4050 A3 I am creating a transcript presentation

Care Coordination Presentation Amanda Renfro Capella University NHS-FPX 4050: Coordinating Patient Centered Care Gina Causey September 11, 2023

Care Coordination Presentation

Good morning. I want to express my gratitude to everyone for taking the time to come to my presentation today. My name is Amanda Renfro, and I work here in this facility as a registered nurse and nurse care coordinator. My goal as a nurse coordinator is to enhance patient health outcomes, so I created a presentation detailing my responsibilities and outlining strategies for coordinating care across various medical specialties. I will also discuss the role of nurses in ensuring treatment stability, the effects of change management on the quality of care provided to patients, and the likely results of various healthcare policy initiatives.

To begin, we will talk about the responsibilities of a nurse care coordinator. Collaboration, information sharing, pooling of resources, and the inclusion of several stakeholders are essential for effective nurse care coordination. It is linked to more successful outcomes and performing above expectations (Howren et al., 2021). As the staff nurse coordinator, I am obligated to guarantee that every patient receives the highest quality care possible by coordinating the efforts of many professionals. This ensures the patient can access necessary treatment, equipment, or medications during the transition between healthcare providers.

Effective Strategies to Achieve Desired Outcomes with Patient Collaboration

We rely heavily on the ability to communicate with one another. Early on, we are exposed to various verbal and nonverbal communication styles. Providing care for patients also includes sharing with their families clearly and straightforwardly. It is not unusual for families to care for their chronically ill loved one themselves rather than constantly relying on nursing staff. Learning how to connect successfully with the client's loved ones is essential to provide ongoing care. According to Goodridge et al. (2018), patient- and family-centered care is increasingly linked to better health outcomes and lower medical service utilization, making it an essential component of high-quality therapy.

We must keep in mind the importance of having clear and concise communication. It's important to remember that some language difficulties may be overcome. Avoiding medical jargon is crucial when explaining a procedure or therapy to a client and their loved ones. Simplifying terminology so that non-specialists can understand them is essential. The patient and their loved ones are more likely to stick with the treatment plan if they know what is happening. Benefits can be expected by providing information about all available drugs and treatments. Any lesson can be strengthened through the use of handouts and additional materials.

In this sense, having cultural competence is also of the utmost importance. To provide treatment consistent with the client's values, having a broad awareness of those values is helpful. For instance, learning about eating patterns and preferred foods is crucial. Having diet options that adhere to their cultural rules will provide the family options to assist in keeping the client compliant if you know they are less likely to follow a meal plan because they typically dine in a group and eat what is served. Ethically, it is essential to think about conducting research in a way that does not only "extract" data from participants but results in helpful knowledge for people and their communities (Willging et al., 2018).

Change Management and Patient Satisfaction

Making adjustments to one's routine can be challenging for everyone. However, if adequate preparation and resources are unavailable to support effective changes, implementing change within a healthcare system can be even more challenging. Barrow et al. (2022) state that despite the inevitability of change in healthcare, shockingly, two-thirds of implemented reforms fail. Some examples of these causes are a lack of forethought, untrained and unmotivated employees, a failure to communicate effectively, and a rise in the frequency of changes.

Nilsen et al. (2020) conducted in-depth interviews with various healthcare professionals to collect their thoughts on potential improvements to the healthcare system. The interviewees in this study agreed that healthcare professionals may affect change if they are well-prepared and understand the significance of the changes and the rationale behind them. Providers' motivation to work toward change and support colleagues throughout implementation increases when they realize the benefits the changes will bring to patients' lives.

In addition, Barrow et al. (2022) stress the importance of continuous leadership support throughout the change implementation process and regular examination of the success of the changes. To further motivate and support employees in implementing these changes, leadership can use influential change theories to help design a strategy and outline patient benefits. Adjustments need to be made to provide patients with the highest level of care feasible by the growing body of knowledge and the increasing number of studies.

