Coordination of Care

 The clinical nurse leader (CNL) is a leader in all healthcare systems. CNLs collaborate with interdisciplinary teams that could consist of nurse practitioners, social workers, doctors, and pharmacists. CNLs are likely to encounter disparities in client care and treatment and will need to plan and implement care for improved client outcomes. Through the coordination of client care, CNLs assume accountability for client-centered outcomes. 

Specifically, the following critical elements must be addressed: 

1. Coordination of Care- 

A. Plan: Develop a plan for coordination of care for the client using current, evidence-based best practice guidelines. In your plan, you should address the following: 

i. Provide clinical guidelines necessary to move the client to the next level of care                                    ii. Address the client’s needs both as an inpatient and post-discharge                                                       iii. Provide detailed information explaining how treatment will be coordinated                                           iv. Address the frequency of client encounters with clinicians 

B. Facility: Is the current facility the appropriate setting for the client? Why or why not? Would it be cost-effective for this client be treated in an alternative care setting? Explain. 

C. Interdisciplinary Relationships: Explain how interdisciplinary professional working relationships can facilitate ethical and strategic decision making. How can you encourage ethical and strategic decision making in your professional working relationships? 

D. Services: What cost-effective solutions for services can be put in place to ensure that the client receives high-quality care? In other words, what provisions need to be made for durable medical equipment, home service, community health resources, and so on? Explain how these services can be cost-effective. 

2. Conclusion: 

A. Technology: Can this client be managed through Telehealth or another remote health technological monitoring system? Why or why not? What are the benefits of using specific healthcare technologies or services, such as specialized applications for monitoring O2 saturation, blood pressure, and blood glucose? 

B. Readmission: Do you think that this client will be readmitted within 30 days? Why or why not? What cost-effective solutions can you put in place to avoid readmission? Make sure to support your answer with evidence-based research and data. 

C. Care Assessment: Assess the intradisciplinary and interdisciplinary care provided through your coordination of the client’s care. How can you use informatics systems to help you manage the client’s care? 

Guidelines for Submission: Paper should be 5 to 6 pages in length with double spacing, 12-point Times New Roman font, and one-inch margins. Use 7th ed. APA style to cite your sources.