Reply to the following two classmates’ posts. In your reply posts, incorporate challenges you would anticipate for the proposals, as well as arguments to overcome those challenges. Each reply should be 200 to 400 words. TURNITIN ASSIGNMENT (FREE OF PLAGIARISM) POST # 1: Emily Coordination of patient care plays an important role in positive health outcomes; however, it is becoming more of a challenge as the United States’ population is aging, diseases and treatments are becoming more complex and technological costs are rising (Seyedamini, et al., 2019, p. 6). This coordination of care is known as clinical integration, which can be defined as “the coordination of patient care across providers, settings and and time to achieve safe, effective, efficient and patient-focused care” (Regis College, n.d). Clinical integration has the potential to lower health care costs, improve efficiency and quality of care (Seyedamini, et al., 2019, p. 7).           However, in order to facilitate efficient clinical integration, providers need proper financing, cultural adaptation and supportive resources (Seyedamini, et al., 2019, p. 7). Challenges that providers and patients face with clinical integration include continuously updating of medical techniques, equipment and computer-based information systems, increased complexity of care making communication between providers more difficult, as well as increased insurance coverage under the Affordable Care Act causing a higher demand for providers (Shi & Singh, 2019, p. 138). According to Haughom (2017), our modern health care system requires “comprehensive care management systems” (para. 8). He states in addition to electronic medical records, providers need a system that contains the five core competencies of care management including, 1) data integration, 2) patient stratification and intake, 3) care coordination, 4) patient engagement, and 5) performance measurement.            Currently, there is a comprehensive smartphone system being developed that has yet to be fully launched known as FHIR (Fast Healthcare Interoperability Resources). This system would allow providers, researchers and patients to store and share medical information all in one place (Rae-Dupree, 2019, para. 3). This system would support clinical integration and simplify the current complex process of sharing data between providers and patients, which in turn could result in greater efficiency in healthcare delivery (Regis College, n.d). However, this system is still working on gaining support from providers and institutions. They are also facing challenges with how to properly protect patient information in the cyber world (Rae-Dupree, 2019, para. 24).             With newly developing technologies to improve clinical integration, such as FHIR, health care professionals must be properly trained and adhere to new systems to achieve the intended outcomes of improved quality of care and reduced costs. New delivery models being used to replac.

1. Reply to the following two classmates’ posts. In your reply
posts, incorporate challenges you would anticipate for the
proposals, as well as arguments to overcome those challenges.
Each reply should be 200 to 400 words.
TURNITIN ASSIGNMENT (FREE OF PLAGIARISM)
POST # 1: Emily
Coordination of patient care plays an important role in positive
health outcomes; however, it is becoming more of a challenge
as the United States’ population is aging, diseases and
treatments are becoming more complex and technological costs
are rising (Seyedamini, et al., 2019, p. 6). This coordination of
care is known as clinical integration, which can be defined as
“the coordination of patient care across providers, settings and
and time to achieve safe, effective, efficient and patient-focused
care” (Regis College, n.d). Clinical integration has the potential
to lower health care costs, improve efficiency and quality of
care (Seyedamini, et al., 2019, p. 7).
However, in order to facilitate efficient clinical
integration, providers need proper financing, cultural adaptation
and supportive resources (Seyedamini, et al., 2019, p. 7).
Challenges that providers and patients face with clinical
integration include continuously updating of medical
techniques, equipment and computer-based information systems,
increased complexity of care making communication between
providers more difficult, as well as increased insurance
coverage under the Affordable Care Act causing a higher
demand for providers (Shi & Singh, 2019, p. 138). According to
Haughom (2017), our modern health care system requires
“comprehensive care management systems” (para. 8). He states
in addition to electronic medical records, providers need a
system that contains the five core competencies of care

2. management including, 1) data integration, 2) patient
stratification and intake, 3) care coordination, 4) patient
engagement, and 5) performance measurement.
Currently, there is a comprehensive smartphone system
being developed that has yet to be fully launched known as
FHIR (Fast Healthcare Interoperability Resources). This system
would allow providers, researchers and patients to store and
share medical information all in one place (Rae-Dupree, 2019,
para. 3). This system would support clinical integration and
simplify the current complex process of sharing data between
providers and patients, which in turn could result in greater
efficiency in healthcare delivery (Regis College, n.d). However,
this system is still working on gaining support from providers
and institutions. They are also facing challenges with how to
properly protect patient information in the cyber world (Rae-
Dupree, 2019, para. 24).
With newly developing technologies to improve clinical
integration, such as FHIR, health care professionals must be
properly trained and adhere to new systems to achieve the
intended outcomes of improved quality of care and reduced
costs. New delivery models being used to replace periodic
office visits to improve continuity and lower costs are virtual
video consultations, which are estimated to double in 2020 (Shi
& Singh, 2019, p. 578). However, providers must practice this
model in order to reach its potential effectiveness.
There are many benefits to clinical integration, and we
must continue to address and improve upon the challenges that
providers and patients face with achieving it. With the
increasing complexity of care, we must find a way to simplify
delivery of services to ensure quality care and cost
effectiveness.
References
Haughom, J. (2017). The modern care management team: Tools
and strategies evolve, but the outcomes improvement goal
remains. Health Catalyst. Retrieved from

