NURS FPX 6618 Assessment 1 Planning and Presenting a Care Coordination Project
As I stand here before you today, be assured that the revised and strengthened version of this plan, tailored to the unique care delivery needs of the elderly community in rural areas, is carefully crafted to revolutionize our health care system. The boundaries of the healthcare landscape are changing as quickly as the current state of care delivery models is no longer suitable for the complex needs of this group, which is as per (Smith et al., 2020). Taking into account that, it is high time we practiced preventive measures to ensure that our aging population gets the very best care that is. In this presentation, I will elaborate on a carefully worked-out care coordination project specially designed for elderly people living in rural communities. The elderly are facing some specific difficulties so this care coordination model will ensure the proper coordination of all caregivers to ensure those problems are dealt with. Through the cooperation of all healthcare institutions, community means, and government agencies, we would like to make a system that maintains solidarity among all stakeholders including the elderly’s well-being considering. The project is centered on cooperation, innovation and, of course, compassion, which is a fundamental mission. We are aware of the fact that dealing with the center of the elderly involves much more than inside of a hospital or the clinic; it demands a multifaceted approach that considers social, economic and environmental factors that could affect health.
Vision of Interagency Coordinated Care for a Population
In rural areas, elderly people usually encounter specific issues about healthcare such as such as transportation, staffing, coordinating efforts. Our vision is achieved by building of an establish agency coordination that is based on interagency cooperation and which will enhance health outcomes and well- being of the elderly residents. This pursuit embodies a synergetic strategy that entails the involvement of healthcare facilities, community support services, as well as government bodies to co-create a patient-driven healthcare delivery platform. Through bringing together and working closely with multiple diversity stakeholders, we aim to realize an integrated support system that attends to all the situations that are faced by elderly people in the rural communities (Smith et al., 2020). Our strategic path of interagency collective care design incorporates several essential approaches to organizing and locating care. In the first place, we conceive of setting a care coordination hub to be the center for the coordination of the care functions. With this Center of Excellence, we will establish communication platform with various stakeholders, smoother process of care provision and seamless care continuum across diverse setting of health care. Similarly, we will foster standard care protocols and care pathways to standardize practices and enhance consistency in the care rendering process (National Association of Community Health Centers, 2019). Through evidence-based methods, healthcare providers can strive for efficiency, error reduction, and higher quality of client care by elderly population.
Our next step in the project is to address differing opinions and questions that we are currently aware of. We presuppose that all players in the field join forces in trying to meet the needs of clients and liquidate the health issues in a coordinated manner. Firstly, we anticipate that appropriate resources, for example, financing, staffing, technological infrastructure, etc, will be available to facilitate the implementation of the care coordination project. On the other hand, we acknowledge that there are uncertainties which are involved in regulatory and reimbursement policy include the responses on care coordination efforts across various healthcare settings. That notwithstanding, we are positive that the project is going to succeed in improving the life standards of our community elderlies, and we are eagerly looking forward to following through this initiative with genuine collaboration with all the stakeholders to attain our goal.
Organizations and Groups Who Must Participate in Caring for a Population
- Identifying Participating Organizations and Groups:
We have to enroll a massive range of organizations and bodies if we are to provide the higher quality of care the seniors in our rural communities deserve. Healthcare organizations at all levels, for instance, hospitals, clinics, community healthcare centers, and home healthcare agencies, have been critical in providing medical services. These institutions provide a spectrum of cure for the treatment of specific health conditions and also render extended care as needed to keep the elderly persons healthy (Smith et al., 2020). Another thing to add is that there is available community support services like the senior centers, assisted living facilities, Meal on Wheels programs, as well as transportation services that cater to senior social needs and their daily lives, which in turn create an overall well-being among the seniors. Additionally, these agencies like the public health sector, aging, and disabled services authorities, transportation departments, and housing authorities chip provide of resources, programs, and infrastructure that assist senior’s health and living conditions.
Insightful and Comprehensive Analysis of the Environment and Provider Capabilities:
In addition to numerous environmental elements and available resources, rural settings often play a big role in the rural healthcare setting which is used to serve the elderly. Geographic isolation as a limiting factor when it comes to accessing healthcare services contribute to long distances and lack of public transportation options which prevent individuals far-attached areas from availing the medical services. Also, addressing the insufficient capital and funding of healthcare, which could lead to worsened care is an issue as well for most rural areas. The field of social determinants of health too proves itself to be the contributor factor through the notions of poverty and social isolation that impact seniors’ overall health indexes. On the one hand, the rural providers are confronted with either the healthcare workforce shortages in rural areas or the scope of practice limitations, facing the challenge of providing comprehensive care (Smith et al., 2020). But in recent years the upsurge of telehealth and technology-assisted medical service models create optimism that can be used to overcome the gaps of geographical distance and provide better access to healthcare services. Through deciphering and tackling the environmental issues and provider availability our approach will provide care coordination models which at the same time they are adapted to the real needs of older adults from rural communities.
