6618: Assessment 1

Assessment 1 Planning and Presenting a Care Coordination Project

Overview

Develop a care coordination project plan for a population that is in need of care from multiple organizations. Then, develop 10–12 slides for use in presenting your plan to administrative decision makers.

Note: Complete the assessments in the order in which they are presented. The assessments that follow will build upon the work you have completed in this first assessment.

The role of professional nursing continues to expand and incorporate increasingly higher levels of expertise, specialization, autonomy, and accountability. This is particularly true in regard to the scope and challenges of providing coordinated care to members of various populations within a community. In addition, care coordination leaders must be confident in their abilities to navigate and lead change in their work environments.

This assessment provides an opportunity for you to formulate a care coordination project planning strategy, develop a care coordination project plan for a selected population, and garner support for your plan from decision makers.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Propose a project for change, for a community or population, within a care coordination setting.

Articulate a vision of interagency coordinated care for a population. Competency 2: Align care coordination resources with community health care needs.

Determine the resource needs of a population. Competency 3: Apply project management best practices to affect ethical practice and support positive health outcomes in the delivery of safe, culturally competent care in compliance with applicable regulatory requirements.

Identify project milestones and outcome measures. Competency 4: Identify ways in which the care coordinator leader supports collaboration between key stakeholders in the care coordination process.

Identify the organizations and groups who must participate in caring for a population. Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.

Present a project plan to administrative decision makers. Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

Competency Map

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Resources

Assessing Community and Population NeedsAssessing Community and Population Needs

Centers for Medicare and Medicaid Services. (2019, March). Care coordination toolkit [PDF]. Available from https://www.cms.gov/ Institute for Healthcare Improvement, IHI White Papers. (n.d.). Care coordination model: Better care at lower cost for people with multiple health and social needs. Retrieved from http://www.ihi.org/resources/Pages/IHIWhitePapers/IHICareCoordinationModelWhitePaper.aspx Resources for Integrated Care. (n.d.). Behavioral Health Integration Capacity Assessment tool. Retrieved from https://www.resourcesforintegratedcare.com/tool/bhica U.S. Department of Health & Human Service, Agency for Healthcare Research and Quality. (n.d.). Care coordination measures database. Retrieved from https://primarycaremeasures.ahrq.gov/care-coordination Williams, M. D., Asiedu, G. B., Finnie, D., Neely, C., Egginton, J., Finney Rutten, L. J., & Jacobson, R. M. (2019). Sustainable care coordination: A qualitative study of primary care provider, administrator, and insurer perspectives. BMC Health Service, 19(92), 1–11.

Recommendations for Care CoordinationRecommendations for Care Coordination

Cordeiro, A., Davis, R. K., Antonelli, R., Rosenberg, H., Kim, J., Berhane, Z., & Turchi, R. (2018). Care coordination for children and youth with special health care needs: National survey results. Clinical Pediatrics, 57(12), 1398–1408. Foster, S. D., Hart, K., Lindsell, C. J., Miller, C. N., & Lyons, M. S. (2018). Impact of a low intensity and broadly inclusive ED care coordination intervention on linkage to primary care and ED utilization. American Journal of Emergency Medicine, 36(12), 2219–2224. Robertson, M. M., Waldron, L., Robbins, R. S., Chamberlin, S., Penrose, K., Levin, B., . . . Nash, D. (2018). Using registry data to construct a comparison group for programmatic effectiveness evaluation: The New York City HIV Care Coordination Program. American Journal of Epidemiology, 187(9), 1980– 1989.

Research ResourcesResearch Resources

You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN Program Library Research Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.

Effective PresentationsEffective Presentations

The following resources will help you create and deliver more effective presentations.

Capella University Library: PowerPoint Presentations. Links to PowerPoint and other presentation software resources.

Microsoft. (2016). Record a slide show with narration and slide timings. Retrieved from https://support.office.com/en-us/article/Record-a-slide-show-with-narration-and-slide-timings-0b9502c6- 5f6c-40ae-b1e7-e47d8741161c?ui=en-US&rs=en-001&ad=US

A tutorial on recording slide narration and setting slide timing.

Writing ResourcesWriting Resources

You are encouraged to explore the following writing resources. You can use them to improve your writing skills and as source materials for seeking answers to specific questions.

APA Module. Academic Honesty & APA Style and Formatting. APA Style Paper Tutorial [DOCX].

Capella ResourcesCapella Resources

Using Kaltura. Disability Services. Smarthinking. ePortfolio.

This resource provides information about ePortfolio, including how to use the different features of the product.

Additional ResourcesAdditional Resources

The following resources are books you may have used in your previous Care Coordination courses. You may find them helpful in providing background information for this course as well.

American Academy of Ambulatory Care Nursing. (2016). Scope and standards of practice for registered nurses in care coordination and transition management. Pitman, NJ: Author. American Nurses Association. (2018). Care coordination: A blueprint for action for RNs. Silver Spring, MD: Author.

