Category: NURS-FPX6618

NURS FPX 6618 Assessment 3 Disaster Plan With Guidelines for Implementation Name Capella university NURS-FPX 6618 Leadership in Care Coordination Prof. Name Date Disaster Plan with Guidelines for Implementation: Tool Kit for the Team Hello, I am Tonney, and today, I will be presenting a toolkit developed for the healthcare Care Coordination (CC) team. This toolkit is specifically focused on Disaster Management Plan (DMP) strategies tailored to meet the needs of the Hispanic illegal immigrant community during emergencies. Introduction to Disaster Management Plan The Disaster Management Plan (DMP) has been designed to address the needs of the Hispanic illegal immigrant community during emergencies. By recognizing the unique exposures this community faces, the plan emphasizes proactive measures to protect their safety and well-being during crises. This includes targeted training, efficient resource distribution, and optimized communication strategies, all aimed at enhancing the responsiveness and effectiveness of the emergency care system (Aqtam et al., 2024). The plan sets the stage for a comprehensive disaster response strategy, ensuring that the health and resilience of this underserved population are prioritized. Coordination Requirements for Care During a disaster, such as an earthquake or hurricane, effective care coordination (CC) for the Hispanic undocumented immigrant population is essential due to their heightened vulnerability and distinct challenges. This group faces barriers like limited healthcare access, language differences, fear of deportation, and lack of documentation, which can hinder their ability to seek medical attention in emergencies (Aqtam et al., 2024). Past disaster experiences in the U.S., such as the 2017 California wildfires and the 2012 Hurricane Sandy, underscore the importance of proactive, culturally aware CC. Many undocumented immigrants struggled to access healthcare, exacerbating their outcomes. To address these challenges, it is critical to overcome language barriers, raise awareness of available resources, ensure confidentiality, and build trust with this population. Collaborations with local community organizations, health departments, and advocacy groups can strengthen outreach and improve service delivery to Hispanic illegal immigrants in emergencies (Ramos et al., 2023). Establishing pre-defined communication protocols is also vital for enhancing response efficiency and addressing fears related to exile and language difficulties. A well-designed DMP that addresses these vulnerabilities ensures that this population receives the necessary healthcare services and can better cope with disaster-related challenges (Ramos et al., 2023). Key Components of a Disaster Preparedness Project Plan Designing an effective DMP to facilitate care coordination for the Hispanic illegal immigrant community requires careful consideration of several key components. These include risk evaluation, comprehensive training, collaboration with external agencies, clear communication procedures, and culturally sensitive practices (Méndez et al., 2020). Risk Identification and Community Vulnerability: A thorough assessment should identify potential threats and their specific impacts on the Hispanic illicit migrants community to ensure a tailored disaster response approach. Education and Capacity Building: Specialized training should be provided to healthcare workers, first responders, and volunteers to enhance emergency response, cultural awareness, and communication (Tylor & Malikah, 2022). Collaborative Efforts and Partnerships: Building strong partnerships with local health services, community-based organizations, and advocacy groups is essential for a coordinated disaster response (Méndez et al., 2020). Information Dissemination Strategy: A clear strategy for sharing critical information, overcoming language barriers, and ensuring effective communication with the Hispanic immigrant community is necessary. Shelter and Evacuation Plans: Evacuation routes, shelters, and transportation resources must be customized to meet the specific needs of the Hispanic illicit migrants population (Tylor & Malikah, 2022). Emergency Medical Resources: Adequate medical supplies, medications, and equipment should be maintained, with contingencies for potential supply chain disruptions. Cultural Awareness and Privacy: Cultural awareness and privacy considerations should be integrated into disaster care coordination to build trust and address concerns within the Hispanic undocumented immigrant community (Xiang et al., 2021). Possible Impacts of the Disaster on Care Coordination Disasters can significantly disrupt care coordination by interrupting healthcare services, restricting access to medical facilities, and creating communication barriers, especially due to language differences. The need for medical assistance increases, and reaching at-risk populations becomes more difficult. Fears related to deportation and a lack of trust in government agencies further complicate CC efforts. To address these challenges, the DMP should incorporate staff training, partnerships with external organizations, and strategies for evacuation and shelter (Wankmüller & Reiner, 2020). Additionally, communication protocols and access to medical supplies should be prioritized, along with cultural sensitivity and confidentiality measures to build trust within the community. Leveraging past disaster responses and insights from local stakeholders will enhance CC strategies and improve outcomes (Wankmüller & Reiner, 2020). Resources and Staffing for