NURS 4050 Assessment 3: Care Coordination Presentation to Colleagues
Capella University Assessment 3: Care Coordination Presentation to Colleagues-Step-By-Step Guide
This guide will demonstrate how to complete the Capella University Assessment 3: Care Coordination Presentation to Colleagues assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for Assessment 3: Care Coordination Presentation to Colleagues
Whether one passes or fails an academic assignment such as the Capella University Assessment 3: Care Coordination Presentation to Colleagues depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for Assessment 3: Care Coordination Presentation to Colleagues
The introduction for the Capella University Assessment 3: Care Coordination Presentation to Colleagues is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for Assessment 3: Care Coordination Presentation to Colleagues
After the introduction, move into the main part of the Assessment 3: Care Coordination Presentation to Colleagues assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for Assessment 3: Care Coordination Presentation to Colleagues
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for Assessment 3: Care Coordination Presentation to Colleagues
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Assessment 3: Care Coordination Presentation to Colleagues
Care coordination is a practical approach to bringing together healthcare professionals to meet patients’ needs. The care coordination process ensures that patients receive integrated, patient-centered care across various settings (WHO, 2018). In this presentation, I will discuss the fundamental principles of care coordination, including strategies for collaboration, the impact of health policy provisions and the nurse’s role in the coordination and continuum of care.
Strategies for Collaborating with Patients and Their Families
Having patient-centered, goal-oriented planning of care that allows patients, families and informal caregivers to be fully engaged in the assessment and decision-making about care is a major factor for successful care coordination. Care coordinators can engage patients and their caregivers and families in holistic, preventative planning of care to enable them to manage their disease, create social connections and increases their understanding and adherence to treatment (WHO, 2018). They can provide health education on medication adherence and persistence, which are crucial in managing chronic illnesses (Costa et al., 2015). For instance, care coordinators can educate patients to promote medication adherence by explaining how to take medication and discuss any issues in taking medication (Costa et al., 2015). They can also discuss with patients their knowledge and beliefs about their health and treatment.
Care coordinators can also collaborate with patients and families by providing culturally competent health education, enhancing their skills and confidence in enablement, to improve patient motivation, self-management and health-related behavior (WHO, 2018). Besides, the coordinator can coach and direct patients and their families to community resources to improve and expand case management (Costa et al., 2015). The coordinator can also collaborate by ensuring that care delivery and support is provided in the patient’s social environment to meet the desired needs.
Aspects of Change Management That Directly Affect Elements of the Patient Experience Essential to the Provision of High-Quality, Patient-Centered Care
Change management refers to a planned approach to transition individuals or organizations from the current state to a desired future state. According to Berkowitz (2016), aspects of change management that directly affect patient experience elements include those that impact the quality of patient care, safety, or healthcare costs. Patients’ experience and satisfaction are correlated with the quality of health service and their relationship with multiple providers, pain, the environment, recovery, and cultural influences (Berkowitz, 2016). Besides, patient care quality impacts patients’ safety perceptions, which influences patient satisfaction.
Research on patient safety perceptions in impacting patient satisfaction revealed that precautions on safety mediated the connection between the quality of care and satisfaction. For instance, changes in the use of healthcare technology, a positive work environment, and care coordination can result in improved patient experiences and increased satisfaction (Berkowitz, 2016). Furthermore, change initiatives on costs within a clinical setting can affect patient experience and quality of care if, for instance, cost-cutting initiatives reduced nurse to patient ratios, which adversely affects patient-centered care.
The Rationale for Coordinated Care Plans Based On Ethical Decision Making.
A coordinated care plan (CCP) refers to a communication tool for patients, their families, caregivers, and providers. CCPs are used to make coordinated, collaborative approaches more efficient in meeting patients’ goals and fostering holistic care across programs (Swan, Haas & Jessie, 2019). The care coordinator developing the CCP is expected to ethical principles, including promoting good, preventing harm, autonomy, privacy, and health care consent (Tønnessen et al., 2017). To uphold ethics of beneficence and nonmaleficence, the CCP aims to improve quality of healthcare, quality of life, patient satisfaction, and healthcare system efficiency for persons with complex, chronic illnesses problems across multiple providers and services.
Patients and their families should be involved in developing the CCP to allow them to determine their course of action and uphold to obtain informed consent (Tønnessen et al., 2017). Furthermore, when preparing a CCP, the care coordinator must consider deontological and teleological ethics. Deontological ethics will evaluate the CCP based on the care manager’s intention, while teleological ethics will evaluate the CCP based on its outcomes.
