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NURS FPX 6618 Assessment 1 Planning and Presenting a Care Coordination Project

Student Name Capella University NURS-FPX 6618 Leadership in Care Coordination Prof. Name Date Planning and Presenting a Care Coordination Project Introduction Greetings everyone! I am [Your Name], and today I am excited to present a comprehensive care coordination project tailored for chronic care patients, emphasizing planning and presentation strategies. As the Care Coordinator Project Manager, I will delve into the intricacies of organizing and executing this vital initiative. Purpose of Care Coordination Plan The purpose of devising a care coordination plan for chronic care patients is to streamline patient care practices and associated activities efficiently. This plan aims to facilitate the seamless coordination of crucial medical information among healthcare professionals, thereby averting misunderstandings or adverse events. An effective care coordination plan not only enhances the quality of care but also implements an assurance framework to manage patients, monitor their condition, and bolster support through the development of efficient information systems. Vision for Interagency Collaboration Efficient organization and coordination of care for chronic care patients are pivotal to aiding them in managing their conditions and enhancing their overall experience, satisfaction, and outcomes. Embracing a primary care coordination approach, as advocated by Welkin (2022), entails integrating patient-centered interventions that involve collaboration with patients and their families to address specific needs. This approach underscores the establishment of accountability, proactive care planning, linkage to community resources, highlighting patients’ needs and goals, and supporting self-management objectives. Moreover, leadership roles are pivotal in fostering teamwork, thereby mitigating healthcare inefficiencies through enhanced information exchange regarding patient status, symptom reporting, and provision of necessary equipment. Identifying the Organizations Various organizations play significant roles in the provision of care for chronic patients to bolster their outcomes. The National Association of Chronic Disease Directors (NACDD) is one such organization comprising departments dedicated to safeguarding the health of chronic care patients through primary and secondary prevention efforts (National Association of Chronic Disease Directors, n.d.). Additionally, the Worldwide Hospice Palliative Care Alliance, established in 2008, strives to address the multifaceted needs of chronic care patients and alleviate associated challenges (The Worldwide Hospice Palliative Care Alliance, n.d.). Interprofessional care coordination teams encompassing nurses, nursing leaders, chronic care specialists, insurance providers, psychologists, psychiatrists, and pharmacists are essential components of this endeavor. Determining the Resources Identifying and effectively utilizing appropriate resources are essential components of chronic care management. Economic costs associated with chronic illnesses underscore the need for preventive measures to alleviate the substantial financial burden. Funding programs such as the CDC’s National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) are instrumental in reducing unhealthy behaviors and preventing chronic diseases nationwide (Centers for Disease Control and Prevention, n.d.). Similarly, accountable care organizations (ACOs) play a pivotal role in improving care outcomes through financial incentives and promoting affordable, high-quality care (Rural Health Information Hub, n.d.). Leveraging these resources empowers patients to manage their chronic illnesses effectively. Furthermore, adequate chronic care staffing, coupled with ongoing training initiatives, is imperative for delivering optimal patient care. While uncertainties persist regarding the impact of funding programs, strategic utilization thereof holds promise in addressing patient needs. Project Milestones Establishing an efficient care plan is paramount to enhancing the quality of life for chronic patients. Collaboration among specialists from diverse fields is instrumental in addressing the myriad challenges associated with chronic illnesses. The care coordination team, comprising chronic specialists, nurses, patients, doctors, and hospital management, aims to improve health literacy, facilitate self-management, and monitor patient progress effectively. Evaluation of the coordinated care plan’s results, coupled with continuous improvement efforts, ensures optimal patient outcomes. Presentation of Project to Decision-Makers Implementing a successful healthcare coordination plan hinges on enhanced communication, collaboration, and resource utilization. Meticulous planning aimed at increasing patient satisfaction is pivotal in achieving project milestones. Moreover, securing funding from various organizations is essential to alleviate financial distress among patients. Periodic evaluation of the plan’s implementation through surveys is imperative to gauge program quality and effectiveness. Conclusion In conclusion, this project underscores the importance of developing a care coordination plan tailored to the needs of chronic care patients. By facilitating the seamless organization of medical information, enhancing care practices, and promoting health literacy, this initiative aims to enhance healthcare outcomes for chronic patients. References Centers for Disease Control and Prevention. (n.d.). Chronic Disease Center Budget and Funding | CDC. Centers for Disease Control and Prevention. (n.d.-b). Health and Economic Costs of Chronic Diseases | CDC. National Association of Chronic Disease Directors. (n.d.). NACDD. Rural Health Information Hub. (n.d.). Rural Health Funding & Opportunities: Chronic disease management – Rural Health Information Hub. The Worldwide Hospice Palliative Care Alliance. (n.d.). Welkin. (2022, August 24). Managing Chronic Conditions Through Care Coordination. Welkin Health.