NURS FPX 6616 Assessment 3

NURS FPX 6616 Assessment 3

Assessing the Best Candidate for the Role

Name

Capella University

NURS-FPX6616: Ethical and Legal Consideration in Care Coordination

Instructor’s Name

August 30th, 2024

Assessing the Best Candidate for the Role

Bettering patient results is facilitated by strong cooperation in care delivery because particular healthcare issues can exist in some regions. For Maple Hill, I provide this evaluation with a full toolkit as the care coordination leader as well as the detailed job description, interview questions, and the review of candidate deficiencies (Koskenranta et al., 2022). This toolset, based on such values as ethical considerations, legal requirements, stakeholders’ engagement, and collaboration, as well as evidence-based decision-making, ensures that the leader can cope with real-life challenges and improve the quality of the care offered.

Developing a Comprehensive Care Coordination Leadership Toolkit

Separated health care challenges faced in Maple Hill essentially a rural community puts into focus why there is a need for a care coordination leader. The ideal candidate will be able to address the issues of a limited supply of medical equipment and drugs, a large proportion of elderly people, and a multicultural population (Yousefi et al., 2019). Those include strong leadership, understanding of the Co-ordinate’s requirements, compliance with the best practices, collaboration, involvement of the key stakeholders, as well as culturally sensitive, patient-centered care provisions. These standards of practice are necessary to practice nursing according to the needs of the residents of Maple Hill as well as the improvement of their health.

Job Description: Care Coordination Leader

  • To ensure effective, patient-centered care delivery is maintained, the regional care coordination processes will be supervised and managed by the care coordination leader. In this context, this role entails managing groups, putting best practices into action, and involving stakeholders to improve patient outcomes via moral behavior, legal behavior, and data use.

Primary Accountabilities

  • Coordinate and manage care coordination programs for several Maple Hill demographics.
  • Develop and implement consistent processes and guidelines for care integration.
  • Promote stakeholders’ engagement and interdisciplinary collaboration.
  • Introduce data and analytics in the evaluation of care coordination outcomes.
  • Ensure that one follows the laid down corporate policies, the law, and the professional ethical standards.

Qualifications

  • A master’s in nursing
  • At least five years of experience in care coordination to show leadership in the same.
  • High knowledge of laws and ethical standards of care organization.
  • Good data analysis skills, well-developed communication, and cultural awareness.

Interview Questions

  1. Looking at care coordination what measures are taken to ensure that it follows ethical standards? It would be better if you could provide an instance from your own experience.
  2. Give an example of how you manage an interprofessional group in the delivery of a care coordination initiative.
  3. In what ways do your care coordination procedures attempt to be culturally sensitive? Discuss a situation in which you had to lessen cultural differences to improve the quality of care.
  4. What role does data play in thinking about and enhancing the management of care?
  5.  Can you think of a case where data analysis has brought in measurable differences in the quality of care given to the patients?

Assessing Candidate’s Ethical Knowledge

It’s therefore important for any care coordination leader to practice the concept of using moral principles as well as moral standards in the actual discharge of his or her duties to address the issue of care coordination. Candidates should demonstrate a good understanding of ethical principles, for instance, informed consent, patient confidentiality, and equal access to health care (Kugler et al., 2023). As more telehealth technologies are being adopted to minimize the disparities in healthcare in rural areas ethical good practices need to be upheld. Before addressing the concept of ‘managing care coordination’, the leader needs to ensure that all the operations in this sphere are ethical in the first place to protect patient information and gain people’s trust. Moreover, legal and compliance and patient rights involve knowing different laws that govern health care systems and one of them is HIPAA.

In enhancing the element of co-ordinate care it is noble to uphold ethical practice in a way that every decision made involves the patient’s welfare and enhances trust (Holtorf et al., 2023). Ethical principles must be used when handling care coordination since providers must be able to accept each other and work together and patients’ values must be upheld (Kerrissey et al., 2021). In this manner, the practice of maintaining ethical standards in telehealth enhances patients’ joy and increases the efficiency of the healthcare system. What makes it important is that it ensures that distant care services are delivered as professionally as on-site treatment.

The effectiveness of care coordination depends on such factors as the measure of quality outcomes (Tiwari et al., 2022). For those who lead any organization in this field to understand the importance of the general criterion of decision making that is through data and the improvement of quality. Some of these are the implementation of processes that have to incorporate information concerning the level of satisfaction of the clients, their frequency of visits, and their response to treatment are some of the components that are important for the monitoring of performance indicators and evaluation of the outcomes of the patients (Kerrissey et al., 2021). For example, analyzing the patient satisfaction scores will be good evidence of an initiative for the care practices while the use of readmission rate will help to determine the bad practices. This means that the leaders of care coordination can ascertain which areas need enhancement, and devise strategies for enhancing care delivery by focusing on these pointers. The incorporation of tele-expert opinions will enhance the clients’ experiences. This goes to show how critical data is in the proper working of care coordination.

