When it comes to the potential impact of specific health care policies and provisions such as the affordable care act, HIPPA act, effective treatments through preventive care, and other policies affect the plan. NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

it is important to identify aspects of change management that directly affect quality care and patient experience as it defines and controls how strategies are implemented and their outcomes. 

The first aspect that affects the change management and quality of care is the EBP model that will be used to implement the change and evaluate the outcome of the strategies. Using models such as Iowa EBP, ACE (Academic Center for Evidence-Based Practice), Johns Hopkins Nursing Evidence-Based Practice Model, and Lewin’s model of change aid in implementing the strategies, evaluating the outcome, and changing or updating the strategy. 

The second aspect is leadership, which is critical in motivating and empowering nurses and HCPs to adopt care coordination strategies as it affects the way nurses perceive the strategies and how effective the communication and collaboration between the interdisciplinary and multidisciplinary teams are (Song et al., 2017). The third aspect is the economic model used along with resources provided to implement the strategies as changes require funds and resources to successfully implement the strategies (Peterson et al., 2019). The fourth aspect is the training and competency levels of nurses and HCPs as the higher the competencies in culture-based care, patient-centered approach, nurse-patient relationship, safety and security of patients, and patient’s family management, the better will be the outcome (Sefcik et al., 2018). 

The fifth aspect is providing care in different languages as communities include patients from different cultures. Failing to provide support in different languages will reduce patient satisfaction and patients will find it difficult to increase their health literacy. The sixth aspect is the nurse-to-patient ratio the lower the ratio, the higher will be the burnout and chances of errors. Errors such as medication errors, administration errors, and record errors will reduce the quality of care and reduce the reputation of healthcare facilities.  

Ethical decision-making is an important aspect of any decision-making as it highlights the possible implications of the decision. 

The coordinated care plan is based on ethical decision-making as it addresses the core ethical components such as justice, fairness, equity, responsibility, honesty, trust, openness, and respect, and transparency. The component of justice is addressed by the use of patient-centered and culture-based care where each patient is treated based on the characteristics and individual aspects (Omura et al., 2018). The component of fairness is addressed by direct communication where all the patients were treated with compassion, inclusiveness, and support. The implication is it increases quality care and patient satisfaction (Grubaugh & Flynn, 2018). 

Equity is an important aspect of the coordinated care plan as cost-effective care is a major part of the plan where everyone has equal access to health care and its services and is treated equally but based on individual needs such as cultural needs (Ofei & Paarima, 2021). Also, the aspect of patient empowerment, consent, and involvement of families highlights ethical decision-making. The implication is it increases the trust of the community in health care services and also, it empowers patients (Garry et al., 2020). Further, the plan advocates for openly and honestly disclosing any errors to the patient and also provide any needed information regarding the health condition through education (Hefner et al., 2019). Thus, it represents an ethical aspect of transparency as well. The implication is it increases satisfaction levels and high-quality care. 

Even though the plan looks good, but it is based on four assumptions. They are: everyone in the organization including patients, community, and families will accept the change and follow the coordinated plan (Menear et al., 2016); the funding and resources needed will be provided to successfully implement the change; all the ethical aspects will be followed; and the plan will be effective and can be implemented without any resistance or a limited number of challenges or obstacles (Marsden et al., 2018).  

The ACA Act provides key provisions such as cost-effective care, emphasizing prevention, effective treatments, quality improvement, and easy access to health care. These provisions affect the care plan they complement each other as both the provisions and plan aim to provide high-quality care with cost-effective treatments (Brooks et al., 2017). Cost-effective care increases patient satisfaction and a better nurse-to-patient ratio reduces burnout in nurses. From this, it can be logically concluded that provisions positively impact the coordination plan (Chu et al., 2020).