Emergency Situations In emergencies, it is vital to ensure the availability of both human and material resources to provide essential care coordination for the Hispanic illegal migrant community. Human Resources: Emergency Responders: Medical personnel and emergency teams trained to handle urgent healthcare needs. Healthcare Practitioners: Doctors and specialists who can deliver care in various settings. Language Interpreters: Bilingual interpreters to facilitate communication with the community. Community Health Aides: Trusted community members who can support outreach and care efforts (Liu et al., 2020). Physical Resources: Access Points for Care: Designated healthcare facilities to improve community access to medical services. Emergency Transport Services: Reliable transportation services to move individuals to medical facilities. Essential Resources and Equipment: Medical supplies such as medications, injury treatment materials, and essential equipment (e.g., breathing machines with backup power). Medication and Support Systems: Ensuring an adequate stock of medications and life-support equipment for chronic conditions (Sawalha, 2020). Guidelines and Recommended Practices Upholding ethical and culturally sensitive care principles is essential for protecting the well-being of the Hispanic undocumented refugee community in emergencies. Guidelines from the American Nurses Association (ANA) and the American Medical Association (AMA) emphasize ethical behavior, respecting cultural differences, and ensuring fair access to healthcare (AHA, 2021). These guidelines stress the importance of respecting autonomy, promoting actions that benefit patients, and maintaining fairness in healthcare delivery. Relevant Guidelines and Protocols Cultural awareness training for healthcare staff, interpretation services, and culturally tailored patient care strategies are crucial. Cultural awareness education equips healthcare workers with the knowledge to accommodate the values and beliefs of

NURS FPX 6618 Assessment 2 Mobilizing Care For An Immigrant Population Name Capella university NURS-FPX 6618 Leadership in Care Coordination Prof. Name Date Mobilizing Care for an Immigrant Population The creation of a Care Coordination (CC) program for undocumented Hispanic immigrants is of great importance to me. As the Director of CC at St. Mary’s Hospital (SMH), my mission is to overcome the barriers these individuals face when trying to access healthcare services. This program seeks to eliminate challenges such as language limitations, financial struggles, and the fear of deportation by promoting culturally competent care. Building trust within the community is a key component, and we aim to improve health outcomes for this vulnerable population by providing the support they need to navigate the healthcare system. Rationale for Focusing on the Healthcare Needs of a Particular Immigrant Group Latinos represent a significant portion of the U.S. population, with 57.8 million individuals identified as Latino in 2016, accounting for 19% of the total population (Perreira et al., 2020). Among them, undocumented Hispanic immigrants face distinct healthcare challenges, including fear of deportation, language barriers, and financial hardships. These obstacles prevent many from seeking necessary medical care, which is exacerbated by a lack of insurance. Additionally, this group has higher rates of chronic diseases such as Diabetes Mellitus (DM), Hypertension (HTN), and mental health issues related to their immigration status (Wright et al., 2024). Addressing these needs at SMH will help bridge the gap in healthcare access and improve community health outcomes, as well as reduce healthcare costs by minimizing emergency room visits. Criteria for Selection The decision to focus on the undocumented Hispanic migrant community is based on two factors: the demographic size of this group, which makes up 19% of the U.S. population (Perreira et al., 2020), and the significant health disparities they face, including chronic conditions like DM and HTN, along with insufficient mental health care. These issues are further compounded by socio-economic factors such as low income and lack of insurance, making this group a high-priority target for intervention at SMH. Evaluating Healthcare Needs A strategic approach is required to improve healthcare services for undocumented Hispanic immigrants. The Six Sigma DMAIC framework provides a structured method for identifying and addressing healthcare needs at SMH. Define: The primary challenge is that undocumented Hispanic immigrants face barriers to accessing medical services, including concerns about deportation, language issues, financial limitations, and inadequate insurance coverage (Ornelas et al., 2020). This initiative aims to improve care delivery, chronic disease management (CDM), provide culturally sensitive services, and foster trust within the community. Measure: Data collection is essential to understand the scope of the problem. We will gather demographic data on undocumented immigrants, examine healthcare usage trends, and assess the prevalence of chronic conditions like DM, HTN, and mental health issues. Methods include surveys, focus groups, and Electronic Health Record (EHR) analysis at SMH (Funk & Lopez, 2022). NURS FPX 6618 Assessment 2 Mobilizing Care For An Immigrant Population Analyze: The analysis will identify key barriers, including language difficulties, the high uninsured rate (34%), economic challenges, and the fear of deportation (Kronenfeld et al., 2021). Tools like Pareto Analysis and Fishbone Diagrams will help pinpoint