Nursing & Health Sciences: PICOT Question Process  library guide to help direct your research.

You are encouraged to formulate a PICOT question based on a clinical question from your field of expertise or reflective of a specialization or strong area of career interest.

Grading Criteria

The numbered instructions outlined below correspond to the grading criteria in the Defining a Gap in Practice: Executive Summary Scoring Guide, so be sure to address each point. You may also want to review the performance-level descriptions for each criterion to see how your work will be assessed.

  1. Analyze clinical priorities for a specific population to effectively influence health outcomes with a care coordination process.
  2. Apply a PICOT question to a gap in practice at the organizational, regional, or national level for care coordination.

. What is the PICOT question?

. Provide and explanation of the selected gap.

  • Evaluate the potential services and resources for care coordination that are currently available for use with the selected population.
  • Assess the type of care coordination intervention that would best fit to enhance evidence-based practice.
  • Summarize the selected nursing diagnosis to support the strategy for collaborative care to present to the interprofessional team to develop stakeholder understanding.

. Present an assessment of the issue to start the process.

  • Explain the planning of the intervention and expected outcomes you want to achieve for the care coordination process using the scope and standards of practice for care coordination.

. What are the planning steps for the intervention?

. What expected outcomes you want to achieve?

  • Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

The audience for this presentation is an interprofessional team (including people in the care coordination process and leadership who are approving the process). Your objective is to develop stakeholder understanding and acceptance.​​​​

Additional Requirements

  • Written communication: Write clearly, accurately, and professionally, incorporating sources appropriately.
  • APA guidelines: Resources and citations are formatted according to current APA style and format. When appropriate, use APA-formatted headings. See Evidence and APA for more information.
  • Font and font size: Times Roman, 12 point.

Portfolio Prompt: You may choose to save your gap analysis to your ePortfolio.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Analyze clinical priorities for a specific population that can influence health outcomes in the care coordination process.

. Analyze clinical priorities for a specific population to effectively influence health outcomes with a care coordination process.

. Apply a PICOT question to a gap in practice at the organizational, regional, or national level for care coordination.

  • Competency 2: Evaluate potential services and resources available for specific populations that are a part of the care coordination process.

. Evaluate the potential services and resources for care coordination that are currently available for use with the selected population.

  • Competency 3: Create an effective interprofessional collaboration strategy for improving population health care outcomes as a care coordination process.

. Assess the type of care coordination intervention that would best fit to enhance evidence-based practice.

. Summarize the selected nursing diagnosis to support the strategy for collaborative care to present to the interprofessional team to develop stakeholder understanding.

  • Competency 4: Propose a care coordination process for a specific population using the scope and standards of practice for care coordination.

. Explain the planning of the intervention and expected outcomes you want to achieve for the care coordination process using the scope and standards of practice for care coordination.

  • Competency 5: Communicate effectively as a scholar-practitioner to inform best practice.

. Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

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NURS FPX 6612 Cost Savings Analysis Paper Example

NURS FPX 6612 Assessment 4 Cost Savings AnalysisNURS FPX 6612 Assessment 4 Cost Savings Analysis

NURS FPX 6612 Cost Savings Analysis Paper Assignment Brief

Course: NURS-FPX6612 Health Care Models Used in Care Coordination

Assignment Title: NURS FPX 6612 Assessment 4 Cost Savings Analysis

Assignment Instructions Overview

In this assignment, you will conduct a cost savings analysis focusing on the efficiency gains attributable to care coordination within a healthcare setting over the course of one fiscal year. Your task involves compiling cost savings data into a spreadsheet and presenting your key findings in an executive summary. The assessment aims to evaluate your understanding of how care coordination can positively impact the financial health of an organization, improve patient outcomes, and enhance the collection of evidence-based data.

Understanding Assignment Objectives

The primary objective of this assignment is to assess your proficiency in applying care coordination models to improve the patient experience, promote population health, and reduce costs within a healthcare setting. By analyzing cost savings data and presenting key findings, you will demonstrate your ability to communicate effectively with diverse audiences and support your claims with relevant evidence.

The Student’s Role

As the senior care coordinator in your organization, you are tasked with examining and reporting on how care coordination can generate cost savings, improve outcomes, enhance evidence-based data collection, and improve healthcare quality for the community. You will compile cost savings data in a well-organized spreadsheet and create an executive summary to present your analysis to your manager.

Competencies Measured

This assignment measures the following competencies:

  • Apply care coordination models: Describe ways in which care coordination can generate cost savings.
  • Explain the relationship between care coordination and evidence-based data: Describe how care coordination efforts can enhance the collection of evidence-based data and improve quality through the application of an emerging healthcare model.
  • Use health information technology: Explain how care coordination can promote improved health consumerism and effect positive health outcomes.
  • Communicate effectively: Present cost savings data and information clearly and accurately, supporting main points, claims, and conclusions with relevant and credible evidence, and correctly formatting citations and references using APA style.

