NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues Care Coordination Presentation to Colleagues

NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

Care Coordination Presentation to Colleagues

Good morning everyone. Today we are here to one of the most important aspects of health care services, which is coordinated care essential to transforming the way we provide care to increase the quality of care, health care access, improve communication between colleagues, patients, their families, and other stakeholders (Peterson et al., 2019). Coordinated care can be termed care coordination. Please consider the terms interchangeable during this presentation. 

Before we jump to the content of the presentation, it is important to understand what the term care coordination actually means. One definition from NEJM Catalyst defines care coordination as “delivery of patients’ health care from different providers, specialists, and stakeholders by aiming to improve health care outcomes, patient outcomes, and health care professionals’ outcome along with reducing cost and limiting redundant procedures and practices (NEJM Catalyst, 2021).” 

Let’s look at some examples to understand this. 

In a relay race, athletes pass the baton to other athletes, and as soon as the baton is passed their job is over. Even though it is coordinated and synchronous, it does not represent complete coordinated care. In health care, nurses, pharmacists, physicians, and other specialists communicate back and forth to assess disease and then find the treatment plan. Thus, care coordination is not just a one-way process as it also includes back-and-forth communication (Weaver & Jacobsen, 2018).

Now, let’s look at the other side. 

It is interesting to see that such an approach can lead to lower-quality care at times as there will be redundant procedures. For example, sending patients to ED when the ED health care providers clearly communicated to other professionals about the patient not requiring ED care. Another example is asking the patient about his or her medical history when the information is already taken and stored in EHRs (Marsden et al., 2018). 

Another example is failing to communicate with patients and families to understand allergies, medical history, cultural and spiritual needs, and other care aspects to provide patient-centered care will result in adverse events such as reactions, mortality, and morbidity. This creates a need to outline and adopt effective strategies with patients and families to provide high-quality care (Lynch et al., 2018). 

Outlining effective strategies for collaborating with patients and their families is based on patient-centered, culture-based, and evidence-based holistic care approaches. The strategies are

• Nurse-led multidisciplinary care initiative where nurses are the center of the process, communication, and decision-making (Marsden et al., 2018).
• Empowering patients and families by including them in discussions, decision-making, and treatment through consent (Sefcik et al., 2018).
• Providing support in different languages, culture-based holistic care, and showing respect and empathy to establish a better patient-nurse-physician relationship (Song et al., 2017). 
• Adopting a shared decision-making model along with knowledge sharing with colleagues and peers to make informed decisions (Bunn et al., 2018).
• Using direct communication-based and avoiding in-direct communication. For example, direct communication during diagnosis is effective and in-direct communication may lead to conflicts (Garry et al., 2020). 
• Using assertive communication during discussions and decision-making whereas persuasive communication promotes better decision-making during treatment selection (Omura et al., 2018).
• Engaging patients at the system, individual and organizational levels helps in better coordination between nurses, patients, physicians, and other stakeholders as everyone is involved in direct communication, discussion, and decision-making (Clay & Parsh, 2016).  
• Limited use of messaging applications and increased use of discussions, reporting systems such as error reporting, and medication prescribing, dispensing, and administration increases patient safety (Hefner et al., 2019).
• Using the EBP model to implement change and evaluate outcomes as a unit to increase coordination between HCPs to increase communication and knowledge-sharing (Menear et al., 2016). 
• Implementing root-cause analysis and conflict management in reducing issues and effectively managing colleagues (Grubaugh & Flynn, 2018).
• Supporting peers and educating them to provide emotional, spiritual, academic, and holistic support is critical as it leads to a safer environment for practice. This pr