these obstacles systematically. Improve: To address these barriers, we will recruit bilingual healthcare providers, offer interpretation services, provide sliding-scale payment options, and enhance cultural competency among staff (White et al., 2020). Partnerships with local organizations for outreach and educational efforts are also key. Control: Ongoing monitoring of healthcare usage, patient satisfaction, and health outcomes will ensure that improvements are sustained. We will use EHR systems to track progress and implement continuous staff training and financial support through grants (Tsai et al., 2020). Recognized Organizations and Stakeholders Coordinated care for undocumented Hispanic immigrants involves collaboration with various stakeholders. International organizations like Doctors Without Borders and the International Organization for Migration (IOM) play a crucial role in providing medical assistance to migrant populations (Doctors Without Borders, 2024). At the national level, the CDC and HRSA provide funding and guidelines for healthcare initiatives (CDC, 2024). Locally, healthcare facilities, public health agencies, and non-profit organizations like UnidosUS and the Hispanic Services Council offer essential support services, including legal assistance, interpretation, and financial aid (Hispanic Services Council, n.d.). Defining Characteristics of the Population The undocumented Hispanic immigrant population in Tampa is diverse, with a focus on working-age adults (18-50) and children. Employment opportunities in construction, hospitality, and agriculture are common, but these workers often face job insecurity and lack benefits (Funk & Lopez, 2022). Socially, many live in multigenerational households, fostering strong familial bonds, though overcrowding and limited resources are prevalent. Spanish is the primary language spoken, with many adults possessing limited English proficiency, relying on children for translation. This community experiences high levels of stress, financial insecurity, and concerns over deportation (Ornelas et al., 2020). Analyzing Existing Organizational Policies for Healthcare Delivery SMH has policies in place to ensure healthcare access for refugees and immigrants without permanent resident status. These policies include offering adjustable pricing, hiring bilingual staff, and collaborating with community groups to improve outreach and education (White et al., 2020). SMH ensures patient privacy and stays compliant with local, state, and federal regulations, including EMTALA. Additionally, SMH actively participates in lobbying and policy formulation to enhance healthcare accessibility for marginalized communities (Brown, 2020). Assessing Two U.S. Healthcare Policies Key healthcare policies that affect immigrant communities include EMTALA and the Affordable Care Act (ACA). EMTALA mandates that hospitals provide emergency care regardless of immigration status (Brown, 2020). However, its scope is limited to emergency services, leaving undocumented immigrants without access to routine care. The ACA aims to expand health insurance coverage, but undocumented immigrants are excluded from benefits like Medicaid and the Health Insurance Marketplace, exacerbating health disparities (Ye & Rodriguez, 2021). Preconceived Notions and Biases There are common misconceptions about undocumented Hispanic immigrants, such as the belief that they overuse emergency services or do not value preventive care. These biases often stem from systemic barriers, such as fear of deportation and financial

NURS FPX 6618 Assessment 1 Planning and Presenting a Care Coordination Project Name Capella university NURS-FPX 6618 Leadership in Care Coordination Prof. Name Date Planning and Presenting a Care Coordination Plan Greetings, everyone. My name is __, and I am excited to present a comprehensive care coordination strategy designed for individuals with chronic care needs. As the Care Coordination Project Manager, my primary goal is to ensure these patients receive optimal care. This presentation will outline the key components of this holistic plan and emphasize its importance in addressing the healthcare challenges faced by chronic care patients. Purpose of Care Coordination Plan Managing chronic conditions involves significant challenges, and a new approach is emerging: a care coordination project tailored for chronic care patients. This initiative seeks to address fragmented care by uniting healthcare providers, specialists, and support services. Given the complexity of chronic illnesses, which require a personalized and holistic approach, this project is both necessary and highly beneficial (Hardman et al., 2020). By integrating resources, communication networks, and specialized expertise, the plan holds the potential to transform chronic care delivery. The following sections will explore its critical importance, complexities, and far-reaching impact for those managing chronic conditions. Vision for Interagency Coordinated Care The vision for interagency coordinated care for chronic care patients focuses on delivering seamless, comprehensive, and patient-centered services across multiple organizations. The aim is to foster collaboration among healthcare providers, social service agencies, community organizations, and other stakeholders to effectively address the complex needs of chronic care patients. This model emphasizes creating a robust network where various agencies work cohesively to provide care tailored to each patient’s individual needs, preferences, and goals (Hunter et al., 2023). In this vision, integrated care