You Can Also Check Other Related Assessments for the NURS-FPX6612 Health Care Models Used in Care Coordination Course:

NURS FPX 6612 Assessment 1 Triple Aim Outcome Measures Presentation Example

NURS FPX 6612 Assessment 2 Quality Improvement Proposal Example

NURS FPX 6612 Assessment 3 Patient Discharge Care Planning Example

NURS FPX 6612 Cost Savings Analysis Paper Example

Introduction

In the ever-evolving landscape of healthcare, the importance of effective care coordination cannot be overstated. Care coordination, involving seamless collaboration among healthcare providers across different settings, has emerged as a pivotal strategy not only for improving patient outcomes but also for achieving cost savings within healthcare organizations. This paper focuses on the diverse nature of care coordination, exploring its role in generating cost savings, promoting health consumerism, and facilitating the collection of evidence-based data. Through an analysis of various approaches and case studies, this paper aims to provide insights into how healthcare organizations can leverage care coordination to optimize financial resources while enhancing the quality of care.

Cost Savings through Care Coordination

One of the primary objectives of care coordination is to streamline healthcare delivery processes to achieve better outcomes at reduced costs. Several key avenues exist through which care coordination can yield significant cost savings:

  • Enhanced Communication and Collaboration: Poor communication among healthcare providers often leads to redundant tests, procedures, and avoidable hospitalizations, driving up healthcare costs. By facilitating seamless communication and collaboration among various stakeholders, care coordination mitigates these inefficiencies, resulting in cost savings. Studies have shown that improved communication can substantially reduce unnecessary healthcare utilization and associated expenditures (Breckenridge et al., 2019).
  • Prevention of Medical Errors: Medical errors not only jeopardize patient safety but also incur substantial financial costs for healthcare organizations. Through proactive care coordination efforts, such as medication reconciliation and standardized care pathways, healthcare providers can minimize the occurrence of medical errors, thereby reducing the associated costs. For instance, the implementation of electronic health records (EHRs) has been shown to significantly decrease medication errors and their corresponding financial implications (Rodziewicz & Hipskind, 2022).
  • Optimal Resource Utilization: Care coordination facilitates the efficient allocation of resources by ensuring that patients receive the right care, in the right setting, at the right time. By avoiding unnecessary hospital admissions, emergency department visits, and prolonged lengths of stay, healthcare organizations can achieve substantial cost savings while maintaining quality of care. Integrated care models, which emphasize comprehensive, patient-centered approaches, have been particularly effective in optimizing resource utilization and reducing overall healthcare expenditures (Rocks et al., 2020).
  • Proactive Chronic Disease Management: Chronic diseases impose a significant economic burden on healthcare systems worldwide. Care coordination plays a pivotal role in managing chronic conditions through proactive monitoring, patient education, and adherence to evidence-based treatment protocols. By preventing disease exacerbations and complications, care coordination reduces the need for costly interventions such as hospitalizations and emergency care, resulting in long-term cost savings (Khullar & Chokshi, 2018).
  • Leveraging Health Information Technology (HIT): The integration of HIT tools, such as electronic medical records and telehealth platforms, into care coordination processes can streamline workflows, improve data accessibility, and enhance decision-making. By leveraging HIT solutions, healthcare organizations can automate administrative tasks, reduce documentation errors, and facilitate real-time communication among care team members, leading to operational efficiencies and cost savings (Wilt et al., 2020).

Health Consumerism and Positive Health Outcomes

In today’s healthcare landscape, empowered consumers seek transparency, convenience, and personalized experiences in their healthcare journeys. Care coordination plays a pivotal role in meeting these evolving consumer expectations while driving positive health outcomes:

