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NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

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    NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues


    Capella university

    NURS FPX4050 Coordinating Patient-Centered Care

    Prof. Name


    Care Coordination Presentation to Colleagues

    Greetings colleagues, I wish you a good afternoon. As nurses, we hold a vital position in both care coordination and the overall continuum of care. Our comprehension of the care coordination process and its influence on patient outcomes in relation to factors such as safety, ethics, policy, physiological, and cultural needs cannot be understated. This presentation will focus on the fundamental principles of care coordination, addressing change management issues, and the effect of healthcare policy on outcomes and patient experiences. By delving into these topics, we aim to enhance our collective capacity to deliver effective care coordination and ultimately improve patient outcomes. I appreciate your participation in this discussion.

    Effective Strategies for Collaborating with Patients and Their Families

    In order to achieve the best health outcomes, it is essential to engage in collaborative efforts with patients and their families. Healthcare professionals can adopt two significant strategies to achieve this goal – drug-specific educational interventions and cultural competence strategies.

    Drug-Specific Educational Interventions

    The drug-specific educational interventions involve educating patients and their families about the medication, its administration, and possible side effects. It is crucial for patients to possess this knowledge in order to make informed decisions about their treatment, comprehend their ailment, and follow their prescribed medication routine. Studies indicate that not adhering to medication schedules is a frequent issue that may result in adverse health consequences, augmented healthcare expenses, and reduced quality of life for patients (Horne et al., 2022).

    For example, patients who do not take their medication as prescribed may experience worsened symptoms, complications, and hospitalizations. However, when patients receive drug-specific educational interventions, they are more likely to adhere to their medication regimens and experience improved health outcomes. The research has demonstrated that tailored educational interventions that address the specific needs and concerns of individual patients can be particularly effective in improving medication adherence. The research by Sendekie et al (2022), found that a medication education program tailored to the needs of individual heart failure patients result in a significant increase in medication adherence compared to a control group (Sendekie et al., 2022). 

    Cultural competence

    Cultural competence is an important aspect of effective collaboration, and healthcare professionals must respect and incorporate patients’ cultural beliefs and practices into care planning to improve health outcomes. The study found that culturally competent care was associated with reduced disparities in diabetes care for Hispanic patients .The culturally tailored diabetes education program addressed various cultural beliefs and practices that are relevant to Hispanic patients. These beliefs and practices include the role of family in decision-making, the importance of food in social and emotional contexts, and the impact of stress on diabetes management.

    The program incorporated these cultural factors into the diabetes management plan, such as encouraging family involvement in decision-making, providing recipes that align with cultural food preferences, and addressing the role of stress in diabetes management. This approach helped the patients to better understand and manage their diabetes in a way that was culturally relevant to them. The effectiveness of the program was demonstrated by the significant improvements in the patients’ A1C levels, blood pressure, and lipid profile, indicating better diabetes control.

    Additionally, the patients reported an increase in diabetes knowledge and self-efficacy, showing that the program helped them feel more confident in managing their diabetes. Overall, this study provides evidence for the importance of incorporating cultural beliefs and practices into diabetes education and management programs. Doing so can improve health outcomes and reduce disparities in care for ethnic and racial minority patients (Babalola et al., 2021). 

    Change Management and Patient Experience

    Implementing change management is an indispensable aspect of delivering superior care that prioritizes the needs of the patient. In order to accomplish this, it is crucial to recognize the factors within change management that have a direct influence on the key elements of the patient experience. Effective change management involves more than implementing changes; it also involves managing the process of change. Communication, respect, empathy, and trust are crucial elements of the patient experience that are highly valued by patients and must be taken into consideration during change management.

    Efficient communication and cooperation are imperative to deliver patient-oriented care that is customized to meet the unique requirements and inclinations of every patient. Clear and concise communication among healthcare providers and with patients and their families is necessary to ensure that patients receive individualized care that meets their unique needs, as emphasized in a study published in the Journal of Healthcare Management (Liu, Huang, & Liu, 2019).

