Phillip January 9, 2024 No Comments

Capella 4050 Assessment 3

Capella 4050 Assessment 3: Care Coordination Presentation to Colleagues

Name

Capella university

NURS FPX 4050 Coordinating Patient-Centered Care

Prof. Name

Date

Introduction

Hello everyone, my name is ….. and today I am going to present a care coordination presentation for my colleagues. This presentation aims to enhance your knowledge about the coordination of care by discussing basic information about it. This will enable you all to take on an expanded role in the management of the care coordination process. Ultimately, this will improve patient outcomes in our community care center. 

Collaborative Strategies with Patients & their Families

First, I will discuss some essential strategies to ameliorate collaboration with patients and related family members in community care centers. As patient participation in care treatment is needed and ethically required to deliver ethically and legally correct care treatment, it is imperative to implement strategies that foster a collaborative relationship among healthcare professionals and patients along with their families. One such strategy that can improve collaboration between patients and their families is shared decision-making by including patients and related family members in the selecting procedure focusing on patients’ care planning.

This may involve an exchange of information about the available care treatment options, prioritizing them on their risk-to-benefit ratio, and carefully listening to patients’ perspectives, preferences, and health needs. Finally, deciding a care treatment plan aligned with patients’ preferences and best suited to their health needs (Davidson et al., 2022). For example, drug-specific interventions can be implemented through shared-decision making by asking patient’s preferred dosage form so that can increase medication adherence and compliance to prescribed medication. Another strategy that targets culturally sensitive patients and their families is implementing culturally competent care.

Culturally competent care is the ability of healthcare professionals to deliver care treatments in such a way that patients’ cultural beliefs and values are not disrespected. For this purpose, healthcare professionals must be educated on respecting patients’ cultural beliefs and practices by learning about patients’ cultural beliefs, norms, and practices. Moreover, healthcare professionals should show respect for diverse cultures and learn from patients about their cultural backgrounds (Stubbe, 2020). These evidence-based collaborative strategies to improve patient and family collaboration are effective tools to enhance care coordination through collaboration.

Change Management Affecting the Patient Experience

   In every community-based healthcare organization, change management is mandatory to cater to the needs of patients, minimize errors associated with care treatment provision, and continuously improve healthcare performance that ultimately aims to improve the patient experience. Now, I will discuss some aspects related to change management that impact elements of patient experience directly. These aspects can be practicing open and transparent communication, obtaining patient engagement, and empowering staff that are primary caretakers i.e. nurses. During change management, it is essential to keep open and transparent communication among interdisciplinary team members so that every aspect of patient care is considered while developing modifications and changes in management.

This will ensure that changes in management are procured considering patient-centered care which will ultimately enhance the patient’s experience (Ellis et al., 2023). Patients should be actively involved during change management as their active engagement will provide valuable feedback to policy and change makers in hospitals to enable patient-centered care through change management. Furthermore, involving patients as change-makers in change management initiatives fosters a relationship of collaboration with patients as well as empowers them as owners of decision-making for their health (Jacob et al., 2022). The last aspect I will be discussing is empowering staff in change management. Nurses as the primary caretakers of patients and the forefront health professionals caring for patients should be empowered to participate in change management.

Capella 4050 Assessment 3

Nurses get a better idea of patients’ conditions and health needs so they can provide valuable insights during change management (Harrison et al., 2021). Hence, these perspectives are relevant to change management affect patient experience directly. It is crucial to comprehend the differentiation between patient experience & patient satisfaction. One can define patient experience as the patient’s interactions by encountering the course of treatment and care in healthcare organization while patient satisfaction relates to the patient’s expectations for his or her care treatment encounter (Agency for Healthcare Research and Quality, 2022). Therefore, considering these aspects valued by patients as mentioned above as well as distinguishing between patient experience and patient satisfaction, healthcare organizations can bring changes in management that direct care coordination, patient-centered care & enhanced patient satisfaction.

Care Coordination Plans on the Basis of Ethical Decision Making

Now, I will discuss the reasoning for care coordination plans on the basis of ethical decision-making.  Furthermore, the care plans based on coordination also support other ethically correct principles of nursing care i.e. beneficence, non-maleficence, justice, and patient autonomy. The coordinated care plans when delivered with the aim of educating and supporting patient’s well-being with the best possible care integrate the principle of beneficence.

Patient-centered care through coordinated care provides care treatment to patients by implementing the non-maleficence principle of ethical decision-making as the sole purpose of this care treatment is the patient’s well-being and patient safety. Furthermore, coordinated care plans promote equitable delivery of care treatment through available resources. The coordinated care plans also promote patient autonomy by coordinating with the patient in decision-making for his care treatment plan which is ethically required to implement in care treatment delivery (Buhagiar et al., 2020).

The implications of implementing care based on ethical principles include delivery of patient-centered care, continuity of care, coordinated care, improved collaboration and communication due to shared decision-making, efficient resource allocation, and improved patient safety as high-quality care is provided. The underlying assumptions that guide decision-making can include that every patient is deserving of ethically and medically correct care treatment and the responsibility of health professionals to deliver high-quality care that is based on individual patient’s customized care requirements.

Health Care Policy Provisions & their Impact on Outcomes & Patient Experiences

Now, I am going to discuss particular healthcare policy regulations that affect patient outcomes and experiences. Health policies are developed with the aim of providing effective care treatment with equity and justice which affect patient outcomes and experiences. One of these health policies provision is the utilization of health information technologies (HIT) like Electronic Health Record (EHR) in healthcare systems to boost the effective sharing of health data among healthcare professionals. This health policy provision by HITECH Act has the potential to improve patient outcomes when the EHR-based data sharing will be performed and chances of errors in medication administration or associated errors in care provision are reduced.