  1. Patient-Centric Care Delivery: Care coordination emphasizes a patient-centric approach, wherein healthcare services are tailored to meet individual needs and preferences. By involving patients as active participants in their care journey, care coordination fosters a sense of empowerment and engagement, leading to improved health outcomes and greater satisfaction. Patients who feel supported and involved in decision-making are more likely to adhere to treatment plans and achieve better clinical results (Taylor, 2019).
  2. Seamless Care Transitions: For patients with complex healthcare needs, transitions between different care settings can be challenging and fraught with potential risks. Care coordination ensures seamless transitions across the care continuum, facilitating the exchange of information, continuity of care, and collaboration among providers. By minimizing care fragmentation and preventing gaps in care, care coordination enhances patient safety and reduces adverse events, ultimately leading to improved health outcomes (Hannigan et al., 2018).
  3. Empowerment through Health Education: Education is a cornerstone of effective care coordination, empowering patients to make informed decisions about their health and well-being. Through targeted health education initiatives, care coordinators provide patients with the knowledge and resources they need to manage their conditions, navigate the healthcare system, and adopt healthy lifestyle behaviors. By promoting health literacy and self-management skills, care coordination enables patients to take control of their health, resulting in improved outcomes and reduced healthcare utilization (Karam et al., 2021).
  4. Personalized Care Plans: Care coordination involves the development of individualized care plans that take into account each patient’s unique needs, preferences, and circumstances. By tailoring care interventions to the specific requirements of each patient, care coordinators optimize treatment efficacy, minimize unnecessary interventions, and promote patient engagement. Personalized care plans enhance patient satisfaction, adherence to treatment regimens, and overall health outcomes, contributing to a more consumer-centric healthcare experience (Khullar & Chokshi, 2018).
  5. Accessibility and Convenience: In an era of digital transformation, consumers expect healthcare services to be accessible, convenient, and responsive to their needs. Care coordination leverages technology-enabled solutions such as telemedicine, mobile health apps, and remote monitoring devices to deliver care beyond traditional brick-and-mortar settings. By expanding access to care and reducing barriers to engagement, care coordination enhances patient convenience and satisfaction, driving positive health outcomes and fostering long-term loyalty (Rocks et al., 2020).

Implementing Evidence-Based Care Coordination Models

To maximize the benefits of care coordination and achieve sustainable cost savings, healthcare organizations must implement evidence-based models that align with their unique needs and priorities. Several key strategies can enhance the effectiveness of care coordination efforts:

  • Interdisciplinary Collaboration: Effective care coordination requires collaboration among diverse healthcare professionals, including physicians, nurses, social workers, pharmacists, and allied health professionals. By fostering interdisciplinary teamwork and communication, healthcare organizations can optimize care delivery processes, minimize redundancies, and improve patient outcomes. Interdisciplinary care teams facilitate holistic assessments, shared decision-making, and coordinated interventions, resulting in comprehensive, patient-centered care (Breckenridge et al., 2019).
  • Standardized Care Pathways: Standardized care pathways outline evidence-based guidelines and protocols for managing specific health conditions or procedures. By standardizing care delivery processes and promoting best practices, healthcare organizations can reduce variations in care, enhance quality and safety, and achieve cost savings. Care coordination efforts should prioritize the development and implementation of standardized care pathways across relevant clinical specialties, ensuring consistency, efficiency, and adherence to evidence-based standards of care (Rodziewicz & Hipskind, 2022).
  • Health Information Exchange (HIE): Health Information Exchange (HIE) platforms facilitate the seamless sharing of patient information across different healthcare settings and systems. By enabling interoperability and data exchange, HIE platforms support care coordination efforts by providing timely access to relevant clinical information, reducing duplication of tests and procedures, and enhancing care continuity. Healthcare organizations should invest in robust HIE infrastructure and participate in regional or national HIE networks to facilitate coordinated care delivery and optimize resource utilization (Taylor, 2019).
  • Patient Engagement Technologies: Patient engagement technologies, such as patient portals, mobile apps, and remote monitoring devices, empower patients to actively participate in their care and self-management. By facilitating real-time communication, education, and health tracking, these technologies promote patient engagement, adherence to treatment plans, and early detection of health issues. Healthcare organizations should leverage patient engagement technologies as integral components of care coordination initiatives, tailoring solutions to meet the diverse needs and preferences of their patient populations (Wilt et al., 2020).
  • Data Analytics and Performance Monitoring: Data analytics tools enable healthcare organizations to analyze large volumes of clinical and operational data, identify trends, and measure performance against key metrics. By leveraging data analytics, care coordinators can identify opportunities for process improvement, monitor patient outcomes, and evaluate the effectiveness of care coordination interventions. Healthcare organizations should invest in robust data analytics infrastructure and establish performance monitoring mechanisms to track the impact of care coordination efforts on cost savings, quality improvement, and patient satisfaction (Hannigan et al., 2018).

Cost Savings Data and Analysis

To demonstrate the tangible impact of care coordination on cost savings, healthcare organizations must collect and analyze relevant data on key performance indicators. The following hypothetical scenario illustrates how care coordination initiatives, particularly the implementation of electronic health records (EHRs), can yield substantial cost savings within a healthcare setting:

Table 1: Comparison of Staffing Levels before and after EHR Implementation

Role Before EHR Implementation After EHR Implementation
Registered Nurses 80 20
Care Manager 75 25
Care Coordinator 70 30
Nursing Heads 65 35

 

***Source: Adapted from Hypothetical Data

The implementation of EHRs resulted in significant reductions in staffing levels across various roles within the healthcare organization. By streamlining documentation processes and automating administrative tasks, EHRs enabled healthcare providers to operate more efficiently, thereby reducing labor costs.

