Care Coordination Presentation Essay

Care Coordination Presentation Essay

Care Coordination

Despite its apparent insignificance, care coordination has a massive impact on care and determines patient outcomes. The ability to orchestrate the daily activities of patient care necessitates a well-organized team that is aware of its responsibilities and performs the tasks that have been delegated to it. Care coordination, according to Hannigan et al. (2018), is the deliberate orchestration of patient care activities among the participants involved, including the patients, to facilitate the appropriate provision of care services. Care providers, patients, patient families, hospital administration, and the community are among the stakeholders involved; thus, an approach with ethical consideration, cultural awareness, and recognition of policies and community resources that matter is critical, as discussed further below.

Strategies for Collaboration with Patients and Families

            As an example, in the management of stroke, as discussed in the previous write-up, close interaction with the family is required because the patients are often, if not always, unconscious. The inclusion of family members necessitates four pillars of care collaboration-communication, respect, partnership, and negotiation (Bombard et al., 2018). The manner in which a care provider communicates with the patient and his or her family influences the family’s understanding of the patient’s health and condition. To avoid overwhelming the family with difficult medical vocabularies, communication should take place in unadorned prose (Bombard et al., 2018). Furthermore, caregivers must always consider the patient or family members as partners in care delivery. For example, in an unconscious stroke patient, family members will provide a history, such as an Aspirin allergy, which will necessitate drug replacement with an alternative, most likely Clopidogrel. Furthermore, respect and dignity, or simply understanding the patient’s and family member’s perspectives, are essential in care (Bombard et al., 2018). The care provider must consider the opinions of the patients and their families to be relevant, rather than dismissing them as non-medical viewpoints. Moreover, the aspect of negotiation must be part of every care; for example, a care provider negotiates with family members about visiting hours, foods to bring the patient, and how to ensure continuum of care at home after discharge. The four pillars ensure effective collaboration with patients and families.

Aspects of Change Management that affects Elements of Patient Experience

            Due to the inevitability of change, sectors such as healthcare must embrace novel modes of operation to keep up with the rapidly changing world. Patients’ health is the top priority in healthcare, and every aspect of change revolves around improving patient outcomes. There are several aspects of change management that have a direct impact on patient experience. For example, when it comes to enforcing change, education and communication are critical strategies that are highly valued by both patients and caregivers (Harrison et al., 2021). For instance,   are providers who are taught how to prevent decubitus ulcers in stroke patients by turning them in bed every 2 hour contribute to reduced occurrences of bed sores. Similarly, after regaining consciousness, stroke patients are taught to keep ambulating to reduce the risk of deep venous thrombosis; thus, education and communication are a highly valuable aspect of change management, resulting in high quality patient-centered care.

Furthermore, patient facilitation and support, which can be explained in the same context as above, ultimately improve patient outcomes.  While patient experience refers to the interactions the patient has with healthcare systems such as medical staff behavior, physical tests, and care plan, patient satisfaction refers to the subjective feeling of fulfillment of the expectations they had while seeking care (Chen et al., 2019). When care providers educate patients, communicate effectively with them, and support them in various areas of care, it improves the patients’ experience and satisfaction, as described above.

Rational for Coordinated Care Plans Based on Ethical Decision Making

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            Ethical decision making is defined as the process of carefully considering ethical rules, guidelines, and principles while making and evaluating options. It I s a multi-step process that involves defining and describing an ethical issue, reflecting on personal values, considering stakeholder perspectives, analyzing alternatives, and finally making a decision (Guidolin et al., 2021). The rationale for inclusion in a healthcare context is based on its ability to establish trust, demonstrate responsibility, fairness, caring, and respect when dealing with colleagues and patients (Guidolin et al., 2021). This ensures a stable and thriving collaborative relationship among caregivers, as well as an effective therapeutic relationship between caregiver and patient.

Patients’ rights are respected, harm is avoided, benefits are maximized, and they are treated fairly and equitably as a result of an ethical approach to care (Guidolin et al., 2021). As a result, this introduces the assumptions that guide ethical decision making, which are covered by the four principles, autonomy, nonmaleficence, beneficence, and justice. Respect for autonomy requires that patients’ rights and self-governance be respected; nonmaleficence requires that every duty be aimed at avoiding and minimizing harm to the patients; beneficence requires that services provided to the patients provide the maximum benefits and enhance their well-being; and finally, justice requires that patients be treated fairly and equitably (Guidolin et al., 2021). As can be seen here, patient care is firmly rooted in ethical principles, which should aid in resolving conundrums in the corridors of care.

Potential Impact of Specific Healthcare Policy on Outcomes and Patient Experiences

            In terms of healthcare policy pedagogy in the United States, the Affordable Care Act, enacted and implemented by the Obama Administration in 2010, ranks second to none. The policy was intended to increase access to care, particularly for vulnerable populations and low to middle socioeconomic groups. Significant progress was made in the policy’s implementation, with approximately 31 million Americans by then, having healthcare coverage (Wray et al., 2021). Access to both curative and preventive care was expanded, which is important in the context of stroke patients. Prevention is the most effective way to combat cardiovascular diseases such as stroke. This is accomplished by detecting and treating risk diseases such as diabetes, hypertension, obesity, and hypercholesterolemia as early as possible (Wray et al., 2021). When the majority of people have free access to care without fear of financial repercussions, screening and treatment for the aforementioned diseases is widely available, and the incidences of cardiovascular-related events decline. The most prevalent disease in the United States is still cardiovascular disease; however, mortality from such events has decreased significantly, which can be attributed in part to widespread access to preventative healthcare (Wray et al., 2021). According to research, preventative care may be more cost-effective than curative care.

