You Can Read our FREE Guide on NURS-FPX 4050 Assessment Four: Final Care Coordination Plan and its solution.
Instructions of NURS-FPX 4050 Assessment Four
Final Care Coordination Plan
This course has been completed and no further assessments may be submitted.
For this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature.
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Introduction
This assessment provides an opportunity to research the literature and apply evidence to support what communication, teaching, and learning best practices are needed for a hypothetical patient with a selected health care problem.
NOTE: You are required to complete this assessment after Assessment 1 is successfully completed.
Preparation
You are encouraged to complete the Vila Health: Cultural Competence activity prior to completing this assessment. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.
In this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature.
To prepare for your assessment, you will research the literature on your selected health care problem. You will describe the priorities that a care coordinator would establish when discussing the plan with a patient and family members. You will identify changes to the plan based upon EBP and discuss how the plan includes elements of Healthy People 2030.
Instructions
Note: You are required to complete Assessment 1 before this assessment.
For this assessment:
- Build on the preliminary plan, developed in Assessment 1, to complete a comprehensive care coordination plan.
Document Format and Length
Build on the preliminary plan document you created in Assessment 1. Your final plan should be a scholarly APA-formatted paper, 5–7 pages in length, not including title page and reference list.
Supporting Evidence
Support your care coordination plan with peer-reviewed articles, course study resources, and Healthy People 2030 resources. Cite at least three credible sources.
Grading Requirements
The requirements, outlined below, correspond to the grading criteria in the Final Care Coordination Plan 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.
- Design patient-centered health interventions and timelines for a selected health care problem.
- Address three health care issues.
- Design an intervention for each health issue.
- Identify three community resources for each health intervention.
- Consider ethical decisions in designing patient-centered health interventions.
- Consider the practical effects of specific decisions.
- Include the ethical questions that generate uncertainty about the decisions you have made.
- Identify relevant health policy implications for the coordination and continuum of care.
- Cite specific health policy provisions.
- Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice.
- Clearly explain the need for changes to the plan.
- Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2030 document.
- Use the literature on evaluation as guide to compare learning session content with best practices.
- Align teaching sessions to the Healthy People 2030 document.
- Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
- Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
RESOURCES
Use the resources linked below to help complete this assessment.
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Managing Chronic Illnesses
Read through the resource on the following reading list to identify the role of care coordination in managing chronic illnesses. Pay close attention to similarities between your community and the patient population:
- Assessment 4: Managing Chronic Illnesses reading list.
Academic Resources
A variety of writing resources are available in the NHS Learner Support Lab, linked in the courseroom navigation menu.
Scholarly Writing and APA Style
Use the following resources to improve your writing skills and find answers to specific questions.
Library Research
Use the following resources to help with any required or self-directed research you do to support your coursework.
- BSN Program Library Research Guide.
- Capella University Library.
- Journal and Book Locator Library Guide.
- Library Research and Information Literacy Skills.
ePortfolio
Use the following resource to understand how to save your assessments to ePortfolio:
Additional Resources for Further Exploration
You may use the resource on the following reading list to further explore topics related to the competencies. Consider how health care scientists assess and evaluate a diverse cultural setting and the impact on needed health care.
ACTIVITY
Cultural competence is a skill set for care coordinators that is crucial to the provision of patient-centered care and satisfying patient experiences. Each individual comes with a unique set of cultural experiences and an identity shaped by their cultural upbringing. Even if a patient comes from a similar background as you, their cultural background may be completely different. If patients come from a very diverse background, you must still approach their care by identifying and prioritizing their unique cultural needs. Often nurses will focus on treating all patients the same. However, we know that from a cultural and even biological standpoint, treating all patients the same may result in harm. Because nurses are to provide care without harm, cultural competence is a necessary skill.
Complete the Vila Health: Cultural Competence activity to gain insight into the implications for a safe and effective continuum of care and the potential consequences when culturally competent care is lacking.
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Step-By-Step Guide Assessment Four
Introduction to NURS-FPX 4050 Assessment Four: Final Care Coordination Plan
The NURS-FPX 4050 Assessment Four: Final Care Coordination Plan aims to guide you through evaluating and improving a preliminary care coordination plan. By leveraging best practices in the literature, students will enhance their ability to communicate, teach, and learn effectively in patient-centered care settings. This How-To NURS 4050 Guide will provide a structured approach to designing health interventions, considering ethical implications, understanding health policies, and aligning with the Healthy People 2030 objectives.
Design patient-centered health interventions and timelines for a selected healthcare problem.Address three healthcare issues.Design an intervention for each health issue.Identify three community resources for each health intervention.
Designing Patient-Centered Health Interventions and Timelines
To start the NURS-FPX 4050 Assessment Four: Final Care Coordination Plan, we will address healthcare issues.
- Identify three specific healthcare issues relevant to your selected healthcare problem.
- Use literature to support why these issues are critical for patient care.
- Create an evidence-based intervention for each identified healthcare issue.
- Ensure each intervention is tailored to the patient’s needs and preferences.
- Find three community resources for each health intervention.
- Verify the reliability and accessibility of these resources for your patient.
Example
The draft care coordination plan identified three primary healthcare issues: medication management, access to specialist care, and lifestyle modification. For medication management, interventions might include a medication adherence program, educating patients on proper medication usage, and providing medication reconciliation services. Examples of community resources include local pharmacies offering prescription delivery, medication synchronization services, and medication management support groups. Improving access to specialist care might involve simplifying the referral process, arranging transportation to appointments, and educating patients on the importance of follow-up care. Community resources for this include specialty clinics, patient navigation programs, and telehealth services for remote consultations (Eastman et al., 2022, p. 2430). For lifestyle modification, interventions could include creating personalized diet and fitness plans, offering counseling, and organizing group wellness activities. Community resources include fitness centers, dietitians, and community health education programs.
