Care Coordination Presentation to Colleagues

Care Coordination Presentation to Colleagues

Hello, and welcome to this presentation. In this presentation, we will explore strategies that can help nurses and other caregivers collaborate with their patients and families and outline how elements of patient experiences are affected by change management. We will also discuss the rationale for care coordination plans, the impacts of policy provision on care coordination, and the role of nurses in care coordination. But first, let us define what care coordination is and its significance in addressing clinical complexities and chronic care.

Care coordination refers to the systematic and deliberate organization of care parameters toward addressing patients’ presentations. It is aimed at facilitating the delivery of appropriate and efficient healthcare services to patients. Williams et al. (2019) assert that care coordination maintains superiority over fragmented care approaches and poor care coordination in enhancing clinical outcomes. Care coordination requires that all care professionals involved in patient handling work collaboratively to enhance clinical outcomes and patient experiences.

Strategies for Collaborating with Patients and Their Families

Several strategies have been utilized in engaging patients and their families in care provision processes. Menear et al. (2020) report that patient education, self-management support, and shared decision-making are some of the most useful collaborative strategies that ensure the active engagement of patients and their families in the care process. Patient education is a collaborative strategy used by caregivers in informing their patients about aspects of their disease and suffering, as well as care interventions addressing their presentations. Educative approaches draw patients and their families into the care plan by enhancing their accountability in disease management. It enables the patients to assume a larger role in informing caregivers of their progress and areas that may require adjustments.

Self-management support is another strategy that requires caregivers to communicate with their patients on aspects of their disease and effective management strategies. It draws the patients, their families, and caregivers into the management process and enables caregivers to direct them on interventions to optimize control over the patients’ disease. Shared decision-making is another valuable collaborative strategy that ensures a seamless flow of health information between the patients and patient’s families and caregivers. It equips the patients with vital information regarding their health and how they can leverage available resources to optimize their disease management.

These strategies, along with best practices in healthcare collaboration, such as effective communication, respect, and cooperation, may help in the delivery of sound and effective care that enhances the clinical outcomes of the patients and their patient experiences. They are also essential in specific clinical cases such as transcultural care as they inform on care approach optimizes outcomes for patients from different cultures. Trans-cultural collaboration utilizes culture-competent strategies such as effective communication and respect in patients’ education, information sharing, and self-management support. This fosters therapeutic relationships between caregivers, patients, and the patient’s families and enhances their clinical outcomes.

Change Management Aspects that Directly Affect Elements of Patients’ Experiences

To identify aspects of change management that impact patients’ experiences, we must first define and analyze the elements of patients’ experiences. Oben (2020) defines patients’ experiences as interactions that patients and their families have with the care systems. Elements of patients’ experiences include but are not limited to effective communication with caregivers, ease of accessing information, feeling of self-worth and being cared for, and feeling of trust and being trusted. Several aspects of change management directly affect these elements. According to Errida & Lotfi (2021), stakeholder engagement, communication, leadership alignment, and the organization’s design may directly affect elements of patients’ experiences.

Healthcare stakeholders play a role in influencing care provision in various care organizations. Their engagement in the care process can help leverage the available resources required to enhance patients’ experiences. Leadership alignment is also necessary since leaders inspire organizational vision in their employees. Leadership alignment towards changes that enhance patients’ experiences will have ripple effects on the patients. Communication is another significant aspect of change management that may affect caregivers and, ultimately, the patients. Effective communication of the change process to caregivers may enhance their buy-in to change processes. This may be particularly beneficial if the change process impacts patient experiences.

The Rationale for Coordinated Care Plans Based on Ethical Decision Making

The ethical decision-making approach bases clinical decisions on ethical provisions. The nursing code of ethics plays a role in this regard. These provisions help nurses in their clinical decision-making processes and help them navigate presenting ethical challenges. Ethical approaches in coordinating care imply that all caregivers use the code of ethics provisions in their clinical decisions. The ethical codes of beneficence, non-maleficence, justice, and autonomy are significant in this respect. The consequence of ethical approaches in care is often evident in patient satisfaction and enhanced clinical outcomes (Varkey, 2020). Patient satisfaction is enhanced when clinicians involve their patients in designing therapeutic plans for them, allowing them to make independent decisions about their health. Clinical outcomes are enhanced because clinicians select therapeutic options that promote the welfare of their patients and do no harm to them. An underlying assumption in the ethical approach to care is the absence of cultural influences and other interpersonal experiences on clinicians’ decision-making processes.

