NURS FPX 6612 Assessment 3 Patient Discharge Care Planning NURS-FPX 6612 Health Care Models Used in Care Coordination ​​​​​​​Patient Discharge Care Planning

NURS FPX 6612 Assessment 3 Patient Discharge Care Planning

NURS-FPX 6612 Health Care Models Used in Care Coordination

Patient Discharge Care Planning

This assessment focuses on the discharge care planning for Marta Rodriguez, who was recently admitted to the hospital following a severe accident while on her way to college. After a four-week stay in the trauma center, undergoing multiple surgeries, and receiving antibiotic treatment, Marta’s care coordination is essential. In my capacity as the senior care coordinator, I will present Marta’s case during an upcoming interdisciplinary team meeting to discuss her discharge plans.

Longitudinal, Patient-Centered Care Plan

To ensure Marta Rodriguez receives comprehensive, patient-centered care, the interdisciplinary team will employ Health Information Technology (HIT) components to enhance communication and coordination across her care journey. These HIT elements encompass electronic health records (EHRs), secure messaging platforms, telehealth technology, and medication reconciliation tools. EHRs will facilitate real-time access and updates to Marta’s medical records, enabling the development of a comprehensive care plan (Schwab et al., 2021).

Secure messaging platforms will streamline communication among team members, particularly regarding changes in Marta’s condition, appointments, and medication schedules (Flickinger et al., 2022). Telehealth technology will enable remote monitoring of Marta’s vital signs, enabling early intervention (Chowdhury et al., 2020). Additionally, medication reconciliation tools will ensure the accuracy of her medication list, thereby reducing medication errors.

NURS FPX 6612 Assessment 3 Patient Discharge Care Planning

To prevent Marta’s readmission within 48 hours after discharge, the inter-professional team must ensure Marta receives adequate education, support, and follow-up care (Oksholm et al., 2023). The utilization of HIT elements can bolster these efforts. For instance, telehealth technology can monitor Marta’s post-discharge progress, offer virtual support, and identify potential issues that might lead to readmission. Furthermore, secure messaging platforms can provide Marta with timely and accurate information regarding her medication and follow-up appointments.

Meanwhile, the incorporation of these HIT elements will promote care coordination for Marta by fostering communication and collaboration among team members. Access to uniform information about Marta will enable the development of a comprehensive care plan. Furthermore, EHRs will permit team members to track Marta’s progress, ensuring that she receives appropriate care throughout her recovery. By harnessing HIT elements, the inter-professional team can deliver a patient-centered, coordinated, and effective care plan tailored to Marta’s unique needs.

Data Reporting

Data reporting holds immense significance in the healthcare industry, shaping care coordination, administration, clinical efficiency, and interdisciplinary innovation in treatment. In Marta Rodriguez’s case, data reporting pertaining to her behaviors can enhance the quality of her care and support her recovery in three key ways:

Care Coordination:

Data reporting can facilitate care coordination among inter-professional team members by providing a shared understanding of Marta’s condition and progress (Brooks et al., 2020). For instance, data on Marta’s medication adherence, vital signs, and symptoms can be reported through EHRs or secure messaging platforms, enabling effective collaboration in her care management and reducing the risk of complications or readmissions.

Care Management:

Data reporting can shape care management by identifying areas where Marta may require additional support or interventions. Information on her pain levels, mobility, and nutritional status, for example, can be reported to the team, allowing them to adjust her care plan as needed to improve its quality and enhance her recovery.

Inter-professional Innovation:

Data reporting can drive innovation in inter-professional care by providing insights into Marta’s behaviors and preferences. Data regarding her language preferences or cultural background can be shared with the team, enabling them to tailor their care to her specific needs, thereby promoting patient-centered care and better outcomes.

To ensure data quality, the team should implement data validation protocols, conduct regular audits, and provide training on data entry and reporting best practices. Additionally, the data must be relevant to Marta’s care goals and aligned with evidence-based practices, allowi