Assessment 1 Instructions: Preliminary Care Coordination Plan 

     

   Develop a 3-4 page preliminary care coordination plan for a hypothetical individual in your community. Identify and list available community resources for a safe and effective continuum of care.
NOTE: You are required to complete this assessment before Assessment 4.
The first step in any effective project or clinical patient encounter is planning. This assessment provides an opportunity for you to strengthen your understanding of how to plan and negotiate the coordination of care for an individual in your community as you consider the patient’s unique needs; the ethical, cultural, and physiological factors that affect care; and the critical resources available in your community that are the foundation of a safe plan for the continuum of care.
As you begin to prepare this assessment, you are encouraged to complete the Care Coordination Planning activity. Completion of this will provide useful practice, particularly for those of you who do not have care coordination experience in community settings. The information gained from completing this activity will help you succeed with the assessment. Completing formatives is also a way to demonstrate engagement.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
 

• Competency 1: Adapt care based on patient-centered and person-focused factors.     
  • Analyze a health concern and the associated best practices for health improvement.
• Competency 2: Collaborate with patients and family to achieve desired outcomes.     
  • Establish mutually agreed-upon health goals for a care coordination plan, in collaboration with the patient.
• Competency 3: Create a satisfying patient experience.     
  • Identify available community resources for a safe and effective continuum of care.
• Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.     
  • Write clearly and concisely in a logically coherent and appropriate form and style.
• Preparation
  Imagine that you are a staff nurse in a community care center. Your facility has always had a dedicated case management staff that coordinated the patient plan of care, but recently, there were budget cuts and the case management staff has been relocated to the inpatient setting. Care coordination is essential to the success of effectively managing patients in the community setting, so you have been asked by your nurse manager to take on the role of care coordination. You are a bit unsure of the process, but you know you will do a good job because, as a nurse, you are familiar with difficult tasks. As you take on this expanded role, you will need to plan effectively in addressing the specific health concerns of community residents.
  As you assume your expanded care coordination role, you have been tasked with addressing the specific health concerns of a particular individual within the community. You decide to prepare a preliminary care coordination plan and proceed by identifying the patient’s three priorities for health and by investigating the resources available in your community for a safe and effective continuum of care.
  To prepare for this assessment, you may wish to:
   
• Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete.
• Allow plenty of time to plan your patient clinical encounter.
• Be sure that you have a hypothetical patient in mind.
• Note: Remember that you can submit all, or a portion of, your draft 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 this assessment before Assessment 4.
  Develop the Preliminary Care Coordination Plan
  Complete the following:
   
• Identify a health concern as the focus of your care coordination plan. Possible health concerns may include, but are not limited to:     
  • Stroke.
  • Heart disease (high blood pressure, stroke, or heart failure).
  • Home safety.
  • Pulmonary disease (COPD or fibrotic lung disease).
  • Orthopedic concerns (hip replacement or knee replacement).
  • Cognitive impairment (Alzheimer’s disease or dementia).
  • Pain management.
  • Mental health.
  • Trauma.
• Identify available community resources for a safe and effective continuum of care.
• Document Format and Length
  You can use the linked templates as a guide for the needs of your hypothetical patient who has a selected health care problem.
  For your care coordination plan, you may use the Care Coordination Plan Template [DOCX], choose a format used in your own organization, or choose a format you are familiar with that adequately serves your needs for this assessment.
   
• Your preliminary plan should be 3–4 pages in length. In a separate section of the plan, identify the hypothetical person you have chosen to work with.
• Document the community resources you have identified using the Community Resources Template [DOCX].
• You can use real or fictitious names/addresses for the community resources you identify     
  • The type of resource, not the name, is what you need to pay attention to for this assessment.
• Supporting Evidence
  Cite at least two credible sources from peer-reviewed journals or professional industry publications that support your preliminary plan.
  Grading Requirements
  The requirements, outlined below, correspond to the grading criteria in the Preliminary 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.
   
• Analyze your selected health concern and the associated best practices for health improvement.     
  • Cite supporting evidence for best practices.
  • Consider underlying assumptions and points of uncertainty in your analysis.
• Identify a hypothetical individual who would benefit from a care coordination plan.
• Document goals for the care coordination plan.
• Identify available community resources for a safe and effective continuum of care.
• Write clearly and concisely in a logically coherent and appropriate form and style.     
  • Write with a specific purpose with your patient in mind.
  • Adhere to scholarly and disciplinary writing standards and current APA formatting requirements.
• Additional Requirements
  Before submitting your assessment, proofread your preliminary care coordination plan and community resources list to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan. Be sure to submit both documents.
  Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.

   

The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)

Part 1: Agenda Comparison Grid

Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:

   Select an issue related to healthcare that was addressed by each of the last three U.S. presidential     administrations. 

• Identify and provide a brief description of the population health concern you selected and the factors that contribute to it.
• Describe the administrative agenda focus related to the issue you selected.
• Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.
• Explain how each of the presidential administrations approached the issue.

Part 2: Agenda Comparison Grid Analysis

Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:

• Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
• How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?
• Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?

