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NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

Student Name

Capella University

NURS-FPX 4050 Coord Patient-Centered Care

Prof. Name:


Preliminary Care Coordination Plan

Preliminary care is the basis of healthcare systems around the globe. It creates goals, recognizes resources, and tackles health-related matters, establishing the outline for an interdisciplinary approach to enhancing community well-being. A preliminary care coordination plan defines early strategies for cooperative healthcare initiatives (McKay et al., 2022).

This assessment aims to develop a preliminary care coordination plan focusing on health literacy. It will address psychosocial, physical, and cultural considerations related to health literacy. Additionally, specific objectives will be outlined to tackle health literacy challenges and enhance community well-being (Schubbe et al., 2020).

Health Literacy: A Significant Health Concern

Health literacy is gradually known as a significant community health concern. It is defined as the ability of patients to read, understand, and utilize health information for making healthcare decisions. Diminished health literacy has been linked to raised mortality rates among patients and a greater incidence of medication non-adherence (Rajah et al., 2019). Furthermore, limited health literacy contributes to increased healthcare expenses, partly attributed to increased hospitalizations, medication errors, and discriminating emergency department visits. The estimated global annual cost of limited health literacy to the healthcare system ranges from $106 to $238 billion (Rajah et al., 2019).

The issue of low health literacy extends globally. Roughly 21% of American adults face health illiteracy, with an additional 27% having borderline literacy skills. Despite this, many physicians need help recognizing the problem or more confidence to address it. Approximately one in ten individuals in Europe have inadequate health literacy (Kuyinu et al., 2020).

Physical considerations include poor health outcomes and difficulties managing chronic diseases caused by low health literacy. Psychosocially, it causes depression, anxiety, and emotional distress. Cultural values affect health literacy and influence the opinions of individuals. People with low health literacy need access to community resources such as patient education materials, health navigators, and health literacy programs (Kuyinu et al., 2020).

Best Practices for Health Improvement

The World Health Organization (WHO) emphasizes the crucial role of education for health impartiality globally. The best practices for health improvement include education, generic literacy skills, and enhanced information access. Instead of concentrating solely on improving individual skills through educational interventions, attention is directed toward simplifying communication and reducing healthcare system intricacies (Nutbeam & Lloyd, 2021). These skills include understanding health risks, social factors, and collective action, linking to individual and population benefits. Healthcare teams should regulate communication for lower health literacy levels, and community health education should emphasize task-based, goal-directed approaches (Nutbeam &Lloyd, 2021).

Evaluating health literacy improvements requires assessing specific skills and considering different communication methods, ensuring meaningful public engagement, media, and content (Stormacq et al., 2020). Interventions to enhance health literacy mainly target improving communication in healthcare settings, clearly addressing task-directed and functional health literacy and communication efficiency, including visual aids and technology, authorizing patient understanding. Enhanced health literacy skills among frontline healthcare professionals, programs in initial education, and continuing professional development have developed (Stormacq et al., 2020).

Assumptions and Points of Uncertainty

Poor literacy is linked to reduced responsiveness to traditional health education, lower utilization of disease prevention services, and challenges in managing chronic conditions. The efficiency of interventions includes a source of uncertainty in health literacy improvements in healthcare settings. One of the assumptions is that getting better at communicating will lead to better health results. The complexity of managing varying literacy levels, cultural factors, and the influence of digital communication give rise to uncertainties (McKay et al., 2022).

These evidence-based practices are presumed to elevate health literacy, fostering informed decision-making for timely healthcare interventions. This should ideally enhance health outcomes and mitigate complications stemming from ignorance (Nawabi et al., 2021). However, uncertainties emerge, questioning the effectiveness of educational materials in saving community support and suggesting potential revisions. Additionally, individuals from diverse cultural backgrounds may refrain from deviating from outdated medical practices, necessitating culturally sensitive training for healthcare professionals (Nawabi et al., 2021).

Specific Goals to Address Health Literacy

The SMART (Specific, Measurable, Achievable, Relevant, Time-bound) goals are essential in addressing health literacy. Below are some SMART goals for health literacy management. The primary purpose of all discussed SMART goals is to enhance health literacy (Cole et al., 2023).

