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Capella 4050 Assessment 3

Capella 4050 Assessment 3

Assessment 3 – Care Coordination Presentation to Colleagues


Capella University

School of Nursing and Health Sciences, Capella University

FPX-NURS 4050: Coordinating Patient-Centered Care

Prof. Name:


Care Coordination Presentation to Colleagues

Welcome to today’s presentation on care coordination. Our goal is to provide you with the essential knowledge and understanding of care coordination basics, which will enable you to take on an expanded role in helping manage the care coordination process and improve patient outcomes in our community care center.

Effective Strategies for Collaborating with Patients and Their Families

Achieving desired health outcomes requires building strong partnerships with patients and their families using evidence-based and culturally sensitive strategies. Active listening and open communication are essential for understanding patients’ concerns, preferences, and expectations. Engaging in shared decision-making ensures that care plans align with patients’ values and beliefs (Grant & Johnson, 2019). A study supports the positive impact of patient-centered communication on health outcomes, patient satisfaction, and treatment adherence (Anderson et al., 2019).

Drug-specific educational interventions can improve medication adherence and patient understanding. Utilizing visual aids and teaching materials tailored to the patient’s literacy level enhances comprehension (Van Schandevyl et al., 2021). A systematic review by Muvuka et al., (2020) found that tailored, interactive health literacy interventions have the potential to improve health outcomes.

Cultural competence strategies involve being aware of cultural differences, demonstrating respect for diverse beliefs, and adapting care to meet patients’ unique needs. Providing interpreter services, offering educational materials in multiple languages, and fostering an inclusive environment contribute to effective collaboration (Lau & Rodgers, 2021). McGregor et al., (2019) emphasize the importance of cultural competence in reducing health disparities and improving access to high-quality healthcare. By implementing these evidence-based and culturally sensitive strategies, nursing staff can better collaborate with patients and their families to achieve desired health outcomes.

Change Management and Patient Experience

Efficient change management is crucial for providing high-quality, patient-focused care. Essential aspects of change management that directly impact patient experience include transparent communication, extensive staff training, and continuous evaluation of enacted changes. Open communication between healthcare providers and patients ensures that modifications in care delivery are easily understood, encouraging patients to be involved in their care decisions. Equipping healthcare staff with in-depth training on new protocols, technologies, and evidence-based practices helps preserve patient-focused care and superior services (Calvert et al., 2021).

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Frequent evaluations of the efficacy of adjustments in care delivery allow healthcare organizations to make required modifications based on input from patients and healthcare professionals, guaranteeing ongoing improvement (Chiu et al., 2022). It is vital to differentiate between patient experience, which relates to patients’ encounters with the healthcare system, and patient satisfaction, which represents patients’ perceptions of their healthcare experience. By focusing on these change management aspects and comprehending the distinction between patient experience and satisfaction, healthcare organizations can more effectively implement changes that boost the provision of high-quality, patient-centered care, ultimately leading to enhanced patient satisfaction and health outcomes (Anderson et al., 2019).

Coordinated Care Plans Based on Ethical Decision Making

Coordinated care plans rooted in ethical decision making are essential for effectively addressing patients’ complex needs. These plans integrate key ethical principles, such as patient autonomy, beneficence, non-maleficence, and justice, to ensure a patient-focused, equitable, and efficient care approach. Patient autonomy involves respecting individuals’ rights to make informed decisions about their care, taking into account their unique preferences, values, and beliefs (Gutberg et al., 2021). A study by Jones et al., (2021) found that involving patients in decision-making processes leads to increased adherence to treatment plans and improved health outcomes.

Beneficence refers to the obligation of healthcare providers to promote patients’ well-being by providing appropriate care, education, and support. Focusing on beneficence can help reduce health disparities and ensure better access to healthcare services for underserved populations (Lopez et al., 2022). Non-maleficence requires healthcare providers to minimize harm by carefully considering potential risks and benefits associated with treatment options. Ethically-driven care coordination prioritizes patient safety and ensures that care plans are designed to prevent or mitigate adverse events (Campbell & Carnevale, 2022).

Justice pertains to the fair and equitable distribution of healthcare resources. Ethical care coordination takes into account the needs of all patients, including vulnerable populations, and seeks to allocate resources in a manner that promotes health equity (Grote & Keeling, 2022). The underlying assumptions that guide decision-making in these plans include the belief that patients have the right to make informed decisions, that healthcare providers have an obligation to promote patient well-being, and that healthcare resources should be distributed fairly.

Impact of Health Care Policy Provisions on Outcomes and Patient Experiences

Healthcare policy provisions can profoundly impact patient outcomes and experiences. For instance, policies that endorse interdisciplinary team collaboration and integrated care models facilitate comprehensive and coordinated care, resulting in improved patient outcomes (Whear et al., 2021). A study by Burns et al., (2021) demonstrates that integrated care models lead to better care coordination, higher patient satisfaction, and improved health outcomes.

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Furthermore, policies that advocate for patient-centered care and shared decision-making ensure that patients actively participate in their healthcare, leading to increased satisfaction and better adherence to treatment plans. A systematic review found that patient-centered care interventions significantly improve patients’ experiences, communication with healthcare providers, and emotional health (Whear et al., 2021).

Policies that focus on reducing health disparities and increasing access to care for vulnerable populations can also have a positive impact on patient outcomes and experiences (Burns et al., 2021). The Affordable Care Act (ACA) in the United States, for example, has expanded insurance coverage to millions of previously uninsured individuals, resulting in improved access to care and better health outcomes for many (Simes & Jahn, 2022).

By drawing evidence-based conclusions from insightful interpretations of relevant and significant policy provisions, we can better understand the potential impact of specific health care policies on patient outcomes and experiences.

