NURS FPX 4050 Care Coordination Presentation to Colleagues – Sample

Care Coordination Presentation to Colleagues

Outlining Effective Strategies for Collaborating with Patients and their

Families to Achieve Desired Health Outcomes

Family-and–patient-centered care is the cornerstone of providing high-quality care. However, healthcare providers can realize family-and-patient-centered care if patients and their families are engaged in care delivery. Patient engagement entails the active participation of family and patients in healthcare delivery by partnering and collaborating with health professionals. Collaboration with patients helps healthcare providers to capitalize on their networks and expertise to boost care delivery (Goodridge et al., 2018). The resultant effect is reduced wastage and healthcare cost, effective response to the patient’s evolving needs, and enhanced transparency in the decision-making process. Healthcare providers can use multiple strategies to engage patients and their families in care delivery. The strategies include patient education, personalized care planning, self-management support, shared decision-making, two-way communication, and enhancing the patient’s psychological safety (Menear et al., 2020).  Effective communication makes patients feel safe sharing their concerns with the healthcare providers.  Healthcare providers should receive patients’ viewpoints without judgment and openly. Equally, patients should be transparent about their compliance to treatment, clinical signs and symptoms to facilitate effective engagement.

Patient education results when healthcare providers engage with individual families or patients, and enhance access to health resources, including web-based portals and education materials. As a result, patient education enhances compliance because patients understand the recommended guidelines and the consequences of skipping medications. The resultant outcome is reduced hospitalizations, improved clinical outcomes, and improved quality of life (Menear et al., 2020). Engaging patients and families in shared decision-making improve health outcomes.  Clinicians work with patients  to identify treatments, care plans, and tests based on scientific evidence through shared decision-making. Delivering continuous care also engages patients and families in care delivery.  For instance, healthcare providers can contact clients to inquire about their healing or health journey. Continuous care enhances patients’ adherence to their treatment regimen, reduces hospital visits, and increases patient satisfaction.

Identifying Aspects of Change Management That Directly Affect Elements of the Patient Experience

Providing high-quality patient-centered care requires an effective partnership between healthcare providers and individual patients. Patients’ aspirations and needs influence healthcare outcomes and decisions. Therefore, the aspects of change management that directly affect elements of patients’ experience essential to the provision of high-quality and patient-centered care are: Ensuring that the healthcare system’s quality-improvement initiatives, leadership, values, vision and missions align with patient-centered goals. Secondly, the change management should ensure that the care accessed by patients is coordinated and collaborative and focuses on the patient’s emotional and physical well-being. Additionally, the care should focus on the family and patient socioeconomic status, cultural traditions, values, and preferences. Consequently, patients and their relatives should be involved in the design of care plans and the decision-making process. The healthcare provider should also share information with patients to make informed decisions. Considering these aspects of change management will benefit both patients and healthcare providers. For instance, patients’ health outcomes and satisfaction scores will improve. In contrast, staff morale and productivity will increase while healthcare costs decline.

Explaining the Rationale for Coordinated Care Plans Based on Ethical Decision Making

The primary objective of coordinated care plans is to synchronize patient care from multiple specialties and care providers to improve health outcomes. For instance, care coordination engages the patient’s in care delivery and improves their experience.  Engaging patients in designing healthcare plans facilitates effective communication between patients and their healthcare providers, leading to medication adherence and managing their conditions. However, healthcare providers should adhere to ethical decision-making when designing care plans. When making ethical healthcare decisions, healthcare providers should rely on four principles of nurse ethics: autonomy, beneficence, non-maleficence, justice, and beneficence.  According to the principle of autonomy, patients should understand information, and healthcare interventions’ risks and benefits. Thus, patients should engage full in the design of their care plan and provide consent if they can do so. Otherwise, not respecting the patient’s autonomy during the design of their care plans can result in legal lawsuits if the health intervention results in adverse healthcare consequences.