Table 2: Comparison of Key Performance Metrics before and after EHR Implementation

Metric Manual Records Documentation EHR Implementation (%) Overall Savings ($)
Medication Errors 95 5 300,000
Drug Complications 90 6 200,000
Hospitalizations 85 10 500,000
Post-discharge Cases 88 12 100,000

 

***Source: Adapted from Hypothetical Data

Furthermore, the transition from manual records documentation to EHRs led to substantial reductions in medication errors, drug complications, hospitalizations, and post-discharge cases. By improving data accuracy, facilitating real-time information exchange, and supporting clinical decision-making, EHRs contributed to enhanced patient safety and reduced healthcare utilization, resulting in significant cost savings for the organization.

Conclusion

In conclusion, effective care coordination holds immense potential for generating cost savings within healthcare organizations while improving patient outcomes and experiences. By optimizing care delivery processes, leveraging health information technology, and promoting interdisciplinary collaboration, healthcare providers can achieve efficiencies across the care continuum and realize tangible financial benefits. Moreover, by embracing consumer-centric approaches, empowering patients, and leveraging evidence-based models, healthcare organizations can foster a culture of innovation, responsiveness, and continuous improvement. As healthcare continues to evolve, care coordination will remain a cornerstone strategy for achieving cost-effective, high-quality care that meets the needs of diverse patient populations.

References

Breckenridge, E. D., Kite, B., Wells, R., & Sunbury, T. M. (2019). Effect of patient care coordination on hospital encounters and related costs. Population Health Management, 22(5), 406–414. https://doi.org/10.1089/pop.2018.0176

Hannigan, B., Simpson, A., Coffey, M., Barlow, S., & Jones, A. (2018). Care coordination as imagined, care coordination as done: Findings from a cross-national mental health systems study. International Journal of Integrated Care, 18(3). https://doi.org/10.5334/ijic.3978

Karam, M., Chouinard, M.-C., Poitras, M.-E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing care coordination for patients with complex needs in primary healthcare: A scoping review. International Journal of Integrated Care, 21(1). https://doi.org/10.5334/ijic.5518

Khullar, D., & Chokshi, D. A. (2018). Can better care coordination lower healthcare costs? JAMA Network Open, 1(7), e184295. https://doi.org/10.1001/jamanetworkopen.2018.4295

Rocks, S., Berntson, D., Gil-Salmerón, A., Kadu, M., Ehrenberg, N., Stein, V., & Tsiachristas, A. (2020). Cost and effects of integrated care: A systematic literature review and meta-analysis. The European Journal of Health Economics, 21(8), 1211–1221. https://doi.org/10.1007/s10198-020-01217-5

Rodziewicz, T. L., & Hipskind, J. E. (2022). Medical error prevention. PubMed; StatPearls Publishing. https://pubmed.ncbi.nlm.nih.gov/29763131/

Taylor, K. (2019). Embracing and advancing the consumerist era in healthcare. Frontiers of Health Services Management, 36(2), 15–25. https://doi.org/10.1097/hap.0000000000000069

Wilt, T., Duan-Porter, W., Miake-Lye, I., Diem, S., Ullman, K., & Majeski, B. (2020). Department of Veterans Affairs Veterans Health Administration Health Services Research & Development Service. https://www.hsrd.research.va.gov/publications/esp/care-coordination-models.pdf

Detailed Assessment Instructions for the NURS FPX 6612 Cost Savings Analysis Paper Assignment

Description

Assessment 4 Instructions: Cost Savings Analysis Paper Assignment

Cost Savings Analysis

Overview

  • Prepare a spreadsheet of cost savings data showing efficiency gains attributable to care coordination over the course of one fiscal year, and report your key findings in an executive summary, 4–5 pages in length.
  • Information plays a fundamental role in health care. Providers such as physicians and hospitals create and process information as they deliver care to patients. However, managing that information and using it productively poses an ongoing challenge, particularly in light of the complexity of the U.S. health care sector, with its many diverse settings for care and types of providers and services. Health information technology (HIT) has the potential to considerably increase the productivity of the health sector by assisting providers in managing information. Furthermore, HIT can improve the quality of health care and, ultimately, the outcomes of that care for patients.
  • The use of HIT has been upheld as having remarkable promise in improving the efficiency, quality, cost-effectiveness, and safety of medical care delivery in our nation’s health care system. This assessment provides an opportunity for you to examine how utilizing HIT can positively affect the financial health of an organization, improve patient health, and create better health outcomes.
  • By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
    • Competency 1: Apply care coordination models to improve the patient experience, promote population health, and reduce costs. 
      • Describe ways in which care coordination can generate cost savings.
    • Competency 2: Explain the relationship between care coordination and evidence-based data. 
      • Describe ways in which care coordination efforts can enhance the collection of evidence-based data and improve quality through the application of an emerging health care model.
    • Competency 3: Use health information technology to guide care coordination and organizational practice. 
      • Explain how care coordination can promote improved health consumerism and effect positive health outcomes.
    • Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. 
      • Present cost savings data and information clearly and accurately.
      • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

