This document provides instructions for a nursing student to develop a 20-minute presentation for colleagues on care coordination fundamentals. It includes an introduction defining care coordination and its importance. It also outlines key factors to address, such as community resources, ethics, policy issues, and change management. The student is instructed to create a 4-5 page script and record a video presentation. A reference list is also required.

1. NURS FPX 4050 Assessment 3 Care Coordination Presentation to
Colleagues – Online Nursing Essays
NURS FPX 4050 Assessment 3 Care Coordination Presentation to ColleaguesDevelop a 20-
minute 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, and record a video of your presentation.IntroductionNurses have a
powerful role in the coordination and continuum of care. All nurses must be cognizant of
the care coordination process and how safety, ethics, policy, physiological, and cultural
needs affect care and patient outcomes. As a nurse, care coordination is something that
should always be considered. Nurses must be aware of factors that impact care
coordination and of a continuum of care that utilizes community resources effectively and is
part of an ethical framework that represents the professionalism of nurses. Understanding
policy elements helps nurses coordinate care effectively.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. 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.PreparationYour 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.Note: Remember that
you can submit all, or a portion of, your draft presentation 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.Recording Equipment Setup and TestingCheck 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

2. 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 DisabilityServices@capella.edu to request
accommodations.InstructionsComplete 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
LengthCreate a detailed narrative script for your video presentation, approximately 4-5
pages in length. Include a reference list at the end of the script.FPX 4050 FPX 4050 NURS
FPX 4050 FPX 4050 FPX 4050 FPX 4050 FPX 4050 FPX 40Presentation to Colleagues on
Care CoordinationEveryone has a good morning. Today, we will discuss one of the most
critical aspects of health care services: coordinated care. Coordinated care is critical for
transforming the way we provide care in order to improve care quality, access to care, and
communication between colleagues, patients, their families, and other stakeholders
(Peterson et al., 2019). Care coordination is another term for coordinated care. Please keep
in mind that the terms used in this presentation are interchangeable.Prior to delving into
the presentation’s content, it’s critical to understand what the term “care coordination”
actually means. Care coordination, according to one definition from the NEJM catalyst, is
“the delivery of a patient’s health care by multiple providers, specialists, and stakeholders
with the goal of improving health care outcomes, patient outcomes, and health care
professionals’ outcomes while reducing costs and eliminating redundant procedures and
practices” (NEJM Catalyst, 2021). Consider the following examples to better understand
this.In a relay race, athletes pass the baton to other athletes, and their job is complete once
the baton is passed. While coordinated and synchronous, it does not constitute fully
coordinated care. In health care, nurses, pharmacists, physicians, and other specialists
collaborate to assess disease and then determine the best course of treatment. Thus, care
coordination is not a one-way street; it also involves two-way communication (Weaver &
Jacobsen, 2018).Now, let us consider the opposing viewpoint.It’s interesting to note that
such an approach can occasionally result in lower-quality care due to redundant
procedures. For instance, sending patients to the emergency department when the ED
health care providers communicated clearly to other professionals that the patient did not
require ED care. Another example is inquiring about a patient’s medical history when the
information has already been collected and stored in EHRs (Marsden et al., 2018). Another
example is that failing to communicate with patients and families about allergies, medical
history, cultural and spiritual needs, and other aspects of care in order to provide patient-
centered care results in adverse events such as reactions, mortality, and morbidity. This
necessitates developing and implementing effective strategies in collaboration with patients
and families in order to provide high-quality care (Lynch et al., 2018). Outlining effective
strategies for collaborating with patients and their families is based on holistic care
approaches that are patient-centered, culturally sensitive, and evidence-based. The

