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NURS FPX 6618 Assessment 3 Disaster Plan With Guidelines for Implementation

Student Name Capella University NURS-FPX 6618 Leadership in Care Coordination Prof. Name Date Disaster Plan with Guidelines for Implementation: Tool Kit for the Team Hello, everyone! This is ______. First of all, I would like to thank you all for listening to my presentation. Within healthcare practice, it is essential to be ready for difficult times and devise a plan to overcome the challenges by implementing a plan based on care coordination for the elderly population with chronic illnesses. The current assignment is based on providing an overview of the disaster plan that can assist in difficult times. Outline of the Presentation  The topics that I will be going through are: Care Coordination Needs of the Elderly Population The elderly population is one of the significant risk groups that gets affected by any disastrous situation, as it becomes challenging to provide adequate care with proper care coordination. These challenges associated with disaster events are unmet healthcare needs, palliative care, emergency and chronic illness management, accessibility to healthcare, insufficient equipment, a lack of resources, and a shortage of healthcare providers (Chung, 2022). Recently, during the pandemic, providing healthcare assistance to the elderly population and meeting their healthcare needs, such as medication, treatment, and palliative care for their chronic illnesses, was significantly difficult. The CDC made several recommendations to nursing homes in the U.S. regarding restricting visitation, cessation of all activities, canceling group meals, and also recommending that elderly individuals at home to stock up on medications and minimize outside contact (Lebrasseur et al., 2021). With the implementation of the quarantine measures, the elderly with chronic illnesses had more significant difficulties managing their illnesses and accessing healthcare services (Chen et al., 2020). The challenges were associated with getting timely screenings, emergency check-ups, scheduled or lined-up appointments, and healthcare visits such as dialysis support or heart surgeries. Due to the lockdown, many facilities postponed and canceled outpatient visits, resulting in a scaled-down of screening, consultation, and monitoring practices, leading to severe consequences (Hartmann-Boyce et al., 2020). These challenges significantly hinder the ability of healthcare organizations to facilitate and support the older population. NURS FPX 6618 Assessment 3 Disaster Plan With Guidelines for Implementation To combat this situation, many countries opted for online consultations, integrated healthcare with technologies, advised stocking up medication, and provided instructions to nursing homes. Such as the Chinese Geriatric Endocrine Society guiding prevention, early assessment of hyperglycemic crises, management through medication, access to certified internet-based medical services, detailed guidance to prepare for consultation before leaving home, and providing a route during a hospital visit to avoid exposure (Hartmann-Boyce et al., 2020). These requirements allow the organization to plan an evacuation plan in case of a pandemic or epidemic, ensuring there are no significant issues in equipment, services, or exposure to the pandemic while educating the community on disease prevention, false alarms, and installing an effective medication or e-helpline portal. Critical Elements of a Disaster Preparedness Tool Kit  The disasters have a significant impact on the healthcare system as they leave a surge of unmet primary care and mental health needs that linger on in the disaster response phase as well. These unmet primary care needs and mental health issues lead to another silent pandemic. To ensure care coordination during such times, a disaster preparedness toolkit becomes vital. After the pandemic, many researchers highlighted mental health issues and unattended primary care needs, which require utmost attention and a plan to overcome (Mughal et al., 2023). The potential effects of the disaster on care coordination, timely care for high-risk chronic illness patients, financial and resource unavailability, unmet primary needs, burnout, and stress among professionals (Han & Suh, 2023). Therefore, the disaster preparedness toolkit holds critical importance that can be achieved through patient-centered and collaborative care and prioritizing the well-being of the elderly population with chronic conditions. Adequate communication mechanisms must be in place to inform the elderly and their caregivers about available resources, protective measures, and evacuation routes, if necessary. The central element in the disaster plan will be team collaboration, including doctors, nurses, social workers, e-healthcare providers, dieticians, and pharmacists, with the aim of providing adequate care delivery through on-time coordination and collaboration. NURS FPX 6618 Assessment 3 Disaster Plan With Guidelines for Implementation The factors that should be considered to ensure that the elderly population receives adequate care and support are: first of all, provide care coordination team training to ensure that they are equipped with skills necessary for dealing with disaster settings, such as training on triage, emergency care, and mental health support. Then, coordinate with outside organizations such as NGOs, government bodies, and