The Nurse’s Vital Role in Coordination and Continuum of Care

Nurses are essential in care coordination, fulfilling multiple roles such as patient advocates, educators, and care managers. As patient advocates, they ensure that patients’ needs and preferences are prioritized in the decision-making process. In their role as educators, nurses provide vital information about health conditions, treatment options, and self-management strategies, empowering patients to make informed decisions about their care (Allard & Conroy, 2022).

As care managers, nurses oversee the planning, implementation, and evaluation of personalized care plans, coordinating with interdisciplinary teams, patients, and their families. This collaboration is key to enhancing care transitions, preventing hospital readmissions, and reducing the risk of complications (Krishna, 2023). Nurses also play a significant role in monitoring patients’ progress, adjusting care plans as needed, and ensuring that the healthcare team is informed of any changes in the patient’s condition (Allard & Conroy, 2022).

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By raising awareness of the nurse’s vital role in care coordination, we can support nursing staff in taking on expanded roles in managing the care coordination process in various healthcare settings. This, in turn, contributes to improved patient outcomes, enhanced overall care quality, and more efficient use of healthcare resources (Krishna, 2023).


Allard, B. L., & Conroy, C. A. (2022). Our nursing profession at a crossroads. Nursing Administration Quarterly, 46(3), 208–217. 

Anderson, R. J., Bloch, S., Armstrong, M., Stone, P. C., & Low, J. T. (2019). Communication between healthcare professionals and relatives of patients approaching the end-of-life: A systematic review of qualitative evidence. Palliative Medicine, 33(8), 926–941. 

Burns, L. R., Nembhard, I. M., & Shortell, S. M. (2021). Integrating network theory into study of integrated healthcare. Social Science & Medicine, 114664. 

Calvert, M., King, M., Mercieca-Bebber, R., Aiyegbusi, O., Kyte, D., Slade, A., Chan, A.-W., Basch, E., Bell, J., Bennett, A., Bhatnagar, V., Blazeby, J., Bottomley, A., Brown, J., Brundage, M., Campbell, L., Cappelleri, J. C., Draper, H., Dueck, A. C., & Ells, C. (2021). SPIRIT-PRO Extension explanation and elaboration: Guidelines for inclusion of patient-reported outcomes in protocols of clinical trials. BMJ Open, 11(6), e045105. 

Campbell, S., & Carnevale, F. A. (2022). Children as an afterthought during COVID-19: Defining a child-inclusive ethical framework for pandemic policymaking. BMC Medical Ethics, 23(1), NA–NA. 

Chiu, C.-M., Chen, M.-S., Lin, C.-S., Lin, W.-Y., & Lang, H.-C. (2022). Evaluating the comparative efficiency of medical centers in Taiwan: a dynamic data envelopment analysis application. BMC Health Services Research, 22(1). 

Grant, S. M., & Johnson, B. H. (2019). Advancing the practice of patient- and family-centered care: The central role of nursing leadership. Nurse Leader, 17(4), 325–330. 

Grote, T., & Keeling, G. (2022). Enabling fairness in healthcare through machine learning. Ethics and Information Technology, 24(3). 

Gutberg, J., Evans, J. M., Khan, S., Abdelhalim, R., Wodchis, W. P., & Grudniewicz, A. (2021). Implementing coordinated care networks: The interplay of individual and distributed leadership practices. Medical Care Research and Review, 79(5), 107755872110646. 

Jones, A., Knutsson, O., & Schön, U.-K. (2021). Coordinated individual care planning and shared decision making: Staff perspectives within the comorbidity field of practice. European Journal of Social Work, 25(2), 355–367. 

Krishna, P. (2023). Assuring a continuum of care for heart failure patients through postacute care collaboration. Professional Case Management, 28(1), 3–10. 

Lau, L. S., & Rodgers, G. (2021). Cultural competence in refugee service settings: A scoping review. Health Equity, 5(1), 124–134. 

Lopez, K. N., BakerSmith, C., Flores, G., Gurvitz, M., Karamlou, T., Nunez Gallegos, F., Pasquali, S., Patel, A., Peterson, J. K., Salemi, J. L., Yancy, C., & Peyvandi, S. (2022). Addressing social determinants of health and mitigating health disparities across the lifespan in congenital heart disease: A scientific statement from the american heart association. Journal of the American Heart Association. 

McGregor, B., Belton, A., Henry, T. L., Wrenn, G., & Holden, K. B. (2019). Improving behavioral health equity through cultural competence training of health care providers. Ethnicity & Disease, 29(Supp2), 359–364. 

Muvuka, B., Combs, R. M., Ayangeakaa, S. D., Ali, N. M., Wendel, M. L., & Jackson, T. (2020). Health literacy in african-american communities: Barriers and strategies. HLRP: Health Literacy Research and Practice, 4(3), e138–e143. 

Simes, J. T., & Jahn, J. L. (2022). The consequences of Medicaid expansion under the Affordable Care Act for police arrests. PLOS ONE, 17(1), e0261512. 

Van Schandevyl, G., Casimir, G., & Hanssens, L. (2021). A medication adherence–enhancing simulation intervention in pediatric cystic fibrosis. Journal of Child Health Care, 136749352110139. 

Whear, R., Abbott, R. A., Bethel, A., Richards, D. A., Garside, R., Cockcroft, E., IlesSmith, H., Logan, P. A., Rafferty, A. M., Shepherd, M., Sugg, H. V. R., Russell, A. M., Cruickshank, S., Tooze, S., MelendezTorres, G., & Thompson Coon, J. (2021). Impact of COVID19 and other infectious conditions requiring isolation on the provision of and adaptations to fundamental nursing care in hospital in terms of overall patient experience, care quality, functional ability, and treatment outcomes: Systematic review. Journal of Advanced Nursing, 78(1), 78–108. 

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