3. strategies are as follows: Multidisciplinary care initiative led by nurses, in which nurses are
at the center of the process, communication, and decision-making (Marsden et al.,
2018).Empowering patients and families through their participation in discussions,
decision-making, and treatment (Sefcik et al., 2018).Providing support in multiple
languages, providing holistic care based on culture, and demonstrating respect and
empathy in order to improve the patient-nurse-physician relationship (Song et al.,
2017).Adopting a collaborative decision-making model and sharing knowledge with
colleagues and peers to enable informed decision-making (Bunn et al., 2018).Direct
communication is preferred over indirect communication. For instance, direct
communication is effective during diagnosis, whereas indirect communication may result in
conflicts (Garry et al., 2020).Using assertive communication during discussions and
decision-making promotes better treatment selection decision-making, whereas persuasive
communication promotes better treatment selection decision-making (Omura et al.,
2018).By involving patients at the system, individual, and organizational levels, nurses,
patients, physicians, and other stakeholders can improve coordination, as everyone is
involved in direct communication, discussion, and decision-making (Clay & Parsh,
2016).Patient safety is improved by limiting the use of messaging applications and
increasing the use of discussions, reporting systems such as error reporting, and medication
prescribing, dispensing, and administration (Hefner et al., 2019).Utilizing the EBP model to
implement change and evaluate outcomes in a coordinated manner to improve
communication and knowledge sharing between HCPs (Menear et al., 2016).Implementing
root-cause analysis and conflict management techniques is critical for resolving issues and
managing colleagues effectively (Grubaugh & Flynn, 2018).Peer support and education on
how to provide emotional, spiritual, academic, and holistic support is critical because it
results in a safer practice environment. This helps to increase health literacy (Ofei &
Paarima, 2021).By promptly reporting errors and adhering to government and hospital
policies, you demonstrate a high level of transparency and accountability (Clay & Parsh,
2016). It is critical now to identify aspects of change management that have a direct impact
on patient care and experience, as they define and control how strategies are implemented
and their outcomes. The first factor affecting change management and care quality is the
EBP model that will be used to implement and evaluate the strategies. Utilizing models such
as Iowa EBP, ACE (Academic Center for Evidence-Based Practice), Johns Hopkins Nursing
Evidence-Based Practice Model, and Lewin’s model of change assists in implementing
strategies, evaluating outcomes, and changing or updating strategies. The second aspect is
leadership, which is critical for motivating and empowering nurses and HCPs to adopt care
coordination strategies, as it has an effect on how nurses perceive the strategies and the
effectiveness of communication and collaboration between the interdisciplinary and
multidisciplinary team (Song et al., 2017). The third factor is the economic model employed,
as well as the resources provided to implement the strategies, as changes necessitate
funding and resources to be implemented successfully (Peterson et al., 2019). The fourth
aspect is nurses’ and HCPs’ training and competency levels; the greater their competencies
in culture-based care, patient-centered care, nurse-patient relationships, patient safety and
security, and patient family management, the better the outcome (Sefcik et al., 2018). The

4. fifth aspect is providing care in a variety of languages, as communities often include
members of various cultures. Failure to provide support in multiple languages reduces
patient satisfaction and makes it more difficult for patients to improve their health literacy.
The sixth factor to consider is the nurse-to-patient ratio; the lower the ratio, the greater the
risk of burnout and errors. Medication errors, administration errors, and record errors all
contribute to a decrease in the quality of care and the reputation of health care
facilities. Ethical decision-making is critical for any decision-making process because it
highlights potential consequences of the decision. The coordinated care plan is founded on
ethical decision-making because it addresses fundamental ethical principles such as justice,
fairness, equity, accountability, honesty, trust, openness, and respect, as well as
transparency. The component of justice is addressed through the use of patient-centered
and culturally competent care, in which each patient is treated according to their unique
characteristics and characteristics (Omura et al., 2018). Fairness is addressed through
direct communication, in which all patients are treated with compassion, inclusion, and
support. As a result, it improves the quality of care and patient satisfaction (Grubaugh &
Flynn, 2018). Equity is critical to the coordinated care plan because cost-effective care is a
major component of the plan, which ensures that everyone has equal access to health care
and its services and is treated equally but in accordance with their unique needs, such as
cultural needs (Ofei & Paarima, 2021). Additionally, the aspect of patient empowerment,
consent, and family involvement emphasizes ethical decision-making. The implication is
that it builds community trust in health care services and also empowers patients (Garry et
al., 2020). Additionally, the plan advocates for disclosing any errors to the patient openly
and honestly, as well as providing any necessary information about the health condition
through education (Hefner et al., 2019). As such, it embodies an ethical dimension of
transparency as well. The implication is that it improves patient satisfaction and access to
high-quality care. While the plan appears to be sound, it is based on four assumptions. They
are as follows: everyone in the organization, including patients, the community, and
families, will accept the change and adhere to the coordinated plan (Menear et al., 2016);
the funding and resources necessary to successfully implement the change will be provided;
all ethical considerations will be adhered to; and the plan will be effective and
implementable without resistance or a limited number of challenges or obstacles (Marsden
et al., 2018). When it comes to the potential impact of specific health care policies and
provisions on the plan, such as the Affordable Care Act, the HIPPA act, effective treatments
through preventive care, and other policies. The Affordable Care Act (ACA) contains critical
provisions such as cost-effective care, a focus on prevention, effective treatments, quality
improvement, and easy access to health care. These provisions have an effect on the care
plan; they complement one another because both aim to provide high-quality care using
cost-effective treatments (Brooks et al., 2017). Cost-effective care improves patient
satisfaction, while a lower nurse-to-patient ratio decreases nurse burnout. As a result, it is
logical to conclude that provisions have a beneficial effect on the coordination plan (Chu et
al., 2020).FPX 4050 FPX 4050 NURS FPX 4050 FPX 4050 FPX 4050 FPX 4050 FPX 4050 FPX
40 Additionally, quality improvement provisions assist in the implementation of high-
quality patient-centered care, prevention, and disease management (Edmonds et al., 2016).