Specific Goal

The specific SMART goal for advancing health literacy involves creating and executing a community-wide health literacy tool such as the Health Literacy Universal Precautions Toolkit. This tool empowers various stakeholders working collaboratively with healthcare professionals, educators, and community leaders to address health literacy gaps in communities collaboratively. This approach fosters a health-literate environment that caters to cultural and linguistic needs by emphasizing clear communication and customized interventions (Cole et al., 2023).

Measurable Goal

The measurable SMART goal is to raise health literacy levels by 25% in the target community over the next six months, using measurable measures to assess the impact of interventions. Interactive sessions involve community workshops led by healthcare professionals, addressing topics like interpreting medical information, navigating healthcare systems, and understanding prescription labels (McNaughton et al., 2019). Measure goals via pre or post-intervention surveys, assess prescription label reading through comprehension tests, and confirm that patients correctly interpret the dose, commands, and notices for precision. This inclusive strategy ensures a systematic and measurable improvement in health literacy within the stated timeframe (McNaughton et al., 2019).

Achievable Goal

The achievable goal is to take the initiative to establish community-based health literacy workshops and resources, ensuring accessible and practical health information for community members. This involves the development of culturally relevant educational materials. The approach involves leading baseline health literacy assessments, implementing focused interventions, and validating educational materials (Barnden et al., 2022). It includes appropriate pamphlets, videos, infographics, regular workshops, and distributing information through community centers, schools, and local media channels. These measures aim to empower the community with the knowledge and skills necessary for informed health decision-making, fostering a healthier and more informed population (Barnden et al., 2022)

Relevant Goal

The relevant goal is to establish collaboration with local healthcare providers, incorporating health literacy flawlessly into routine patient interactions. This is driven by the basis to address health literacy within healthcare services (Pfammatter et al., 2019). The action steps involve training healthcare professionals in effective communication strategies, integrating health literacy discussions into patient consultations, and creating informative materials for waiting areas. This wide-ranging approach aims to embed health literacy considerations into the everyday practices of healthcare providers, ultimately enhancing patient understanding and engagement in their healthcare journey (Pfammatter et al., 2019).

Time-Bound Goal

The time-bound goal is to implement a model; the Health WISE model includes culturally sensitive educational workshops and interactive sessions addressing health literacy challenges to address diverse community needs and effectively enhance health literacy within the next three months. This goal aims to enhance health literacy by implementing culturally sensitive interventions in a controlled timeframe (Cole et al., 2023).

Community Resources for Health Literacy

Approach to community resources improves health literacy. The Centers for Disease Control and Prevention (CDC) has demonstrated assurance of health literacy through its comprehensive plan and weekly apprises, facilitating education for patients and healthcare professionals. The CDC’s efforts are aligned with evidence-based studies emphasizing the positive impact of health literacy on health outcomes (CDC, 2019).

Florida Health, another valuable resource, contributes significantly to health literacy enhancement. Various programs and services, available both online and on-site, address nutrition, healthcare issues, and overall well-being (Florida Health, n.d.). The community resources, supported by evidence-based studies, exemplify the importance of community engagement and accessible healthcare services in fostering health literacy and improving community health (Mishra & Dexter, 2020).

The American Medical Association (AMA) offers patient education materials such as pamphlets and toolkits for healthcare workers. By following such guidelines, medical care staff can learn effective communication strategies to assess and improve patient understanding. These resources enhance health literacy by providing accessible information and training to patients and healthcare providers, fostering more straightforward communication and understanding (Mishra & Dexter, 2020).


In conclusion, addressing health literacy is pivotal for community well-being, impacting mortality rates and healthcare costs. The SMART goals focus on tailored assessments, measurable improvements, community workshops, seamless healthcare integration, and timely interventions. Leveraging community resources, like the CDC and Florida Health, with evidence-based strategies holds promise for enhancing health literacy and fostering healthier communities.