Nurse’s vital role in the Coordination and Continuum of Care

All the time, nurses are the majority of healthcare providers. This means that nurses are the most accessible providers of care to patients. Despite their large number in care, reports of nurses being treated as inferiors are common. Nurses, for example, perform a variety of activities in the coordination of care for stroke patients, such as monitoring progress, medication administration, turning the patients in bed, monitoring vital signs, rehabilitation by assisting the patients to feed, ambulate, and clean, and providing psychological support to the patient and family (Clare, 2020). In her article about the role of nurses in the management of scute stroke, Clare (2020) states that nurses provide the following types of care: monitoring, recording and responding to patients’ clinical status, assisting with hyperacute and acute treatment, and supporting and encouraging rehabilitation. Because approximately 5% of acute stroke patients will receive end-of-life care within 72 hours of symptom onset (Clare, 2020), nurses are well-versed in end-of-life care. Patients receiving end-of-life care must be treated as individuals with dignity and respect, must be supported in making decisions and wishes, must have their physical needs met, including pain, and must have their spiritual, emotional, and social needs met. Nurses are well-positioned to initiate end-of-life discussions and to explore the individual’s wishes and preferences. It is thus noted that the role of nurses in patient care begins as early as the patient has an acute illness and ends as late as initiating discussions about end-of-life care.

Conclusion

Medicine, being a science and an art, necessitates the incorporation of both in day-to-day operations. Care coordination is one specific aspect of care where art is required at its highest level, to place and organize care providers according to departments or roles in order to achieve care delivery goals. In the end, ethical decision making has proven to assist caregivers in dealing with the difficult dilemmas of day-to-day care. With the help of ethical principles, all patients who deserve it receive fair, just, and equitable care. External factors such as health policies also have an impact on care delivery, with the Affordable Care Act remaining the most cited and analyzed health policy. Finally, as the majority of healthcare workers, nurses play a critical role in the coordination and continuum of care

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References

Bombard, Y., Baker, G. R., Orlando, E., Fancott, C., Bhatia, P., Casalino, S., Onate, K., Denis, J.-L., & Pomey, M.-P. (2018). Engaging patients to improve quality of care: a systematic review. Implementation Science: IS, 13(1). https://doi.org/10.1186/s13012-018-0784-z

Chen, Q., Beal, E. W., Okunrintemi, V., Cerier, E., Paredes, A., Sun, S., Olsen, G., & Pawlik, T. M. (2019). The association between patient satisfaction and patient-reported health outcomes. Journal of Patient Experience, 6(3), 201–209. https://doi.org/10.1177/2374373518795414

Clare, C. S. (2020). Role of the nurse in acute stroke care. Nursing Standard (Royal College of Nursing (Great Britain): 1987), 35(4), 68–75. https://doi.org/10.7748/ns.2020.e11482

Guidolin, K., Catton, J., Rubin, B., Bell, J., Marangos, J., Munro-Heesters, A., Stuart-McEwan, T., & Quereshy, F. (2021). Ethical decision making during a healthcare crisis: a resource allocation framework and tool. Journal of Medical Ethics, 3(7), 78–111. https://doi.org/10.1136/medethics-2021-107255

Hannigan, B., Simpson, A., Coffey, M., Barlow, S., & Jones, A. (2018). Care coordination as imagined, care coordination as done: Findings from a cross-national mental health systems study. International Journal of Integrated Care, 18(3), 12. https://doi.org/10.5334/ijic.3978

Harrison, R., Fischer, S., Walpola, R. L., Chauhan, A., Babalola, T., Mears, S., & Le-Dao, H. (2021). Where do models for change management, improvement and implementation meet? A systematic review of the applications of change management models in healthcare. Journal of Healthcare Leadership, 13(6), 85–108. https://doi.org/10.2147/JHL.S289176

Wray, C. M., Khare, M., & Keyhani, S. (2021). Access to care, cost of care, and satisfaction with care among adults with private and public health insurance in the US. JAMA Network Open, 4(6), e2110275. https://doi.org/10.1001/jamanetworkopen.2021.10275

Instructions
Complete the following:

Include community resources, ethical issues, and policy issues that affect the coordination of care. To prepare, develop a detailed narrative script.

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.
Provide, for example, drug-specific educational interventions, cultural competence strategies.
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.
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.
What are the logical implications and consequences of relevant policy provisions?
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.
Fine tune the presentation to your audience.
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.
Additional Requirements
Submit both your presentation video and script. The script should include a reference page. See Using Kaltura for more information about uploading multimedia files. You may submit the assessment only once, so be sure that both assessment deliverables are included.

Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.

Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 2: Collaborate with patients and family to achieve desired outcomes.
Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.
Competency 3: Create a satisfying patient experience.
Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.
Competency 4: Defend decisions based on the code of ethics for nursing.
Explain the rationale for coordinated care plans based on ethical decision making.
Competency 5: Explain how health care policies affect patient-centered care.
Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.
Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
Raise awareness of the nurse\’s vital role in the coordination and continuum of care