For this assessment, you will develop the final care coordination strategy based on your health care concern and population in Assessment 2 (infographic

For this assessment, you will develop the final care coordination strategy based on your health care concern and population in Assessment 2 (infographic created regarding cognitive impairment) using best practices found in the literature.

The infographic for reference is attached

Backstory/Context: This assessment builds on your initial care coordination infographic by providing an opportunity to research the literature and apply evidence to support what communication, teaching, and learning best practices are needed for your selected healthcare problem. 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. 

To prepare for your assessment, you will research the literature on your selected healthcare 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 strategy based upon evidence-based practice and discuss how the strategy includes elements of Healthy People 2030.

Instructions: Build on your preliminary care infographic and selected health concern and population and create a detailed, comprehensive final care coordination strategy.

It is suggested that you use the following outline to organize your 5–7 page paper, including headings:

  • Design patient-centered health interventions and timelines for your selected healthcare problem.
  • Address three patient healthcare issues related to your selected healthcare problem and patient population
  • Design an intervention for each health issue.
  • Identify three community resources for each health intervention.
  • Establish timelines for implementing these interventions.
  • Include evidence to support your ideas.
  • Consider the ethical decisions in designing patient-centered health interventions for your selected healthcare problem.
    • Include the ethical questions that generate uncertainty about the decisions you have made.
    • Include evidence to support your ideas.
  • Identify relevant health policy implications for the coordination and continuum of care of your selected healthcare problem and population.
    • Cite specific health policy provisions.
    • Include evidence to support your ideas.
  • Describe the priorities a care coordinator would establish when discussing the plan with a patient and family members.
    • Include evidence to support your ideas
  • Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to Healthy People 2030.
    • Clearly explain the need for the changes to the plan.

The requirements, outlined above correspond to the grading criteria in the Final Care Coordination Strategy 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.

Format and Length

  • Write a 5–7 page APA-formatted scholarly paper (excluding title page and reference list).
  • Include five evidence-based resources.
  • Properly cite evidence throughout your paper.

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

  • Competency 1: Create a patient centered strategy to achieve desired health outcomes.
    • Design patient-centered health interventions and timelines for a selected healthcare problem.
    • Describe priorities that a care coordinator would establish when discussing the plan with a patient and family members.
  • Competency 2: Apply the code of ethics for nursing to care coordination decisions.
    • Consider the ethical decisions in designing patient-centered health interventions for a selected healthcare problem, supporting ideas with the literature.
  • Competency 3: Explain how health care policies affect the coordination of patient centered care.
    • Identify relevant health policy implications for the coordination and continuum of care.
    • Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to Healthy People 2030.
  • Competency 5: Apply professional, scholarly communication strategies to lead patient-centered care.
    • 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.

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