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NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

Student Name

Capella University

NURS4050 Coord Patient-Centered Care

Prof. Name

Date

Care Coordination Presentation to Colleagues

Good morning colleagues. I welcome you all for today’s presentation on coordinated care and basic concepts revolving around the topic. This session aims to provide essential knowledge about care coordination, practical strategies for collaborating with our patients and communities, change management strategies, and highlight ethical-decision making and the impact of healthcare policies on care coordination. Moreover, we will discuss nurses’ crucial role in maintaining the continuum of care. Let us move ahead in the presentation. 

Evidence-based and Culturally-sensitive Strategies for Collaboration 

First, we will discuss research-based and culturally appropriate strategies to collaborate with patients and their families in community settings effectively. These strategies are; shared-decision making and culturally competent care. 

Shared-decision Making

A patient and family-centered approach that revolves around collaborative discussions between providers, patients, and their families about patients’ healthcare treatment options, care plans, and objectives will assist in making informed choices (AHRQ, 2020). This strategy is implemented by providing evidence-based information, which includes risks and benefits associated with the treatment options to promote informed decision-making. This strategy aims to respect patients’ rights, cultural values, and preferences and ensure that patients’ views are equally important in managing health conditions.

Cultural Competence

Another effective way to collaborate with patients and their families is to provide culturally competent care. For this purpose, healthcare providers must develop cultural competence by recognizing and respecting patients’ cultural values, practices, and beliefs. Moreover, using appropriate language to convey healthcare information will enhance patients’ trust, and tailoring treatment plans according to patient’s needs and preferences will improve patient satisfaction levels. A study by Handtke et al. (2019) claims that cultural competence can reduce disparities and increase consumer satisfaction, eventually improving healthcare quality. 

Change Management and its Impact on Patient Experience

The change management strategies significantly impact the healthcare industry, directly affecting patient experiences and quality of care.  Two different concepts must be distinguished for better understanding – patient experience, which incorporates a variety of interactions that patients encounter during their care period in a healthcare organization. It is considered an important dimension that depicts the quality of healthcare services provided to patients (Oben, 2020). The other is patient satisfaction, which indicates healthcare providers’ success in meeting the patient’s needs and desired objectives. 

Effective communication, comprehensive care, and care coordination are critical aspects of change management that directly impact patient experiences. Clear and open lines of communication between healthcare providers and patients are pivotal in enhancing patients’ trust in the healthcare services and engaging patients in their care by informing them about health conditions, treatment options, and further progress of the diseases (Kwame & Petrucka, 2021). Additionally, appropriate communication techniques and frequent correspondence with patients and their families can result in desired outcomes, enhancing patient satisfaction levels.

NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

Another essential aspect of expanding patient experience is personalized and comprehensive care which involves shaping care plans according to patients’ needs, cultural values, and preferences. As personalized care shows commitment to individual needs, it significantly improves patient satisfaction. Lastly, smooth transitions between the care (coordinated care) reduce perplexity for the patients and minimize the disruptions within the care process, improving their experience with healthcare services (Figueroa et al., 2018).

Care coordination also assists in bridging the gap within the care, preventing delayed treatments, and improving patient satisfaction. To sum up, effective change management should spotlight patient-centered approaches that increase the patient experience by addressing the needs and preferences of the patients. 

Coordinated Care Plans and Ethical Decision Making

Coordinated care plans are a fundamental aspect of healthcare developed to provide holistic patient care. When based on ethical principles, these plans are essential to provide patient-centered care, enhance communication, maintain continuity, and allocate resources equitably. Ethical decision-making prioritizes patient-centered care under the principle of autonomy. Similarly, coordinated care plans guarantee interprofessional collaboration to meet the needs of the patients tailoring the care plans according to their preferences (Lulé et al., 2019).

NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

Moreover, coordinated care plans prevent fragmented care and assist healthcare providers in working for patient benefit by reducing adverse effects. This aspect is based on the ethical principle of beneficence and non-maleficence. Ethical principles guide the fair allocation of resources and equitable access to care (O’Sullivan et al., 2022), which is the foundation for care coordination as it helps reduce disparities due to various social, cultural, and economic factors. The care coordination plans result in positive consequences of enhanced communication, improved patient outcomes, continuity of care, and adequate allocation of resources.

Underlying assumptions guiding ethical decision-making are patient satisfaction and empowerment, which are essential for engaging patients in their care processes. Moreover, it is assumed to provide multifaceted care through ethical decision-making, an essential aspect of care coordination. 

