Care Coordination Presentation to Colleagues

Care Coordination Presentation to Colleagues

Hello, and thank you for the opportunity to present on the fundamental principles of care coordination. Introducing efficient coordination and continuity of care is a critical factor for the provision of high-quality and patient-oriented care. As nurses, we are an integral part of the service delivery process, which involves patients and their families, and we collaborate with the interprofessional team to achieve good health outcomes. Today, we will explore key strategies and considerations for successful care coordination.

Strategies for Collaborating with Patients and Families

One of our primary goals is to actively involve patients and their loved ones in the care process. Good communication art is vital—it includes the explanations of a patient about the care plans, medication regimens, and self-management techniques in a way that is understandable for each one of them as they are different. This method can be used to enhance recognition that the patient has successfully grasped the vital information.

Cultural intelligence, compared to cultural competence, is equally significant (Nair & Adetayo, 2019). We have to be educated about cultural beliefs and practices that may affect a patient’s choice of medical care provider, and that may also be used to influence their medical decisions. It is also necessary to create targeted educational materials based on cultural considerations and translate in the first person when this needs to be done.

Moreover, effective leadership depends on the ability to establish trusting relationships. We should indeed strive to grasp every patient’s effort, hopes, and obstacles to care. Promoting dialogues and showing empathy can be leveraged to generate a corporation that appreciates collaboration and agrees on its ultimate aims.

Identifying Aspects of Change Management Affecting Patient Experience

Change management will determine whether the patient experience is positive or patient-centered. The most essential factor to have in mind is clear communication. That means keeping patients and families informed about any changes in their care plan, the reason for those changes, and what to expect. Lack of such communication only results in anxiety and can reduce the level of satisfaction (Igoe, 2021; Nilsen et al., 2020).

Another critical aspect is managing expectations throughout periods of transition. Facts can be overwhelming if the patient does not understand the “why” of the medication, discharge instructions, or getting transferred to another facility. In this respect, we have to communicate everything the patients need to know and address all concerns.

Continuity of care is also essential (Igoe, 2021; Nilsen et al., 2020). Precise communication is needed during handovers or care rotations between practitioners to undermine interferences that might develop in patient care. These interferences can be detrimental to the general patient experience. Knowledge of the patient’s history and the ability to relay the same across various healthcare providers are vital.

Rationale for Ethical Care Coordination

Coordinated care plans should be based on ethical decision-making. Besides, the American Nurses Association (ANA) Code of Ethics sets the ethical care coordination standards, which, as nurses, we hold front and center (American Nurses Association, 2018). The main principle is that the patient has to be focused on, and autonomy is critical. Respecting everyone’s dignity, understanding the care they need, and providing them with quality information to help support their options must be the key to achieving autonomy. Another key feature is that the administration of justice and non-discrimination must be at the forefront of society. While coordinating, we have an undeniable responsibility to champion the availability and quality of care, clinging to none and each one equally.

The Code also expresses the code of conduct regarding our role in safeguarding patient privacy and confidentiality. Ethical care coordination demands an ongoing flow of data that may carry sensitive health information. However, collaboration needs to involve the disclosure of those data for the benefit of continuity of care. In addition, when situations involving ethical challenges materialize, we may refer to the health ethics principles of beneficence (doing positive), non-maleficence (avoiding bad), and fidelity (keeping commitments) to guide us as to what we need to do regarding care coordination.

Policy Impacts on Care Coordination

The federal, state, and local healthcare policies play an essential role in enabling or restricting our ability to deliver tight, coordinated, and patient-centered healthcare. One illustration is the Health Insurance Portability and Accountability Act (HIPAA), which sets strict privacy standards for private medical information (PHI) (Centers for Disease Control and Prevention, 2022). While data-sharing requirements are the backbone of the patient’s privacy and protection, they, at the same time, can be a hindrance to providing an effective exchange among care providers. Further, the Affordable Care Act (ACA) has increased access to preventive care services, which means that chronic conditions like diabetes can be managed proactively (CMS, 2023). Consistently, these variations in ACA enrollment plans in provider networks bring a higher level of concerns about care coordination.

At the state level, organizations like Medicaid expansion and payment rates policies decide who can be reimbursed in the state and what staffing and care settings processes need to be included in the preferred treatment course for the beneficiary. For instance, on the population level, public health initiatives are tackling community and health-related issues like obesity or opioid abuse. In contrast, community-level care coordination efforts come under the umbrella of community-based healthcare programs. Conclusively, as front-line caregivers, we must keep ourselves abreast of emerging policies and vocalize the importance of enacting policies that help maintain efficient, patient-centric care.

Emphasizing the Nurse’s Role in Care Coordination

Nurses are inescapable leaders who manage care across the entire system (Karam et al., 2021). From initial assessments to developing care plans, coordinating transitions, and educating patients, our involvement is constant and multifaceted. We act as the central hub, whose responsibilities encompass bringing together an individual patient’s healthcare team in order to promote interprofessional collaboration and keep lines of communication open. Our approach to holism makes us no different from the sages who pick up the little but important details of patients across different sources of information with a result that is wholesome and fair to everyone.

We not only station ourselves in the community, but we also connect patients to local resources, such as disease support groups, meal delivery services, or transportation assistance, which adopt a holistic approach to cancer care. Such a holistic approach guarantees that services are rendered in a clinic and in the broader society to ensure the needs of the patient are fully met. We make true, worthwhile relationships with patients and their loved ones. This confidence enables us to have much strength and to be the strongest advocates for them, inform all the decisions as per their choices, and support the participation of the patient in all the medical decisions skilled by the doctor.

Conclusion

Through open communication, cultural competence, ethical consideration, and policy advocacy, as nurses, we can play a leading role in comprehensive care coordination that is of high quality. The passionate spirit of our company allows us to have a say in personalized and holistic healthcare journeys, as well as respect the patient’s decision-making and value within every step of these journeys. Let us champion the noble role we play as we persist with excellence through the collaborative and humanitarian service approach.

Thank you.

References

American Nurses Association. (2018, July 20). Ethics and Human Rights. ANA. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/#:~:text=It%20binds%20nurses%20to%20support

Centers for Disease Control and Prevention. (2022). Health insurance portability and accountability act of 1996 (HIPAA). Centers for Disease Control and Prevention. https://www.cdc.gov/phlp/publications/topic/hipaa.html

CMS. (2023). Background: The Affordable Care Act’s New Rules on Preventive Care | CMS. Cms.gov. https://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/preventive-care-background

Igoe, K. J. (2021, September 20). Change management: Why it’s so important, and so challenging, in health care environments. Www.hsph.harvard.edu. https://www.hsph.harvard.edu/ecpe/change-management-why-its-so-important-and-so-challenging-in-health-care-environments/

Karam, M., Chouinard, M.-C., Poitras, M.-E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing Care Coordination for Patients with Complex Needs in Primary Healthcare: a Scoping Review. International Journal of Integrated Care, 21(1), 1–21. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7977020/

Nair, L., & Adetayo, O. A. (2019). Cultural competence and ethnic diversity in healthcare. Plastic and Reconstructive Surgery – Global Open, 7(5). https://doi.org/10.1097/gox.0000000000002219

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), 1–8. https://doi.org/10.1186/s12913-020-4999-8

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Develop a 20-minute video 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. This is a video presentation.

Care Coordination Presentation to Colleagues

Introduction

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.

Scenario

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.