5. As a result of this, it can be concluded that provisions for preventive measures reduce
disease rates. Additionally, the HIPPA act and insurance claims and fraud prevention
policies promote improved documentation, electronic health records, and the security of
patient information in order to improve insurance claim outcomes and data protection
(Shaw et al., 2014). According to logical analysis, one negative effect may be that it becomes
more difficult to provide high-quality care with a high nurse-to-patient ratio at an
affordable cost, as Medicaid does not cover all conditions, treatment plans, and medications
(Chu et al., 2020). Taking everything into consideration, it is clear that nurses like you and
me are the central aspect of health care services, serving not only as nurses but also as
policymakers, decision-makers, educators, advocates, caregivers, responsible and ethical
professionals, leaders, and coordinators. Thus, we are a critical component of health care
services in numerous ways, and our combined efforts have the potential to transform the
way coordinated care is delivered.References G. Brooks, J. Hoverman, and C. Colla (2017).
The Affordable Care Act and the delivery of cancer care. 23(3), 163-167. The Cancer Journal.
https://doi.org/10.1097/ppo.0000000000000259 F. Bunn, C. Goodman, B. Russell, P.
Wilson, J. Manthorpe, et al (2018). Supporting shared decision-making with older adults
who have multiple health and social care needs: a realist synthesis 18th BMC Geriatrics (1).
https://doi.org/10.1186/s12877-018-0853-9 Q. Chu, T. Li, M. Hsieh, Y. Yi, J. Gibbs, J. Lyons,
and X. Wu (2020). The Patient Protection and Affordable Care Act’s Medicaid expansion has
benefited Louisiana women diagnosed with breast cancer. Cancer, vol. 127, no. 5, pp. 688-
699. https://doi.org/10.1002/cncr.33265 A. Clay & B. Parsh (2016). Patient- and family-
centered care is no longer limited to pediatrics. The American Medical Association’s Journal
Of Ethics, 18(1), pp. 40-44. https://doi.org/10.1001/journalofethics.2016.18.1.medu3-
1601 J. Edmonds, L. Campbell, and R. Gilder (2016). A national survey of public health
nursing practice in the era of the Affordable Care Act. The Journal of Public Health Nursing,
34(1), pp. 50-58. https://doi.org/10.1111/phn.12286 Szerencsy, A., Jones, S., Testa, P., &
Kang, S. Garry, K., Blecker, S., Saag, H., Szerencsy, A., Jones, S., Testa, P., & Kang, S. (2020).
Patient experience with radiology result notification: a comparison of direct communication
and use of the patient portal. American College Of Radiology Journal, 17(9), 1130-1138.
https://doi.org/10.1016/j.jacr.2020.01.046 M. Grubaugh & L. Flynn (2018). The
relationships between nurse manager leadership abilities, conflict resolution skills, and unit
teamwork. The Journal Of Nursing Administration, 48(7/8), pp. 383-388.
https://doi.org/10.1097/nna.0000000000000633 J. Hefner, S. MacEwan, A. Biltz, and C.
Sieck (2019). Patient portal messaging for care coordination: a qualitative study of
experienced chronic disease users’ perspectives. BMC Family Practice, 20 (supplement) (1).
https://doi.org/10.1186/s12875-019-0948-1FPX 4050 FPX 4050 NURS FPX 4050 FPX
4050 FPX 4050 FPX 4050 FPX 4050 FPX 40 S. Lynch, W. Witt, M. Ali, J. Teich, R. Mutter, B.
Gibbons, et al (2018). Coordination of care for children and adolescents with behavioral
health conditions in emergency departments. Pediatric Emergency Care, Advance
Publication. https://doi.org/10.1097/pec.0000000000001545 E. Marsden, A. Craswell, A.
Taylor, K. Coates, J. Crilly, et al (2018). Multidisciplinary initiatives led by nurses to improve
outcomes and decrease hospitalizations in older adults: The Care coordination through
Emergency Department, Residential Aged Care, and Primary Health Collaboration project.