Impact of Health Care Policies on Health Outcomes and Patient Experiences

Policies made in the healthcare sector have a significant impact on patient experiences and health outcomes. Similarly, the Affordable Care Act (ACA) is a policy based on expanding Medicaid eligibility, which ultimately has increased healthcare accessibility for millions of uninsured individuals. A study based on the impact of Medicaid expansion on older adults revealed that this expansion has reduced morbidities, complications, and risks associated with various diseases.

It improved the physical health of low-income individuals (McInerney et al., 2020). These improved health outcomes have also enhanced patient experiences with care and patient satisfaction levels. Additionally, the ACA’s emphasis on value-based care and payment reforms has incentivized healthcare providers to ensure that care quality is always prioritized, fostering care coordination.  

NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

Another policy that has impacted patient experiences and health outcomes is Health Insurance Portability and Accountability Act (HIPAA). HIPAA provisions are significant in safeguarding the privacy and security of patient information. A study reveals that privacy is the cornerstone of a patient-provider trusting relationship (Iott et al., 2020). Thus, the security of the patients’ information, under the HIPAA rule, enables providers to gain patients’ trust in healthcare services.

Additionally, it promotes open and accessible communication and shared decision-making between patients and their providers, which leads to improved treatment plans, adherence to care, and better health outcomes. When observing that their privacy and confidentiality are protected, patients are more likely to engage in their healthcare planning, eventually enriching their experience with the care. 

Coordination and Continuum of Care and Nurses’ Role 

Lastly, I would like to share nurses’ roles in care coordination and continuity of care. As frontline healthcare professionals, nurses are crucial in ensuring seamless, coordinated care plans to achieve coordination and continuity of care. Nurses can act as a bridge between various interprofessional team members and patients to reduce communication barriers by ensuring adequate information sharing and shared-decision making.

Nurses are essential in consistently monitoring care outcomes, administering and modifying care plans, and assessing patients’ needs to educate them (Karam et al., 2021). This role enhances patients’ adherence to the care plan, preventing morbidities and complications. Their holistic care approach addresses the patient’s physical, emotional, and psychosocial needs, promoting comprehensive well-being. By vigorously engaging in care transitions and patient education, nurses contribute significantly to effective care coordination, resulting in improved patient outcomes and enhanced quality of life for individuals. 

References

AHRQ. (2020, September). The SHARE Approach—Achieving Patient-Centered Care with Shared Decisionmaking: A Brief for Administrators and Practice Leaders. https://www.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-9.html 

Figueroa, J. F., Feyman, Y., Zhou, X., & Joynt Maddox, K. (2018). Hospital-level care coordination strategies associated with better patient experience. BMJ Quality & Safety27(10), 844–851. https://doi.org/10.1136/bmjqs-2017-007597 

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 ONE14(7), e0219971. https://doi.org/10.1371/journal.pone.0219971 

Iott, B. E., Campos-Castillo, C., & Anthony, D. L. (2020). Trust and privacy: How patient trust in providers is related to privacy behaviors and attitudes. AMIA Annual Symposium Proceedings2019, 487–493. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153104/ 

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 Care21(1), 16. https://doi.org/10.5334/ijic.5518 

NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nursing20(1), 158. https://doi.org/10.1186/s12912-021-00684-2 

Lulé, D., Kübler, A., & Ludolph, A. C. (2019). Ethical principles in patient-centered medical care to support quality of life in amyotrophic lateral sclerosis. Frontiers in Neurology10. https://www.frontiersin.org/articles/10.3389/fneur.2019.00259 

McInerney, M., Winecoff, R., Ayyagari, P., Simon, K., & Bundorf, M. K. (2020). ACA Medicaid expansion associated with increased Medicaid participation and improved health among near-elderly: Evidence from the health and retirement study. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, p. 57. https://doi.org/10.1177/0046958020935229

Oben, P. (2020). Understanding the patient experience: A conceptual framework. Journal of Patient Experience7(6), 906–910. https://doi.org/10.1177/2374373520951672 

O’Sullivan, L., Aldasoro, E., O’Brien, Á., Nolan, M., McGovern, C., & Carroll, Á. (2022). Ethical values and principles to guide the fair allocation of resources in response to a pandemic: A rapid systematic review. BMC Medical Ethics23(1), 70. https://doi.org/10.1186/s12910-022-00806-8 

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