Preparing the Discussion

You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient's chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you. 

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety. 

Case Study Responses: 

1. Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based on the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members: 

· Medical assistant

· Nurse Practitioner

· Medical Director

· Practice

2. What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes? 

3. What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.

4. A scholarly resource must be used for EACH discussion question each week.

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Scenario: 

 The radiologist at your hospital reports to the administrator that 30 patients have been diagnosed with brain tumors during the past 2 months. The administrator requests a report detailing the number of patients diagnosed with brain tumors during the past 6 months. However, the radiology department uses a free-text entry for their diagnoses, and their system does not communicate with the larger electronic health record (EHR) system installed at the hospital. You recognize an opportunity to address challenges with the EHR system in your hospital and decide to also write a proposal for a solution to improve your hospital’s EHR system. 

 compose a proposal for how the hospital in the scenario might overcome each of the following challenges related to the scenario:

• Vocabulary standards
• Interoperabiliy
• Workarounds
• Patient safety
• Patient privacy and security when pulling reports
• Recommend a change theory that might assist in your convincing the hospital administration to implement the EHR solution and improvements you propose. Be specific and provide examples.
• Support your proposal by explaining how the EHR solution might benefit data analysis for the promotion of improved health outcomes.
• Provide references within 5 years to support your answers.
• Note: The title page, introduction, summary, and references are in addition to the required page count.

As you learned from the chapter, reading, and video lectures, the cost of health care is a major concern in the US. As we discussed, value-based models promise to bend the cost curve in the right direction. The article you read by Erickson et al (2020) is mostly from the point of view of physicians so it is always a good idea to think critically about articles like this. Do you think that the authors present solid arguments in favor of what they propose? Do you think their point of view is similar to what you read and think about ways to decrease costs while increasing quality? Do you think that their point of view considers other health care-related professions?

Assessment 3

Care Coordination Presentation to Colleagues

INSTRUCTIONS-Develop a 20-minute video presentation for nursing colleagues highlighting the fundamental principles of care coordination. Create a detailed narrative script for your presentation, approximately 4-5 pages in length. This is a video presentation.

INTRODUCTION- This assessment provides an opportunity for you to educate your peers on the care coordination process. The assessment also requires you to address change management issues. 

PREPARATION– You are encouraged to complete the Managing Change activity. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.

Scenario

Your nurse manager has been observing your effectiveness as a care coordinator and recognizes the importance of educating other staff nurses in care coordination. Consequently, she has asked you to develop a presentation for your colleagues on care coordination basics. By providing them with basic information about the care coordination process, you will assist them in taking on an expanded role in helping to manage the care coordination process and improve patient outcomes in your community care center.

To prepare for this assessment, identify key factors nurses must consider to effectively participate in the care coordination process.

You may also wish to:

· Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.

· Allow plenty of time to rehearse your presentation.

Recording Equipment Setup and Testing

Check that your recording equipment and software are working properly and that you know how to record and upload your presentation. You may use Kaltura (recommended) or similar software for your audio recording. A reference page is required. However, no PowerPoint presentation is required for this assessment.

· If using Kaltura, refer to the 

Using Kaltura
 tutorial for directions on recording and uploading your video in the courseroom.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact 

[email protected]
 to request accommodations.

INSTRUCTIONS- Complete the following:

· Develop a video presentation for nursing colleagues highlighting the fundamental principles of care coordination. Include community resources, ethical issues, and policy issues that affect the coordination of care. To prepare, develop a detailed narrative script. The script will be submitted along with the video.

Note: You are 
not required to deliver your presentation.

Presentation Format and Length

Create a detailed narrative script for your video presentation, approximately 4–5 pages in length. Include a reference list at the end of the script.

Supporting Evidence

Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your video. Include your source citations on a references page appended to your narrative script. Explore the resources about effective presentations as you prepare your assessment.

Grading Requirements

The requirements outlined below correspond to the grading criteria in the Care Coordination Presentation to Colleagues 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.

· Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.

· Provide, for example, drug-specific educational interventions, cultural competence strategies.

· Include evidence that you have to support your selected strategies.

· Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.

· Explain the rationale for coordinated care plans based on ethical decision making.

· Consider the reasonable implications and consequences of an ethical approach to care and any underlying assumptions that may influence decision making.

· Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.

· What are the logical implications and consequences of relevant policy provisions?

· What evidence do you have to support your conclusions?

· Raise awareness of the nurse's vital role in the coordination and continuum of care in a video-recorded presentation.

· Fine tune the presentation to your audience.

· Stay focused on key issues of import with respect to the effects of resources, ethics, and policy on the provision of high-quality, patient-centered care.

· Adhere to presentation best practices.

Additional Requirements-Submit both your presentation video and script. The script should include a reference page. See 
Using Kaltura for more information about uploading multimedia files. You may submit the assessment only once, so be sure that both assessment deliverables are included.

Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.

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

· Competency 2: Collaborate with patients and family to achieve desired outcomes.

· Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.

· Competency 3: Create a satisfying patient experience.

· Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.

· Competency 4: Defend decisions based on the code of ethics for nursing.

· Explain the rationale for coordinated care plans based on ethical decision making.

· Competency 5: Explain how health care policies affect patient-centered care.

· Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.

· Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.

· Raise awareness of the nurse's vital role in the coordination and continuum of care in a video-recorded presentation.

Scoring Guide

Use the scoring guide to understand how your assessment will be evaluated.

Care Coordination Presentation to Colleagues Scoring Guide

CRITERIA	NON-PERFORMANCE	BASIC	PROFICIENT	DISTINGUISHED
Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.

Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.

Explain the rationale for coordinated care plans based on ethical decision making.

Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.

Raise awareness of the nurse's vital role in the coordination and continuum of care in a video-recorded presentation.