Barnden, R., Cadilhac, D. A., Lannin, N. A., Kneebone, I., Hersh, D., Godecke, E., Stolwyk, R., Purvis, T., Nicks, R., Farquhar, M., Gleeson, S., Gore, C., Herrmann, K., & Andrew, N. E. (2022). Development and field testing of a standardised goal setting package for person-centred discharge care planning in stroke. PEC Innovation1, 100008. https://doi.org/10.1016/j.pecinn.2021.100008

CDC. (2019, October 17). Health literacy: Accurate, accessible and actionable health information for all. cdc.gov. https://www.cdc.gov/healthliteracy/index.html

Cole, S., Sannidhi, D., Jadotte, Y., & Rozanski, A. (2023). Using motivational interviewing and brief action planning for adopting and maintaining positive health behaviors. Progress in Cardiovascular Diseases77, 86–94. https://doi.org/10.1016/j.pcad.2023.02.003

Florida Health. (n.d.). Locations | Florida department of health in Miami-Dade. floridahealth.gov. https://miamidade.floridahealth.gov/locations/index.html

NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

Kuyinu, Y. A., Femi-Adebayo, T. T., Adebayo, B. I., Abdurraheem-Salami, I., & Odusanya, O. O. (2020). Health literacy: Prevalence and determinants in Lagos State, Nigeria. PLOS ONE15(8), e0237813. https://doi.org/10.1371/journal.pone.0237813

McKay, M., Lavergne, M. R., Lea, A. P., Le, M., Grudniewicz, A., Blackie, D., Goldsmith, L. J., Marshall, E. G., Mathews, M., McCracken, R., McGrail, K., Wong, S., & Rudoler, D. (2022). Government policies targeting primary care physician practice from 1998-2018 in three Canadian provinces: A jurisdictional scan. Health Policy126(6), 565–575. https://doi.org/10.1016/j.healthpol.2022.03.006

McNaughton, E., Curran, C., Granskie, J., Opler, M., Sarkey, S., Mucha, L., Eramo, A., François, C., Webber-Lind, B., & McCue, M. (2019). Patient attitudes toward and goals for MDD treatment: A survey study. Patient Preference and AdherenceVolume 13, 959–967. https://doi.org/10.2147/ppa.s204198

Mishra, V., & Dexter, J. P. (2020). Comparison of readability of official public health information about COVID-19 on websites of international agencies and the governments of 15 countries. JAMA Network Open3(8), e2018033. https://doi.org/10.1001/jamanetworkopen.2020.18033

Nawabi, F., Alayli, A., Krebs, F., Lorenz, L., Shukri, A., Bau, A.-M., & Stock, S. (2021). Health literacy among pregnant women in a lifestyle intervention trial: Protocol for an explorative study on the role of health literacy in the perinatal health service setting. BMJ Open11(7), e047377. https://doi.org/10.1136/bmjopen-2020-047377

Nutbeam, D., & Lloyd, J. E. (2021). Understanding and responding to health literacy as a social determinant of health. Annual Review of Public Health42(1), 159–173. https://doi.org/10.1146/annurev-publhealth-090419-102529

NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

Pfammatter, A. F., Nahum-Shani, I., DeZelar, M., Scanlan, L., McFadden, H. G., Siddique, J., Hedeker, D., & Spring, B. (2019). SMART: Study protocol for a sequential multiple assignment randomized controlled trial to optimize weight loss management. Contemporary Clinical Trials82, 36–45. https://doi.org/10.1016/j.cct.2019.05.007

Rajah, R., Hassali, M. A. A., & Murugiah, M. K. (2019). A systematic review of the prevalence of limited health literacy in Southeast Asian countries. Public Health167, 8–15. https://doi.org/10.1016/j.puhe.2018.09.028

Schubbe, D., Scalia, P., Yen, R. W., Saunders, C. H., Cohen, S., Elwyn, G., van den Muijsenbergh, M., & Durand, M.-A. (2020). Using pictures to convey health information: A systematic review and meta-analysis of the effects on patient and consumer health behaviors and outcomes. Patient Education and Counseling103(10), 1935–1960. https://doi.org/10.1016/j.pec.2020.04.010

Stormacq, C., Wosinski, J., Boillat, E., & Van den Broucke, S. (2020). Effects of health literacy interventions on health-related outcomes in socioeconomically disadvantaged adults living in the community. JBI Evidence SynthesisPublish Ahead of Print(7). https://doi.org/10.11124/jbisrir-d-18-00023

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