Consider ethical decisions in designing patient-centered health interventions.Consider the practical effects of specific decisions.Include the ethical questions that generate uncertainty about the decisions you have made.
Ethical Considerations in Designing Health Interventions
Here, we will discuss the ethical considerations of the decision-making process.
- Assess how each intervention decision practically impacts patient care and outcomes.
- Consider the feasibility and potential barriers to implementing these decisions.
- Identify ethical questions that arise from your intervention decisions.
- Discuss uncertainties and how they can be addressed through ethical frameworks.
Ethical considerations are crucial when designing patient-centered health interventions for care coordination. This involves ensuring that treatments uphold beneficence, non-maleficence, justice, and patient autonomy. For instance, respecting patient autonomy requires involving patients in decision-making and obtaining informed consent. However, making ethical decisions can also present real-world challenges and uncertainties. Examples include balancing the benefits and risks of treatments, ensuring equitable access to resources, and navigating cultural or religious beliefs that may affect treatment choices (Mirza et al., 2022, p. 1927). Addressing these issues requires professional judgment, adherence to ethical standards, and careful consideration of each patient’s preferences. Care coordinators must navigate ethical dilemmas with sensitivity, empathy, and a commitment to promoting patients’ well-being while respecting their rights and values.
Identify relevant health policy implications for the coordination and continuum of care.Cite specific health policy provisions.
Relevant Health Policy Implications of NURS-FPX 4050 Assessment Four: Final Care Coordination Plan
For this section of the NURS-FPX 4050 Assessment Four: Final Care Coordination Plan, we will explore the healthcare provision\
Health Policy Provisions
- Research relevant health policies that impact your care coordination plan.
- Cite specific provisions and explain how they influence patient care continuity and coordination.
Example
Health policies significantly influence the continuum of care and care coordination. They identify relevant policies related to insurance coverage, reimbursement procedures, and quality standards. For instance, laws like the Affordable Care Act (ACA) impact access to healthcare services, affecting care coordination initiatives. Understanding these provisions’ effects on patient outcomes, resource allocation, and healthcare delivery is essential. Evidence and literature highlight how policies influence patient experiences, care coordination practices, and healthcare disparities. By analyzing policy implications, care coordinators can better navigate regulatory requirements, advocate for necessary changes, and ensure compliance with ethical standards and best practices (Mirza et al., 2022, p. 1929). Addressing health policy implications ultimately enhances the effectiveness and efficiency of care coordination efforts, improving patient outcomes and overall care quality.
Describe priorities a care coordinator would establish when discussing the plan with a patient and family member, making changes based on evidence-based practice.Clearly explain the need for changes to the plan.
Establishing Priorities in Care Coordination
Here, we will discuss establishing communication with the patients and their families.
- Determine key priorities when discussing the care plan with the patient and family.
- Use best practices in communication to ensure clarity and understanding.
- Identify changes to the care plan based on recent evidence-based practices.
- Justify the need for each change and its anticipated impact on patient outcomes.
Example
When discussing the care coordination plan, it is crucial to prioritize understanding patients’ and families’ preferences, addressing their immediate concerns, and establishing clear communication channels. Involving patients and families in decision-making ensures that the care plan reflects their needs and preferences. Promoting patient participation and adherence to the plan also requires providing education and support to enhance health literacy and self-management skills. Evidence-based adjustments to the care coordination plan might include introducing new therapies, modifying existing ones, or altering the schedule to align with the latest scientific findings and clinical guidelines. These evidence-based changes aim to optimize patient outcomes, improve care efficiency, and elevate the overall quality of care delivery (Mirza et al., 2022, p. 1941). By incorporating evidence-based modifications, care coordinators ensure the plan remains up to date with best practices in healthcare and adaptable to evolving patient needs.
Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2030 document. Use the literature on evaluation as a guide to compare learning session content with best practices.
Evaluating Learning Sessions Against Best Practices
Now, we will evaluate the learning sessions against the best practices.
- Compare your learning session content with best practices found in the literature.
- Highlight strengths and areas for improvement.
- Ensure your teaching sessions align with the objectives and goals of Healthy People 2030.
- Discuss how your sessions contribute to these broader public health goals.
Example
Evaluating the lesson plan content using literature on best practices is essential for ensuring effective teaching sessions. Comparing the material to established best practices allows educators to identify areas for improvement, refine their methods, and ensure their sessions align with evidence-based recommendations. Additionally, integrating the principles of the Healthy People 2030 document into teaching activities addresses public health priorities. It supports achieving national health objectives (Office of Disease Prevention and Health Promotion, 2024). By incorporating relevant Healthy People 2030 goals and objectives, educators can enhance population health outcomes and address significant health disparities. This alignment ensures that teaching sessions are educationally effective and meet key national public health goals and priorities.
Closing
By following this How-To Owlisdom Guide, you will develop a comprehensive, patient-centered care coordination plan that incorporates best practices, ethical considerations, and relevant health policies and aligns with Healthy People 2030. The key takeaways from the NURS-FPX 4050 Assessment Four: Final Care Coordination Plan include the importance of evidence-based interventions, ethical decision-making, effective communication, and continuous evaluation against established best practices to enhance patient care outcomes.
