Final Care Coordination Plan
For this assessment, you will evaluate the preliminary care coordination plan you developed initially using best practices found in the literature.
Build on the preliminary plan document you created initially. Your final plan should be a scholarly APA-formatted paper, 3-4 pages in length, not including title page and reference list.
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 your selected health care problem.
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.
Requirement;
· Designs patient-centered health interventions and timelines for your selected health care problem that includes community resources.
· Considers insightful ethical decisions in designing patient-centered health interventions. These decisions are supported by the literature.
· Identifies relevant health policy implications for the coordination and continuum of care, based on precise and accurate interpretations of relevant policy provisions. Makes valid, insightful inferences.
· 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 explains the need for changes to the plan.
· Uses 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. Clearly explains the need for any revisions.
· Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Quotes and paraphrases correctly.
· Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/punctuation, word choice, and free of spelling errors.
**Title: Final Care Coordination Plan for [Healthcare Problem]**
**Introduction:**
In this final care coordination plan, we will build upon the preliminary plan developed initially and incorporate best practices found in the literature to ensure the delivery of patient-centered care. Our focus will be on designing interventions, considering ethical decisions, identifying health policy implications, establishing priorities, and aligning teaching sessions with Healthy People 2030.
**Designing Patient-Centered Health Interventions:**
Our patient-centered health interventions will prioritize the needs and preferences of the patient while considering evidence-based practices. For example, for a patient with diabetes mellitus, our interventions may include regular blood glucose monitoring, medication management, dietary counseling, and exercise programs. We will also integrate community resources such as diabetes education classes, support groups, and access to healthy food options to support the patient’s self-management efforts.
**Considering Ethical Decisions:**
Ethical considerations are paramount in designing patient-centered health interventions. It is essential to respect patient autonomy, promote beneficence, and uphold justice in care delivery. For example, when discussing treatment options with the patient, we will ensure informed consent and provide information in a culturally sensitive manner. Additionally, we will prioritize patient confidentiality and privacy when sharing health information with other members of the healthcare team.
**Identifying Relevant Health Policy Implications:**
Health policy implications play a significant role in shaping the coordination and continuum of care. We will carefully consider relevant policy provisions related to diabetes management, such as reimbursement for preventive services, coverage for diabetes supplies, and regulations regarding telehealth services. By staying informed about policy changes and advocating for policies that support diabetes care, we can enhance the overall quality of care and improve patient outcomes.
**Establishing Priorities and Making Changes Based on Evidence-Based Practice:**
When discussing the care coordination plan with the patient and family members, our priorities will include promoting self-management, preventing complications, and improving quality of life. Based on evidence-based practice, we may make changes to the plan, such as incorporating new treatment modalities or adjusting medication regimens to optimize outcomes. For example, if recent research suggests the efficacy of a new insulin delivery device, we will explore its integration into the patient’s care plan.
**Using Literature on Evaluation to Align Teaching Sessions with Healthy People 2030:**
In aligning teaching sessions with Healthy People 2030, we will focus on educating patients about preventive measures, lifestyle modifications, and self-care strategies to promote overall health and well-being. Our teaching sessions will address key objectives outlined in Healthy People 2030 related to chronic disease management, health literacy, and access to healthcare services. By empowering patients with knowledge and skills, we aim to contribute to the achievement of Healthy People 2030 goals and objectives.
**Conclusion:**
In conclusion, this final care coordination plan incorporates best practices from the literature to ensure the delivery of patient-centered care for individuals with [healthcare problem]. By designing interventions, considering ethical decisions, identifying health policy implications, establishing priorities, and aligning teaching sessions with Healthy People 2030, we aim to optimize patient outcomes and enhance the overall quality of care. As we continue to evolve in our roles as care coordinators, let us remain committed to evidence-based practice and the principles of patient-centered care.
**References:**
[Include references for supporting evidence from peer-reviewed journals or professional industry publications in APA format.]
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