community-based organizations to ensure that the elderly population receives equal and effective care regardless of place. Similarly, another important aspect of the plan is the evaluation routes, such as in cases where the elderly population can seek shelter or transportation when needed (Hartmann-Boyce et al., 2020). Lastly, the identification of high-risk patients in relation to disease and underlying health conditions will help providers prioritize care needs and track the elderly population through e-healthcare systems. Along with this, resources can be allocated, and progress can be tracked through Hazard Vulnerability Analysis, which systematically evaluates the potential damages, impacts, and available resources to reduce population vulnerability and increase resilience to disasters (Emergency Preparedness, 2011). Furthermore, financial aid can be provided to the elderly population through appropriate infrastructure for the government to address the crisis. Personnel and Material Resources Needed in Emergencies  The key personnel and material resources needed in emergencies (Frennert, 2023) are Personnel Resources  Material Resources Effective emergency preparedness requires a unique balance between personnel and resource material, as variations and country-wide resource capacities can influence the effectiveness of care coordination. The assumptions were based on the availability of the trained and experienced care coordination team and resource availability for the toolkit. However, a few uncertainties that present concern are the availability of trained professionals, such as the presence of medical professionals, which is uncertain, and the energy situation, which could lead to potential delays

NURS FPX 6618 Assessment 2 Mobilizing Care For An Immigrant Population

Student Name Capella University NURS-FPX 6618 Leadership in Care Coordination Prof. Name Date Mobilizing Care for an Immigrant Population The United States has long been a melting pot of cultures, drawing individuals from across the globe to pursue the American dream. The nation has benefited from the creativity and potential that immigrants bring and has, in part, built itself upon their contributions.  Approximately 14% of Americans are immigrants (American Immigration Council, 2021). The current assessment is based on developing a care coordination plan for the Mexican population, also referred to as Latinos and Hispanics. Rationale for Addressing Healthcare Needs for the Immigrant Population In understanding the healthcare needs of immigrant populations, the Mexican immigrant community stands out for the following reasons. The Mexican population is one of the largest immigrant populations residing in the United States, with a population ratio of 24% of the total immigrant population (Ward & Batalova, 2023). The Mexican population often faces challenges in accessing healthcare facilities within the country, resulting in poor healthcare experiences compared to other ethical and racial groups. This community shares a high percentage of chronic conditions such as diabetes within the population, serving approximately 14.4% of the diabetes prevalence within the community. The Office of Minority Health (2021) reports that Hispanics are 70 percent more likely to be diagnosed with diabetes than non-Hispanics. Furthermore, the number of medical insurance policies is comparatively smaller within the Mexican community. Therefore, the population is at high risk of developing chronic health conditions, requiring immediate care coordination plans for addressing their healthcare needs. The selection criteria used to opt out for a population are 1) researching most immigrant populations in the United States, 2) identifying the largest immigrant population within the Virginia community, 3) analyzing the population with higher healthcare issues. Applying this criterion resulted in the selection of the Mexican population.  Assessing the Healthcare Needs  SWOT analysis was utilized to assess the needs of the Mexican population. The strengths of the Mexican community lie in their adaptability and resilience, as many Mexicans have shown resilience in accessing healthcare regardless of language barriers and immigration status. Similarly, this population cultivates a strong sense of community and a support system that helps individuals navigate the healthcare system and access resources. According to the CDC (n.d), Mexicans are more inclined toward helping their community and fostering collaboration. The potential weaknesses within the community are healthcare disparities, including higher chronic illness rates, lower insurance, and language and cultural barriers that significantly hinder adequate access and communication. Research has recognized that a social disadvantage that many Latinos face is associated with ethnic disparities, which include a lack of education attainment, inadequate health insurance coverage, immigration status, barriers associated with English proficiency, financial difficulties, and immigration status (Oh et al., 2020). These challenges also present several opportunities, such as improving healthcare for Mexican patients through culturally competent training, overcoming language barriers, and increasing access to health insurance. However, deportation and the refusal of hospitals to treat undocumented patients pose severe threats to these people. Participating Organizations and Stakeholders in Care Coordination The National Alliance for