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NURS FPX 4050 Assessment 4 Final Care Coordination Plan

Student Name

Capella University

NURS-FPX 4050 Coord Patient-Centered Care

Prof. Name:

Date

Final Care Coordination Plan

The system of establishing and managing healthcare resources and facilities to meet patients’ requirements is known as care coordination. One of the most significant strategies for raising the healthcare system’s efficacy, efficiency, and safety has been classified as care coordination (Paulus et al., 2023). Care coordination meets patient needs, produces positive results, lowers healthcare costs, and eliminates systemic inefficiency. A practical care coordination plan and effective communication between patients and providers are essential for care coordination (Nicolet et al., 2023). 

As a result, information sharing among the patient and healthcare staff is necessary for each provider to contact the data necessary for providing care, such as the patient’s previous data, plan of therapy, and records of all previous tests and treatments at every appointment (Nicolet et al., 2023). The fundamental care coordination plan discussed in this assessment is health literacy. The plan’s main goal was to provide awareness about health literacy and care delivery. The plan is developed using strategies supported by research and based on evidence.  

Patient-Centered Interventions and Timelines for Health Literacy

Health literacy states that patients can obtain, process, and appreciate primary health data and facilities needed to make suitable health conclusions. It is commonly understood by researchers, policymakers, and healthcare providers to mean that patients understand health information and use it to take beneficial actions (Saunders et al., 2019). Health professionals are crucial in providing patient-centered care by enhancing health literacy and capacity building. For this reason, top organizations have been encouraged by the presence of health literacy in health student programs (Saunders et al., 2019).

Patient needs and preferences are essential in patient-centered care, which promotes respect and cooperation. Health literacy strongly emphasizes open communication, group decision-making, and taking the patient as a whole. It empowers patients and improves their satisfaction and health outcomes (Friis et al., 2019).

Functional Health Literacy Challenges

Functional health literacy possesses the essential reading and numeracy abilities required for patients to function daily. Patients with short functional health literacy are less able to participate actively in their care, affecting their capacity for self-control and self-assurance in maintaining their health. At a low level, functional health literacy has been demonstrated to be linked to worse health results, lower lifespan, and increased hospital stay and emergency calls (Zegers et al., 2020). 

According to the Centers for Disease Control and Prevention (CDC) estimates, over 60% of Americans have low functional health literacy levels when using functional health literacy devices. Short functional health literacy increases healthcare costs (Zegers et al., 2020). Online resources, workshops, and accessible educational programs are the primary community resources for functional health literacy. Libraries and neighborhood health clinics offer helpful resources. To improve well-being, healthcare providers and community organizations work together to raise awareness and develop skills, creating a health-literate community (Ganguli, 2020).

Timeline for Patient-Centered Interventions for Functional Health Literacy Challenges

Efficient health communication is widely adopted to address low functional health literacy. Interventions used various instructional techniques, including cooperative workshops, lectures, and a combination of in-person, online, and educational programs. These comprised standardized and customized programs, demonstrating a thorough and flexible approach to health education (Larsen et al., 2022). Understanding is improved through plain language, visual aids, and culturally appropriate materials. Training healthcare professionals in effective communication and patient comprehension evaluation is essential (Larsen et al., 2022). 

A successful approach to enhancing functional health literacy also includes encouraging frequent health check-ups, developing community partnerships for easily accessible health information, and using technology for wide delivery. Health professionals, such as nurses and community health workers, are crucial in implementing these targeted interventions to address functional health literacy challenges and should achieve progress within a year. (Larsen et al., 2022).

Digital Health Literacy Challenges

Digital health literacy is an advanced concept that uses data technology resources to know and address health problems. Addressing infrastructure, financial, societal, policy, educational, and impairment-related barriers is crucial for equitable access to digital health resources (Palumbo et al., 2021). Inadequate knowledge of technology, restricted access to the internet, and differences in technology use are obstacles to digital health literacy that prevent patients from effectively interacting with healthcare services (Palumbo et al., 2021). Digital health literacy requires access to online health resources. Community resources are essential for education and support to improve understanding, encounter, and reasonable access to digital health information. This, in turn, leads to improved health outcomes within the community (Estrela et al., 2023).