Candidate’s Knowledge of Care Coordination Laws

For care coordination to occur efficiently, one has to appreciate as well as strictly apply the rules and regulations provided for in the healthcare sector. Any candidate aspiring to be a care coordination leader must provide evidence of the following competencies: knowledge of legal reforms about care coordination as well as data protection, patient privacy, and care coordination legislation. HIPAA, therefore, involves the following; keeping the patient’s confidence, protecting the patient’s data, and avoiding legal pitfalls (Tiwari et al., 2022). Telehealth services are also becoming quite popular in rural areas such as Maple Hill and the topic of licensure and reimbursement for these services, can only be understood with the understanding of federal and state rules. The comprehensive legal knowledge ensures that proper coordination of care processes follows the legal perspectives enhancing the general safety, and quality of patient care.

When assessing the legal implications of care coordination, it is essential to identify how the candidates are capable of dealing with these complex legal frameworks while promoting effective practices amongst the members of their staff (Tiwari et al., 2022). They are the ones who have to oversee all aspects of care coordination from implementing the e-health records to the establishment of an efficient telemedicine service delivery; all have to conform to the applicable laws. In turn, it is possible to speak about candidates who comprehend the principles of these legal frameworks and who are capable of minimizing risks as well as delivering the highest level of care. In enshrining the concepts of high performance and legal responsibility thereby helping to enhance patient care and organizational ethical standards, this legal rule must be adhered to.

Candidate’s Knowledge of Stakeholder Teams

Engagement of stakeholders is a critical factor if care coordination leaders are to identify and nurture change. Recognition of all possible stakeholders, recognition of their concerns and interests as well as involvement of the stakeholders in the managerial decisions are all critical in the management of stakeholders (Unger et al., 2023). Candidate must possess adequate communication skills both verbal and written to be able to address the patient, patient’s families, professional health care workers, and other organizations. Basic skills include meeting stakeholders frequently, communicating clearly and clearly, and allowing providing feedback. communication schedules and team conferences are crucial in enhancing positive interaction between the various members and ensures consensus of the goals of care coordination. A way of ensuring that such care coordination initiatives are well sustained over time is through effective guarantees that have been promoted through the option of collaboration.

Coordinated care which is being responsive and adaptive has to incorporate the aspects of goal setting, accountability, and result monitoring. It forms a clear vision of the duties and responsibilities of every team member and ensures that all of them are made to answer to what they bring to the table, as stated by the care coordination leader. This involves creating a culture of openness in which people’s successes are celebrated, and failures are learning opportunities are encouraged (Tsuei et al., 2023). Therefore, a capacity to do projects and performance measures in the area of quality improvement should be tested in the candidates, so that the progress of these aspects can be monitored, and then defined strategies and solutions for their advancement are developed. To give patient care at the highest level, it is important to have a flexible concept of how care coordination through patient-sharing networks is being assessed, as well as being reminded of responsibilities and encouraged on constant improvement.

Based on the OCE critique, there is a useful list of the features that a leader of a care coordination team must have to promote ongoing care improvements efficiently. They include procedural competence, effective leadership skills, and cultural sensitivity (Tsuei et al., 2023). In this regard for making it possible for people to change and make the environment more conducive, leaders must be able to foster the spirit of teamwork. The first is the understanding of the diverse origins of the clients and the personnel to avoid bias. Since culturally competent care enhances health and the satisfaction of persons, candidates should be committed to learning and the current benchmarks.

Assessing Candidate’s Data Use Knowledge

In this case, applicants need to demonstrate a clear understanding of the processes involved in the collection, assessment, and utilization of data to improve clients’ status and accelerate the processes of care coordination. This involves being familiar with data analytics programs, applications for Electronic Health Records, and performance indicators that reflect a myriad of aspects that surround the patient’s experience (Francis et al., 2021). Some samples of metrics that would prove useful include patient satisfaction scores, the flow of patients into the healthcare system, and readmission data. In this third component, patient care outcomes have also been shown to have greatly benefited when the handling of consultations occurs through telemedicine to demonstrate the role of data in the management of care coordination processes (Bakker et al., 2024). Candidates should be able to identify patterns, fill the care, and utilize evidence-based research involving strategy in enhancing the delivery of healthcare using these data points.

