Instructions: Care Coordination Presentation to Colleagues Discussion
- 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.
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. Instructions: Care Coordination Presentation to Colleagues Discussion
Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.
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:
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- 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.
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- If using Kaltura, refer to the Using Kaltura tutorial for directions on recording and uploading your video in the courseroom.
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:
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- 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, develop a detailed narrative script. The script will be submitted along with the video. Instructions: Care Coordination Presentation to Colleagues Discussion
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.
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- Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.
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- 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.
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- 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.
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- What are the logical implications and consequences of relevant policy provisions?
- What evidence do you have to support your conclusions? Instructions: Care Coordination Presentation to Colleagues Discussion
- Raise awareness of the nurse’s vital role in the coordination and continuum of care in a video-recorded presentation.
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- 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.
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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:
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- Competency 2: Collaborate with patients and family to achieve desired outcomes.
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- Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.
- Competency 3: Create a satisfying patient experience.
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- 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.
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- Explain the rationale for coordinated care plans based on ethical decision making.
- Competency 5: Explain how health care policies affect patient-centered care.
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- 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.
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- Raise awareness of the nurse’s vital role in the coordination and continuum of care in a video-recorded presentation.
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Video Script: Care Coordination Presentation to Colleagues
Hello colleagues. I am …. In this presentation, I want to highlight the essential principles of care coordination concerning ethical decision-making and the impact of specific care policies on care coordination. The process of care coordination requires the nurse to make a clinical decision based on specific frameworks or guidelines. The code of ethics for nurses, in conjunction with relevant health policies, either federal, state level, or local, is important for nurses to make well-informed, safe decisions in the patient’s best interest. The agency for healthcare research and quality, AHRQ, defined care coordination as the process of care planning and communicating of sharing pertinent patient information with relevant care stakeholders to promote safe and efficient care. Safety and efficiency are essential in gauging the quality of care we provide, thus justifying the need for good care coordination. Instructions: Care Coordination Presentation to Colleagues Discussion
Various strategies exist that can aid a nurse in collaborating well with the patient or their families to achieve desired set goals of care. The strategies can be applied by the nurses at various stages of care which include direct care level, organization level, professional training level, research level, and policy-making level. Not every strategy can work for every patient situation; therefore, it is upon the nurses as the care coordinator to identify the best strategy based on patient-specific factors. This explains the need for patient-centered care and individualizing strategies. In this video, I want to explain two key strategies not commonly used at the direct care level that can improve nurse-patient collaboration for the best outcomes. The two strategies are patient navigation and shared decision-making.
A shared decision-making, according to a systematic review article by Menear et al. (2020), requires that the nurse involves the patient in making a decision regarding their health. Under this strategy, the nurse or the care team does not make decisions without understanding the patient’s input and preferences. For example, when caring for an overweight patient whose blood pressure is between 120 and 139 mmHg systolic and 80 and 90 mmHg. The patient understands he does not have hypertension, but the nurse explains to the patient that there is a risk of developing hypertension. Therefore, the nurse can ask the patient, “Can you think of a goal to prevent worsening of your blood pressure readings? We would like to help?” This question lets the patient makes the decision, but the nurse will aid in planning to execute the intervention that the patient desires best following adequate patient education. When the patient chooses weight reduction as the best intervention, the decision is shared because the nurse has provided the scientific input while the patient has chosen the best fitting intervention regarding how they understand themselves. Instructions: Care Coordination Presentation to Colleagues Discussion
The second strategy, patient navigation, helps the patients to connect with their health providers. As done by patient navigators, nurses can assume this role during care to improve patient collaboration. Specific activities according to a journal article by Peart et al. (2018), patient navigation makes the patient well informed and involved. As a nurse, the patient can be connected to community resources through the process of care coordination. The nurse can link the patient directly to community resources such as adult daycare services or online social support organizations.