The principle of beneficence requires healthcare providers to balance the benefits of healthcare interventions against the risks. Therefore, healthcare providers should make decisions that are in the patient’s best interest, especially if the patient makes decisions that harm them.  The principle of non-maleficence requires healthcare providers not to harm the patients, while the principle of justice mandates healthcare providers to prioritize resources. Therefore, coordinated plans should enhance patients’ autonomy, and the healthcare intervention should benefit rather than harm the patients.

Reasonable Implications and Consequences of an Ethical Approach to Care

Ethical issues emerge when healthcare providers or patients have to make choices.  However, the choices made may not be ideal, resulting in moral distress and undermining relationships and quality of care. Thus, healthcare providers should comprehend ethical decision-making roles in their routine activities.  For instance, healthcare providers share patients’ sensitive information when coordinating care. Therefore,  the healthcare providers’ responsibility is to ensure that the information shared remains private and confidential using the nurses’ code of ethics to handle sensitive patient information.  For instance, Provision 4 of the nurse code of ethics requires nurses to protect, advocate, and promote the patient’s safety, health, and rights (Haddad & Geiger, 2018).  Therefore, understanding privacy guidelines is crucial when sharing protected health information to avoid legal lawsuits.  Also, nurses should remain ethical when dealing with clients from diverse cultural care. They should not stereotype or provide biased healthcare services because of the patient’s background.

Impact of Specific Health Care Policy Provisions on Outcomes and Patient Experiences

HIPAA (Health Insurance Portability and Accountability Act) is a healthcare policy that impacts patient experience and outcomes. The Act ensures appropriate protection of protected health information, and ensures authorized individuals access to sensitive information (Qin, 2019). Thus, HIPAA is crucial for patients because it ensures that business associates, healthcare clearinghouses, health plans, and healthcare providers of HIPAA-covered entities have safeguards to protect the patient’s sensitive and confidential health information. The policy also establishes guidelines that mandate organizations in the healthcare sector to control healthcare data access.  Thus, healthcare organizations restrict individuals accessing patients’ protected health information. Thus, HIPAA ensures that information stored, transmitted or disclosed to health plans and healthcare providers are subjected to stringent security controls. The policy also gives patients the authority to control information sharing.  Thus, HIPPA ensures that patients assume an active role in their healthcare.

However, HIPAA provisions may undermine care coordination.  For instance, the policy restricts the sharing of patients’ protected health information with covered entities.   The covered entity can only disclose protected patient health information for  treatment. However, the information can only be shared if both the covered entities have had or have a relationship with the patient whose protected health information is required (Qin, 2019).  Additionally, the protected health information should be related to that relationship, and the disclosure is within the act’s definition of healthcare operations. Thus, if the covered entity does not share a relationship with the patient in question, they are unlikely to share the protected health information, further undermining care coordination.

Raising Awareness of the Nurse’s Vital Role in the Coordination and Continuum of Care

The primary goal of coordinating care is to boost healthcare outcomes via interprofessional collaboration.  For instance, nurses can work with other healthcare providers like physiotherapists, dieticians, and physicians to improve patient outcomes. Effective collaboration ensures that nurses, families, and patients actively participate in the care process, leading to improved health outcomes, effective utilization of resources, patient safety, patient experience, and enhanced quality outcomes. Nurses play a vital role in facilitating collaboration and the continuum of care. They are competent in understanding other healthcare providers’ roles in care delivery.  Thus, nurses facilitate collaboration by sharing patient data  with the interprofessional team,  ensuring that care transition is seamless, and collaborating with allied healthcare providers  to design proactive and individualized care plans to reflect the patient’s needs. Additionally, nurses support and help patients manage their healthcare goals by linking them with appropriate resources at the community level.

Also, nurses’ skills like effective communication, empathy, and adaptability enable them to lead a collaborative team effectively. Nurses are also competent in understanding and evaluating patients’ social, emotional, and clinical needs. The information allow nurses to identify the healthcare team that will meet the patient’s needs. In summary, nurses’ role in care coordination is to evaluate the patient’s needs and work with other healthcare providers to design individualized healthcare plans. Additionally, the nurse facilitates care transition and connects the patient with appropriate resources in the community to enhance care continuation.