Competency Map

CHECK YOUR PROGRESSUse this online tool to track your performance and progress through your course.

    • APA Module.
    • Academic Honesty & APA Style and Formatting.
    • APA Style Paper Tutorial [DOCX].
    • Capella Resources
    • ePortfolio.
    • Research Resources
      You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN-FP6612: Emerging Health Care Models and Care Coordination Library Guide can help direct your research. The Supplemental Resources and Research Resources, both linked from the navigation menu in your courseroom, provide additional resources to help support you.
      As you review these resources, you may want to consider the following questions:
    • What is the main focus of information gathering in health care?
    • How can care coordination efforts enhance the collection of evidence-based data and improve quality?
    • What governmental entities are leading care coordination practices?
    • What influence does data analysis have on the development and advancement of health care policy?
  • Assessment Instructions

Preparation
As the senior care coordinator in your organization, your manager has asked you to examine and report on how care coordination can generate cost savings, improve outcomes, enhance the collection of evidence-based data, and improve health care quality for the community. She would like you to compile cost savings data in a well-organized spreadsheet and present your key findings in an executive summary.

Note:

Remember that you can submit all or a portion of your draft spreadsheet and executive summary to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
Requirements
Determine how care coordination can reduce costs. Compile your cost savings data in a spreadsheet, using Microsoft Excel or a suitable application of your choice. (If you elect to use an application other than Excel, check with faculty to avoid potential file compatibility issues.) Your spreadsheet should containat least fourcost-saving elements. Identify the cost-saving element, current costs, and anticipated savings.
Then create an executive summary using the APA Style Paper Template [DOCX]. Discuss your cost-saving elements and report key findings from your analysis.

Analyzing Cost Savings

The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your analysis addresses each point, at a minimum. You may also want to read the Cost Savings Analysis Scoring Guide to better understand how each criterion will be assessed.

    • Describe ways in which care coordination can generate cost savings.
      • What are your primary evidence-based sources of information?
      • Are your conclusions substantiated by the data?
      • What assumptions, if any, underlie your analysis?
    • Explain how care coordination can promote improved health consumerism and effect positive health outcomes.
      • What evidence do you have to substantiate your claims?
    • Describe at least five ways in which care coordination efforts can enhance the collection of evidence-based data and improve quality through the application of an emerging health care model. 
      • Choose any emerging health care model.
    • Present cost savings data and information clearly and accurately.
    • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

Additional Requirements

    • Executive Summary Format and Length
      Format your executive summary using APA style:
    • Use the APA Style Paper Template [DOCX] provided. Be sure to include:
      • A title page and references page. An abstract is not required.
      • A running head on all pages.
      • Appropriate section headings.
    • See also theAPA Style Paper Tutorial [DOCX]to help you in writing and formatting your executive summary.
    • Your summary should be 4–5 pages in length,not includingthe title page and references page.

Supporting Evidence

    • Cite 4–5 sources of relevant and credible scholarly or professional evidence to support your cost savings analysis.
    • Apply APA formatting to all in-text citations and references.
    • Submit both your spreadsheet and your executive summary.
      Portfolio Prompt: You may choose to save your spreadsheet and executive summary to your ePortfolio.

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NURS FPX 6612 Patient Discharge Care Planning Paper Example

NURS FPX 6612 Assessment 3 Patient Discharge Care PlanningNURS FPX 6612 Assessment 3 Patient Discharge Care Planning

NURS FPX 6612 Patient Discharge Care Planning Paper Assignment Brief

Course: NURS-FPX6612 Health Care Models Used in Care Coordination

Assignment Title: NURS FPX 6612 Assessment 3 Patient Discharge Care Planning

Assignment Overview

The Patient Discharge Care Planning Paper assignment in NURS FPX 6612 aims to analyze key issues related to the development of an effective discharge care plan for a hypothetical patient. This assignment underscores the significance of health information technology (HIT) in optimizing care coordination, data reporting, and the overall efficacy of the discharge process.