delivery unites healthcare services, social support, and community resources to create a continuous, seamless care experience. By breaking down barriers among providers, such as hospitals and community organizations, the model promotes an effective approach to coordinated care (Hunter et al., 2023). A centralized hub for care coordination is essential for managing patient journeys, enabling effective communication among patients, caregivers, and service providers (Hardman et al., 2020). Additionally, leveraging technology, such as electronic health records (EHRs), telehealth, and data analytics, enhances information sharing, facilitating proactive interventions (Northwood et al., 2022). Key Aspect Details References Purpose of Care Coordination Addresses fragmented care by uniting healthcare providers, specialists, and support services. Hardman et al., 2020 Vision for Interagency Coordinated Care Ensures seamless, patient-centered care across various organizations, emphasizing collaboration. Hunter et al., 2023 Technology Integration Uses EHRs, telehealth, and data analytics to improve care coordination and proactive interventions. Northwood et al., 2022 Assumptions and Uncertainties The vision for coordinated care for chronic care patients rests on several assumptions, including the essential need for seamless communication and collaboration among various agencies. Furthermore, patient empowerment and engagement are seen as critical to effective care delivery. Sufficient resources must be available to implement and sustain this initiative, with flexibility to adapt to the evolving needs of patients and the challenges within the healthcare system (Kendzerska et al., 2021). However, uncertainties regarding the long-term sustainability of these collaborative efforts remain, especially due to funding constraints and shifting healthcare priorities. Issues related to patient participation, data sharing, and interoperability among systems present ongoing challenges. Additionally, changes in healthcare policies and regulations may impact care delivery and funding, necessitating continuous evaluation and adjustments to the coordinated care model (Kendzerska et al., 2021). Identifying the Organizations and Groups Caring for chronic care patients requires a collaborative approach involving various organizations at local, state, and national levels. At the local level, primary care clinics, hospitals, home health agencies, and community organizations play essential roles. These organizations work together to manage both acute and chronic health needs and provide vital social support (Gizaw et al., 2022). At the state level, state health departments, Medicaid offices, and professional organizations are crucial for coordinating resources and ensuring compliance with regulations (Centers for Medicare & Medicaid Services, 2021). Nationally, organizations such as the Centers for Medicare & Medicaid Services (CMS) and professional bodies like the American Nurses Association (ANA) and the American Medical Association (AMA) help shape coordinated care initiatives through advocacy and policy development (American Nurses Association, 2023; Centers for Medicare & Medicaid Services, 2021). Level Key Organizations Role Local Level Primary Care Clinics, Hospitals, Home Health Agencies, Community Organizations Provide initial care, handle acute situations, and offer social support to address health determinants. State Level State Health Departments, Medicaid Offices, Medical Associations Coordinate resources, policies, and professional guidance, and address financial aspects of care. National Level Centers for Medicare & Medicaid Services (CMS), ANA, AMA Align care coordination with federal policies and provide standards, guidelines, and advocacy. References American Diabetes Association. (2022). ADA. Diabetes.org. https://diabetes.org/ American Nurses Association. (2023). American nurses association. ANA Enterprise. https://www.nursingworld.org/ Centers for Medicare & Medicaid Services. (2021, March 22). Medicaid home | Medicaid.gov. Medicaid.gov. https://www.medicaid.gov/ Chakurian, D., & Popejoy, L. (2021). Utilizing the care coordination Atlas as a framework: An integrative review of transitional care models. International Journal of Care Coordination, 24(2), 57–71. https://doi.org/10.1177/20534345211001615 Devi, R., Goodman, C., Dalkin, S., Bate, A., Wright, J., Jones, L., & Spilsbury, K. (2020). Attracting, recruiting and retaining nurses and care workers working in care homes: The need for a nuanced understanding informed by evidence and theory. Age and Ageing, 50(1), 65–67. https://doi.org/10.1093/ageing/afaa109 Farley, H. (2020). Promoting self‐efficacy in patients with chronic disease beyond traditional education: A literature review. Nursing Open, 7(1), 30–41. https://doi.org/10.1002/nop2.382 NURS FPX 6618 Assessment 1 Planning and Presenting a Care Coordination Project Gizaw, Z., Astale, T., & Kassie, G. M. (2022). What improves access to primary healthcare services in rural communities? A systematic review. BioMed Central Primary Care, 23(1). https://doi.org/10.1186/s12875-022-01919-0 Hardman, R., Begg, S., & Spelten, E. (2020). What impact do chronic disease self-management support interventions have on health inequity gaps related to socioeconomic status: A systematic review. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-5010-4 Hunter, P. V., Ward, H. A., & Puurveen, G. (2023). Trust as a key measure of quality and safety after the restriction of family contact in Canadian long-term care settings during the COVID-19 pandemic. Health Policy, 128,