Capella 4050 Assessment 3 Care Coordination Presentation to Colleagues

Name

Capella university

NURS-FPX 4050 Coord Patient-Centered Care

Prof. Name

Date

Care Coordination Presentation for Colleagues

Greetings, everyone; I’m ——-, and in today’s presentation, we’ll delve into the significance of care coordination within healthcare systems. To kick things off, let’s clarify what we mean by care coordination. According to the Agency for Healthcare Research and Quality (AHRQ), it involves the purposeful organization of patient care activities among multiple stakeholders, including the patient themselves, to ensure the effective delivery of healthcare services (Agency for Healthcare Research and Quality, 2019).

Proper care coordination is paramount, and millions worldwide are grappling with complex health issues. This approach ensures that patients receive the most streamlined and collaborative care possible, facilitated by healthcare professionals. It encompasses integrated care strategies to enhance care continuity, enable access to various medical resources, foster effective communication to uphold care quality and safety standards, and optimize cost efficiency, ultimately aiming for a seamless and comprehensive patient experience. Team-based delivery of treatment and medication emerges as a crucial factor for achieving positive health outcomes, as Karam et al. (2021) highlighted.

Effective Strategies for Collaborating with Patients

To achieve effective care coordination, it is crucial to implement strategic approaches that enhance care management and prioritize patient safety and quality of care. This fosters collaboration among nurses, physicians, patients, families, and other healthcare professionals. However, culturally and linguistically diverse patients often face barriers to accessing healthcare services compared to the host populations. These obstacles stem from various factors, including the intricacy of healthcare systems, restricted availability of specific services, regulatory constraints, and personal barriers such an inadequate health literacy, job status, and stigma-related fears.

Addressing these disparities requires a concerted effort to improve cultural competence within healthcare organizations. Cultural competence encompasses attitudes and actions professionals must acquire to work well in cross-cultural settings. Innovative strategies have emerged to address healthcare challenges, as evidenced by recent research findings. One such approach involves leveraging telemedicine with bilingual or multilingual healthcare providers to surmount language barriers and elevate the quality of care, as Handtke et al. (2019) suggested.

Capella 4050 Assessment 3 Care Coordination Presentation to Colleagues

Additionally, Oikarainen et al. (2019) advocate for integrating community health workers (CHWs) into patient education during home or clinic visits. This approach not only enhances accessibility to healthcare information but also strengthens patient understanding and engagement. Furthermore, Brottman et al. (2020) propose the establishment of community health networks to facilitate seamless information exchange among local healthcare institutions. By fostering collaboration and resource sharing, these networks enhance patient care coordination and outcomes within communities.

These strategies underscore the importance of innovative solutions in improving healthcare accessibility, quality, and coordination. By creating a culturally competent environment, healthcare providers can better address the needs of culturally diverse patients and improve health outcomes (Javed et al., 2020). Nurses, in particular, play a pivotal role in this process. Collaboration between all healthcare stakeholders, including nurses, ensures appropriate care delivery across healthcare systems.

Aspects of Change Management in Enhancing Patient Experience

Change management in healthcare is instrumental in enhancing the intricate facets of the patient experience and is pivotal for delivering exceptional, patient-centered care. Timely access to care, a cornerstone of patient satisfaction, is significantly improved through astute change management. This entails optimizing appointment systems, minimizing wait times for consultations and treatments, and strategically allocating resources to meet patient demand promptly (Leonardsen et al., 2020). Patients benefit from reduced anxiety, increased convenience, and an overall sense of being valued when they can swiftly access the care they need.

Effective communication, another critical aspect, sees considerable refinement through changes in management practices. Clear communication protocols and empathetic and transparent interactions facilitate a deeper understanding of health conditions, treatment options, and care plans for patients. This fosters a sense of empowerment, enabling patients to engage in their healthcare decisions actively and promoting trust between patients and healthcare providers (Carman et al., 2019). 

Capella 4050 Assessment 3 Care Coordination Presentation to Colleagues

It is crucial to distinguish between patient experience and satisfaction. While patient satisfaction relates to meeting expectations, the patient experience encompasses the entirety of a patient’s journey within the healthcare system, including perceptions, emotions, and interactions at every stage (De Rosis et al., 2021). A hallmark of patient-centered care is significantly bolstered by emphasizing personalized treatment through effective change management.