Care Coordination and Ethical Decision Making

Coordinated care planning should be rooted in ethical decision-making, like other aspects of providing health care to those in need. In order to explain ethics, the author of this article groups the ethical principles into four categories: respect for autonomy (the right to have opinions and to make choices based on those opinions), nonmaleficence (the avoidance of doing harm), beneficence (the maximization of good while minimizing bad), and justice (the pursuit of fairness). These clusters of moral principles establish professional obligations and vital standards within that framework, providing a foundation in the form of a shared morality-based framework that serves as the basis for biomedical ethics. (Erstad, 2022, p. 159). All decisions made while developing patients' individualized, coordinated care plans should conform to these guidelines. This guarantees that the care plans are designed with the patient's best interests in mind and that the patient will not suffer any adverse consequences resulting from the care plan.

Impact of Healthcare Policy Provisions on the Patient Experience

The Patient Protection and Affordable Care Act (ACA) was passed in March of 2010 in the United States to expand health insurance options for its citizens. The primary objective is to improve coverage by encouraging collaboration between businesses, individuals, and government agencies. The bill also tries to lower healthcare costs and increase availability nationwide. As a result of this legislation, readmission rates have decreased, preventative care has received more attention, and the use of electronic health records has increased. More specifically, payment systems based on patient outcomes have been utilized since the ACA was passed. Healthcare providers should hire a care coordinator to ensure patients receive proper follow-up care and maximize the likelihood of compensation for services provided.

Patients should be making better use of preventative care and therapeutic services now that the Affordable Care Act is in effect. In addition, service providers must ensure they utilize every resource available in the community. A care coordinator or similar individual can accomplish this by checking in with the patient and providing a list of resources. This ensures that patients receive the full benefit of the community's resources for the best possible continuity of treatment.

Role of the Nurse in Care Coordination

The nurse in charge of the patient is the point person for the patient and coordinates all aspects of care. This is utilized before the start of care, during maintenance, and at the conclusion. The primary nurse's role in a long-term care facility is to mediate for patients and their families to reach out to other healthcare professionals, social workers, and activity coordinators. This is particularly true when conveying the client's needs or wants to other parties. It is the nurse's responsibility to relay all relevant information to the new caregiver whenever a patient is transferred, even for a short period. This covers the client's medication schedule, the kind of medications being taken, the time since the last dose of any "as needed" medications, and when the next dose can be given. As nurses, we can all agree on the significance of open lines of communication. You can see how we contribute daily to the care coordination process.

Conclusion

Patient care coordination, in essence, calls for a multifaceted strategy. When developing a care coordination strategy, a care coordinator must make decisions based on ethical considerations. Care management and patient satisfaction should be integrated throughout the care coordination plan, and nurses (who play a crucial role in care coordination) should apply these measures. Once again, I appreciate your presence at this presentation. I hope this presentation gives you all the necessary information to organize patient care efficiently.

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/

Erstad, B. L. (2022). Ethical Decision-Making in the Pharmacists’ Patient Care Process.  American Journal of Pharmaceutical Education,  86(3), 158–162. https://doi.org/10.5688/ajpe8655

Goodridge, D., Henry, C., Watson, E., McDonald, M., New, L., Harrison, E. L., Scharf, M., Penz, E., Campbell, S., & Rotter, T. (2018). Structured approaches to promote patient and family engagement in treatment in acute care hospital settings: protocol for a systematic scoping review.  Systematic reviews,  7(1), 35. https://doi.org/10.1186/s13643-018-0694-9

Howren, M., Kazmerzak, D., Pruin, S., Barbaris, W., & Abrams, T. E. (2021). Behavioral health screening and care coordination for rural veterans in a federally qualified health center. The Journal of Behavioral Health Services & Research, 49(1), 50–60.

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

Willging, C. E., Sommerfeld, D. H., Jaramillo, E. T., Lujan, E., Bly, R. S., Debenport, E. K., Verney, S. P., & Lujan, R. (2018, June 18). “Improving Native American elder access to and use of health care through effective health system navigation.” BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-3182-y