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Care Coordination Presentation

Tyler Roberts

Capella University

NURS-FPX4050

Dr. DellAntonio

January 2024

Care Coordination Presentation

Good afternoon and thank you for taking time out of your day to join me. My name is Tyler Roberts, and I am a care coordinator here at University Medical Center. I have been in my role for several years now and can say that I thoroughly enjoy it. This afternoon I'm going to be talking to you about care coordination, how to work with families and patients to collaborate on treatment, and how change management affects the patient experience today. After that, I'll talk about the effects of the policies' provisions and results, which will help to highlight the importance of your job as a nurse. I hope that you can take what you learn here and apply it to your current position to help give your patients the best possible care. I know your time is valuable, so let’s get into it.

Care coordination involves a comprehensive and organized method to match a person's healthcare and support services with their needs in a cost-effective way. This approach entails a detailed assessment to understand the individual's preferences, forming a complete care plan, and regularly managing and checking on the services based on research evidence. A care coordinator is usually in charge to lead this process (Conway et.al., 2019).

It is my responsibility as a staff care coordinator to ensure that every patient receives the best care possible by organizing the work of numerous professionals. This guarantees that in the event of a change in healthcare providers, the patient will have access to any necessary medications, therapy, or equipment.

Effective Strategies to Achieve Desired Outcomes with Patient Collaboration

Different care coordination strategies should be utilized in order to successfully treat a patient. Establishing team meetings, or huddles, to create a plan of care and include the patient directly is one strategy. These weekly meetings, which can take place in real time and involve the patient and healthcare professionals, allow for the discussion of both short- and long-term objectives (Franklin et. al., 2020).

We have to remember how important it is to communicate clearly and accurately. It's crucial to keep in mind that some language barriers can be solved. It is important to utilize on-site language interpreters when available, and online interpreters when needed. When describing a surgery or therapy to a client and their loved ones, it is important to steer clear of medical jargon. It's crucial to make medical terminology understandable to all patients. If the patient and their loved ones are aware of what is happening, they are more likely to follow the treatment plan. There are benefits from educating patients about all of the available medication and treatments that are involved in their care plan. Any education can be supplemented with handouts or other additional resources.

Change Management and Patient Satisfaction

It might be difficult for anyone to change their routine. Implementing change within a healthcare system, however, can be considerably more difficult if sufficient planning and resources are not available to enable effective improvements. Remarkably, two-thirds of proposed change fail, even though change in the healthcare industry is necessary (Barrow et al. 2022). Several factors contribute to this issue, such as inadequate planning, undertrained and unenthusiastic staff, inadequate communication, and an increase in the frequency of modifications.

To get their opinions on possible changes to the healthcare system, Nilsen et al. (2020) conducted in-depth interviews with a range of healthcare professionals. The study's participants concluded that healthcare workers can effect change, provided they are well-prepared, comprehend the importance of the changes, and grasp their justification. When providers see how much the changes would improve the lives of their patients, they become more driven to influence change and encourage colleagues during implementation.

Furthermore, Barrow et al. (2022) emphasize the significance of ongoing leadership support during the change implementation process and frequent evaluation of the changes' efficacy. Leadership can utilize impactful change theories to help develop a plan and lay out the advantages for patients in order to better inspire and assist staff in putting these changes into practice. The increased number of research and the growing body of information require adjustments in order to provide patients the best possible care.

Care Coordination and Ethical Decision Making

Making ethical decisions is an element that accompanies change management. The code of ethics was created by the American Nurses Association to guarantee that medical workers operate professionally. An open and sincere approach is required when healthcare professionals work together with care. The four primary elements of ethics are autonomy, fairness, beneficence, and nonmaleficence. Regardless of the patient's identity, we must guarantee that care coordination serves their best interests and provides safety. There may be moral conflicts between nurses and patients. Nevertheless, regardless of our convictions, it is our duty to advocate for our patients and establish stability while delivering patient care (Varkey, B 2021).

Impact of Healthcare Policy Provisions on the Patient Experience

When organizing a plan of care for our patients, we must take the effects of healthcare policy provisions into account. One example would be the 2010 passing of the Affordable Care Act (ACA), which allowed healthcare insurance to cover people with pre-existing diseases like epilepsy. The ACA upholds the core value of nursing by guaranteeing a fair distribution of benefits, granting states the authority to raise Medicare eligibility standards, and requiring the majority of insurers to pay for prescription medications and behavioral health and drug misuse treatments (U.S. Department of Health and Human Services, 2022).

The Healthcare Insurance Portability and Accountability Act (HIPAA), which was enacted in 1996 to keep patient health information private and not share it with third parties without the patient's permission is another example of a healthcare policy provision. The HIPAA Goal of Privacy Rule permits the transfer of suitably safeguarded health information across facilities where it is necessary to deliver and advance high-quality healthcare. Patients are receiving more thorough and knowledgeable care as a result of these policy provisions, which have improved patient experiences and clinical outcomes (U.S. Department of Health and Human Services, 2019).

Role of the Nurse in Care Coordination

An important part of continuity of care is played by nurses. In order to advance patient safety, efficient care, and satisfying care quality, they interact with multidisciplinary team members, patient families, community resources, and organizational leaders. For the majority of their hospital stay and other medical requirements, patients communicate with nurses. As a result, the nurse becomes an important partner in developing patient care plans and in determining the requirements and preferences of the patient. Fostering care that is ethical, integrative, holistic, ongoing, and appreciated by patients is a mission that nurses are leading experts in.

Conclusion

As you've heard, the objective is to enable all members of a healthcare team to effectively coordinate patient care. The patient will gain from collaboration and therapeutic coordination. To reach the greatest standards and quality patient care, nurses must uphold ethical principles and abide by policy directives. Thank you for learning about care coordination with me. I'm hoping that after today, you'll know and understand more about how to effectively coordinate patient care.

References

Barrow, J., Annamaraju, P., & Toney-Butler, T. (2022, September 18).  Change Management. National Library of Medicine. Retrieved December 23, 2022, from https://www.ncbi.nlm.nih.gov/books/NBK459380/

Conway, A., O’Donnell, C., & Yates, P. (2019). The Effectiveness of the Nurse Care Coordinator Role on Patient-Reported and Health Service Outcomes: A Systematic Review.  Evaluation & the Health Professions.,  42(3), 263–296. https://doi.org/10.1177/0163278717734610

Franklin, B. J., Gandhi, T. K., Bates, D. W., Huancahuari, N., Morris, C. A., Pearson, M., Bass, M. B., & Goralnick, E. (2020). Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy.  BMJ Quality & Safety, 29(10), 1-2. https://doi.org/10.1136/bmjqs-2019-009911

Nilsen, P., Seing, I., Ericsson, C., Birken, S. A., & Schildmeijer, K. (2020). Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses, and assistant nurses.  BMC health services research,  20(1), 147. https://doi.org/10.1186/s12913-020-4999-8

U.S. Department of Health & Human Services. (2022, March 17). About the Affordable Care Act. HHS.gov. https://www.hhs.gov/healthcare/about-the-aca/index.html

U.S. Department of Health & Human Services. (2019, January 4). Health Information Privacy. HHS.gov. https://www.hhs.gov/hipaa/index.html

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

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