Hispanic Health (NAHH) has launched a partnership with many national organizations, such as the American College of Cardiology, the American Hospital Association, the American Heart Association, and the American Diabetes Association, to increase the availability and access to healthcare practices for chronic conditions to serve the Hispanic community. Similarly, to overcome the language barriers, the organization has partnered with the Spanish language media to create an international bilingual update, “Alliance’s Bilingual National Hispanic Family Helpline,” to increase awareness of the population’s health status. Furthermore, the organization intends to provide culturally competent training and integrated healthcare services to help providers improve their practices and provide more personalized care to Hispanics (Office of Minority Health, 2020). The stakeholders that aim to be involved are physicians, nurses, pharmacists, case managers, telehealth specialists, health workers, mental health practitioners, policymakers, and health educators, who will be responsible for spreading awareness and providing culturally competent care. The environmental and provider capabilities help manage the healthcare needs of Hispanics. The environmental capabilities that may hinder their access to care are lower average incomes, language and cultural barriers, and undocumented individuals. However, the NAHH (2020) has developed policies that address the risk of chronic illness and has partnered with associations to improve access to healthcare, while the bilingual family helplines tend to remove language barriers that reduce the likelihood of care practices. Within the provider’s capabilities, cultural competency, bilingual staff and information available, mental health inclusion, and community center care can be involved to improve the care practices. Characteristics of the Population The Hispanic population in the U.S. accounts for the most significant portion of immigrants. In 2021, reports have highlighted that almost 37.2 million Mexicans live in the United States. From the point of view of demographics, most of the population predominantly communicates in Spanish, as evident from a survey that found that around 71% of Hispanics primarily speak Spanish at home.  Furthermore, other governmental data highlights that around 6% of the Mexican population is fluent in English, while most need to be proficient in English. This underscores the prominent language barrier within the community, which significantly impedes access to healthcare. Also, the mean age of the Mexican residing population in the U.S. is 46 years old, highlighting that Mexican individuals lie in the age group where healthcare assistance and insurance are essential (Rosenbloom & Batalova, 2022). NURS FPX 6618 Assessment 2 Mobilizing Care For An Immigrant Population Similarly, the Census Bureau data highlights that the ratio of Hispanics holding a degree is comparatively lower than that of non-Hispanics. The Mexican population has low educational attainment rates, leading to a potential health literacy lag and a lack of healthcare assistance (Rosenbloom & Batalova, 2022). Similarly, the report further highlighted that Hispanics have a higher uninsurance rate than any other racial or ethnic group. The Migration Policy Institute further highlighted that the Mexican population also has the most extensive account for the

NURS FPX 6618 Assessment 1 Planning and Presenting a Care Coordination Project

Student Name Capella University NURS-FPX 6618 Leadership in Care Coordination Prof. Name Date Purpose of Planning and Presenting a Care Coordination Project This assessment is projected toward developing a care coordination project plan for chronic care patients in the Virginia community. Elderly people in the Virginia community suffer from chronic diseases, resulting in higher comorbidities and mortalities. The quality of care provided to chronic disease patients lacks adequate care coordination, leading to poor health outcomes in elderly patients. The hospital readmission rates are devastatingly increasing daily due to poor management of chronic conditions like diabetes, hypertension, renal diseases, chronic obstructive pulmonary disease, etc. Moreover, medication error rates are burgeoning in chronic care patients due to a lack of coordination among healthcare professionals. As a care coordinator project manager at Sentara Northern Virginia Medical Centers, I am developing a care coordination project plan for the described population, which requires care coordination from multiple organizations. This care coordination plan will help the elderly population inflicted with chronic conditions manage their condition with a coordinated and patient-centered care approach. Vision of Interagency Coordinated Care for Chronic Care Patients The primary vision of interagency coordination care for chronic care patients is patient-centered and collaborative care, prioritizing the overall well-being of elderly population with chronic conditions. This is possible by integrating a multidisciplinary team collaboration of healthcare professionals, including physicians, nurses, pharmacists, social workers, dieticians, etc. The care coordinating teams will enable effective care delivery through adequate coordination and collaboration, leaving no room for errors or treatment delays. Therefore, effective sharing of patient health data among healthcare professionals is neccessary. This can be done by using healthcare technologies such as electronic health records that enhances smooth coordination and communication, as the EHR can be integrated into multiple organizations (Southerland et al., 2020). A patient-centered care approach can be delivered in several ways, from onsite followups to online consultations by telehealth technology. By leveraging technology, healthcare providers can give consolidated care remotely, and patients can acquire coordinated care in the comfort of their homes.  