NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

Name

Capella university

NURS-FPX 4050 Coord Patient-Centered Care

Prof. Name

Date

Care Coordination Presentation to Colleagues

Hello everyone, I’m ——-, and today, we’ll explore the importance of care coordination in healthcare systems. To start, let’s define what care coordination means.  It is the intentional organization of patient care activities among multiple parties, including the patient, to ensure the effective delivery of healthcare services (Agency for Healthcare Research and Quality, 2019). Proper care coordination is crucial, mainly as millions worldwide deal with complex health conditions. It involves integrated care strategies that enhance continuity of care, provide access to various medical resources, foster effective communication to maintain quality and safety standards, and optimize cost efficiency. Team-based delivery of treatment and medication is vital for achieving positive health outcomes (Karam et al. 2021).

Approaches to Effective Collaboration with Patients and Families

In order to attain intended health results, it is essential to implement effective and evidence-based methods for working together with families and patients. One such strategy is drug-specific educational initiatives, which involve providing patients and their families with clear, detailed information about prescribed medications, including their purposes, proper usage, potential side effects, and interactions with other drugs. Studies have shown that when patients and their families are well-informed about medications, adherence improves, and adverse drug events decrease, leading to better health outcomes (Mononen et al., 2020).

Another crucial strategy is fostering cultural competence among healthcare providers. This involves understanding and respecting patients’ and their families’ cultural backgrounds, beliefs, and values. Tailoring communication and care plans to align with cultural preferences can significantly enhance patient engagement and satisfaction. Evidence supports that culturally competent care improves patient trust, adherence to treatment plans, and overall health outcomes (Joo & Liu, 2020).

Effective communication is fundamental in care coordination. Establishing open, empathetic, and consistent communication channels between healthcare providers, patients, and their families ensures everyone is on the same page regarding the care plan. Tools such as teach-back methods, where patients repeat the information provided to confirm understanding, have enhanced comprehension and adherence (Glaser et al., 2020). Lastly, involving patients and their families in making decisions guarantees that treatment plans align with the patient’s preferences and values. Shared decision-making fosters a sense of ownership and commitment to the care plan, leading to better health outcomes (Huang et al., 2020). By integrating these strategies, healthcare providers can collaborate more effectively with patients and their families to achieve optimal health outcomes.

Change Management Aspects and Their Impact on Patient Experience

Key elements of change management that immediately affect patient care include communication, care coordination, and empathy in providing care. Effective communication is paramount, ensuring patients fully understand their health conditions, treatment options, and care plans. Clear, compassionate, and transparent communication fosters trust and helps patients feel more comfortable and informed throughout their healthcare journey (Petersen et al., 2021). Change management strategies that prioritize training healthcare staff in communication skills can significantly enhance the patient experience. Care coordination is another crucial aspect. Patients highly value seamless transitions between different care settings and providers.

Change management efforts that implement integrated care models and utilize health information technologies to streamline patient information flow can reduce fragmentation and improve continuity of care (Grover et al., 2021). This coordinated approach enhances the patient experience and improves clinical outcomes. Establishing a culture of empathy and respect within healthcare organizations is vital. Change management should focus on building a patient-centered culture where every staff member is committed to providing compassionate and respectful care. This cultural shift can significantly enhance the patient experience by making patients feel valued and understood (Guidi & Traversa, 2021).

The full spectrum of patient interactions with the healthcare system, including care from health plans, physicians, nurses, and personnel in hospitals, medical practices, and other healthcare settings, is included in the term “patient experience.” Patient satisfaction reflects a patient’s subjective assessment of their healthcare experience. It is based on how well their expectations and needs were met during their interactions with healthcare providers and the healthcare system (Park et al., 2022). 

Coordinated Care and Ethical Decision Making

Beneficence and Non-Maleficence

Coordinated care plans aim to maximize healthcare’s benefits while minimizing potential harm. By organizing and integrating care activities across multiple providers and settings, these plans ensure that all aspects of a patient’s health are considered, reducing the risk of oversight or conflicting treatments. This holistic approach helps provide comprehensive care, improve health outcomes, and prevent medical errors, thereby fulfilling the moral precepts of non-maleficence, or avoiding damage, and beneficence, or doing good (Varkey, 2021).

Autonomy and Justice

Respecting patient autonomy is a core ethical principle that underpins coordinated care plans. These plans involve patients in care decisions, ensuring their preferences, values, and needs are central to the care process. By facilitating shared decision-making and clear communication, coordinated care plans empower patients, promoting their autonomy and ensuring their voices are heard and respected in their treatment journey. Coordinated care plans also address the ethical principle of justice by ensuring equitable access to healthcare resources. They aim to eliminate disparities in care by providing all patients with the same standard of care, regardless of their background, socio-economic status, or geographical location. This equitable approach ensures that every patient receives appropriate and timely care, promoting fairness in the healthcare system (Varkey, 2021).