3. https://www.healthcatalyst.com/the-modern-care-management-
team-what-does-it-look-like
Rae-Dupree, J. (2020). How fast can A new internet standard
for sharing patient data catch fire? Kaiser Health News.
Retrieved from
https://khn.org/news/how-fast-can-a-new-internet-standard-for-
sharing-patient-data-catch-fire/
Regis College (n.d.). Improving patient care through clinical
integration. Retrieved
from: https://online.regiscollege.edu/blog/improving-patient-
care-clinical-integration/
Seyedamini, B., Riahi, L., Farahani, M.M., Tabibi, S.J., & Asl,
I.M. (2019). The effect of clinical factor on the health system
integration. International Archives of Health Sciences,
1, 6. https://doi.org/10.4103/iahs.iahs_18_18
Shi, L., & Singh, D. A. (2019). Delivering health care in
America: A systems approach (7th ed.). Burlington, MA: Jones
& Barlett Learning
POST # 2: Carla
One of the biggest issues that healthcare is facing is the cost.
For many people, the cost is a huge deterrent for getting care
when they need it, and even quality care when they do go see a
healthcare professional. While being able to afford health
insurance is a major part of this issue, it is not the only factor
involved. Many people who have chronic illnesses get bogged
down by repeated costs—from the treatments they need, but also
from repeat inpatient care. For these types of patients, getting
the correct care when possibly seeing multiple different
physicians can also cause problems. Team-based care and care
coordination can help with these issues, not just for patients

4. with chronic illnesses, but probably more so with them.
While coordinated care may seem like an easy thing to
accomplish—just make sure all doctors and healthcare
professionals are all in the same loop and getting updated on
each other's care—there are a lot of issues that can hinder this
coordination. Many patients may see different doctors for
different issues, see specialists that are possibly not involved
with their normal doctor, etc. These gaps in care can cause
issues, possibly incorrect care, or repeated care that is
unnecessary and costly.
Nurse and doctor hierarchy has also been an issue. Nurses have
a special view on the patient and what they need, how
treatments and such affect the patient. This is because they
work closely with patients, while doctors often just see files and
step in when needed nurses and doctors just hold different roles
in healthcare, but that does not mean one is less important than
the other. With nurses working more closely with the patient
and seeing them more often, they can have an insider view on
issues that a doctor may not be aware of. This affects the patient
if they get outpatient care by a nurse, too, as that could be the
main person the patient interacts with at all.
On the topic of out and inpatient care, inpatient care is not as
favorable for team-based, coordinated care, leaves open for less
quality in care, and possibly more cost. “The traditional
hospital-centric care model…delivers care that is typical more
fragmented, driven by the individual practitioner” while shifting
to “outpatient settings require a high degree of alignment across
the continuum” (Jacquin, 2014, p. 5). While shifting to this type
of care may not be the easiest, as there needs to be a census
between healthcare professionals to reach out to each other.
There are some healthcare professionals in pediatric care that
are solving this issue with care coordinators or care navigators
(Huth & Kuo, 2019, p. 1). These are people that look into not
only the patient’s medical problems but also “social,
developmental, behavioral, educational and financial needs of
patients and [their] families” (Huth & Kuo, 2019, p. 2). This

5. type of person helping coordinate all of these lines of needs for
a patient would be very helpful in any type of healthcare
environment, not just pediatrics.
There are even now outside communication companies that are
trying to help fill the need for coordination in the medical
sphere. Caregility is a company that wants to provide “secure,
reliable two-way audio and video communications for any
device and clinical workflow, in both inpatient and outpatient
settings” (“Caregility,” 2020, p. 1). The use of technology can
make team-based care and coordination amazingly easier, but it
does bring in new ways of leaking people’s personal
information. Every new way to share information between
healthcare professionals needs to have the correct security with
it.
While team-based care and coordination may be the way of the
future for healthcare, there must be a major shift in the way
people go to the doctor. Specific coordinators and technology
can help, but the main need is for healthcare professionals to all
work together in meaningful ways. The main goal for healthcare
professionals is giving their patients the best quality of care for
their buck, and so would hopefully take on the responsibility of
helping collaborate.
References
Caregility's UHE Video Enablement Platform Expands
Telehealth Integrations with Epic's App Orchard. (2020, January
29). Retrieved from https://www.prnewswire.com/news-
releases/caregilitys-uhe-video-enablement-platform-expands-
telehealth-integrations-with-epics-app-orchard-300995003.html
Huth, K. B., & Kuo, D. Z. (2019). Using a team-based approach
to improve care coordination. American Academy of Pediatrics.
Retrieved
from https://www.aappublications.org/news/2019/10/10/focus10
1019
Jacquin, L. (2014). A strategic approach to healthcare
transformation: transforming the care delivery model across the

6. continuum is a prerequisite to success under value-based
payment systems. Healthcare Financial Management, 68(4).
Retrieved
from https://go.gale.com/ps/anonymous?id=GALE|A367966529
&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=073507
32&p=AONE&sw=w