Understanding Assignment Objectives

The primary objective of this assignment is to demonstrate the student’s proficiency in applying care coordination models, understanding the relationship between care coordination and evidence-based data, utilizing health information technology, and communicating effectively with diverse audiences in an academic format.

The Student’s Role

As a student enrolled in NURS FPX 6612, your role is to assume the position of a senior care coordinator responsible for overseeing a patient’s care. You will lead the discussion on patient’s case during an interdisciplinary team meeting, focusing on the role of informatics in effective discharge care planning. Your task involves analyzing key issues related to HIT support, data reporting, and electronic health record (EHR) data collection to facilitate patient’s transition from the hospital to their home environment.

You Can Also Check Other Related Assessments for the NURS-FPX6612 Health Care Models Used in Care Coordination Course:

NURS FPX 6612 Assessment 1 Triple Aim Outcome Measures Presentation Example

NURS FPX 6612 Assessment 2 Quality Improvement Proposal Example

NURS FPX 6612 Assessment 4 Cost Savings Analysis Example

NURS FPX 6612 Patient Discharge Care Planning Paper Example

Introduction

The focus of this assessment is on the discharge care planning for Marta Rodriguez, who underwent extensive treatment after a severe car accident while on her way to college. Marta spent four weeks in the trauma center, receiving multiple surgeries and antibiotic therapy. As the senior care coordinator, I will lead the discussion on Marta’s discharge plans with the interdisciplinary team. This analysis highlights the importance of health information technology (HIT) in optimizing care coordination, data reporting, and the overall effectiveness of Marta’s transition from the hospital to her home environment.

Longitudinal, Patient-Centered Care Plan

To ensure Marta Rodriguez receives comprehensive, patient-centered care, the interdisciplinary team will harness various components of health information technology (HIT). Electronic health records (EHRs), secure messaging platforms, telehealth technology, and medication reconciliation tools are pivotal in this endeavor (Schwab et al., 2021; Flickinger et al., 2022; Chowdhury et al., 2020). EHRs provide real-time access to Marta’s medical records, facilitating the development of a holistic care plan. Secure messaging platforms enable seamless communication among team members, ensuring timely updates on Marta’s condition, appointments, and medication schedules. Telehealth technology facilitates remote monitoring of Marta’s vital signs, aiding in the early detection of complications. Additionally, medication reconciliation tools ensure accurate medication lists, reducing the risk of errors.

To mitigate the risk of readmission within 48 hours post-discharge, comprehensive education, support, and follow-up care for Marta are paramount (Oksholm et al., 2023). HIT elements, particularly telehealth technology, enable continuous monitoring of Marta’s progress, allowing for timely interventions in case of complications. Secure messaging platforms serve as a conduit for delivering crucial information regarding medication adherence and follow-up appointments.

Furthermore, leveraging HIT elements promotes communication and collaboration among team members, enhancing care coordination for Marta. EHRs serve as a centralized repository of Marta’s health information, ensuring all team members have access to pertinent data. This cohesive approach streamlines care delivery, minimizing redundancies, and maximizing efficiency. Through the strategic use of HIT elements, the interdisciplinary team can deliver a patient-centered, coordinated care plan tailored to Marta’s unique needs.

Data Reporting

Data reporting is integral to optimizing patient care across various dimensions, including coordination, management, efficiency, and innovation within healthcare. Specifically tailored data reporting for patients like Marta Rodriguez holds immense potential to elevate the quality of care and expedite her recovery journey. Firstly, it facilitates seamless care coordination among interdisciplinary team members by offering a unified view of Marta’s condition and progress (Brooks et al., 2020). Real-time access to data on medication adherence, vital signs, and symptoms empowers the team to collaboratively devise personalized care plans, thus minimizing risks of complications or readmissions.

Furthermore, data reporting aids in fine-tuning care management strategies by pinpointing areas necessitating additional support or intervention. By analyzing data on pain levels, mobility, and nutritional status, the team can proactively address emerging issues, thereby optimizing Marta’s path to recovery. Additionally, data reporting serves as a catalyst for interprofessional innovation by providing insights into Marta’s preferences and cultural background, fostering tailored care delivery (Leslie & Paradis, 2018). This patient-centric approach fosters trust and rapport between Marta and her care team, ultimately enhancing health outcomes.

To uphold data integrity, stringent validation protocols and regular audits must be implemented. Ensuring data accuracy, completeness, and timeliness empowers the team to make well-informed clinical decisions confidently. Moreover, aligning data reporting practices with evidence-based guidelines guarantees that interventions are rooted in best practices, thus elevating the overall quality of care provided to Marta.

