Assignment; Care Coordination Presentation to Colleagues Essay

Assignment; Care Coordination Presentation to Colleagues Essay

Assignment; Care Coordination Presentation to Colleagues Essay

Care Coordination Presentation to Colleagues Sample Essay

The provision of healthcare to patients has become more complex because of different issues like a strain on resources, increased and complicated care demands, and reforms based on new laws and frameworks developed by the government at the state and federal levels. The aging population, a rising prevalence of chronic diseases among individuals, especially comorbidities, and the use of technology all indicate the need for better coordination of healthcare services. As critical components of the care continuum process, nurses are at the center of care coordination since they offer a critical link between patients, the hospital system, and other providers (Sturgiss et al., 2019). Nurses are the face of healthcare provision for millions of patients and health populations. The purpose of this presentation is to discuss the importance of care coordination, strategies to attain collaboration with patients and their families, and to illustrate aspects of change management. In the final part, the presentation will focus on healthcare policies and their effects on coordinated care as well as provide a rationale for ensuring effective coordination based on an ethical decision-making framework.

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Definition and Overview of Care Coordination

The Agency for Healthcare Research and Quality (AHRQ) care coordination is a deliberate process that entails organizing patient care efforts and sharing information among the different providers involved in patient treatment. The primary goal of care coordination is to develop a common goal and strategy to implement evidence-based practice (EBP) interventions to attain safe and effective care (Chen et al., 2019). Through a coordinated care plan, providers identify and focus on patients’ needs and preferences earlier and communicate to the right parties at the most appropriate time.

Care coordination ensures that nurses prioritize patient needs by working as a team and having sufficient information. Seamless transitions among medical professionals lead to increased efficiency in the planning of care and activities to attain the safe provision of services. Nurses charged with patient care undertake several activities which should be streamlined to ensure synchronization to meet certain criteria and achieve specific goals (Hannigan et al., 2019). The elements of care coordination include access to medical services and providers, effective communication, patient’s overall health, and teamwork.

Effective Patient and Family Collaborative Strategies

The definition of care coordination by AHRQ means that providers and organizations can only attain coordinated care when they collaborate with all stakeholders, from patients and their families and other players like government regulatory agencies. Coordination implies that nurses collaborate with patients and their families based on better strategies or approaches. Collaboration leads to the adoption of patient-centered care and the fulfillment of some of their unique needs and preferences. The implication is that effective coordination can only happen when nurses and other providers charged with care use certain strategies to collaborate. The first strategy is the inclusion of patients and their families in the care plan. Patients must have input in their care. By integrating their decisions and addressing any concerns, nurses promote a collaborative spirit that develops a nurse-patient relationship. Their inclusion leads to transparency, and effective communication that enhances accurate diagnosis and better levels of trust and confidence in their recommended intervention.

Secondly, having the effective and proper communication is an important collaboration strategy for nurses and patients as well as their inter-professional teams. Nurses need to communicate directly and clearly with patients and their families. Communication allows nurses to educate patients and provide required information about their care. Patient education and self-management support improve communication and collaboration (Brooks et al., 2019). In promoting education, nurses should use simple language that patients understand. They must also consider any communication barriers and provide educational content in different forms friendly to patients like audio, visual, or written. Thirdly, collaboration improves due to self-management support for patients. Nurses should offer care and encouragement to patients and their families.

Cultural competence is an essential part of attaining collaboration between nurses and patients and their families. Nurses should understand their culture and that of their patients. Through cultural competence, nurses become sensitive to patient needs and preferences (Menear et al., 2020). Nurses attain better trust and rapport when they are not clouded by assumptions about their cultural practices and beliefs. Understanding a patient’s culture allows healthcare providers to have better interactions and rapport with the family and promote a sense of responsibility in the family towards the management of a patient’s condition and provision of home care based on a developed plan.

Change Management Aspects Affecting Elements of Patient Experience

Nurses are change agents who advocate changes in factors and environments that impact patients. Changes should focus on improving patient care and safety. The prioritization of health care quality across six different areas of efficiency, safety, patient-centeredness, effectiveness, timelines, and accessibility means that change is inevitable at different levels of care provision through better care coordination. The present healthcare environment implores healthcare professionals, including nurses, and organizations to adapt and change to align with the evolving patient and population needs, reforms, and medical complexities (Harrison et al., 2021). A core change aspect in healthcare today is improving patient safety which implores providers to devise strategies to assist organizations to adapt through continuous and lifelong learning and development. Therefore, nurses can attain change when they are incentivized with growth opportunities and share information on different aspects of care delivery to reduce and prevent medication errors and other adverse events like falls.

The next change aspect is the conglomeration of health organizations as they merge to create large medical and healthcare groups to expand care and meet reforms. The formation of large hospitals may affect patients as it means that they can bring services closer at affordable costs based on the different care plans that they present. These entities will also employ more advanced and specialty nurses to offer better care to patients with different conditions and help meet their needs (House et al., 2022). While mergers and acquisitions may rise uncertainties in certain areas of care provision, they still offer patients benefits because of the array of services that will emerge out of these establishments.