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Assessment Instructions

Note: Your work in subsequent assessments will be based on the project plan you develop in this assessment. Therefore, complete the assessments in the order in which they are presented.

PreparationPreparation

For this assessment, you will assume the role of Care Coordinator Project Manager in your present organization or in an organization or setting you aspire to work in, are familiar with, or interested in. Within this context, you will develop a care coordination project plan for a population of your choice that is in need of care from multiple organizations.

In this role, you must consider a comprehensive strategy to organize and coordinate care for the selected population on a local, state, national, or international level, depending upon the population. Your project plan will serve as a model for addressing the care coordination needs of another population, or of an entire community, in Assessments 2 and 3.

After completing your project plan, you will then develop a presentation of your plan to gain the support of administrative decision makers in the organization.

Note: Remember that you can submit all or a portion of your draft documents to Smarthinking for

feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Presentation Tools

You may use Microsoft PowerPoint or another suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your instructor to avoid potential file compatibility issues.

Use the speaker's notes section of each slide to develop your talking points and cite your sources, as appropriate. If you need help designing your presentation, you are encouraged to review the presentation resources provided for this assessment. These resources will help you to design an effective presentation, whether you choose to use PowerPoint or other presentation software.

You have the option of either recording a voiceover track for your presentation or creating a video. In either case, you may use Kaltura Media or other technology of your choice for your audio or video recording.

If using Kaltura Media, refer to Using Kaltura for directions on recording and uploading your video in the courseroom, per directions listed in Resources.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.

RequirementsRequirements

For this assessment:

1. Develop a care coordination project plan for a population of your choice. For example:

Children or the elderly. Chronic care patients. Patients with disabilities. End-of-life care patients. Special needs patients. Inner city or rural area residents.

2. Develop a presentation of your plan for administrative decision makers in the organization to obtain their support.

Note: Choose any population you are familiar with and interested in addressing. However, you will have an option to address the care coordination needs of an undocumented immigrant or refugee population in the next assessment, so do not choose this population for this assessment.

In addition to the requirements outlined below for developing and presenting your project plan, you are encouraged to include whatever additional information is appropriate for the specific population for whom you have chosen to provide a care plan.

Project Plan and Presentation Format and Length

You may use either Microsoft Word or Excel to format your project plan.

For Word documents, use the APA Style Paper Template [DOCX]. An APA Style Paper Tutorial is also provided (linked in the Resources) to help you write and format your project plan. There is no required page length but be sure to include:

A title page and references page. An abstract is not required. A running head on all pages.

Appropriate section headings. For Excel spreadsheets, be sure to include properly formatted citations and references.

At a minimum, your presentation must include the following slides:

Title. Purpose (the reasons for your presentation). References (at the end of your presentation).

Your slide deck should consist of 10–12 slides, not including the title, purpose, and references slides.

Supporting Evidence

Cite 5–7 sources of scholarly or professional evidence to support your project plan.

Developing and Presenting Your Project PlanDeveloping and Presenting Your Project Plan

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that, at a minimum, you address each criterion. You may also want to read the Planning and Presenting a Care Coordination Project scoring guide to better understand how each criterion will be assessed.

Articulate your vision of interagency coordinated care for this population. Consider how you would organize and consolidate care for this population. What assumptions underlie your vision?

Identify the organizations and groups who must participate in caring for this population. Consider coordinated care on a local, state, national, or international level, as applicable. Identify the team members who will comprise your interprofessional care coordination team.

Determine the resource needs of this population. Operational and capital budgeting needs, including:

General supplies. Staffing. Capital purchases.

Costs: Estimated funds. Assumptions.

Identify project milestones and outcome measures. Determine the key steps in attaining your goals for this project. Determine timeframes for each milestone. Identify outcome measures for your project.

Present your project plan to administrative decision makers. Be clear and focused about the why this care coordination project plan is important to successfully support this population. Address the anticipated needs and concerns of your audience. What questions or alternative points of view might you expect? How will you respond? Express your main points, arguments, and conclusions coherently. Proofread your slides to minimize errors that could distract the audience and make it more difficult to focus on the substance of your presentation.

Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

Is your supporting evidence clear and explicit? How or why does particular evidence support a claim?

Will your audience see the connection?

Additional RequirementsAdditional Requirements

Be sure that you have used the APA Style Paper Template [DOCX] to format your project plan and that your document includes:

A title page and references page. A running head on all pages. Appropriate section headings.

In addition, be sure that:

Your slide deck consists of approximately 10–12 slides, not including the title, purpose, and references slide. You have cited 5–7 sources of relevant and credible scholarly or professional evidence to support your project plan.

Portfolio Prompt: You may choose to save your project plan and presentation to your ePortfolio.

How to use the scoring guide

Planning and Presenting a Care Coordination Project Scoring

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