6. The Australasian Journal On Aging, 37(2), pp. 135–139.
https://doi.org/10.1111/ajag.12526 M. Menear, M. Gervais, E. Careau, M. Chouinard, G.
Cloutier, et al (2016). Patient and family engagement strategies and outcomes in
collaborative mental health care: a protocol for a systematic and realist review.
10.1136/bmjopen-2016-012949. BMJ Open, 6(9), e012949. Catalyst for the New England
Journal of Medicine (2021). Care coordination is defined as the process of coordinating care.
Catalyst.nejm.org. Retrieved from https://catalyst.nejm.org/doi/full/10.1056/CAT.18.0291
on 4 July 2021. A. Ofei & Y. Paarima (2021). Nurse managers’ care coordination practices as
perceived by nurses at the unit level. 24(1), International Journal Of Care Coordination, pp.
17–27. https://doi.org/10.1177/2053434521999978 M. Omura, T. Stone, J. Maguire, and T.
Levett-Jones (2018). A qualitative study based on the Theory of Planned Behavior to
examine Japanese nurses’ perceptions of the importance and use of assertive
communication in healthcare. Today’s Nurse Educator, 67, pp. 100-107.
https://doi.org/10.1016/j.nedt.2018.05.004FPX 4050 FPX 4050 NURS FPX 4050 FPX 4050
FPX 4050 FPX 4050 FPX 4050 FPX 40 K. Peterson, J. Anderson, D. Bourne, M. Charns, S.
Gorin, et al (2019). Theoretical frameworks for health care coordination: a systematic
review to improve their understanding and application in practice. J. Gen. Intern. Med.,
34(S1), pp. 90-98. https://doi.org/10.1007/s11606-019-04966-z J. Sefcik, D. Petrovsky, M.
Streur, M. Toles, M. O’Connor, et al (2018). “In Our Corner”: a descriptive qualitative study
of patient engagement in a community-based care coordination program. The Journal of
Clinical Nursing Research, 27(3), pp. 258-277.
https://doi.org/10.1177/1054773816685746 F. Shaw, C. Asomugha, P. Conway, and A.
Rein (2014). Patient protection and affordable care act: prevention and public health
opportunities. The Lancet, 384(9937), pp. 75–82. doi:10.1016/s0140-6736(14)60259-2. H.
Song, M. Ryan, S. Tendulkar, J. Fisher, J. Martin, et al (2017). Between primary care
providers, team dynamics, clinical job satisfaction, and patient care coordination are
examined. Journal of Health Care Management, 42(1), pp. 28-41.
https://doi.org/10.1097/hmr.0000000000000091 S. Weaver & P. Jacobsen (2018).
Coordination of cancer care: research opportunities in healthcare delivery. The Journal of
Translational Behavioral Medicine, vol. 8(3), pp. 503-508.
https://doi.org/10.1093/tbm/ibx079Supporting EvidenceCite 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
RequirementsThe 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

7. 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
RequirementsSubmit 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.Competencies MeasuredBy successfully
completing this assessment, you will demonstrate your proficiency in the course
competencies through the following assessment 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.