NURS FPX 6618 Assessment 1 Planning and Presenting A Care Coordination Project

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Assessment 1: Planning and Presenting a Care Coordination Project
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Student Name
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Capella University
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Prof Name
Nov 8, 2023
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Designing a Care Coordination Initiative
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Hello, everyone! I'm [Your Name], a student, and today I'm unveiling a care coordination
project tailored for chronic care patients, with a strong emphasis on strategic planning
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and presentation. In this exposition, I'll delve into a holistic strategy to synchronize and
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streamline patient care in the role of a Care Coordinator Project Manager.
Objectives of the Care Coordination Blueprint

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The prime aim in formulating this care coordination blueprint for chronic care patients is
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to optimize the organization of patient care processes and associated activities. This
blueprint is geared towards facilitating seamless communication of critical medical
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information among healthcare professionals to avert misunderstandings or adverse

events. A robust care coordination framework not only ensures heightened quality of
care but also lays down a roadmap for managing patients, monitoring their progress,
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and fostering their self-management skills through the development of effective

information systems.
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Envisioning Interagency Collaboration

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Efficiently organizing and coordinating care for chronic care patients is pivotal for
effectively managing their conditions and enhancing overall patient experience,
satisfaction, and outcomes. A cornerstone approach to care coordination entails
fostering integration and patient-centered collaboration with patients and their families to
address specific patient needs (Welkin, 2022). This vision underscores the importance
of fostering accountability, devising proactive care plans, linking patients to community
resources, prioritizing patients' needs and aspirations, supporting self-management
objectives, and assigning leadership roles to nurture teamwork. Such an approach is
poised to mitigate healthcare inefficiencies by facilitating seamless information
exchange regarding patients' status and medications, prompt reporting of symptoms,
and arrangement of requisite equipment (Welkin, 2022).
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Collaboration among a diverse array of professionals including psychologists, nurses,
chronic care specialists, psychiatrists, and patients themselves is imperative for
addressing the multifaceted needs of chronic care patients. This collaborative endeavor
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assumes heightened significance when patients grapple with trauma and distress
stemming from treatment procedures. It is acknowledged that enhancing collaboration
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and communication skills among nursing staff is pivotal, though areas of uncertainty
persist regarding the specific skill sets required.
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Identifying Stakeholder Organizations
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Numerous organizations are actively engaged in catering to the needs of chronic
patients, striving to enhance outcomes. The National Association of Chronic Disease
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Directors (NACDD) stands out as a prominent organization rallying over 7,000 chronic
disease professionals across the US. It spearheads advocacy efforts, disseminates
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education, and furnishes technical assistance aimed at safeguarding the health of

chronic care patients (National Association of Chronic Disease Directors, n.d.).
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The Worldwide Hospice Palliative Care Alliance, established in 2008, is committed to

addressing the needs of chronic care patients and ameliorating their challenges (The
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Worldwide Hospice Palliative Care Alliance, n.d.). The interdisciplinary care coordination
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team envisaged will encompass nurses, nursing leaders, chronic care specialists,
insurance providers, psychologists, psychiatrists, and pharmacists.
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Allocating Resources for Chronic Care