The other aspect of change is effective communication that allows healthcare providers to enhance their interactions with patients and promote better patient experience, minimize conflicts in care preferences, and creation of common goals through personalized care planning. Further, the use of change aspects attributed to change models like Kotter’s eight-step change process impacts the delivery of change in healthcare organizations (Strom‐Gottfried, 2019). The use of change coalitions means that change can only occur through teamwork. Coalitions and teamwork ensure that a proper flow of change information occurs to improve overall interactions between patients and providers and ensure that patients understand the goals of their treatment plans.

Rationale for Coordinated Care Plans Based on Ethical Decision Making

At the core of coordinated care is the collecting and sharing of patient health information (PHI). Under the Health Insurance Portability and Accountability Act (HIPAA) rules, the protected health information (PHI) rule mandates providers to ensure that patients’ information is not disclosed without their express consent and to authorized professionals. HIPAA focuses on improving interoperability among providers and organizations. However, its privacy rule poses ethical dilemmas for nurses who wish to enhance care provision. The implication is that nurses and other providers should not undermine the privacy and confidentiality of the patient. Deliberately compromising a patient’s privacy and confidentiality by sharing information with people not involved in the delivery of care is egregious and highly unethical (Ilkafah et al., 2021). Nurses should be guided by the professional code of ethics and conduct as prescribed by the American Nurses Association (ANA) which recognizes the criticality of privacy and confidentiality. The code asserts that nurses’ main commitment is to the patient, whether individuals, families, groups, communities, or populations. As such, all decisions in care coordination by nurses should be based on HIPAA provisions, especially sharing PHI and professional code of conduct by ANA. More fundamentally, nurses as care coordinators must make decisions based on the biomedical ethical principles that include autonomy, beneficence, non-maleficence, and just. Using an ethical approach to care enables care coordinators to explore all possibilities and their outcomes before making informed and evidence-based decisions with patients.

Impact of Healthcare Policy Provisions on Patient Experience

As care coordinators, nurses should understand policies developed at state and federal levels that impact patient care. These policies like the Affordable Care Act 2010 and Healthy People 2030 among others have significant effects on the care models and approaches that nurses can use to attain care coordination with diverse patients. Again, HIPAA is also a critical policy that impacts care coordination as discussed before, implying that providers cannot implement coordinated care without adhering to its provisions like protecting health information to enhance patient privacy and confidentiality (Strom‐Gottfried, 2019). Contravention of these requirements could lead to legal liability for providers because of violations of HIPAA. These include termination and punishment by respective entities and hamper efforts to attain better care for patients.

The ACA affects care coordination because of its reforms that have led to the expansion of health insurance for different groups, individuals, communities, and households. The implication is that nurses must develop better cultural competency levels to handle patients from diverse settings and offer them the best (Sturgiss et al., 2022). The ACA requires nurses to make ethical and sound decisions, and avoid fraud and other malpractices that can affect access to quality and affordable care for different patients based on their conditions. This means that nurses should offer ethically sound care to patients based on their needs and preferences.

Nurses’ Role in Care Coordination

Nurses play a critical role in the coordination and continuum of care because they are directly involved in the provision of patient care. Nurses identify patients’ care coordination needs and align them with existing resources and healthcare teams and expertise. Nurses also create different plans of care that allow physicians and other providers to offer patient-centered care based on patient preferences and needs (Brooks et al., 2019). Distinct plans for different care needs and a continuum of care are essential in effective care coordination for nurses and other providers.

Conclusion

Care coordination is a core part of providing patient-centered and evidence-based care for patients with diverse needs and preferences. Nurses as patient advocates and change agents work collaboratively with other providers in their organizations to deliver safe and quality care based on common goals to improve patient conditions. Again, coordinated care requires nurses to understand existing policies, consider ethical factors and professional code of conduct and develop better collaboration strategies between them and patients to enhance overall patient outcomes.

References

Agency for Healthcare Research and Quality (AHRQ) (2018). Care Coordination.

https://www.ahrq.gov/ncepcr/care/coordination.html

Brooks, L. A., Bloomer, M. J., & Manias, E. (2019). Culturally sensitive communication at the

end-of-life in the intensive care unit: A systematic review. Australian Critical Care, 32(6), 516-523. https://doi.org/10.1016/j.aucc.2018.07.003

Chen, J., DuGoff, E., Novak, P., & Wang, M. (2019). Variation of hospital-based adoption of

Care coordination services by community-level social determinants of health. Health Care Management Review, 45(4), 332-341. https://doi.org/10.1097/hmr.0000000000000232

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

Harrison, R., Fischer, S., Walpola, R. L., Chauhan, A., Babalola, T., Mears, S., & Le-Dao, H.

(2021). Where do models for change management, improvement, and implementation

meet? A systematic review of the applications of change management models in

healthcare. Journal of Healthcare Leadership, 13:85-108. DOI: 10.2147/JHL.S289176

House, S., Wilmoth, M., & Stucky, C. (2022). Relational coordination as a merger and

acquisition framework for healthcare organizations. Nursing Management, 53(2), 36-42. DOI: 10.1097/01.NUMA.0000816256.13974.1b.