This will ultimately enhance patient outcomes by providing required care treatment and medication improving the patient’s experience. In a study by Trout and colleagues (2022), the impact of the use of EHR was studied that showed improvement in patient safety by reducing risks and errors due to verbal communication and improved patient outcomes and experience at the hospital. 

Another health policy i.e. the Affordable Care Act (ACA) has ameliorated patient’s access to healthcare services by enhancing the health insurance of deserving patients and expanding health coverage through Medicaid and Medicare programs. This expansion by ACA further improved patients’ access to healthcare services which has improved health outcomes and patient outcomes (Ercia, 2021). These health policies with their specific policies have a positive impact on patient outcomes and patient experience.

Nurse’s Role in the Coordination and Continuum of Care

  Nurses have an immense role in the coordination and continuum of care by effectively collaborating & communicating with interdisciplinary team members by serving as a bridge between patients and healthcare professionals such as primary care physicians, pharmacists, and relevant members in providing care treatment. Furthermore, they can contribute to care coordination and continuum by participating in creating care plans tailored to patients’ needs and continuously evaluating their effectiveness (Okada et al., 2022). Additionally, nurses play their role in coordinated care provision by advocating the voices of their patients to hospital authorities to initiate change management directed to patients’ needs.

They also act as educators and supporters to patients by educating and guiding them about their health problems and relevant solution such as medication-taking behavior guidelines, management guidelines, etc. (Awang Ahmad et al., 2020). All of us need to spread the word on the roles of nurses in the coordination of care and its maintenance so that nursing staff can take on these expanded roles by acting as care coordinators in healthcare organizations. Hence, the care coordination by nurses will improve the patient experience and satisfaction by improving patient outcomes resulting in healthy communities (Conway et al., 2019).

Conclusion

In this video presentation, I discussed care coordination and the aim of this presentation. Then, I discussed the collaborating strategies with patients and their families such as shared-decision making and culturally competent care provision. Later, I discussed some aspects related to change management that impact the experience of patients required to deliver high-quality patient-centered care while considering the patient experience & patient satisfaction. Then, I discussed the reasoning for care coordination plans based on ethical decisions. Lastly, I discussed the impact of the HITECH Act and ACA sub-regulations on patient health outcomes and patient experiences. Moreover, I raised awareness of nurses’ crucial responsibility in the coordinated care and continuum. Thank you for actively listening.

References

Agency for Healthcare Research and Quality. (2022). What Is Patient Experience? | Agency for Healthcare Research & Quality. https://www.ahrq.gov/cahps/about-cahps/patient-experience/index.html 

Awang Ahmad, N. A., Sallehuddin, M. A. A., Teo, Y. C., & Abdul Rahman, H. (2020). Self-Care management of patients with diabetes: Nurses’ perspectives. Journal of Diabetes & Metabolic Disorders, 19(2). https://doi.org/10.1007/s40200-020-00688-w 

Buhagiar, T. M., Schoenlein, M. H., & Smith, D. S. (2020). Ethical decision making in critical care. Clinical Nurse Specialist, 34(3), 93–95. https://doi.org/10.1097/nur.0000000000000520 

Conway, A., O’Donnell, C., & Yates, P. (2019). The effectiveness of the nurse care coordinator role on patient-reported and health service outcomes: A systematic review. Evaluation & the Health Professions, 42(3), 263–296. https://doi.org/10.1177/0163278717734610 

Davidson, K. W., Mangione, C. M., Barry, M. J., Nicholson, W. K., Cabana, M. D., Caughey, A. B., Davis, E. M., Donahue, K. E., Doubeni, C. A., Kubik, M., Li, L., Ogedegbe, G., Pbert, L., Silverstein, M., Stevermer, J., Tseng, C.-W., & Wong, J. B. (2022).  Collaboration and shared decision-making between patients and clinicians in preventive health care decisions and US preventive services task force recommendations. JAMA, 327(12), 1171. https://doi.org/10.1001/jama.2022.3267 

Ellis, L. A., Tran, Y., Pomare, C., Long, J. C., Churruca, K., Saba, M., & Braithwaite, J. (2023). Hospital organizational change: The importance of teamwork culture, communication, and change readiness. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1089252 

Capella 4050 Assessment 3

Ercia, A. (2021). The impact of the affordable care act on patient coverage and access to care: Perspectives from FQHC administrators in Arizona, California and Texas. BMC Health Services Research, 21(1), 1–9. https://doi.org/10.1186/s12913-021-06961-9 

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(13), 85–108.  https://doi.org/10.2147/JHL.S289176 

Jacob, C., Bourke, S., & Heuss, S. (2022). From testers to cocreators—the value of and approaches to successful patient engagement in the development of eHealth solutions: Qualitative expert interview study. JMIR Human Factors, 9(4), e41481. https://doi.org/10.2196/41481 

Okada, H., Kiuchi, T., Okuhara, T., & Kizawa, Y. (2022). Effect of advance care planning discussions with trained nurses in older adults with chronic diseases in Japan. Annals of Palliative Medicine, 11(2), 41222–41422. https://doi.org/10.21037/apm-21-2161 

Stubbe, D. E. (2020). Practicing cultural competence and cultural humility in the care of diverse patients. Focus, 18(1), 49–51. https://doi.org/10.1176/appi.focus.20190041 

Trout, K. E., Chen, L.-W., Wilson, F. A., Tak, H. J., & Palm, D. (2022). The impact of meaningful use and electronic health records on hospital patient safety. International Journal of Environmental Research and Public Health, 19(19), 12525. https://doi.org/10.3390/ijerph191912525 

Capella 4050 Assessment 3