    In addition, teamwork is essential for delivering patient-centered care that meets the unique needs of each patient. Healthcare providers must collaborate on care plans, share patient information, and address issues together to deliver care that is centered around the patient, as highlighted in a study in the Journal of Nursing Education and Practice (Hao et al., 2020).

    NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

    By incorporating effective communication and teamwork, healthcare providers can provide personalized and patient-centered care, which is associated with better patient outcomes such as improved satisfaction and reduced hospital readmissions. A study published in the Journal of Nursing Management underlines the importance of tailoring care to the individual needs and preferences of each patient, emphasizing the benefits of patient-centered care (Talwar, Kaur, & Kaur, 2021).

    It is important to distinguish between patient experience and patient satisfaction. Patient experience refers to the overall experience of the patient, including their emotional and psychological response, while patient satisfaction relates to the patient’s perception of their care. Effective change management ensures that the patient’s autonomy is respected, and the care provided is in the patient’s best interest. Involving patients, their families, and other healthcare professionals in the change process is a crucial step in ensuring that patient-centered care is provided. 

    Ethics-Based Coordinated Care Plans: Rationale, Implications, and Assumptions

    When it comes to caring for patients, it is essential to have a coordinated approach that takes into account their unique needs and preferences. The goal of unifying healthcare providers towards the same objectives and ensuring cohesive patient care can be accomplished through coordinated care plans. An ethical approach to care coordination is crucial as it puts the patient’s interests at the forefront of decision-making, ensuring that their autonomy and dignity are respected.

    Shared decision-making is an ethical approach to care coordination that has important implications for patients and providers alike. One of the primary ethical implications of shared decision-making is the respect for patient autonomy. By involving patients in the decision-making process, healthcare providers are acknowledging their right to make decisions about their own care. This also means that patients are more likely to adhere to their treatment plans, as they are more invested in the decision-making process. In addition, shared decision-making recognizes the importance of patient preferences and values in healthcare decision making.

    NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

    By taking into account the unique cultural and social factors that shape patients’ values and preferences, healthcare providers can provide more personalized care that is more likely to meet patients’ needs and lead to better health outcomes (Salyers & Zisman-Ilani, 2020). Another key ethical consideration in care coordination is patient privacy and confidentiality. Healthcare providers have an obligation to respect patients’ privacy and confidentiality when sharing personal health information with other providers. This not only protects patients’ privacy rights but also contributes to better patient outcomes by promoting trust and confidence in healthcare providers (Pishgooie et al., 2019).

    Overall, an ethical approach to care coordination is essential for ensuring high-quality patient outcomes. By prioritizing shared decision-making and patient privacy and confidentiality, healthcare providers can deliver care that is respectful, personalized, and effective. These underlying assumptions of an ethical approach to care coordination guide decision-making and help ensure that patients receive the best possible care.

    Impact of Healthcare Policy on Outcomes and Patient Experiences

    Healthcare policy provisions play a crucial role in shaping healthcare systems, determining access to care, and affecting patient outcomes. Specific policy provisions can have a significant impact on outcomes and patient experiences, and it is important to understand this potential impact. The “Affordable Care Act (ACA)” and “CHIP Reauthorization Act (MACRA)” are two policies that have a noteworthy potential to influence patient outcomes and experiences. Medicaid expansion under the ACA has enhanced accessibility to healthcare services and reduced healthcare costs for low-income individuals and families.

    This policy provision has the potential to enhance patient experiences by eliminating financial barriers to care, encouraging preventive care, and ultimately leading to improved health outcomes. Research has demonstrated that Medicaid expansion has decreased infant mortality rates, among other benefits (Wiggins et al., 2020).      MACRA, on the other hand, aims to improve healthcare quality and control healthcare costs for Medicare beneficiaries. One of the key provisions of MACRA is the “Quality Payment Program (QPP)”, which encourages healthcare providers to prioritize the quality of care delivered rather than the quantity of services provided.

    NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

    Comprising two tracks, namely MIPS and APMs, the QPP incentivizes healthcare providers for delivering high-quality care and promotes their involvement in alternative payment models that facilitate the delivery of coordinated and efficient care. By emphasizing high-quality, patient-centered care, the QPP has the potential to enhance patient outcomes and experiences, such as reducing hospital readmissions among individuals who suffer from conditions such as heart failure accompanied by fluid buildup, inflammation of the lungs caused by infection, and a lung disease characterized by obstructed airflow (Cardona, 2020).

    To summarize, the ACA and MACRA are two policies with significant potential impacts on patient outcomes and experiences. By expanding Medicaid and promoting high-quality, patient-centered care through the QPP, these policies can increase access to care, reduce healthcare costs, and ultimately lead to improved health outcomes for individuals and communities.

    Role of Nurse in Care Coordination

    Nurses play a vital role in care coordination by ensuring that patients receive patient oriented treatment that is customized to their unique needs and preferences. As important members of interdisciplinary healthcare teams, they work together with other healthcare experts to create and execute personalized care plans that cater to the unique requirements of every patient. Additionally, nurses facilitate communication between patients and their healthcare providers, ensuring that all parties are informed and involved in decision-making processes related to care. Overall, nurses play an essential role in improving patient outcomes and experiences through effective care coordination.      


    In conclusion, providing patient-centered care requires effective care coordination, which involves collaboration with patients and their families, adherence to ethical decision-making and healthcare policies, and embracing change management. It is incumbent upon healthcare professionals to continuously educate themselves and their peers on these principles, as their implementation can lead to improved patient outcomes and high-quality care.

    By integrating these principles into their practice, healthcare professionals can ensure that patients receive compassionate, respectful, and dignified care Therefore, it is essential to prioritize and apply these principles in order to deliver optimal care for patients. Moreover, nurses serve as facilitators for patients and their families, empowering them to take an active role in their care and promoting health literacy. Thus, nurses’ expertise and involvement in care coordination are essential in delivering high-quality, patient-centered care.


    Babalola, O. M., Garcia, T. J., Sefcik, E. F., & Peck, J. L. (2021). Improving Diabetes Education in Mexican American Older Adults. Journal of Transcultural Nursing32(6), 799-809. 

    Cardona, D. M. (2020). Medicare’s Quality Payment Program Continues to Evolve: What Pathologists Need to Know to Succeed. Archives of Pathology & Laboratory Medicine144(6), 677-678.

    Hao, X., Liu, Y., & Liu, Y. (2020). Teamwork and patient-centered care in nursing education and practice. Journal of Nursing Education and Practice, 10(6), 83-89. 

    NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

    Horne, B. D., Muhlestein, J. B., Lappé, D. L., May, H. T., Le, V. T., Bair, T. L., … & Anderson, J. L. (2022). Behavioral nudges as patient decision support for medication adherence: the ENCOURAGE randomized controlled trial. American Heart Journal, 244, 125-134. 

    Liu, Y., Huang, H., & Liu, Y. (2019). The relationship between patient-centered communication and patient satisfaction: A study of the Chinese healthcare system. Journal of Healthcare Management, 64(5), 337-349.

    Pishgooie, A. H., Barkhordari-Sharifabad, M., Atashzadeh-Shoorideh, F., & Falcó-Pegueroles, A. (2019). Ethical conflict among nurses working in the intensive care units. Nursing Ethics26(7-8), 2225-2238.

    Sendekie, A. K., Netere, A. K., Kasahun, A. E., & Belachew, E. A. (2022). Medication adherence and its impact on glycemic control in type 2 diabetes mellitus patients with comorbidity: A multicenter cross-sectional study in Northwest Ethiopia. Plos One, 17(9), e0274971. 

    NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

    Salyers, M. P., & Zisman-Ilani, Y. (2020). Shared decision-making and self-directed care. The Palgrave Handbook Of American Mental Health Policy, 197-228.

    Talwar, R., Kaur, J., & Kaur, H. (2021). Understanding patient-centered care: Its relevance and significance. Journal of Nursing Management, 29(2), 110-117. 

    Wiggins, A., Karaye, I. M., & Horney, J. A. (2020). Medicaid expansion and infant mortality, revisited: A difference‐in‐differences analysis. Health Services Research55(3), 393-398.