Comprehensive assessments, consideration of patients’ cultural backgrounds and preferences, and shared decision-making processes empower patients and foster trust in their healthcare providers. Patients feel valued and respected as individuals, so their engagement, adherence to treatment plans, and overall satisfaction with their healthcare experience are significantly elevated. 

Coordinated Care and Ethical Decision Making

Coordinated care plans, rooted in ethical principles, prioritize patient well-being, autonomy, and fairness within healthcare systems. These plans aim to provide holistic, patient-centered care that meets diverse patient needs and preferences by considering medical, social, and cultural factors. Coordinating care across multiple providers and settings ensures seamless transitions, promoting continuity of care and minimizing disruptions in treatment. This approach aligns with the ethical principles of beneficence and nonmaleficence, striving to optimize patient outcomes while reducing risks associated with fragmented care. Additionally, coordinated care plans uphold patient autonomy by involving patients in decision-making and respecting their values. This empowers them to participate in care, align treatment plans with their goals, and provide patient-centered care (Hansson & Fröding, 2020).

Ethical decision-making in coordinated care leads to improved patient outcomes, enhanced satisfaction, and greater efficiency in healthcare delivery as the principles of ethical care treatment, including goodwill and non-maleficence, are followed. These plans promote better health outcomes and lower healthcare costs by reducing errors, duplicate tests, and unnecessary interventions (Varkey, 2021). Furthermore, coordinated care addresses disparities in access to care, ensuring that all patients receive the support and resources necessary for optimal health, regardless of socioeconomic status or ethnicity (Ienca et al., 2021). Overall, the underlying assumptions guiding ethical decision-making emphasize the right of every patient to receive high-quality, patient-centered care that respects their dignity and autonomy, emphasizing collaboration among healthcare professionals and recognition of the complexity of patients’ health needs and social determinants of health.

Policy Implications on Healthcare Outcomes

Specific healthcare policy provisions, like those embedded within the Affordable Care Act (ACA) and the Hospital Readmission Reduction Program (HRRP), wield profound impacts on healthcare outcomes and patient experiences. The ACA’s multifaceted provisions, such as Medicaid expansion, work to enhance access to care, bolster care coordination, and incentivize quality improvements (Lewis et al., 2019). Moreover, the HRRP’s focus on reducing hospital readmissions compels hospitals to prioritize care transitions, discharge planning, and post-discharge follow-up, thus mitigating avoidable readmissions and promoting smoother care continuums. The logical implications and consequences of these healthcare policy provisions are manifold.

Firstly, they usher in tangible improvements in health outcomes, evident through reduced morbidity and mortality rates attributable to enhanced access to care and quality improvement initiatives (Psotka et al., 2019). Secondly, these policies foster a more patient-centric healthcare landscape, marked by improved communication with healthcare providers, increased patient engagement in decision-making processes, and superior care coordination across various settings (Van Houtven et al., 2020). Lastly, emphasizing preventive care, care coordination, and curbing avoidable readmissions contribute to greater efficiency and cost-effectiveness within the healthcare system, ultimately ensuring sustainable and equitable access to high-quality care for all patients (Psotka et al., 2019).

Empowering Nurses in Care Coordination

Nurses play a crucial role in care coordination, serving as a linchpin for both patient care and healthcare system efficiency. Positioned at the intersection of various aspects of patient care, nurses act as advocates, educators, and coordinators, leveraging their deep involvement to understand patient needs thoroughly (Karam et al., 2021). This central role enables them to contribute significantly to developing and implementing coordinated care plans, ultimately enhancing patient outcomes and satisfaction.

Recognized by the American Nurses Association, nurses’ involvement in care coordination leads to improved healthcare experiences, reduced hospital readmissions, and better health outcomes (Bolton et al., 2019). Thus, acknowledging and supporting nurses’ pivotal role in care coordination is essential for healthcare systems to optimize patient care quality and effectiveness, emphasizing the importance of nurses’ active engagement in care coordination endeavors.

Conclusion

In summary, this discussion highlights the vital role of care coordination, ethical decision-making, and healthcare policy provisions in enhancing patient outcomes and experiences. Nurses play a pivotal role in driving these efforts forward, serving as advocates for patient-centered care and ensuring seamless coordination across healthcare settings. By embracing innovative strategies, prioritizing patient autonomy, and addressing disparities, healthcare systems can optimize care quality and effectiveness. Ultimately, through collaborative and ethical practices, healthcare can evolve towards a more equitable, efficient, and patient-centered approach, ensuring the best possible outcomes for all.

