Care Coordination Presentation to Colleagues

 

Hello everyone, and welcome to this video presentation. As you already know, my name is Sarah Enow. It is always a pleasure to work with you and learn a new thing every day from every one of you. In this video presentation, I will highlight and help you understand the fundamental principles of care coordination. But first, what do I mean by care coordination? Care coordination, according to the Agency for Healthcare Research and Quality (2018), is the deliberate organization of the activities involved in patient care and the sharing of information necessary for the patient care plan among all of the participants that are involved in the caring of patients with the aim of achieving safer and more effective care. Therefore, it can be viewed as the initiative to bring together the right people at the right time and use the right information to deliver the best care to meet the patient’s needs and preferences. With that, I will introduce to you effective strategies to consider while collaborating with patients and their families to achieve desired health outcomes and how to manage the change that directly affects the elements of the patient experience that define high-quality, patient-centered care. There are many reasons why coordinated care plans should be based on ethical decision-making and healthcare policy provisions during the coordination of care. Therefore, I will clearly explain how and why consideration of ethics and policy provisions are important when coordinating care and how they influence the outcomes of the care and patient experiences. At the end of this video, you will understand why your role is essential in the coordination and continuum of care, especially for high blood pressure care.

First, let me outline the most effective strategies for collaborating with patients and their families to achieve desired health outcomes.

We all must understand that the best care can only be delivered by collaborating with the patient and their families as well as other caregivers of the patient. A major strategy that remains effective in improving collaboration between the patient and their families is being effective in our communication. This means that we need to always provide the right information about the patient, treatment details, and any other care interventions at the right time to the right people in a manner that every member of the care team understands. This includes the patients and their family members. Notably, we are not just required to be effective in our communication. Accordingly, as an effective strategy, we are all expected to consider the individual preferences of the patient and the family members. This, as described by Kokorelias et al. (writing in 2019), is the first step towards the delivery of family-centered care.

Additionally, Brooks et al. (writing in 2019) view culturally sensitive communication as vital in creating an environment in which effective interactions occur even in culturally diverse settings involving difficult situations. In this case, we are expected to improve our cultural knowledge and competence. Additionally, you can educate the patient and their families on their role in the care coordination plan and what is expected of them to achieve the set care goals. The patient and family education can also focus on the medication and care interventions adopted to care for the patient. We always need to help the patient and their caregivers understand the medication, the risks if overdosed, and what to take the medications and when to take them. Evidence presented by Xie et al. (writing in 2020) shows that patient education significantly improves the patient’s adherence to self-management behaviors with an impact on the outcomes of hypertensive patients with comorbid type 2 diabetes. You can employ various resources such as peer support groups and the Internet to support patient education

 

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