An ethical approach to coordinated care should logically result in better health outcomes, more patient satisfaction, and increased trust in the healthcare system. When patients feel that their care is well-coordinated and ethically grounded, they are likelier to adhere to treatment plans, engage with healthcare providers, and participate actively in their care, leading to better overall outcomes (Hansson & Fröding, 2020). The underlying assumptions guiding decision-making in coordinated care plans include the belief that patients desire to be actively involved in their care and benefit from a team-based approach. These assumptions may only sometimes hold, as some patients prefer a more paternalistic approach or may face barriers to participation, such as cognitive impairments or lack of health literacy. Therefore, healthcare professionals must customize their treatment for each patient’s needs and preferences, ensuring that the ethical principles guiding coordinated care plans are applied flexibly and sensitively (Hansson & Fröding, 2020).

Policy Implications on Healthcare Outcomes

Specific healthcare policies, such as those within the Affordable Care Act (ACA) and the Hospital Readmission Reduction Program (HRRP), significantly influence healthcare outcomes and patient experiences. The ACA’s diverse provisions, including Medicaid expansion, aim to improve access to care, enhance care coordination, and incentivize quality improvements (Lewis et al., 2019). The HRRP’s focus on reducing hospital readmissions also encourages hospitals to prioritize care transitions, discharge planning, and post-discharge follow-up, thereby reducing unnecessary readmissions and promoting smoother care continuums. 

The logical implications and consequences of these healthcare policies are extensive. Firstly, they lead to tangible health improvements, as seen in reduced morbidity and mortality rates due to better access to care and quality initiatives (Psotka et al., 2019). By emphasizing preventive care, enhanced care coordination, and reducing avoidable readmissions, these policies contribute to sustainable and equitable access to high-quality care for all patients (Psotka et al., 2019).

Empowering Nurses in Care Coordination

Nurses are vital to care coordination, acting as a crucial link for patient care and healthcare system efficiency. Situated at the center of various patient care aspects, nurses serve as advocates, educators, and coordinators, using their extensive involvement to understand patient needs thoroughly (Karam et al., 2021). This central position allows them to significantly influence the development and execution of coordinated care plans, enhancing patient outcomes and satisfaction. The American Nurses Association recognizes that nurses’ involvement in care coordination leads to better healthcare experiences, fewer hospital readmissions, and improved health outcomes (Bolton et al., 2019). Therefore, recognizing and supporting the critical role of nurses in care coordination is vital for healthcare systems to maximize patient care quality and effectiveness, highlighting the importance of their active participation in these efforts.

Conclusion

In conclusion, effective care coordination is vital for managing complex health conditions and ensuring comprehensive patient care. Implementing strategies like drug-specific education, cultural competence, and shared decision-making enhances patient outcomes. Ethical decision-making and empowering nurses further optimize care quality. Policies like the ACA and HRRP significantly improve healthcare access, coordination, and efficiency.

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

Glaser, J., Nouri, S., Fernandez, A., Sudore, R. L., Schillinger, D., Klein-Fedyshin, M., & Schenker, Y. (2020). Interventions to improve patient comprehension in informed consent for medical and surgical procedures: An updated systematic review. Medical Decision Making, 40(2). https://doi.org/10.1177/0272989×19896348 

Grover, S., Fitzpatrick, A., Azim, F. T., Ariza-Vega, P., Bellwood, P., Burns, J., Burton, E., Fleig, L., Clemson, L., Hoppmann, C. A., Madden, K. M., Price, M., Langford, D., & Ashe, M. C. (2021). Defining and implementing patient-centered care: An umbrella review. Patient Education and Counseling, 105(7). https://doi.org/10.1016/j.pec.2021.11.004 

NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

Guidi, C., & Traversa, C. (2021). Empathy in patient care: From “clinical empathy” to “empathic concern.” Medicine, Health Care and Philosophy, 24(4). https://doi.org/10.1007/s11019-021-10033-4 

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

Huang, C., Plummer, V., Lam, L., & Cross, W. (2020). Perceptions of shared decision‐making in severe mental illness: An integrative review. Journal of Psychiatric and Mental Health Nursing, 27(2). https://doi.org/10.1111/jpm.12558 

Joo, J. Y., & Liu, M. F. (2020). Culturally tailored interventions for ethnic minorities: A scoping review. Nursing Open, 8(5), 2078–2090. https://doi.org/10.1002/nop2.733 

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/ 

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

NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

Mononen, N., Pohjanoksa-Mäntylä, M., Airaksinen, M. S., & Hämeen-Anttila, K. (2020). How far are we from a medication use process aiming at well-informed adherent patients with long-term medications in Finland? Qualitative study. BMJ Open, 10(6), e036526. https://doi.org/10.1136/bmjopen-2019-036526 

Park, H. N., Park, D. J., Han, S. Y., Tae, J. Y., Jung, K., Bae, E. J., & Yoon, J. Y. (2022). Effect of inpatient experiences on patient satisfaction and the willingness to recommend a hospital: The mediating role of patient satisfaction: A cross‐sectional study. Health Science Reports, 5(6). https://doi.org/10.1002/hsr2.925 

Petersen, M. B., Bor, A., Jørgensen, F., & Lindholt, M. F. (2021). Transparent communication about negative features of COVID-19 vaccines decreases acceptance but increases trust. Proceedings of the National Academy of Sciences, 118(29), e2024597118. https://doi.org/10.1073/pnas.2024597118 

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

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