Client Records Influencing Health Outcomes

Client records play a pivotal role in influencing health outcomes by providing valuable data that guides patient care decisions. Marta Rodriguez’s case exemplifies how health information technology (HIT) can be utilized by healthcare teams to gather, analyze, and disseminate client record data, thereby enhancing patient care and results. Let’s explore how insights derived from patient records positively impact health outcomes and how interdisciplinary teams can synchronize their efforts through collaborative HIT utilization.

HIT facilitates the collection and analysis of patient record data by interdisciplinary teams, enabling the identification of trends, patterns, and care gaps (Leslie & Paradis, 2018). For instance, Marta’s records offer insights into her medical history, medication regimen, and current health status, empowering the team to devise a customized care plan tailored to her specific needs. Moreover, HIT aids in the early detection of potential risks like adverse drug reactions or post-surgery complications, allowing for prompt interventions to prevent unfavorable health outcomes.

Additionally, HIT fosters seamless care coordination among interdisciplinary team members. By sharing information extracted from client records, team collaboration in patient care management is significantly enhanced. HIT tools such as Electronic Health Records (EHRs) and secure messaging platforms facilitate real-time communication among team members, ensuring everyone remains updated on the latest patient information. This reduces the risk of errors and miscommunications, ultimately contributing to improved health outcomes for the patient.

To effectively synthesize their findings, interdisciplinary team members must engage in cohesive collaboration to develop a unified understanding of the patient’s care requirements. This necessitates transparent communication, shared objectives, and a collective commitment to achieving common goals (Rawlinson et al., 2021). HIT tools serve as facilitators of this collaborative approach by providing a centralized platform for data access and exchange among team members. This ensures that all members possess a comprehensive view of the patient’s care needs, enabling them to deliver holistic care addressing all aspects of the patient’s health.

Conclusion

In conclusion, Marta Rodriguez’s discharge care plan requires a holistic, patient-centered approach supported by health information technology (HIT). The interdisciplinary team must leverage HIT elements such as electronic health records (EHRs), telehealth technology, and secure messaging platforms to facilitate seamless communication, data sharing, and care coordination. Effective data reporting is crucial in shaping care management, clinical efficiency, and interprofessional innovation, ensuring that Marta receives personalized, evidence-based care. By harnessing client records and maximizing the potential of HIT tools, interdisciplinary teams can optimize health outcomes and promote Marta’s successful transition from the hospital to her home environment.

References

Brooks, R. G., Steele, S. R., & Wiersma, M. L. (2020). Data reporting: Essential to health care value and quality. Journal of the American College of Surgeons, 231(4), 485–490.

Chowdhury, M. R., Rahman, T., & Khandakar, A. (2020). A review of the state-of-the-art telehealth systems enabling remote monitoring of vital signs—Current status and future challenges. IEEE Reviews in Biomedical Engineering, 13, 107–124.

Flickinger, T. E., Surian, D., Uezono, Y., Kay, A., Amato, M. S., & Bokarius, A. (2022). Longitudinal implementation outcomes and clinical benefits of a secure messaging platform in a large integrated health system. Journal of Medical Internet Research, 24(1), e32123.

Leslie, M., & Paradis, E. (2018). Grooving to the same beat: Healthcare team interactions and adaptive rhythm. Medical Education, 52(6), 590–600.

Oksholm, T., Sandvik, M., & Wangensteen, S. (2023). Factors influencing unplanned readmissions: A qualitative study of hospitalized patients’ experiences. BMC Health Services Research, 23(1), 31.

Rawlinson, F., Morrison, Z., Dhaliwal, N., & Kalra, D. (2021). Self-assessment in health professional education: A meta-synthesis of qualitative research. Medical Teacher, 43(1), 93–103.

Schwab, P., Wilcox, A., Bair, A., Watson, J., Reid, M. W., & Coffey, C. (2021). Creating real-time enhanced patient information displays in the electronic health record: A case study. JAMIA Open, 4(3), ooab072.

Detailed Assessment Instructions for the NURS FPX 6612 Patient Discharge Care Planning Paper Assignment

Description

Assessment 3 Instructions: Patient Discharge Care Planning Paper Assignment

PRINT

  • Patient Discharge Care Planning
    • Prepare a written analysis of key issues, 6–7 pages in length, applicable to the development of an effective patient discharge care plan.
      The Institute of Medicine’s 2000 report To Err Is Human: Building a Safer Health System identified health information technology (HIT) as one avenue to explore to reduce avoidable medical errors. As a result of the IOM report and suggestions for patient advocacy groups, health care organizations are encouraged to act by utilizing HIT to improve patient quality and safety.