Potential Impact of Specific Health Care Policy Provisions on Outcomes and Patient Experiences
Health policies, directly and indirectly, affect health outcomes and patient experiences with the healthcare system. The Affordable Care Act (ACA) seeks to increase Americans’ access to health insurance and improve the quality and types of services covered by health insurance plans (Kominski, Nonzee & Sorensen, 2017). The ACA contains care coordination provisions under Medicare and Medicaid that seek to improve care coordination and transitional care for beneficiaries. Medicare has a Community-Based Care Transitions Program (CCTP), which assesses models for enhancing care transitions from the hospital to other health care settings. CCTP aims to reduce readmissions for high-risk Medicare beneficiaries and save Medicare costs (Kominski et al., 2017). The ACA provisions have a potential positive impact as they increase access to preventive health services and insurance benefits and improve patient satisfaction with health insurance and health services.
The ACA also instituted a hospital reward system that focuses on quality of care and upholding of high levels of patient satisfaction (Kominski et al., 2017). The reward system obliges health facilities to improve the quality of their patient care or risk losing Medicare money, which, in return, improves patients’ outcomes and experiences. Medicaid has a provision for Health Homes for Chronic Conditions that coordinate care for patients with multiple chronic conditions or severe mental disorders (Kominski et al., 2017). The Medicaid Health Home provision has the potential of improving health outcomes and quality of life for patients with comorbidities and mental illness.
Nurses Vital Role in the Coordination and Continuum of Care
Care coordination is one element of professional practice in which nurses constantly influence patient care at every step of the process. In care coordination, the nurse assumes patient navigators, communicators, educators, and case managers (Swan et al., 2019). As a patient navigator, the nurse endeavors to eliminate a patient’s barriers to health care by identifying essential resources for clients, assisting them in navigating through health care systems, and promoting patients’ health. The communicator role entails conveying patients’ information to members of the healthcare team and communicating with patients and their families about their care plan (Salmond & Echevarria, 2017). As an educator, the nurse provides health education and promotion to patients, caregivers, and families to empower them to motivate patients to take responsibility for their health.
The nurse’s roles as a case manager include creating care plans, communicating with families and providers, and advocating for patients and their families. The nurse must ensure that patients receive integrated, person-centered care across various health settings (Salmond & Echevarria, 2017). The nurse is integral to care quality, patient satisfaction and efficient use of health care resources (Swan et al., 2019). Furthermore, nurses have a role in coordinating the patient experience, focusing on cost efficiencies and improved care outcomes for diverse patient groups.
References
Berkowitz, B. (2016). The patient experience and patient satisfaction: measurement of a complex dynamic. Online J Issues Nurs, 21(1). https://doi.org/10.3912/OJIN.Vol21No01Man01
Costa, E., Giardini, A., Savin, M., Menditto, E., Lehane, E., Laosa, O., Pecorelli, S., Monaco, A., & Marengoni, A. (2015). Interventional tools to improve medication adherence: review of the literature. Patient preference and adherence, 9, 1303–1314. https://doi.org/10.2147/PPA.S87551
Kominski, G. F., Nonzee, N. J., & Sorensen, A. (2017). The Affordable Care Act’s Impacts on Access to Insurance and Health Care for Low-Income Populations. Annual review of public health, 38, 489–505. https://doi.org/10.1146/annurev-publhealth-031816-044555
Salmond, S. W., & Echevarria, M. (2017). Healthcare Transformation and Changing Roles for Nursing. Orthopaedic Nursing, 36(1), 12–25. https://doi.org/10.1097/NOR.0000000000000308
Swan, B. A., Haas, S., & Jessie, A. T. (2019). Care coordination: roles of registered nurses across the care continuum. Nursing Economics, 37(6), 317-323.
Tønnessen, S., Ursin, G., & Brinchmann, B. S. (2017). Care-managers’ professional choices: ethical dilemmas and conflicting expectations. BMC health services research, 17(1), 630. https://doi.org/10.1186/s12913-017-2578-4
World Health Organization. (, 2018). Continuity and coordination of care: a practice brief to support implementing the WHO Framework on integrated people-centered health services.
Care Coordination
Nurses play a critical role in the provision of care that meets the needs of their diverse patient populations. The ability of the nurses to provide care that meets the needs of their diverse populations depends largely on the adoption of patient-centered interventions. Patient-centered interventions such as shared-decision making, patient involvement in decision-making and prioritization of the values and preferences of the patients contribute to excellence in health care. Care coordination is another aspect that enables nurses to provide care that addresses the actual and perceived needs of their patients. Through care coordination, nurses provide continuous, patient-centered care that extends beyond the clinical settings. Therefore, this presentation explores the various aspects related to care coordination and its influence on patient experiences. The presentation examines effective strategies for collaboration with patients and their families, aspects of change management that affect patient experiences, role of care coordinated plans, implications of ethical approach to care, and implications of specific health care policy provisions on outcomes of patient experiences.
