Reference no: EM133609665

Homework: Preliminary Care Coordination Plan

Competencies

By successfully completing this homework, you will demonstrate your proficiency in the following course competencies:

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

1. Analyze a health concern and the associated best practices for health improvement.

II. Competency II: Collaborate with patients and family to achieve desired outcomes.

1. Describe specific goals that should be established to address a selected health care problem.

III. Competency III: Create a satisfying patient experience.

1. Identify available community resources for a safe and effective continuum of care.

IV. Competency IV: Apply professional, scholarly communication strategies to lead patient-centered care.

1. Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

2. Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

Develop a 3 to 4 pages preliminary care coordination plan for a selected health care problem. Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care.

Introduction

The first step in any effective project is planning. This homework provides an opportunity for you to strengthen your understanding of how to plan and negotiate the coordination of care for a particular health care problem. Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care.

Preparation

As you begin to prepare this homework, you are encouraged to complete the Care Coordination Planning activity. Completion of this will provide useful practice, particularly for those of you who do not have care coordination experience in community settings. The information gained from completing this activity will help you succeed with the homework. Completing formatives is also a way to demonstrate engagement.

Scenario

Imagine that you are a staff nurse in a community care center. Your facility has always had a dedicated case management staff that coordinated the patient plan of care, but recently, there were budget cuts and the case management staff has been relocated to the inpatient setting. Care coordination is essential to the success of effectively managing patients in the community setting, so you have been asked by your nurse manager to take on the role of care coordination. You are a bit unsure of the process, but you know you will do a good job because, as a nurse, you are familiar with difficult tasks. As you take on this expanded role, you will need to plan effectively in addressing the specific health concerns of community residents.

To prepare for this homework, you may wish to:

I. Review the homework instructions and scoring guide to ensure that you understand the work you will be asked to complete.

II. Allow plenty of time to plan your chosen health care concern.

Instructions

Develop the Preliminary Care Coordination Plan

Complete the following:

I. Select one of the health concerns in the Homework 01 Supplement: Preliminary Care Coordination Plan [PDF] resource as the focus of your care coordination plan. In your plan, please include physical, psychosocial, and cultural needs.

II. Identify available community resources for a safe and effective continuum of care.

Task

The requirements, outlined below, correspond to the grading criteria in the Preliminary 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.

I. Analyze your selected health concern and the associated best practices for health improvement.

1. Cite supporting evidence for best practices.

2. Consider underlying assumptions and points of uncertainty in your analysis.

II. Describe specific goals that should be established to address the health care problem.

III. Identify available community resources for a safe and effective continuum of care.

IV. Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

V. Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

1. Write with a specific purpose with your patient in mind.

2. Adhere to scholarly and disciplinary writing standards and current APA formatting requirements.