The Care Coordination Plan Assignment Discussion

The Care Coordination Plan Assignment Discussion

This is going off of assessment 1 and the topic that was chosen.. ill attach that assignment that was completed along with resources

Improving Chronic Illness Care. (n.d.). Care coordination: Reducing care fragmentation. http://www.improvingchroniccare.org/index.php?p=Care_Coordination s=326 The Care Coordination Plan Assignment Discussion

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Quinn, M., Robinson, C., Forman, J., Krein, S. L., & Rosland, A. M. (2017). Survey instruments to assess patient experiences with access and coordination across health care settings: Available and needed measures. Med Care, 55(Supplement 7 1), S84-S91. http://europepmc.org/articles/PMC5509356

Because of the sheer complexity of most mental health diseases, providing care for these people may be very difficult. Despite a common diagnosis, patients’ presentations of their conditions might vary greatly due to their unique experiences. In order to successfully manage the care coordination for every client, considerable individualization of treatment techniques will be required. Nonetheless, individuals with mental health problems have a range of issues that need to be addressed. Among these issues are the recognition of the clinical manifestations, the provision of treatment that is considerate of cultural norms, and accessibility to medical services in the community context. Accordingly, the efficacy and reliability of mental health approaches, the alleviation of symptoms, and the enhancement of life quality are all greatly aided by the coordination of care for persons with mental health conditions.

Patient-Centered Interventions

Care coordination for those with mental health issues requires the identification and understanding of cultural factors. A diagnosis of mental illness is often met with discrimination and shame, which may make patients feel stigmatized. Having such a feeling might be a hindrance to treatment adherence. Systemic concerns, patient perspectives and preferences, provider competence, issue, help-seeking literacy, and interpersonal and familial contexts have been highlighted as potential influences on the success or failure of mental health interventions (Berry et al., 2019)The Care Coordination Plan Assignment Discussion. A patient’s willingness to follow therapeutic regimens is crucial for the successful treatment of mental disorders. It is crucial for clinicians to recognize their own cultural biases and refrain from communicating them to patients.

The most effective method has been found to be maintaining an effective means of communication between the healthcare and the patient where the healthcare team gathers information regarding the patient’s understanding of their mental illness. Some healthcare organizations offer their personnel the opportunity to participate in a cultural awareness training seminar if they consider it necessary. It is important to urge patients to look for reassuring resources to help them process their thoughts about their conditions. When struggling with thoughts of suicide, hotlines are there to help.

Mental disorders do not necessarily manifest themselves psychologically. Their symptoms may include pain or even a resemblance to another illness. Patients can visit a separate practitioner for each of their symptoms if they have several complaints. For instance, those who suffer from schizophrenia may also exhibit signs of bipolar disorder. It may be challenging to make an accurate diagnosis when medical professionals do not have all of the relevant information. As such, the diagnosis of patients might be put off, which means that appropriate treatment strategies to control symptoms cannot be developed promptly. Research has shown that a delay or incorrect diagnosis may result in functional limitations, increased medical costs, and even unhealthy behaviors like drug abuse (Nguyen et al., 2019)The Care Coordination Plan Assignment Discussion. Individuals who require psychiatric care are connected with appropriate community resources after they have received an accurate diagnosis of their condition. Such resources include self-help groups, community clinics, and daycare facilities. Medical doctors and experts in diagnosis may work together to keep patients healthy and improve the efficacy of any treatments they prescribe.

Managing care along a continuum includes ensuring patients have exposure to services in their local communities. Mental diseases and drug addiction problems are significant contributors to the global disease strain, affecting over 80% of the world’s population in poor and middle-income nations (Weinmann & Koesters, 2018). Disparities in medical treatment have been shown to have a major impact on a patient’s ability to continue receiving necessary medical treatment after leaving the hospital. Low- or no-cost resources to help with care transitions are available, and care coordinators may help patients locate them. There are numerous places of work and educational institutions that provide resources for psychiatric care, but the client might be unaware of these options. Upon discharging the patient, the clinician might coordinate with those resource providers to ensure the patient continues to get quality treatment. Additionally, the National Alliance on Mental Illness has a toll-free hotline that refers callers to free or low-cost services if they do not feel comfortable discussing their mental health with their employer.

Ethical Implications

The application of ethical considerations to the task of care coordination is crucial. Nurses can refer to a set of ethical ideals developed specifically to guide them in reaching ethically sound judgments in patient care. When it comes to ethics, providing care for individuals who suffer from mental health disorders may be challenging. The patient’s welfare should be the first consideration while making decisions. On the other hand, there may be some ramifications to think about. For instance, individuals with mental health issues have a higher risk of abusing drugs. It’s possible for the clinician to encounter an ethical conundrum when deciding how to treat a client when that person has a history of substance misuse and needs prescription drugs. In accordance with the nonmaleficence concept, clinicians should choose treatments that have the greatest positive impact on patients while causing the fewest adverse effects (Varkey, 2020)The Care Coordination Plan Assignment Discussion. It may be considered a breach of the nonmaleficence principle to intentionally provide medicine to a client who has a history of abusing it. At the same time, a breach of the concept of justice may occur if a client who needs medicine is denied it due to perceived harm.