You will find important health information regarding minority groups by exploring the following Centers for Disease Control and Prevention (CDC) links:
- Minority Health: http://www.cdc.gov/minorityhealt/index.html
- Racial and Ethnic Minority Populations: http://www.cdc.gov/minorityhealt/populations/remp.html
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Effective Strategies for Collaborating with Patients and their Families
Collaboration in patient care is critical, as it contributes to the realization of patient outcomes. Nurse practitioners and nurses can embrace a number of strategies to achieve their desired collaboration with patients and their families. One of the collaboration strategies is shared decision-making. Shared decision-making entails involving patients in making critical decisions that affect their health. Shared decision-making takes into consideration the values and preferences of the patients in the care provision process. Shared decision-making promotes the realization of care outcomes such as safety, efficiency, quality and patient satisfaction with care (Menear et al., 2020). The other strategy that nurses can use to achieve their desired goals of effective collaboration with patients and families is patient education. Nurses should educate patients on the effective ways in which their health needs can be achieved. Patient education empowers patients and their families to take a proactive role in the management of their health. It also raises their level of awareness on issues that affect their health. Patient education has also been shown to increase treatment adherence and satisfaction of patients with the care that they receive. The last strategy that nurses can use to foster collaboration between them, their patients and families is open communication. Open communication in the provision of care is important in building trust between patients and healthcare providers. Nurses should encourage patients and significant others to express their issues and concerns related to care. Openness in communication strengthens the realization of care outcomes such as informed decision-making and patient empowerment (Goodridge et al., 2018). Therefore, nurses should explore the use of the above interventions to achieve their desired outcomes of patient collaboration.
Aspects of Change Management that Affect Elements of Patient Experiences
Change management is important in health organizations, as it promotes the provision of high quality, safe and efficient care. A number of aspects of change management have a direct effect on the elements of patient experience and determinants of the ability of caregivers to provide high-quality patient-centered care. One of the aspects is active stakeholder engagement. The successful implementation of change in health organizations depends largely on the level of engagement among the adopters of the change. The implementers/adopters of the change should play an active role in change initiatives such as implementation and evaluation. Active stakeholder engagement ensures that they own the change, thereby, its successful implementation (Katzenbach et al., 2019). Active engagement also ensures that the stakeholders have adept understanding of the indicators that influence patient experiences and ways of ensuring that the needs of patients are met efficiently.
The other aspect of change that affects the element of patient experience is stakeholder empowerment through the provision of training opportunities. The successful implementation of change initiatives in health depends on the level of knowledge and skills of the adopters of the change. The adopters of the change must be trained to not only increase their level of awareness about the change but also minimize the risk of resistance to change from them. Training also impacts patient experiences since healthcare providers can implement quality interventions related to the change that underpin safety, quality and efficiency in patient care (Johnson & Davey, 2019). The last aspect of change that affects elements of patient experiences is facilitation of change through mentorship, coaching and continuous monitoring. The implementation of change requires that the adopters receive adequate support in the forms of coaching and mentorship to ensure that they have the required knowledge and skills in the provision of care to patients (Halkias et al., 2017). The adopters of change can utilize similar approaches in improving patient experience through the fostering of effective care coordination approaches such a close monitoring and follow-up to achieve optimum goals of care.
Rationale for Coordinated Care Plans Based on Ethical Decision-Making
Care coordinated care plans have been identified as the hallmark of patient-centered care in health. Care coordinated plans based on ethical decision-making are important in nursing and healthcare in general due to a number of reasons. Firstly, care coordinated plans based on ethical decision making contributes to enhanced patient experiences. Patients receive continuous, patient-centered care that addresses their actual or perceived needs. Through this focus, health organizations provide care that promotes patient satisfaction and empowerment with care (Wheat et al., 2018). Care coordinated care plans based on ethical decision making also promotes cost-efficiency in health. Care coordination empowers patients to take responsibility for their health needs. There is also the utilization of care from different healthcare professionals with the aim of optimizing the outcomes of treatment. The benefit of this approach is that patients spend less due to unnecessary hospital visits and expenditures, hence, cost-efficiency in healthcare. Care coordination based on ethical decision making also promotes quality and safety in healthcare. Inter-professional teams work together in developing the best treatment plans for the patients. The development of care plans also considers the unique care needs, values and preferences of the patients (Towfighi et al., 2017). As a result, the quality-related goals of care are achieved.
Potential Impact of Policy Provisions on Outcomes and Patient Experiences
Healthcare policies have a significant impact on the outcomes of care as well as patient experiences. Healthcare policies such as the Affordable Care Act (ACA) and Health Insurance Portability and Accountability Act (HIPAA) have considerable implications for patient care and patient experiences. Accordingly, healthcare organizations and providers must abide by the regulations of HIPAA in providing coordinated care. Health organizations embrace interventions such as ensuring confidentiality and privacy of the data of their patients. In addition, health organizations perform regular security audits to determine the integrity of their systems in promoting safety of the patient data (Wenzl, 2018). The adoption of the ACA also has implications to healthcare. Accordingly, ACA expanded the access of the population to health insurance coverage in the United States. The implication of this policy is that the population of patients who can benefit from care coordination has increased significantly. Barriers to healthcare such as cost have also been eliminated increasing the quality of care that the population accesses (Schmittdiel et al., 2017). Therefore, the policy provisions such as those of ACA and HIPAA improve the care outcomes and patient experiences with the healthcare systems.
