Capella University Nursing Essay

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Assessment 4 Instructions: Final Care Coordination Plan For this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature. Introduction NOTE: You are required to complete this assessment after Assessment 1 is successfully completed. 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. This assessment provides an opportunity to research the literature and apply evidence to support what communication, teaching, and learning best practices are needed for a hypothetical patient with a selected health care problem. You are encouraged to complete the Vila Health: Cultural Competence activity prior to completing this assessment. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment. Preparation In this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature. To prepare for your assessment, you will research the literature on your selected health care 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 plan based upon EBP and discuss how the plan includes elements of Healthy People 2030. Note: Remember that you can submit all, or a portion of, your plan to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24-48 hours for receiving feedback. Instructions Note: You are required to complete Assessment 1 before this assessment. For this assessment: • Build on the preliminary plan, developed in Assessment 1, to complete a comprehensive care coordination plan. Document Format and Length Build on the preliminary plan document you created in Assessment 1. Your final plan should be a scholarly APA-formatted paper, 5-7 pages in length, not including title page and reference list. Supporting Evidence Support your care coordination plan with peer-reviewed articles, course study resources, and Healthy People 2030 resources. Cite at least three credible sources. Grading Requirements The requirements, outlined below, correspond to the grading criteria in the Final Care Coordination Plan 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. • • • • • • • • • Design patient-centered health interventions and timelines for a selected health care problem. Address three health care issues. Design an intervention for each health issue. Identify three community resources for each health intervention. Consider ethical decisions in designing patient-centered health interventions. Consider the practical effects of specific decisions. Include the ethical questions that generate uncertainty about the decisions you have made. Identify relevant health policy implications for the coordination and continuum of care. Cite specific health policy provisions. • • • • • • • Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice. Clearly explain the need for changes to the plan. Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2030 document. Use the literature on evaluation as guide to compare learning session content with best practices. Align teaching sessions to the Healthy People 2030 document. 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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Evaluation of the Preliminary Care Coordination Plan: Mental Health

December 9, 2021


Evaluation of the Preliminary Care Coordination Plan: Mental Health
In evaluating the mental healthcare coordination plan, factors that influence the
healthcare well-being account to respond to the mental health needs. Therefore, the
evaluation seeks to establish the appropriateness of the developed plan within which the
involved stakeholders in care coordination take a comprehensive approach to maintain and
improve mental health. As a result, the plan evaluation's primary aspects will involve
examining the mental health needs, determining the availability of the required resources and
assets to implement the plan, assessing the plan implementation strategy, and establishing the
responsibility for particular results.
Appropriateness of the Provided Mental Health Services
Whether mental healthcare is necessary or not is a cornerstone of the developed care
coordination plan. The necessity of the plan's suitability forms the base for executing all
strategies for successful plan implementation. Therefore, this plan will play a significant role
in community health improvement. Critical to this care coordination plan includes plan
performance monitoring activities to ensure the appropriate and relevant steps are in the
hands of responsible plan stakeholders (Samartzis & Talias, 2020). The plan's actions bear
the intended impact on mental health in the community.
Furthermore, specific circumstances justify the suitability of the mental health care
coordination plan. These circumstances involve unique health issues, socio-political
perspectives on community mental health well-being, community-based resources and
capabilities, and competing needs for a healthy community. The plan's committee cannot
prescribe or hint at the actions to be undertaken by the community for addressing the issue of
revealing the responsible person for the plan. However, it is aware that the community should
address the mental health issue and provide a systematic approach for health improvement

(Samartzis & Talias, 2020). This approach enhances the performance of the plan monitoring
tools in achieving the set goals.
Evaluating the Analysis of the Issue, Needs, and Linked Best Practices
The plan should consider obstacles leading to a lack of access to high-quality mental
health services. Barriers for consideration include stigma, fragmented service delivery
models, staff shortage, and lack of research capacity for plan implementation and policy
change create mental health treatment gap. If the care coordination plan does not address
these obstacles by proposing the appropriate remedies, it may be ineffective in addressing the
problem. The responsible committee steering the care plan should opt for a community health
improvement process (CHIP) as a cornerstone for accountable community collaboration in
monitoring mental health issues.
A CHIP should get incorporated into the plan to boost the developm...

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