Timeline for Patient-Centered Health Interventions Digital Health Literacy Challenges

Intervention for patient-centered care in digital health requires interdisciplinary cooperation. Patients, caregivers, and healthcare providers must develop digital health literacy to ensure broad availability and active participation in the collaboration of people-centered health services. The widespread use of digital health devices requires various skills, which presents difficulties for digital health literacy (Nightingale et al., 2022).

Digital health devices have extended to include healthcare apps, wearable tools, and online medical sources, revolutionizing healthcare and demanding skills in numeracy, science, and technology (Nightingale et al., 2022). Access and literacy are pivotal for equitable benefits. Society’s adaptation hinges on addressing accessibility and promoting digital literacy for optimal healthcare advancements. Health professionals and community health workers work together to achieve this extensive digital health literacy strategy, which takes one year, including valuation, education, teamwork, technology application, and constant assessment (Nightingale et al., 2022).

Communicative Health Literacy Challenges

In communicative health literacy, a patient must be able to navigate various forms of communication that help understand illness and enhance health outcomes. The challenge of communicative health literacy is understanding, utilizing, and applying health information to make well-informed decisions. Low communicative health literacy makes it harder for patients and healthcare staff to communicate effectively, contributing to inequalities (Zegers et al., 2020).

Community resources, which offer accessible health education programs, workshops, and support networks, are essential in tackling this challenge. Partnerships between healthcare facilities and neighborhood associations raise awareness and provide people with the necessary tools. Community resources fill the gap by encouraging open communication and mutual understanding, which grows health literacy and improves health conclusions (Zegers et al., 2020).

Timeline for Patient-Centered Interventions Communicative Health Literacy Challenges

Targeted interventions must go beyond information access and understanding to address communicative health literacy for adults with lifelong communication disabilities (Turnbull et al., 2023).

Prioritizing practical applications would involve implementing customized strategies like interactive seminars, easily accessible resources, and communication skill development initiatives. Health professionals, such as nurses, evaluate this communicative health literacy, plan personalized interventions, implement strategies, evaluate efficiency, and achieve meaningful improvements within one year (Turnbull et al., 2023).

Designing Patient-Centered Health Interventions Based on Ethical Decisions

  Creating patient-centered strategies that emphasize each person’s understanding and participation is essential to ethical involvement in health literacy. A collaborative decision-making process is fostered by active patient engagement (Bader et al., 2022). Adhering to ethical guidelines in health communication involves diverse methods, such as training professionals ethically, promoting regular health check-ups responsibly, and utilizing technology for broad information delivery while respecting privacy and confidentiality (Larsen et al., 2022). 

Ensuring ethical guidelines in patient-centered digital health intervention involves interdisciplinary collaboration, fostering digital health literacy among patients, caregivers, and healthcare providers. Challenges faced by diverse skill requirements necessitate ethical considerations in implementing practical interventions for individuals with long-lasting communication disabilities (Turnbull et al., 2023).

These interventions are guided by ethical considerations prioritizing informed consent and transparency. This strategy maximizes participation by addressing specific needs, fostering comprehension, raising overall satisfaction, and enhancing patient health. Prioritize patient views about potential risks and aids, fostering clarity and respect for autonomy associated with their morals and preferences (Bader et al., 2022).

Healthcare Policies for Coordination and Continuum of Health Literacy

The National Action Plan to Improve Health Literacy (NAP) policy for health literacy suggests that comprehensive health literacy policies are necessary to address opportunities and gaps in optimizing medicine use. Strongly emphasizes health literacy from early childhood through university education, positioning students and learners as change agents (Charani et al., 2023). The plan’s emphasis on education highlights how individuals can play a transformative role in advancing health literacy. This aligns with a larger agenda that aims to improve health and learning outcomes through cross-sector collaboration. Public education about the appropriate use of medicines, stressing the value of finishing prescribed courses and avoiding self-medication, may be given priority under such policies (Charani et al., 2023).

The Affordable Care Act (ACA) meaningfully influences health literacy across various fields, including coverage expansion, impartiality assurance, health team training, patient data clarity, public health, and quality improvement. The Plain Writing Act (PWA) commands clear communication from federal agencies to enhance public understanding of health-related information and facilitate access to a broader spectrum of services (Vamos et al., 2020). These legislative efforts underscore the importance of accessible and comprehensible information to empower individuals to navigate the healthcare site and access available services beyond health-specific domains that enhance patient health outcomes (Vamos et al., 2020).

