Strategy for Gathering Additional Necessary Patient Assessment Data NURS FPX 6610 Assessment 1 Comprehensive Needs

Physiological, Societal, Economic, and Interprofessional Factors most likely to affect Patient Outcomes

Patient Comorbidity

Mr. Decker experiences sepsis and hyperglycemia. Due to weakened immunity brought on by diabetes, the patient is more vulnerable to infections. If sepsis is not treated, the patient may experience poor health outcomes and a high death rate. Typically, the patient is more vulnerable due to diabetes and sepsis, and in order to improve his health, he needs medical attention (White-Williams et al., 2020).

Patient Financial Status

Mr. Decker’s primary source of health care services is Medicare. The elderly patient may not be able to obtain some health care at the premium level and is not fully covered by insurance. For instance, the patient might need to be moved to an outpatient infusion facility by the care manager. However, a transit barrier that is not covered by Medicare prevents the patient from receiving the services (Schilling et al., 2022). As a result, Mr. Decker’s low income status affects the Medicare plan he could buy, which has an effect on his health.

Social Support System

It is untrustworthy for Mr. Decker’s family to assist in giving antibiotics to treat the infection. First and foremost, his wife is too old to take care of his medication, his daughter pays him sporadic visits, and his nephew and nephew’s wife are unable to provide ongoing support. For patient health outcomes to improve, social support is crucial. The patient runs the risk of dying or being readmitted if any of the social support’s roles are overlooked. Mr. Decker’s social support system is untrustworthy and lacking in strength. In order to manage the patient’s condition, the case manager is compelled to look into alternatives like a rehabilitation facility and an outpatient infusion clinic (Schmid et al., 2022).

Relating Patient Care and Care Coordination Outcomes To Professional Standards

Measurable indicators of patient care and care coordination include patient safety and quality outcomes. Patient safety results are defined by the professional standards outlined in the Joint Commission’s National Patient Safety Goals (JCNPS) for 2019 and the National Quality Forum’s Safety (NQFS) report for 2019. NQFS was chosen to monitor patient safety results because it creates safety protocols that medical professionals may implement. Furthermore, JCNPS was taken into consideration for patient safety due to the fact that national sentinel event data and a skilled interdisciplinary advisory group define the organization’s safety goals.

In contrast, registered nurses’ patient quality outcomes are evaluated using the Care Coordination and Transition Management Logic Model (CCTMLM) (Hick et al., 2020). The selection of CCTMLM was motivated by its emphasis on patient education, self-care, implementation of health information technology, and patient and family engagement in enhancing the quality of care coordination.

Mr. Decker could benefit from JCNPS by ensuring he receives accurate test results and that all of his sepsis medications are properly labeled to prevent confusion during drug administration. Comparably, by guaranteeing 100% infection avoidance of sepsis, the case manager adheres to JCNPS requirements and enhances Mr. Decker’s patient safety results. Furthermore, when the case manager assessed the patient’s needs, preferences, and goals and created a coordinated care plan with no errors for the best possible patient quality outcomes, CCTMLM was applied to Mr. Decker’s scenario (American Diabetes Association, 2019).

Evidence-based practices for successful implementation of care coordination

Geriatric Palliative Care (GPC)

An interdisciplinary partnership between geriatrics and palliative care is known as geriatric palliative care. While palliative care addresses patients of all ages with specific needs, including hospice care, geriatric care is concentrated on the health of the elderly. By encouraging care coordination through interspecialty continuing education, the GPC strategy enhances the quality of life for patients (ADA, 2021). Furthermore, an individual with a chronic condition such as Mr. Decker will be able to receive integrated treatment that prioritizes comfort-oriented care and functional recovery.  Care coordination in interdisciplinary and multiprofessional sectors is improved by this kind of care.

Generalized Early Sepsis Intervention Strategies (GESIS)

Continuous quality improvement of sepsis patient care is a key component of GESIS initiatives. For instance, by determining the mortality and incidence of sepsis and carrying out a 6-hour sepsis bundle interventi