Resource Needs of a Population
So, to supply the healthcare for seniors in the countryside, we shall make a careful analysis of what kind of resources is necessary to guarantee quality care delivery. That is to say it requires exact accounting across various resource categories, the specifics of the assumptions and uncertainties must be indicated while the conclusions to be drawn must be based on relevant information. From personnel standpoint, a medical workforce made up of physicians, nurses, nurse practitioners, allied health professionals, care givers and social support is one of the best platforms that could be used. These providers thus ensure healthcare services, help with daily chores, give emotional support, and manage care planning. To reinforce that infrastructure is also indispensable, the provision of adequate healthcare facilities, medical equipment, and telemedicine technology to support applications in the field of telehealth are taken into account. Transportation services also needs to be focused on as older people need to access health care services and community resources. Financial resources stand out here as the pivotal issue concerning, first and foremost, the availability of funds to cover by medicals bills, refunds, and other projects (National Institute on Aging. 2019). Resources allocation assumption relies on source of funding for workforce up-gradation, technical and physical infrastructure as well forming of partnerships to minimize duplication and maximize the use of resources. The main risks lie in the unknowns such as future rule changes, infrastructure shortages and unexpected events like natural disasters or economic slump. The uncertainties limit the potential or mandate for proactive planning, collaboration, and flexibility that shall be used for the mitigation of risks and building up resilience in healthcare systems.
Project Milestones and Outcome Measures
Although it is necessary to be a fastidious in the tasks of project goal setting and outcome monitoring that will give you an overall understanding of the project scale and target outcome, you need to be cautious not to be carried away by being a fastidious one. These milestones are the breaching points in the projects stages providing the timely guidance and having the project on the path to the desired goals. Milestones contain various stages, which consists of primary needs assessment and planning phase, where differences and necessities are Clear, and infrastructure development stage where you can perform up gradation in the infrastructure and developing technical solutions. Steps that are undertaken subsequently are field operation of discipline care teams, community engagement and evaluation carried out continuously as well so that project effectiveness is ascertained (National Institute on Aging. 2019). The achievements do not happen out of the blue, they follow the result of input measures, which are indicating the changes in level of health, patients’ experience and costs. Among the implemented methods are the reduction of the readmission rates in hospitals, improvements in patients’ experience scores, and the streamlining of the use of resources. The stakeholders bring this issue to the limelight by carefully specifying the project milestones and outlining performance measures as well. This compensates for the complexity of the healthcare coordination structure in rural areas and leads to positive results coupled with delivery of high quality care to elderly people.
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NHS FPX 6004 Assessment 3 Training Session for Policy Implementation
Conclusion
The end point, then, is the conceptualization and execution of a care coordination project for the aging population in the county areas which calls for a comprehensive plan that targets the special needs of the group. While developing a vision of the integrated care with participation of organizations from different fields and determining a resource list, project milestones, and outcome measures, the participants could make an effective framework for enriching healthcare services and improving outcomes for elderly people. Through use of the available resources, engagement with the innovative solutions and collaboration among the diverse stakeholders, care coordination programs can transform the complications faced by the elderly in rural settings in the actualization of health care and social needs. In addition to this, proactive planning, continuous monitoring, and evaluation become the cornerstones of care coordination initiatives, and are essential for the sustainability and effectiveness of the same initiatives over time. As an effective means to secure support and commitment from decision makers among grassroots members as well as stakeholders at the local, state and regional levels, stakeholders can create a platform for deliberation of care coordination initiatives that will consequently improve access to quality care, better outcomes, and overall well-being for the elderly in rural communities.
References
Czajkowski, S. M., Riley, W. T., Stoney, C. M., Klein, W. M. P., & Croyle, R. T. (2019). Key milestones during 40 years of behavioral medicine at the national institutes of health. Journal of Behavioral Medicine, 42(1), 34–51.
https://doi.org/10.1007/s10865-018-9981-0
Lavoie‐Tremblay, M., Gélinas, C., Aubé, T., Tchouaket, E., Tremblay, D., Gagnon, M., & Côté, J. (2021). Influence of caring for COVID‐19 patients on nurse’s turnover, work satisfaction and quality of care. Journal of Nursing Management, 30(1), 33–43.
https://doi.org/10.1111/jonm.13462
Mo, Y., Deng, L., Zhang, L., Lang, Q., Liao, C., Wang, N., Qin, M., & Huang, H. (2020). Work stress among chinese nurses to support wuhan in fighting against COVID‐19 epidemic. Journal of Nursing Management, 28(5).
https://doi.org/10.1111/jonm.13014
Robert, N. (2019). How artificial intelligence is changing nursing. Nursing Management (Springhouse), 50(9), 30–39.
https://doi.org/10.1097/01.numa.0000578988.56622.21
Smith, J. D., Li, D. H., & Rafferty, M. R. (2020). The implementation research logic model: A method for planning, executing, reporting, and synthesizing implementation projects. Implementation Science, 15(1).
https://doi.org/10.1186/s13012-020-01041-8
Villar, J., Fernandes, M., Purwar, M., Staines-Urias, E., Di Nicola, P., Cheikh Ismail, L., Ochieng, R., Barros, F., Albernaz, E., Victora, C., Kunnawar, N., Temple, S., Giuliani, F., Sandells, T., Carvalho, M., Ohuma, E., Jaffer, Y., Noble, A., Gravett, M., & Pang, R. (2019). Neurodevelopmental milestones and associated behaviours are similar among healthy children across diverse geographical locations. Nature Communications, 10(1), 511.