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

Planning and Presenting a Care Coordination Project

Hello Everyone! I am Student Name, and today I will be presenting on a care coordination project for chronic care patients focusing on presenting and planning. During this presentation, I would consider a comprehensive strategy to coordinate and organize the care for the patients as a Care Coordinator Project Manager.

Purpose of Care Coordination Plan

The purpose of presenting a care coordination plan for chronic care patients is to organize patient care practices and all other activities efficiently. It would also help coordinate the important medical information related to the patients among the professionals avoiding any misunderstandings or adverse events. An effective care coordination plan ensures that the quality of care is being improved and that an assurance plan would manage patients, track their condition, and support them by developing efficient information systems.

Vision for Interagency

Organizing and coordinating care for chronic care patients is essential to effectively help them manage their condition and improve their experience, satisfaction, and outcomes. Primary care coordination is the best approach for a coordinated care plan (Welkin, 2022). This approach would be integrated and patient-centered as it would involve collaborating with the patients and their families with an intervention that would specifically fulfill the patient’s needs (Welkin, 2022).

Accountability would be established, proactive care plans would be developed, community resources would be linked, patients’ needs and goals would be highlighted, and self-management goals would be supported. Leadership roles would also be assigned in this plan to develop teamwork. It would reduce inefficiencies in healthcare with an increased exchange of information about patients’ stay and medications, reporting patients’ symptoms to resolve them, and arranging equipment for patients (Welkin, 2022). 

 

Chronic care patients are usually individuals with unsolvable health concerns. There must be an interagency collaboration among psychologists, nurses, chronic care specialties, psychiatrists, and patients to deal with chronic patients. Collaboration with psychologists and psychiatrists is essential as the patient may be going through a traumatic experience and distress due to the treatment procedures. The assumptions underlying this vision are that the treatments for chronic care are expensive, making the patients suffer a lot of distress and that patients of all ages and backgrounds can face chronic care problems. The areas of uncertainty include the skills the nursing staff would have to practice to enhance collaboration and communication.


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