Ilkafah, I., Mei Tyas, A., & Haryanto, J. (2021). Factors related to the implementation of nursing

care ethical principles in Indonesia. Journal of Public Health Research, 10(2). https://doi.org/10.4081/jphr.2021.2211

Menear, M., Dugas, M., Careau, E., Chouinard, M.-C., Dogba, M. J., Gagnon, M.-P., Gervais,

M., Gilbert, M., Houle, J., Kates, N., Knowles, S., Martin, N., Nease Jr., D. E., Zomahoun, H. T. V., & Légaré, F. (2020). Strategies for engaging patients and families in collaborative care programs for depression and anxiety disorders: A systematic review. Journal of Affective Disorders, 263, 528-539. https://doi.org/10.1016/j.jad.2019.11.008

Strom‐Gottfried, K. (2019). Ethics in health care. In S. Gehlert & T. Browne (Eds.), Handbook

            of health social work (3rd ed., pp. 39-70). John Wiley & Sons.

Sturgiss, E., Peart, A., Richard, L., Ball, L., Hunik, L., & Chai, T. et al. (2022). Who is at the

center of what? A scoping review of the conceptualization of ‘centredness’ in

healthcare. BMJ Open, 12(5), e059400. https://doi.org/10.1136/bmjopen-2021-059400

BUY A CUSTOM-PAPER HERE ON; Assignment; Care Coordination Presentation to Colleagues Essay

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

Introduction

Nurses have a powerful role in the coordination and continuum of care. All nurses must be cognizant of the care coordination process and how safety, ethics, policy, physiological, and cultural needs affect care and patient outcomes. As a nurse, care coordination is something that should always be considered. Nurses must be aware of factors that impact care coordination and of a continuum of care that utilizes community resources effectively and is part of an ethical framework that represents the professionalism of nurses. Understanding policy elements helps nurses coordinate care effectively.

This assessment provides an opportunity for you to educate your peers on the care coordination process. The assessment also requires you to address change management issues. You are encouraged to complete the Managing Change activity.

Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.

Preparation

Your nurse manager has been observing your effectiveness as a care coordinator and recognizes the importance of educating other staff nurses in care coordination. Consequently, she has asked you to develop a presentation for your colleagues on care coordination basics. By providing them with basic information about the care coordination process, you will assist them in taking on an expanded role in helping to manage the care coordination process and improve patient outcomes in your community care center.

To prepare for this assessment, identify key factors nurses must consider to effectively participate in the care coordination process.

You may also wish to:

• Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.
• Allow plenty of time to rehearse your presentation.

Recording Equipment Setup and Testing

Check that your recording equipment and software are working properly and that you know how to record and upload your presentation. You may use Kaltura (recommended) or similar software for your audio recording. A reference page is required. However, no PowerPoint presentation is required for this assessment.

• If using Kaltura, refer to the Using Kaltura tutorial for directions on recording and uploading your video 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.

Instructions

Complete the following:

• Develop a video presentation for nursing colleagues highlighting the fundamental principles of care coordination. Include community resources, ethical issues, and policy issues that affect the coordination of care. To prepare, develop a detailed narrative script. The script will be submitted along with the video.

Note: You are not required to deliver your presentation.

Presentation Format and Length

Create a detailed narrative script for your video presentation, approximately 4–5 pages in length. Include a reference list at the end of the script.

Supporting Evidence

Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your video. Include your source citations on a references page appended to your narrative script. Explore the resources about effective presentations as you prepare your assessment.

Grading Requirements

The requirements outlined below correspond to the grading criteria in the Care Coordination Presentation to Colleagues Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

• Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.
  • Provide, for example, drug-specific educational interventions, cultural competence strategies.
  • Include evidence that you have to support your selected strategies.
• Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.
• Explain the rationale for coordinated care plans based on ethical decision making.
  • Consider the reasonable implications and consequences of an ethical approach to care and any underlying assumptions that may influence decision making.
• Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.
  • What are the logical implications and consequences of relevant policy provisions?
  • What evidence do you have to support your conclusions?
• Raise awareness of the nurse’s vital role in the coordination and continuum of care in a video-recorded presentation.
  • Fine tune the presentation to your audience.
  • Stay focused on key issues of import with respect to the effects of resources, ethics, and policy on the provision of high-quality, patient-centered care.
  • Adhere to presentation best practices.

Additional Requirements

Submit both your presentation video and script. The script should include a reference page. See Using Kaltura for more information about uploading multimedia files. You may submit the assessment only once, so be sure that both assessment deliverables are included.

Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.

Competencies Measured

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

• Competency 2: Collaborate with patients and family to achieve desired outcomes.
  • Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.
• Competency 3: Create a satisfying patient experience.
  • Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.
• Competency 4: Defend decisions based on the code of ethics for nursing.
  • Explain the rationale for coordinated care plans based on ethical decision making.
• Competency 5: Explain how health care policies affect patient-centered care.
  • Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.
• Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
  • Raise awareness of the nurse’s vital role in the coordination and continuum of care in a video-recorded presentation.

• Scoring Guide

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

View Scoring Guide