SHOW LESS

    • Health care organizations determine outcomes by how patient information is collected, analyzed, and presented, and nurse leaders are taking the lead in using HIT to bridge the gaps in care coordination. This assessment provides an opportunity for you to analyze the effects of HIT support, data reporting, and EHR data collection on effective care planning.
      By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
    • Competency 1: Apply care coordination models to improve the patient experience, promote population health, and reduce costs. 
      • Explain how HIT can be used to provide a longitudinal, patient-centered care plan across the continuum of care.
    • Competency 2: Explain the relationship between care coordination and evidence-based data. 
      • Describe ways in which data reporting specific to client behaviors can shape care coordination, care management, clinical efficiency, and interprofessional idea development.
    • Competency 3: Use health information technology to guide care coordination and organizational practice. 
      • Explain how information collected from client records can be used to positively influence health outcomes.
    • Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. 
      • Write clearly and concisely, using correct grammar and mechanics.
      • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
    • Reference
      Institute of Medicine. (2000). To err is human: Building a safer health system. Washington, DC: National Academies Press.
      Competency Map
      CHECK YOUR PROGRESS
    • Use this online tool to track your performance and progress through your course.
  • Toggle DrawerResourcesHealth Informatics

Research Resources

You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN-FP6612: Emerging Health Care Models and Care Coordination Library Guide can help direct your research. The Supplemental Resources and Research Resources, both linked from the navigation menu in your courseroom, provide additional resources to help support you.
As you review these resources, you may want to consider the following questions:

    • How are nurse leaders taking the lead in using HIT to bridge the gaps in care coordination?
    • Why is the consistent use of common HIT terminology important?
    • What is the impact of data reporting in determining health outcomes, the effectiveness of health education, and the ability to predict client behaviors?
  • Assessment Instructions
  • Preparation
    Marta Rodriguez, a student, recently moved from New Mexico to Nevada to live with her aunt and uncle and was enrolled as a freshman in college. While attending her first semester, Marta was involved in a hit-and-run car accident. She was transported to the nearest shock trauma center where she spent the next four weeks undergoing multiple surgeries and antibiotic treatment for a systemic infection. Spanish is Marta’s first language and English is her second. Marta has a student health insurance plan.
    You are the senior care coordinator overseeing Marta’s care. You will be presenting her case to the interdisciplinary team members who are caring for Marta at an upcoming meeting to consider key aspects of a successful and safe discharge care plan for her. You are expected to lead the discussion, focusing on the role of informatics in effective discharge care planning, and have decided to prepare an analysis of key issues for team members to consider, which you will distribute to the attendees for review prior to the meeting.

Note:

  • Remember that you can submit all or a portion of your draft to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
    Requirements
    Analyze key issues for consideration at the discharge planning meeting. Determine the effects of HIT support, data reporting, and EHR data collection on effective care planning.
    Use the following template for your written analysis:

    • APA Style Paper Template [DOCX].
    • Analyzing Key Issues
      The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your analysis addresses each point, at a minimum. You may also want to read the Patient Discharge Care Planning Scoring Guide to better understand how each criterion will be assessed.
    • Explain how the interprofessional team will use HIT to provide a longitudinal, patient-centered care plan across the continuum of care that supports Marta in the discharge planning process.
      • What HIT elements will the team members use and why?
      • How can the interprofessional team members utilize the HIT elements to prevent a readmission of this patient 48 hours after being discharged?
      • How will the use of these elements support the coordination of care for this patient?
    • Describe at least three ways in which data reporting specific to client behaviors can shape care coordination, care management, clinical efficiency, and interprofessional innovation in care.
      • How would you evaluate the quality of the data?
    • Explain how information collected from client records can be used to positively influence health outcomes.
      • How will the interprofessional team members coordinate their individual findings in the collaborative use of HIT?
    • Write clearly and concisely, using correct grammar and mechanics.
      • Express your main points and conclusions coherently.
      • Proofread your writing to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your analysis.
    • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
      • Is your supporting evidence clear and explicit?
      • How or why does particular evidence support a claim?
      • Will your audience see the connection?
    • Additional Requirements
      Written Analysis Format and Length
      Format your written analysis using APA style:
    • Use theAPA Style Paper Template [DOCX]provided. Be sure to include:
      • A title page and references page. An abstract is not required.
      • A running head on all pages.
      • Appropriate section headings.
    • See also theAPA Style Paper Tutorial [DOCX]to help you in writing and formatting your analysis.
    • Your analysis should be 6–7 pages in length,not includingthe title page and references page.
    • Supporting Evidence
    • Cite at least eight sources of credible scholarly or professional evidence to support your analysis.
    • Apply APA formatting to all in-text citations and references.
    • Portfolio Prompt: You may choose to save your analysis to your ePortfolio.

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