Nurses Role in Care Coordination and Continuum of Care
Nurses have a vital role to play in care coordination and continuum of care. Firstly, nurses act as advocates of their patients. Nurses ensure that the care that patients receive through the care coordinated programs respects their rights and needs. Nurses also ensure that the care promotes safety, quality and efficiency. Nurses also act as source of health education information for their patients in care coordination and continuum of care. Nurses educate their patient about the effective interventions that they can use to achieve their health outcomes. They also guide their patients in embracing lifestyle and behavioral interventions that will contribute to the promotion of their health (Donelan et al., 2019). Nurses also explore and link patients to the available resources in the community that are essential for the realization of their care needs. For example, nurses link patients with the existing social support groups and programs to ensure that the patients receive the social, psychological and emotional support that they need for the effective management of their health problems. Lastly, nurses perform assessment, planning, implementation, monitoring, and evaluation of the care plans developed for the patients in the care coordination program (Swan et al., 2019). The diverse roles enable nurses to ensure that evidence-based care is given to optimize on the outcomes of treatment.
Conclusion
In summary, care coordination and continuum of care contribute to the optimization of care outcomes. Effective collaboration between patients, nurses and their families is important in facilitating safety, quality and efficiency in healthcare. Nurses and healthcare providers should explore ways in which aspects of change management may be incorporated into healthcare practices that improve patient experiences. In doing this, nurses should take into consideration the provisions of various policies in healthcare that influence care coordination and continuum of care.
References
Donelan, K., Chang, Y., Berrett-Abebe, J., Spetz, J., Auerbach, D. I., Norman, L., & Buerhaus, P. I. (2019). Care Management For Older Adults: The Roles Of Nurses, Social Workers, And Physicians. Health Affairs, 38(6), 941–949. https://doi.org/10.1377/hlthaff.2019.00030
Goodridge, D., Henry, C., Watson, E., McDonald, M., New, L., Harrison, E. L., Scharf, M., Penz, E., Campbell, S., & Rotter, T. (2018). Structured approaches to promote patient and family engagement in treatment in acute care hospital settings: Protocol for a systematic scoping review. Systematic Reviews, 7. https://doi.org/10.1186/s13643-018-0694-9
Halkias, D., Santora, J. C., Harkiolakis, N., & Thurman, P. W. (2017). Leadership and Change Management: A Cross-Cultural Perspective. Taylor & Francis.
Johnson, J. A., & Davey, K. S. (2019). Essentials of Managing Public Health Organizations. Jones & Bartlett Learning.
Katzenbach, J., Thomas, J., & Anderson, G. (2019). The Critical Few: Energize Your Company’s Culture by Choosing What Really Matters. Berrett-Koehler Publishers.
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, 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
Schmittdiel, J. A., Barrow, J. C., Wiley, D., Ma, L., Sam, D., Chau, C. V., & Shetterly, S. M. (2017). Improvements in Access and Care through the Affordable Care Act. The American Journal of Managed Care, 23(3), e95–e97.
Swan, B. A., Haas, S., & Jessie, A. T. (2019). Care Coordination: Roles of Registered Nurses Across the Care Continuum. Nursing Economic, 37(6), 7.
Towfighi, A., Cheng, E. M., Ayala-Rivera, M., McCreath, H., Sanossian, N., Dutta, T., Mehta, B., Bryg, R., Rao, N., Song, S., Razmara, A., Ramirez, M., Sivers-Teixeira, T., Tran, J., Mojarro-Huang, E., Montoya, A., Corrales, M., Martinez, B., Willis, P., … Vickrey, B. G. (2017). Randomized controlled trial of a coordinated care intervention to improve risk factor control after stroke or transient ischemic attack in the safety net: Secondary stroke prevention by Uniting Community and Chronic care model teams Early to End Disparities (SUCCEED). BMC Neurology, 17(1), 24. https://doi.org/10.1186/s12883-017-0792-7
Wenzl, R. (2018). HIPAA Compliant Patient-Provider Communication: Student-Clinician Perceptions. 36.
Wheat, H., Horrell, J., Valderas, J. M., Close, J., Fosh, B., & Lloyd, H. (2018). Can practitioners use patient reported measures to enhance person centred coordinated care in practice? A qualitative study. Health and Quality of Life Outcomes, 16(1), 223. https://doi.org/10.1186/s12955-018-1045-1