NURS665A Care Management and Coordination
Week 1 Discussion
Select one of the following prompts to address. In the subject line of your post, please identify which prompt you are responding to, for example#1 core competencies.
In your peer replies, please reply to at least one peer who chose a different prompt.
1. Interprofessional practice is possible when members of multiple care professions share goals and collaborate to address complex patient care issues with provision of high-quality clinical care and outcomes in organizations, governance structures, and systems. Read the final report of the Interprofessional Education Collaborative Expert Panel (2011), Core Competencies for Interprofessional Collaborative Practice: Report of an Expert Panel.Download Core Competencies for Interprofessional Collaborative Practice: Report of an Expert Panel. Discuss how you, as an advanced practice registered nurse, will incorporate each of these competencies into your role by constructing a patient care scenario that enables you to demonstrate and highlight each competency.
2. Think about a successful healthcare environment where you worked. Discuss in detail one or two habits of system thinking by a team member or leader that you observed in that environment. Do you think these habits improved the care that was delivered to patients and improved efficiency? Why or why not?
NURS665A Care Management and Coordination
Week 2 Discussion
Select one of the following prompts to address. In the subject line of your post, please identify which prompt you are responding to, for example #1 core competencies.
In your peer replies, please reply to at least one peer who chose a different prompt
1. System thinkers employ several habits that are an essential skill set. Discuss the habits that you employ in your daily work, or the habits you are trying to develop. Discuss why you think these skills are important for you.
2. Consider care coordination in the care of patients and their families and discuss the benefits and drawbacks, if any, of this approach. Provide an example of when care coordination would have been beneficial in a recent clinical case you were involved in.
NURS665A Care Management and Coordination
Week 3 Discussion
Select one of the following prompts to address. In the subject line of your post, please identify which prompt you are responding to, for example#1 core competencies.
In your peer replies, please reply to at least one peer who chose a different prompt.
1. Terri is a 83-year-old widow who has been hospitalized and is being prepared for discharge. Terry was hospitalized after suffering a stroke on the right side. She has residual left-sided weakness, difficulty swallowing and communicating, and aspirates easily. The doctor has initiated aspiration precautions and her diet includes pureed foods and nectar thick liquids. While in the hospital, she receives PT, OT, ST, and assistance with her basic hygiene needs. Terri was independent at home, cooked her own meals, drove a car, and did her own laundry and housekeeping. Her closest relative is her 82-year-old brother who suffers from DM and is blind in the right eye. He lives 30 minutes away. How can Terri’s APRN direct and manage, or organize and coordinate, Terri’s discharge and who should be part of this process?
2. What are decision support systems, and what role do they play in the business environment? Give an example of decision support systems used in health care. Discuss the challenges faced by EHR data mining. What is the potential of healthcare data mining? How can it benefit or improve patient outcomes? Finally, explain why knowledge work and the clinical vocabulary contained in unified medical language systems are important for clinical reasoning and evidence-based practice.
NURS665A Care Management and Coordination
Week 4 Discussion
Select one of the following prompts to address. In the subject line of your post, please identify which prompt you are responding to, for example#1 core competencies.
In your peer replies, please reply to at least one peer who chose a different prompt.
1. According to your text, there are multiple thinking strategies that are needed for high-quality, clinical reasoning, and there are numerous elements that can assist with enhancing clinical reasoning. Discuss two or more of these elements in detail. Explain how they strengthen clinical care.
2. Discuss in detail which thinking strategies you employ in your clinical practice that demonstrate a high level of clinical reasoning. Give examples of how they benefited your patients.
NURS665A Care Management and Coordination
Week 5 Discussion
Select one of the following prompts to address. In the subject line of your post, please identify which prompt you are responding to, for example, #1 core competencies.
In your peer replies, please reply to at least one peer who chose a different prompt.
1. In your own words, describe the benefits and the process of using the OPT clinical reasoning model in identifying priority problems. As an example, describe a specific case in detail you are familiar with.
2. What do you appreciate about the OPT model? How does it influence your thinking when caring for patients and their families?
NURS665A Care Management and Coordination
Week 6 Discussion
Select one of the following prompts to address. In the subject line of your post, please identify which prompt you are responding to, for example, #1 core competencies.
In your peer replies, please reply to at least one peer who chose a different prompt.
1. In your own words, explain the differences between case management and care management. Explain how care management aligns with coordination of care and discuss the role of the APRN in all elements.
2. Discuss the importance of population health management, and explain how care coordination and population health management can improve healthcare in the United States.
NURS665A Care Management and Coordination
Week 7 Discussion
Select one of the following prompts to address. In the subject line of your post, please identify which prompt you are responding to, for example, #1 core competencies.
In your peer replies, please reply to at least one peer who chose a different prompt.
1. In your own words, describe the benefits and processes of using the CCCR systems model in identifying the priority of essential needs in a case you have recently taken care of in your work or clinical setting. Were you able to identify system issues in order to proceed with care coordination and interconnect with the interprofessional team?
2. Review the Institute of Medicine report below, Crossing the Quality Chasm: A New Health System for the 21st Century, and determine if the recommendations proposed in this report have changed the scope of practice for contemporary APRNs as it relates to care coordination. Explain your rationale with specific examples.
NURS665A Care Management and Coordination
Week 8 Discussion
Select one of the following prompts to address. In the subject line of your post, please identify which prompt you are responding to, for example, #1 core competencies.
In your peer replies, please reply to at least one peer who chose a different prompt.
1. Describe how the scope of practice and standards of care for APRNs in your state include the skills and activities required to coordinate care within multidisciplinary teams? If there was a discrepancy, how would you go about making changes to your practice at an organizational level? Provide specific examples.
2. Research a national- and state-level professional organization. What information can you find regarding care coordination, and how does this work tie in with the current healthcare policy in the United States?
NURS665A Care Management and Coordination
Week 5 Written PaperChronically Ill Patient
Begin by identifying a patient from your clinicals who has a chronic health issue such as diabetes, COPD, or hypertension. Propose a healthcare coordination model that will benefit the specific patient and will also fit the clinic setting.
Your paper is to include the following information:
Description of the patient and his/her health issues, diagnoses, and current plan of care.
Description of the clinic setting, the healthcare providers (number and type), and the support staff.
Description of the patients/diagnoses typically seen in this clinic.
Description of the care coordination model being proposed. Please note, you may not use the OPT/CCCR model for this paper
Explain how this model will be effective for patients with similar diagnoses as discussed above.
Explain how this model will fit into the current clinic setting. What will need to change in the clinic setting to improve the fit?
The body of your paper should be a 3-4 pages long. This does NOT include the title page and reference page. Papers that are more than 4 pages long will not be accepted. Incorporate information from the course text plus a minimum of two (2) scholarly references published within the last five (5) years. Textbooks are not to be considered scholarly references.
Use current APA format to style your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas.
Headings are required and are to be titled as identified above and include these six (6) areas.
Be sure to allow time for editing and proofreading. Budget your time to take advantage of Tutor.com services.
Review the rubric for more information on how the assignment will be graded.