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Efficient allocation and utilization of appropriate resources for chronic care are
imperative. The economic toll exacted by chronic illnesses accounts for a substantial
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chunk of the nation's healthcare expenditures. For instance, heart disease incurs
approximately $216 billion in costs annually, while cancer and diabetes respectively
commandeer $240 billion and $327 billion annually (Centers for Disease Control and
Prevention, n.d.). Preventive measures hold the key to curtailing these costs. Funding
initiatives such as the CDC's National Center for Chronic Disease Prevention and
Health Promotion (NCCDPHP) are geared towards curbing unhealthy behaviors and
staving off chronic diseases nationwide.
Accountable Care Organizations (ACOs) have emerged as catalysts for enhancing care
outcomes through financial incentives and the promotion of accessible, quality care
(Rural Health Information Hub, n.d.). These resources play a pivotal role in helping
patients manage chronic illnesses and mitigate pain. Adequate staffing dedicated to
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chronic care is equally indispensable, necessitating well-trained personnel dedicated to
each patient's treatment journey. It is posited that the coordinated care plan formulated
will be eligible for patient funding programs, with these funds poised to offer substantial
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assistance to patients. Nonetheless, uncertainties linger regarding the precise impact of
these funding programs on patient outcomes.
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Project Milestones
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Laying the groundwork for an effective care plan assumes paramount importance in
bolstering the quality of life for chronic patients. The care coordination team, comprising
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specialists from diverse fields, will synergize efforts to assist patients in navigating the
challenges associated with chronic illnesses. Emphasis will be placed on enhancing
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health literacy, facilitating self-management, and continually assessing patient progress

for ongoing enhancements. The efficacy of the coordinated care plan will be gauged
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through patient satisfaction surveys or questionnaires, with the overarching objective

being the minimization of errors and challenges. Anticipated outcomes encompass
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heightened patient understanding of their condition, augmented confidence in

self-management, diminished patient distress through enhanced collaboration and
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communication, and the successful identification of resources for utilization.

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Presenting the Project to Decision-Makers
Effectuating a successful healthcare coordination plan for chronic care patients

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necessitates streamlined communication, collaboration, and judicious resource

allocation. Each milestone will be meticulously charted to amplify patient satisfaction
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levels. Securing funding from diverse organizations to alleviate patients' financial

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burdens is paramount, with the implementation of the plan slated for periodic evaluation
through surveys to uphold program quality.
In Conclusion
In this discourse, we shed light on the plight of chronic care patients grappling with
lifelong illnesses. The proposed care coordination blueprint is geared towards
harmonizing medical information, streamlining care processes, and augmenting health
literacy to engender superior healthcare outcomes.
References
Centers for Disease Control and Prevention. (n.d.). Chronic Disease Center Budget and
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Funding | CDC. https://www.cdc.gov/chronicdisease/budget-funding/index.htm
Centers for Disease Control and Prevention. (n.d.-b). Health and Economic Costs of
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Chronic Diseases | CDC. https://www.cdc.gov/chronicdisease/about/costs/index.htm
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National Association of Chronic Disease Directors. (n.d.). NACDD.
https://chronicdisease.org/page/about_nacdd/
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Rural Health Information Hub. (n.d.). Rural Health Funding & Opportunities: Chronic
disease management – Rural Health Information Hub.
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https://www.ruralhealthinfo.org/funding/topics/chronic-disease-management
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The Worldwide Hospice Palliative Care Alliance. (n.d.). https://www.thewhpca.org/

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Welkin. (2022, August 24). Managing Chronic Conditions Through Care Coordination.
Welkin Health.
https://welkinhealth.com/managing-chronic-conditions-through-care-coordination/
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Assessment 1: Planning and Presenting a Care Coordination Project

streamline patient care in the role of a Care Coordinator Project Manager.

Objectives of the Care Coordination Blueprint

information among healthcare professionals to avert misunderstandings or adverse

and fostering their self-management skills through the development of effective

Envisioning Interagency Collaboration

education, and furnishes technical assistance aimed at safeguarding the health of

The Worldwide Hospice Palliative Care Alliance, established in 2008, is committed to

Allocating Resources for Chronic Care

health literacy, facilitating self-management, and continually assessing patient progress

through patient satisfaction surveys or questionnaires, with the overarching objective

heightened patient understanding of their condition, augmented confidence in

communication, and the successful identification of resources for utilization.

Presenting the Project to Decision-Makers

Effectuating a successful healthcare coordination plan for chronic care patients

necessitates streamlined communication, collaboration, and judicious resource

levels. Securing funding from diverse organizations to alleviate patients' financial

The Worldwide Hospice Palliative Care Alliance. (n.d.). https://www.thewhpca.org/

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