Part 3: Fact Sheet or Talking Points Brief

Using the information recorded on the template in Parts 1 and 2, develop a 1-page narrative that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following:

• Summarize why this healthcare issue is important and should be included in the agenda for legislation.
• Justify the role of the nurse in agenda setting for healthcare issues.

Part 1: Job Description Analysis

To Prepare:

• Review the Learning Resources on human resource management and recruitment, job analysis, and job design.
• Identify a job description from your current healthcare organization or where you have previously worked. Choose a job description that will enable you to determine the type of employees you are looking for as well as the selection criteria.
• Based on the job description, develop a recruitment and selection plan. For Part 1, you will focus on developing and refining the job description. Consider:
  • What are the responsibilities of this job?
  • What are the competencies and KSAOs (knowledge, skills, abilities, other attributes) required for this job?
  • How would you evaluate a candidate to determine fit for this position, both in terms of technical competencies for the job and fit with the culture and values of the organization?
  • How could the job description be improved to ensure a successful hiring process?
• Consider how you could use social media, such as LinkedIn or online employment recruitment sites, to maximize the field of qualified recruits.
  • If you are on LinkedIn, explore how the site functions as a recruitment source. If you are not on LinkedIn, create a profile for this Assignment, and then begin your research.
  • Identify and explore recruitment websites (e.g., Indeed, ZipRecruiter, CareerBuilder) that have been used to recruit for this type of position. Depending on the job, also explore discipline-specific websites where jobs are advertised (e.g., Nurse.org, ANA’s Career Center). Pay particular attention to how jobs are presented to interested job seekers.

Part 1 Assignment: Job Description Analysis

• In 2–3 pages, include the following:
• Explain the role of the nurse executive in developing job descriptions and why it represents an essential human resource management function.
• Analyze the job description you have selected as the focus of your Assignment. Include the source of the job description and critique the job description for clarity and accuracy.
• Explain how well the job description defines the required employee attributes for the job and how it could be improved. If information is available, describe how the tasks and competencies associated with this job may have changed since the job description was conceived.
• Write a new or revised job description that reflects your analysis and which you would use for advertising the position and recruiting candidates for the job.
• Explain how you would use social media and online job search technology to maximize presentation of the job description and reach a broader share of potential recruits.
• Describe two examples of how jobs similar to your chosen position are presented to interested job seekers from the social media and online job sites you visit.

Part 2 Assignment: Interview and Selection Plan

Based on the job description you created or revised in Part 1, design an interview and selection process for that job. In 3–4 pages, include the following:

• Describe the ideal candidate for this job, and explain the sources of information you would use in evaluating applicants.
• Explain an overview of your process to identify, and select that candidate.
• Focusing on the interview, explain:
  • Who within the healthcare organization would be involved in the interview process, and why
  • Pre-interview guidance and preparation for interviewers and recruits
  • How interview outcomes would be compiled
  • How differences in interview ratings would be resolved
• List five essential questions you would ask in an interview to evaluate key employee characteristics for this job. For each question, explain what you would look and listen for in the candidate’s response.
• Explain how you would measure a candidate and assess the recruit’s fitness for the position.
• Analyze your interview and selection process for potential challenges, and explain how you would address those challenges to improve the process and outcomes, including retaining good employees.

respond 

 

Week 8: Reflection on Executive Concluding Graduate Experience Final Assignment

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Reflect on the Capstone Project and identify the contributions it has made to your professional development and attainment of career goals. Discuss how you’ve seen yourself grow as a result of your studies. What are your thoughts about your next steps professionally, educationally, or even personally? Do you feel that what you have learned and experienced in this MSN program has provided value to you professionally and/or personally?

Nurses have an integral role in promoting a just culture focused on patient safety in their health care organizations. Determining resources to prevent error and improve patient safety can often be a battle, and this scenario illustrates how one organization makes strides to make sure resources are available in the interest of patient safety. As you review the scenario, consider the nurse’s role in promoting a just culture in your practice setting.

Give  a description of the role of the staff nurse for promoting quality in a high-performing health care organization. Define the organizational culture of your health care organization, or one with which you are familiar, and identify the leadership style of the CEO and CNO in your organization. Explain how your senior leadership supports—or does not support—changes that require financing/budget to support patient safety. Describe the strategies you might be able to implement to move your health care organization to a high-performing organization.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist)

Notes Initial Post: This should be a 5-paragraph (at least 550 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).

 

path, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.
Chapter 10, “Managing the Use of Healthcare Resources” (pp. 249-280)

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.
Chapter 1, “Leading, Managing, and Following” (pp. 1-18)
Chapter 5, “Gaining Personal Insight: The Beginning of Being a Leader” (pp. 76-87)
Chapter 20, “Managing Costs and Budgets” (pp. 357-375)

U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality. (2016). Surveys on patient safety culture. Retrieved from http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/index.html

Bashaw, E. S., & Lounsbury, K. (2012). Forging a new culture: Blending Magnet principles with just culture. Nursing Management, 43(10), 49–53. doi:10.1097/01.NUMA.0000419492.49675.25