References

Agency for Healthcare Research and Quality. (2019, August). Care coordination. Www.ahrq.gov. https://www.ahrq.gov/ncepcr/care/coordination.html#:~:text=Care%20coordination%20involves%20deliberately%20organizing

Bolton, R. E., Bokhour, B. G., Hogan, T. P., Luger, T. M., Ruben, M., & Fix, G. M. (2019). Integrating personalized care planning into primary care: A multiple-case study of early adopting patient-centered medical homes. Journal of General Internal Medicine, 35(2), 428–436. https://doi.org/10.1007/s11606-019-05418-4

Brottman, M. R., Char, D. M., Hattori, R. A., Heeb, R., & Taff, S. D. (2020). Toward cultural competency in health care. Academic Medicine, 95(5), 803–813. https://doi.org/10.1097/acm.0000000000002995

Carman, A. L., Vanderpool, R. C., Stradtman, L. R., & Edmiston, E. A. (2019). A change-management approach to closing care gaps in a federally qualified Health Center: A rural Kentucky case study. Preventing Chronic Disease, 16. https://doi.org/10.5888/pcd16.180589

Capella 4050 Assessment 3 Care Coordination Presentation to Colleagues

De Rosis, S., Barchielli, C., Vainieri, M., & Bellé, N. (2021). The relationship between healthcare service provision models and patient experience. Journal of Health Organization and Management, 36(9), 1–24. https://doi.org/10.1108/jhom-06-2021-0242

Ienca, M., Schneble, C., Kressig, R. W., & Wangmo, T. (2021). Digital health interventions for healthy ageing: A qualitative user evaluation and ethical assessment. BMC Geriatrics, 21(1). https://doi.org/10.1186/s12877-021-02338-z

Handtke, O., Schilgen, B., & Mösko, M. (2019). Culturally competent healthcare – a scoping review of strategies implemented in healthcare organizations and a model of culturally competent healthcare provision. PLOS ONE, 14(7). https://doi.org/10.1371/journal.pone.0219971 

Hansson, S. O., & Fröding, B. (2020). Ethical conflicts in patient-centred care. Clinical Ethics, 147775092096235. https://doi.org/10.1177/1477750920962356 

Javed, A. R., Sarwar, M. U., Beg, M. O., Asim, M., Baker, T., & Tawfik, H. (2020). A collaborative healthcare framework for shared healthcare plan with ambient intelligence. Human-Centric Computing and Information Sciences, 10(1). https://doi.org/10.1186/s13673-020-00245-7 

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), 1–21. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7977020/ 

Capella 4050 Assessment 3 Care Coordination Presentation to Colleagues

Leonardsen, A.-C. L., Hardeland, C., Helgesen, A. K., & Grøndahl, V. A. (2020). Patient experiences with technology enabled care across healthcare settings- A systematic review. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05633-4

Lewis, V. A., Schoenherr, K., Fraze, T., & Cunningham, A. (2019). Clinical coordination in accountable care organizations: A qualitative study. Health Care Management Review, 44(2), 127–136. https://doi.org/10.1097/hmr.0000000000000141 

Oikarainen, A., Mikkonen, K., Kenny, A., Tomietto, M., Tuomikoski, A.-M., Meriläinen, M., Miettunen, J., & Kääriäinen, M. (2019). Educational interventions designed to develop nurses’ Cultural Competence: A Systematic Review. International Journal of Nursing Studies, 98, 75–86. https://doi.org/10.1016/j.ijnurstu.2019.06.005 

Psotka, M. A., Fonarow, G. C., Allen, L. A., Joynt Maddox, K. E., Fiuzat, M., Heidenreich, P., Hernandez, A. F., Konstam, M. A., Yancy, C. W., & O’Connor, C. M. (2019). The hospital readmissions reduction program. JACC: Heart Failure, 8(1), 1–11. https://doi.org/10.1016/j.jchf.2019.07.012 

Van Houtven, C. H., McGarry, B. E., Jutkowitz, E., & Grabowski, D. C. (2020). Association of Medicaid expansion under the Patient Protection and Affordable Care Act with the use of long-term care. JAMA Network Open, 3(10), e2018728. https://doi.org/10.1001/jamanetworkopen.2020.18728 

Varkey, B. (2021). Principles of clinical ethics and their application to practice. Medical Principles and Practice, 30(1), 17–28. https://doi.org/10.1159/000509119