Health Care Policies

In 1990, Congress passed the Americans with Disabilities Act (ADA), which protects people with mental health conditions from being treated differently. Through this act, companies are obligated to accommodate employees with medical conditions and are barred from engaging in any kind of discrimination based on a person’s disability throughout the recruitment and selection process (Agaronnik et al., 2019). Furthermore, psychiatric treatments must be included as a component of a comprehensive medical plan, which is a requirement for insurance providers. Another piece of legislation dealing with mental health is the Mental Health Parity Act of 1996 (MHPA), which states that major medical insurance providers cannot set yearly or lifetime cost limitations on mental health benefits that are less liberal than those set for medical and surgical care (Mulvaney-Day et al., 2019).

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Discussing the Plan with a Patient and Family Member

Care delivery relies heavily on open lines of communication with both patients and their loved ones. There are many obstacles, according to the literature, that prevents clinicians from effectively sharing information with patients and their loved ones. Patients sometimes express feeling oppressed by the healthcare system, skeptical of practitioners, and anxious about obtaining a life-threatening diagnosis(Chegini et al., 2019). Before beginning discussions regarding prognosis and treatment, clinicians should investigate potential roadblocks. Patient willingness to accept treatment directives is improved if these first hurdles are addressed.

Besides describing to patients and their families the signs and symptoms associated with the condition, professionals in mental healthcare should stress that treatment is a long-term commitment and that many problems are irreversible. In order to improve a patient’s wellbeing as a whole, interventions should include coping mechanisms for when symptoms worsen (Richter & Dixon, 2022)The Care Coordination Plan Assignment Discussion. Patients need to be informed by their clinicians that their therapeutic regimens may shift depending on how they respond to the treatments they are receiving. Healthcare professionals should work together to offer the best treatment possible for their patients. Patients should also be made aware of community options they may turn to in case they experience problems outside of normal operating hours or even when they are unable to see a healthcare professional.

Healthy People 2030

Healthy People 2030 is an initiative aimed at enhancing the health of the country as a whole by means of the establishment of specific health goals informed by statistics. The goals of mental health care primarily include identifying individuals who may benefit from therapy, conducting thorough evaluations to ensure correct diagnoses, and providing effective care (Health.gov, 2020). A need to reduce healthcare inequalities is also highlighted by Healthy People 2030. Another goal is to increase the availability of screenings for those who are poor or with impairments, including those who abuse drugs.

Additionally, Healthy People 2030 emphasizes the need of eliminating inequalities in medical treatment. Another goal is to make sure that people from underserved communities, including those who struggle with mental health issues or other impairments, can have access to screenings (Health.gov, 2020)The Care Coordination Plan Assignment Discussion. Surveying vulnerable groups is one way to find out whether these goals have been met. The risk of having a mental illness is now more openly discussed owing to advertisements in the media. Patients must be educated by their clinicians on the symptoms that may point to a mental health disorder. People with preexisting conditions in their families should also be assessed. There is evidence that clinicians who earn their patients’ confidence are more effective at managing their patients’ health. By empowering them with knowledge, patients may take ownership of their own health and wellness.

Conclusion

For healthcare professionals to be successful in providing care to their patients and seeing great results, they must be able to coordinate that care effectively. Healthcare professionals are expected to uphold the code of ethics in their everyday work with patients. More resources should be allotted to mental health care to help people in times of distress, and medical practitioners should get further training in this area. Positive outcomes are more likely when patients are surrounded by caring people, whether that’s their family, friends, staff, or the community at large. Care coordination is more likely to result in the patient’s success and improvement if the team is comprised of competent professionals from many specialties.

 

 

References

Agaronnik, N. D., Pendo, E., Campbell, E. G., Ressalam, J., & Iezzoni, L. I. (2019). Knowledge of practicing physicians about their legal obligations when caring for patients with disability. Health Affairs, 38(4), 545-553. https://doi.org/10.1377/hlthaff.2018.05060

Berry, K., Sheardown, J., Pabbineedi, U., Haddock, G., Cross, C., & Brown, L. J. (2019). Barriers and facilitators to accessing psychological therapies for severe mental health difficulties in later life. Behavioural and Cognitive Psychotherapy, 48(2), 216-228. https://doi.org/10.1017/s1352465819000596

Chegini, Z., Janati, A., Babaie, J., & Pouraghaei, M. (2019). Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals: A qualitative study. Nursing Open, 7(1), 457-465. https://doi.org/10.1002/nop2.411

