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Nursing colleagues highlighting the fundamental principles of care coordination
Preparation: Scenario Your nurse manager has been observing your effectiveness as a care coordinator and recognizes the importance of educating other staff nurses in care coordination. Consequently, she has asked you to develop a presentation for your colleagues on care coordination basics. By providing them with basic information about the care coordination process, you will assist them in taking on an expanded role in helping to manage the care coordination process and improve patient outcomes in your community care center. To prepare for this assessment, identify key factors nurses must consider to effectively participate in the care coordination process.
Instructions: Complete the following: • Develop a video presentation for nursing colleagues highlighting the fundamental principles of care coordination. Include community resources, ethical issues, and policy issues that affect the coordination of care. To prepare, develop a detailed narrative script. The script will be submitted along with the video. Note: You are not required to deliver your presentation. Presentation Format and Length Create a detailed narrative script for your video presentation, approximately 4–5 pages in length. Include a reference list at the end of the script. Supporting Evidence Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your video. Include your source citations on a references page appended to your narrative script. Explore the resources about effective presentations as you prepare your assessment. Grading Requirements The requirements outlined below correspond to the grading criteria in the Care Coordination Presentation to Colleagues Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. • Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes. o Provide, for example, drug-specific educational interventions, cultural competence strategies. o Include evidence that you have to support your selected strategies. • Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care. • Explain the rationale for coordinated care plans based on ethical decision making. o Consider the reasonable implications and consequences of an ethical approach to care and any underlying assumptions that may influence decision making. • Identify the potential impact of specific health care policy provisions on outcomes and patient experiences. o What are the logical implications and consequences of relevant policy provisions? o What evidence do you have to support your conclusions? • Raise awareness of the nurse's vital role in the coordination and continuum of care in a video-recorded presentation. o Fine tune the presentation to your audience. o Stay focused on key issues of import with respect to the effects of resources, ethics, and policy on the provision of high-quality, patient-centered care. Adhere to presentation best practices.
Full Answer Section
Slide 1: Title Slide – Care Coordination Basics)
Presenter: Care coordination is about deliberately organizing patient care activities and sharing information among all participants concerned with a patient's care to achieve safer and more effective care. 1 It’s about ensuring seamless transitions and comprehensive support for our patients within our community care center and beyond.
1. www.acpm.org
(Slide 2: Effective Collaboration with Patients and Families)
Presenter: Effective collaboration with patients and their families is the cornerstone of successful care coordination. This involves more than just providing medical information; it's about building trust, understanding their unique needs, and empowering them to actively participate in their care.
Drug-Specific Educational Interventions:
For example, when a patient is prescribed a new medication, we must provide thorough education on its purpose, dosage, potential side effects, and how to manage them.
We can use visual aids, teach-back methods, and written materials to ensure understanding.
Evidence supports that drug specific education increases adherence, and reduces adverse events. (Reference: Patient education: a review of the literature. Journal of advanced nursing.)
Cultural Competence Strategies:
We must be sensitive to cultural differences that may influence a patient's health beliefs, practices, and communication styles.
This includes using interpreters when necessary, understanding cultural dietary restrictions, and respecting cultural beliefs about illness and healing.
Culturally competent care leads to greater patient satisfaction, increased adherence and better health outcomes. (Reference: Cultural Competence in Health Care: Is it important for people with chronic conditions? Health & Social Work.)
We can also utilize community resources that are culturally specific.
Active Listening and Shared Decision-Making:
Engage in active listening to understand the patient’s perspective and concerns.
Involve patients and families in developing care plans, ensuring their preferences and values are considered.
(Slide 3: Change Management and Patient Experience)
Presenter: Implementing care coordination initiatives often requires change management. Understanding the aspects of change management that directly affect the patient experience is essential.
Communication:
Clear and consistent communication is crucial for managing change.
We must keep patients and families informed about any changes in their care plan and address their concerns promptly.
Training and Education:
Provide adequate training to staff on new care coordination processes and technologies.
Empower patients and families with the knowledge and skills they need to participate in their care.
Patient Feedback:
Actively seek patient feedback to identify areas for improvement.
Use patient feedback to refine care coordination processes and enhance the patient experience.
Change needs to be implemented in a way that is patient focused, and not just process focused.
(Slide 4: Ethical Decision Making in Coordinated Care Plans)
Presenter: Coordinated care plans must be grounded in ethical decision-making.
Autonomy:
Respect the patient's right to make informed decisions about their care.
Ensure that patients have access to all necessary information to make informed choices.
Beneficence and Non-Maleficence:
Act in the patient's best interest and avoid causing harm.
Balance the benefits and risks of different care options.
Justice:
Ensure equitable access to care and resources for all patients.
Address health disparities and promote social justice.
Confidentiality:
Maintain patient confidentiality, and follow all HIPAA regulations.
We must also consider the reasonable implications and consequences of our ethical approaches. For example, when balancing autonomy and beneficence, we must consider the patient's capacity to make decisions and the potential consequences of those decisions.
(Slide 5: Impact of Health Care Policy Provisions)
Presenter: Health care policy provisions significantly impact outcomes and patient experiences.
The Affordable Care Act (ACA):
The ACA has expanded access to health insurance, which can improve access to care coordination services.
It also emphasizes value-based care, which incentivizes providers to coordinate care effectively.
Medicare and Medicaid Policies:
Medicare and Medicaid policies influence reimbursement for care coordination services.
Changes in these policies can affect the availability and accessibility of care coordination.
State-Level Policies:
State-level policies related to licensing, scope of practice, and funding can impact care coordination.
Telehealth policies impact access to care, especially in rural areas.
Policy changes can have logical implications and consequences. For example, changes in reimbursement policies can affect the financial viability of care coordination programs. We must stay informed about relevant policy changes and advocate for policies that support high-quality, patient-centered care.
(Slide 6: The Nurse's Vital Role in Coordination and Continuum of Care)
Presenter: Nurses are uniquely positioned to play a vital role in care coordination.
Assessment and Planning:
Conduct comprehensive assessments to identify patient needs and develop individualized care plans.
Communication and Collaboration:
Facilitate communication and collaboration among all members of the care team.
Serve as a liaison between patients, families, and providers.
Education and Support:
Provide patient and family education and support.
Empower patients to manage their health and navigate the healthcare system.
Advocacy:
Advocate for patients' needs and ensure they receive timely and appropriate care.
Nurses act as the central point of contact.
(Slide 7: Conclusion)
Presenter: By understanding the fundamental principles of care coordination, we can all contribute to improving patient outcomes and enhancing the patient experience. Let's work together to provide seamless, coordinated care for our community.
Sample Answer
Care Coordination Basics: A Presentation for Nursing Colleagues
Narrative Script
(Opening Scene: Visual of a welcoming community care center, with soft background music. Fade in to presenter, a nurse, sitting in a calm, professional setting.)
Presenter: Hello everyone, and thank you for taking the time to join me today. As our nurse manager has observed, care coordination is a vital component of providing high-quality, patient-centered care. In today's presentation, we'll explore the fundamental principles of care coordination and how we can all play an expanded role in improving patient outcomes.