Potential Impact of a Health Care Policy on Outcomes and Patient Experiences

Healthcare, being a regulated discipline, is subject to policy and legal regulations. The CMS value-based systems under the Medicare program are an example of a healthcare policy provision that has positive impacts on patient experiences and clinical outcomes. This system rewards caregivers and care organizations for the quality of care they give to patients under the Medicare program. This policy is intended to ensure better care to patients, better health for communities, and lower the cost of healthcare. This policy has resulted in a paradigm shift from quality-based care to quality care, thus enabling patients to receive care that addresses their needs and betters their clinical outcomes. Teisberg et al. (2020) report that value-based systems, at their very core, enhance patients’ experiences by improving their health outcomes. Strategies towards value-based approaches are also synonymous with quality care that improves the clinical outcomes of the patients. It is for this reason that the Medicare program maintains significance in improving outcomes and patient experiences.

Nurse’s Role in Coordinating Care

The position of a nurse in care operationalization makes them crucial in coordinating care. Their role in patient handling, medication administration, patient education, and health advocacy makes them indispensable in care coordination. As responsible nurses, we should be aware of our significance in the care landscape. By leveraging our resources and knowledge and using them to impact patients positively, we are likely to be the change the patients so desire.

Conclusion

In conclusion, nurses play an important role in care coordination. Collaborative strategies such as information sharing and patient education help them establish useful engagements with their patients and affect the overall clinical outcomes. Aspects of change management, such as leadership alignment, directly impact the elements of patients’ experiences and can thus be leveraged to enhance patients’ experiences. Coordinated care plans utilizing ethical-based approaches can help guide nurses’ practice and decision-making processes. Healthcare policies such as the medicare programs also maintain significance as they promote quality care provision that enhances clinical outcomes.

References

Errida, A., & Lotfi, B. (2021). The determinants of Organizational Change Management Success: Literature Review and Case Study. International Journal of Engineering Business Management, 13, 184797902110162. https://doi.org/10.1177/18479790211016273

Menear, M., Dugas, M., Careau, E., Chouinard, M.-C., Dogba, M. J., Gagnon, M.-P., Gervais, M., Gilbert, M., Houle, J., Kates, N., Knowles, S., Martin, N., Nease, D. E., Zomahoun, H. T., & Légaré, F. (2020). Strategies for engaging patients and families in collaborative care programs for depression and anxiety disorders: A systematic review. Journal of Affective Disorders, 263, 528–539. https://doi.org/10.1016/j.jad.2019.11.008

Oben, P. (2020). Understanding the patient experience: A conceptual framework. Journal of Patient Experience, 7(6), 906–910. https://doi.org/10.1177/2374373520951672

Teisberg, E., Wallace, S., & O’Hara, S. (2020). Defining and implementing value-based health care. Academic Medicine, 95(5), 682–685. https://doi.org/10.1097/acm.0000000000003122

Varkey, B. (2020). Principles of clinical ethics and their application to practice. Medical Principles and Practice, 30(1), 17–28. https://doi.org/10.1159/000509119

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 Services Research, 19(1). https://doi.org/10.1186/s12913-019-3916-5

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Assessment 3 Instructions: Care Coordination Presentation to Colleagues
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Develop a 20-minute presentation for nursing colleagues highlighting the fundamental principles of care coordination. Create a detailed narrative script for your presentation, approximately 4-5 pages in length, and record a video of your presentation.

Care Coordination Presentation to Colleagues

Introduction
Nurses have a powerful role in the coordination and continuum of care. All nurses must be cognizant of the care coordination process and how safety, ethics, policy, physiological, and cultural needs affect care and patient outcomes. As a nurse, care coordination is something that should always be considered. Nurses must be aware of factors that impact care coordination and of a continuum of care that utilizes community resources effectively and is part of an ethical framework that represents the professionalism of nurses. Understanding policy elements helps nurses coordinate care effectively.

This assessment provides an opportunity for you to educate your peers on the care coordination process. The assessment also requires you to address change management issues. You are encouraged to complete the Managing Change activity.

Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessments.

Preparation
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.

You may also wish to:

Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.
Allow plenty of time to rehearse your presentation.
Recording Equipment Setup and Testing
Check that your recording equipment and software are working properly and that you know how to record and upload your presentation. You may use Kaltura (recommended) or similar software for your audio recording. A reference page is required. However, no PowerPoint presentation is required for this assessment.

If using Kaltura, refer to the Using Kaltura tutorial for directions on recording and uploading your video in the courtroom.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@capella.edu to request accommodations.

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 and 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.
Provide, for example, drug-specific educational interventions and 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 healthcare 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 families 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 healthcare policies affect patient-centered care.
Identify the potential impact of specific healthcare 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 in a video-recorded presentation.