Furthermore, patient-centered care clinics can be established for this population, serving as a central point for chronic patients. This will provide consolidated care to chronic care patients from physical, mental, and emotional perspectives (Corazzini et al., 2019). Additionally, healthcare professionals must be provided with ongoing training and educational programs to gain the necessary skills and knowledge to deliver consolidated care with improved quality to treat chronic conditions. This will pave a constant roadway for healthcare professionals to provide a continuity of care for chronic care patients.   Underlying Assumptions and Areas of Uncertainty The underlying assumption of this vision is that healthcare professionals can overcome barriers to collaboration and eradicate fragmented care by working together and coordinating care in the best interest of patients. Moreover, with advancements in healthcare technologies, healthcare professionals can share patient data and enable care coordination. The trained healthcare workforce can find better ways to provide consolidated care. However, the uncertainties in fulfilling this vision pertain to various factors, such as stagnant behaviors of patients, inadequate healthcare teams, resource limitations, and interoperability challenges (Gunnarson, 2022). These areas of uncertainty must be considered while developing and implementing a care coordination plan for the affected population. Mandatory Organizations and Groups to Participate in Care Several organizations and groups must participate to provide consolidated and holistic care for chronic disease patients. These identified organizations that must contribute to improving coordinated care for chronic patients include “Virginia’s Department of Health,” “Virginia’s Association of Area Agencies on Ageing,” and “National healthcare organizations” such as the “American Heart Association (AHA),” “American Diabetes Association (ADA),” and “American Nursing Association (ANA).” The Virginia Department of Health advocates the prosperity of public health, including care for chronic patients. They have worked on various initiatives to prevent chronic diseases and manage them effectively (Virginia Department of Health, n.d.). Therefore, their vital participation can promote coordinated care among chronic disease patients. Likewise, Virginia’s Association of Area Agencies on Ageing is a widespread network of agencies in Virginia that works for chronic diseases among elderly people and promotes healthy aging. This organizational group can provide their services in delivering coordinated care for patients with chronic conditions. Moreover, national healthcare organizations like AHA and ADA provide guidelines on coordinated care for managing heart diseases and diabetes, respectively, commonly prevalent among elderly people. Lastly, the ANA must participate in care for this population group as nurses are inherently care coordinators and collaborate with other healthcare professionals in delivering coordinated care to patients. Therefore, they can actively provide consolidated care to elderly patients in managing their chronic conditions. Identified Members of Interprofessional Care Coordination Team  The interprofessional care coordination team must comprise primary care physicians, nurses, pharmacists, social workers, dieticians, case managers, telehealth specialists, community health workers, health educators, and mental health specialists. These team members will collaborate and provide concerted care to chronic disease patients (Khatri et al., 2023). The primary care physicians will develop patient care plans with pharmacists and nurses. Mental health specialists will ensure elderly patients are mentally well by providing them with mental health services and counseling. The social and community health workers will address social determinants of health for these patients and connect patients with community resources. The dieticians will provide nutrition counseling for patients requiring lifestyle modifications. The case manager will oversee care transitions, ensure seamless communication, and manage overall initiative for delivering coordinated care to the affected population. Lastly, telehealth specialists will ensure steady remote consultations by facilitating telemedicine and remote monitoring services. These team members will be able to provide coordinated care with effective planning.  Analysis of Environmental and Provider Capabilities  Considering the insightful and comprehensive analysis of environmental and provider capabilities, several factors impact care coordination for chronic care patients. Factors like healthcare policy and regulations on data sharing and telehealth regulations impact the environmental ability to provide adequate coordinated care. Moreover, the availability of funding and reimbursement, technology infrastructure, and public health literacy are primary environmental factors that may hinder care coordination.