The project entails understanding the relevant metrics for care coordination procedures, conducting an analysis of the data outcomes, and knowing how to make the necessary modifications. A competent applicant should be able to effectively make use of data in business and organizational decision-making and will appreciate the continuous process improvement concept (Perez et al., 2022). These involve setting measurable targets, reviewing performance information fairly often, and adjusting the strategies of care coordination accordingly. For example, the care coordination leader may for example conduct focused intercessions such as enhanced patient information or follow-up care plan if data reveals high readmission ratios of certain diseases.

Conclusion

The best course of action in determining who should lead care coordination in Maple Hill is to assess the applicant’s knowledge and ability (Sheppard et al., 2020). Care coordination initiatives may ensure that the person in charge is a culturally competent, data-driven, and competent professional who can enhance patients’ outcomes this focuses on the region’s specific care challenges and opportunities in these significant areas. This systematic approach results in a patient-centered and sustainable healthcare setting alongside enhancing healthcare delivery.

References

Bakker, L., Jackson, B., & Miles, A. (2024). The impact of physical and environmental factors on parental presence for oral feeding in New Zealand neonatal intensive care units. HERD, 17(2), 166–182. https://doi.org/10.1177/19375867231216517

Francis, L., DePriest, K., Sharps, P., Wilson, P., Ling, C., Bowie, J., & Thorpe, R. J., Jr (2021). A mixed-methods systematic review identifying, describing, and examining the effects of school-based care coordination programs in the US on all reported outcomes. Preventive Medicine, 153, 106850. https://doi.org/10.1016/j.ypmed.2021.106850

Holtorf, A. P., Danyliv, A., Krause, A., Hanna, A., Venable, Y., Mattingly, T. J., Huang, L. Y., Pierre, M., Silveira Silva, A., & Walsh, D. (2023). Ethical and legal considerations in social media research for health technology assessment: conclusions from a scoping review. International Journal of Technology Assessment in Health Care, 39(1), e62. https://doi.org/10.1017/S0266462323000399

Kugler, C. M., Perleth, M., Mathes, T., Goossen, K., & Pieper, D. (2023). Evidence-based health policy in Germany: Lack of communication and coordination between academia and health authorities? Systematic reviews, 12(1), 36. https://doi.org/10.1186/s13643-023-02204-6

Koskenranta, M., Kuivila, H., Männistö, M., Kääriäinen, M., & Mikkonen, K. (2022). Collegiality among social- and health care educators in higher education or vocational institutions: A mixed-method systematic review. Nurse Education Today, 114, 105389. https://doi.org/10.1016/j.nedt.2022.105389

Kerrissey, M. J., Frean, M., Traboulsi, A. A., & Singer, S. J. (2021). Higher Medicare expenditures are associated with better-integrated care as perceived by patients. Medical Care, 59(7), 565–571. https://doi.org/10.1097/MLR.0000000000001558

Perez, R., Khanna, S., Tillotson, G. S., Lett, J. E., 2nd, Prince, M. A., & Lattimer, C. (2022). Reducing recurrence and complications related to clostridioides difficile infection: A panel discussion summary. Professional Case Management, 27(6), 277–287. https://doi.org/10.1097/NCM.0000000000000585

Sheppard, K. S., Hall, K., Carney, J., Griffith, C., Rudolph, M., Zelinsky, M., & Gettings, E. (2020). Original Research: Nurses’ knowledge and comfort with assessing inpatients’ firearm access and providing education on safe gun storage. The American Journal of Nursing, 120(9), 26–35. https://doi.org/10.1097/01.NAJ.0000697636.34423.45

Tiwari, D., Kosienski, E., Kumar, C., Schechter, R., Sheridan, C., & Winshman, L. (2022). Current attitudes and beliefs in interdisciplinary return to play management for pediatric concussion: A Survey. Journal of Sport Rehabilitation, 31(7), 856–868. https://doi.org/10.1123/jsr.2021-0368

Tsuei, S. H., Alcusky, M., Florio, C., & Kerrissey, M. J. (2023). Trade-offs in locational choices for care coordination resources in accountable care organizations. Health Care Management Review, 48(4), 301–310. https://doi.org/10.1097/HMR.0000000000000378

Unger, J. P., Morales, I., De Paepe, P., & Roland, M. (2020). Integrating clinical and public health knowledge in support of joint medical practice. BMC Health Services Research, 20(Suppl 2), 1073. https://doi.org/10.1186/s12913-020-05886-z

Yousefi, R., Khan, S., Gutberg, J., & Baker, G. R. (2019). A network analysis perspective to implementation: the example of health links to promote coordinated care. Evaluation & the Health Professions, 42(4), 395–421. https://doi.org/10.1177/0163278718772887