Care coordination in the care of patients and their families

1. Interprofessional practice is possible when members of multiple care professions share goals and collaborate to address complex patient care issues with provision of high-quality clinical care and outcomes in organizations, governance structures, and systems. Read the final report of the Interprofessional Education Collaborative Expert Panel (2011), Core Competencies for Interprofessional Collaborative Practice: Report of an Expert Panel. Discuss how you, as an advanced practice registered nurse, will incorporate each of these competencies into your role by constructing a patient care scenario that enables you to demonstrate and highlight each competency.
2. 2. Consider care coordination in the care of patients and their families and discuss the benefits and drawbacks, if any, of this approach. Provide an example of when care coordination would have been beneficial in a recent clinical case you were involved in.
3. What are decision support systems, and what role do they play in the business environment? Give an example of decision support systems used in health care. Discuss the challenges faced by EHR data mining. What is the potential of healthcare data mining? How can it benefit or improve patient outcomes? Finally, explain why knowledge work and the clinical vocabulary contained in unified medical language systems are important for clinical reasoning and evidence-based practice.
4. Discuss in detail which thinking strategies you employ in your clinical practice that demonstrate a high level of clinical reasoning. Give examples of how they benefited your patients.
5. What do you appreciate about the OPT model? How does it influence your thinking when caring for patients and their families?
6. Discuss the importance of population health management, and explain how care coordination and population health management can improve healthcare in the United States.
7. In your own words, describe the benefits and processes of using the CCCR systems model in identifying the priority of essential needs in a case you have recently taken care of in your work or clinical setting. Were you able to identify system issues in order to proceed with care coordination and interconnect with the interprofessional team?
8. Research a national- and state-level professional organization. What information can you find regarding care coordination, and how does this work tie in with the current healthcare policy in the United States?

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