Health.gov. (2020). Healthy People 2030. https://health.gov/healthypeople

Mulvaney-Day, N., Gibbons, B. J., Alikhan, S., & Karakus, M. (2019). Mental Health Parity and Addiction Equity Act and the use of outpatient behavioral health services in the United States, 2005–2016. American Journal of Public Health, 109(S3), S190-S196. https://doi.org/10.2105/ajph.2019.305023 The Care Coordination Plan Assignment Discussion

Nguyen, T., Tran, T., Green, S., Hsueh, A., Tran, T., Tran, H., & Fisher, J. (2019). Delays to diagnosis among people with severe mental illness in rural Vietnam, a population-based cross-sectional survey. BMC Psychiatry, 19(1). https://doi.org/10.1186/s12888-019-2367-1

Richter, D., & Dixon, J. (2022). Models of mental health problems: A quasi-systematic review of theoretical approaches. Journal of Mental Health, 1-11. https://doi.org/10.1080/09638237.2021.2022638

Varkey, B. (2020). Principles of clinical ethics and their application to practice. Medical Principles and Practice, 30(1), 17-28. https://doi.org/10.1159/000509119

Weinmann, S., & Koesters, M. (2018). Mental health service provision in low and middle-income countries. Current Opinion in Psychiatry, 29(4), 270-275. https://doi.org/10.1097/yco.0000000000000256 The Care Coordination Plan Assignment Discussion

Assessment 4 Instructions: Final Care Coordination Plan

Top of Form

Bottom of Form

• PRINT
• For this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature.

Introduction

NOTE: You are required to complete this assessment after Assessment 1 is successfully completed.

Care coordination is the process of providing a smooth and seamless transition of care as part of the health continuum. Nurses must be aware of community resources, ethical considerations, policy issues, cultural norms, safety, and the physiological needs of patients. Nurses play a key role in providing the necessary knowledge and communication to ensure seamless transitions of care. They draw upon evidence-based practices to promote health and disease prevention to create a safe environment conducive to improving and maintaining the health of individuals, families, or aggregates within a community. When provided with a plan and the resources to achieve and maintain optimal health, patients benefit from a safe environment conducive to healing and a better quality of life.

This assessment provides an opportunity to research the literature and apply evidence to support what communication, teaching, and learning best practices are needed for a hypothetical patient with a selected health care problem.

You are encouraged to complete the Vila Health: Cultural Competence activity prior to completing this assessment. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.

Preparation

In this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature.

To prepare for your assessment, you will research the literature on your selected health care problem. You will describe the priorities that a care coordinator would establish when discussing the plan with a patient and family members. You will identify changes to the plan based upon EBP and discuss how the plan includes elements of Healthy People 2030 The Care Coordination Plan Assignment Discussion.

Instructions

Note: You are required to complete Assessment 1 before this assessment.

For this assessment:

• • Build on the preliminary plan, developed in Assessment 1, to complete a comprehensive care coordination plan.

Document Format and Length

Build on the preliminary plan document you created in Assessment 1. Your final plan should be a scholarly APA-formatted paper, 5–7 pages in length, not including title page and reference list.

Supporting Evidence

Support your care coordination plan with peer-reviewed articles, course study resources, and Healthy People 2030 resources. Cite at least three credible sources.

Grading Requirements

The requirements, outlined below, correspond to the grading criteria in the Final Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Care Coordination Plan Assignment Discussion

• • Design patient-centered health interventions and timelines for a selected health care problem.

• • • Address three health care issues.
    • Design an intervention for each health issue.
    • Identify three community resources for each health intervention.
  • Consider ethical decisions in designing patient-centered health interventions.

• • • Consider the practical effects of specific decisions.
    • Include the ethical questions that generate uncertainty about the decisions you have made.
  • Identify relevant health policy implications for the coordination and continuum of care.

• • • Cite specific health policy provisions.
  • Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice.

• • • Clearly explain the need for changes to the plan.
  • Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2030 document.

• • • Use the literature on evaluation as guide to compare learning session content with best practices.
    • Align teaching sessions to the Healthy People 2030 document.
  • Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
  • Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling The Care Coordination Plan Assignment Discussion.

Additional Requirements

Before submitting your assessment, proofread your final care coordination plan to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan.

Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• • Competency 1: Adapt care based on patient-centered and person-focused factors.

• • • Design patient-centered health interventions and timelines for a selected health care problem.
  • Competency 2: Collaborate with patients and family to achieve desired outcomes.

• • • Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice.
  • Competency 3: Create a satisfying patient experience.

• • • Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2030 document.
  • Competency 4: Defend decisions based on the code of ethics for nursing. The Care Coordination Plan Assignment Discussion

• • • Consider ethical decisions in designing patient-centered health interventions.
  • Competency 5: Explain how health care policies affect patient-centered care.

• • • Identify relevant health policy implications for the coordination and continuum of care.
  • Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
    

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• • • Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
    • Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling The Care Coordination Plan Assignment Discussion