Change is inevitable in every planning. Changes might be necessary at some point during the execution of a plan. Various elements of change management can improve the outcomes of care planning and implementation. During care coordination, quality care remains a vital goal. To achieve this patient experience must be excellent despite the need for changes. This would eld to satisfaction which is an integral aspect of quality care. Satisfied patients are more likely to be involved in their care in the subsequent stages. Managing change is therefore critical to maintaining a good patient experience. One of the fundamental change management elements that the nurse must observe is communication. Effective communication involves feedback from the recipient. In management, change should be communicated to the patient or their families, and the reasons and needs for the change justified. Effective communitarian of change improves the perception of the change by the patient and maintains a good experience so far, according to an article by Schnipper et al. (2021). Stakeholder engagement, which is another element of change management, relies on effective communication. It is also vital for care coordination. Instructions: Care Coordination Presentation to Colleagues Discussion
As mentioned earlier, coordinated care plans rely on ethical decision-making and the use of policy provisions. Basic nursing ethical principles include patient autonomy, benevolence, nonmaleficence, and justice. This means that decisions based on these principles should be in the patient’s best interests, respect patient independence, do no harm to patients, and be fair. Using the nursing codes of ethics by the American Nurses Association in 2015 can help nurses work through difficult situations during care coordination. It is assumable that using ethical decision-making maintains the nurse’s professional commitment to the patients in the process of care coordination. Coordinated care plans based on ethical decision-making ensure that the nurses operate within the legal frameworks and already existing values of nursing practice, as explained in the book by Haddad & Geiger (2021), with the reference provided.
Health policies impact practice which includes nursing decision-making and actions. Care coordination, as defined earlier, requires sharing information about patients to keep all stakeholders up to date. However, this process must adhere to the Health Insurance Portability and Accountability Act of 1996, also known as (HIPAA) rules. HIPAA rules safeguard the privacy and confidentiality of protected patient information, also known as PHI and sometimes personal patient information. Sharing PHI to unauthorized persons even in the same care team without the patient’s consent violates the HIPAA rules. This policy has legal implications that can land the nurse in the state board on nursing disciplinary proceedings, job termination, or even court actions. Instructions: Care Coordination Presentation to Colleagues Discussion
Another policy that nurses must not get around to is the affordable care act. This policy had numerous provisions that have impacted various aspects of nursing practice, including care coordination. ACA requires that consumers of care, including the patients access quality information regarding their health and the organization providing their health. This can improve their informed decision-making. ACA also demanded the utilization of health information technology to improve care coordination. Availing resources to all care stakeholders is not a new concept in nursing practice. ACA emphasized this concept to improve care coordination and patient engagement. According to an article by Cleveland et al. (2019), the integration of information systems and resources aims at cutting costs and improving efficiency.
Having explained the ethical and legal implications of care coordination, it is evident that nurses play a central role in the process. As care coordinators, nurses should educate patients and their families to keep them informed, provide leadership to keep the teamwork and interpersonal approach working, share pertinent information while ensuring PHI security and privacy, navigate patients around community resources and other care providers, and communicate effectively to keep coordination effective. During care coordination, nurses share knowledge relevant to the patient with the interdisciplinary team and ensure that transaction between various care providers is seamless and safe. This must include the safety of patient information as well as patient safety. In the process, nurses ensure that patient needs are met, and that patient satisfaction is enhanced through a patient-centered approach. As Karam et al. (2021) note, patient care needs are complex, and it is upon the nurse as the care coordinator to apply an effective model for care coordination and ensure patient-centered collaborative strategies. Instructions: Care Coordination Presentation to Colleagues Discussion
To summarize the presentation, I would emphasize that care coordination is a responsibility of the primary care providers, usually nurses. The primary care provider, in this case, is the person who made initial contact with the patient and initiated the process to include other team members. The choice of a coordination strategy is patient-centered and should be determined by patient factors and system factors. A great deal of interest must be given to ACA and HIPAA policies during care coordination. The code of ethics for nurses should always guide nurses’ decisions when attempting to sail through the complexities of care coordination. Thank You! Instructions: Care Coordination Presentation to Colleagues Discussion
References
American Nurses Association. (2015). Code of ethics for nurses: With interpretive statements. American Nurses Publishing.
Cleveland, K., Motter, T., & Smith, Y. (2019). Affordable care: Harnessing the power of nurses. Online Journal of Issues in Nursing, 24(2). https://doi.org/10.3912/ojin.vol24no02man02
Haddad, L. M., & Geiger, R. A. (2021). Nursing Ethical Considerations. StatPearls Publishing [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK526054/
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), 16. https://doi.org/10.5334/ijic.5518
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., Jr, Zomahoun, H. T. V., & 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
Peart, A., Lewis, V., Brown, T., & Russell, G. (2018). Patient navigators facilitating access to primary care: a scoping review. BMJ Open, 8(3), e019252. https://doi.org/10.1136/bmjopen-2017-019252
Schnipper, J. L., Fitall, E., Hall, K. K., & Bryan Gale, M. A. (2021). Approach to improving patient safety: Communication. Patient Safety Network. https://psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication Instructions: Care Coordination Presentation to Colleagues Discussion