Priorities of Care Coordinator for Plan Discussion

Patient-centered care enhanced by integrating language access services, cultural competency, and health literacy within a patient-centered care framework is essential to achieving health impartiality (Bau et al., 2019). To foster an organized approach that provides the discrete necessities of different patients, targeted hard work must optimize metrics to capture the essence of patient care. This guarantees that monitoring systems significantly contribute to patient-centered care, ultimately achieving the goal of universally impartial health outcomes (Bau et al., 2019).

Providing concise and understandable information about the adverse effects of medicine, consequences, and preventive measures could be a key component of successful health literacy campaigns. These regulations may support the addition of health literacy in the education of healthcare professionals, ensuring that patients are informed about the proper use of and the significance of following treatment regimens (Charani et al., 2023). A care coordination plan for patient-centered care and health system monitoring involves interdisciplinary health literacy initiatives, cultural competency, and language access services to ensure equitable, high-quality outcomes and comprehensive measurement (Vamos et al., 2020).

Healthy People 2030 and Learning Session Content Evaluation with Best Practices 

Healthy People 2030 sketches a vision and standards to trail growth toward ensuring all individuals in the United States (US) achieve optimal health and well-being. This goal involves evidence-based interferences and strategies addressing economic, physical, and social environments (Pronk et al.,2020). Achieving health impartiality, removing differences, fostering health literacy, and enhancing environments is critical. Successful implementation requires interdisciplinary collaboration across sectors, user engagement, and practical resource use (Pronk et al.,2020). 

Necessary implementation includes multiple approaches to challenge social, economic, and physical well-being determinants. They are making parallel best practices for health literacy with Healthy People 2030 goals to enhance patient health and education and foster complete well-being. Significantly, identifying shared data sources and indicators is essential for effectively measuring and evaluating trends in health and well-being (Jackson et al., 2020).

Conclusion

Health literacy is an appreciated asset capable of facilitating diverse health actions, enhancing well-being, and effectively managing health challenges. Its role in achieving health equity is crucial. Health literacy includes digital, functional, and interactive skills, enhancing patients’ ability to contact, understand, and use health data. It promotes informed decision-making, self-management, and overall well-being.

References

Bader, M., Zheng, L., Rao, D., Shiyanbola, O., Myers, L., Davis, T., O’Leary, C., McKee, M., Wolf, M., & Assaf, A. R. (2022). Towards a more patient-centered clinical trial process: A systematic review of interventions incorporating health literacy best practices. Contemporary Clinical Trials116, 106733. https://doi.org/10.1016/j.cct.2022.106733

Bau, I., Logan, R. A., Dezii, C., Rosof, B., Fernandez, A., Paasche-Orlow, M. K., & Wong, W. W. (2019). Patient-centered, integrated health care quality measures could improve health literacy, language access, and cultural competence. NAM Perspectiveshttps://doi.org/10.31478/201902a

Charani, E., Mendelson, M., Pallett, S. J. C., Ahmad, R., Mpundu, M., Mbamalu, O., Bonaconsa, C., Nampoothiri, V., Singh, S., Peiffer-Smadja, N., Anton-Vazquez, V., Moore, L. S. P., Schouten, J., Kostyanev, T., Vlahović-Palčevski, V., Kofteridis, D., Corrêa, J. S., & Holmes, A. H. (2023). An analysis of existing national action plans for antimicrobial resistance—gaps and opportunities in strategies optimising antibiotic use in human populations. The Lancet Global Healthhttps://doi.org/10.1016/s2214-109x(23)00019-0

Estrela, M., Semedo, G., Roque, F., Pedro Lopes Ferreira, & Maria Teresa Herdeiro. (2023). Sociodemographic determinants of digital health literacy: A systematic review and meta-analysis. International Journal of Medical Informatics177, 105124–105124. https://doi.org/10.1016/j.ijmedinf.2023.105124

Faux-Nightingale, A., Philp, F., Chadwick, D., Singh, B., & Pandyan, A. (2022). Available tools to evaluate digital health literacy and engagement with eHealth resources: A scoping review. Heliyon, e10380. https://doi.org/10.1016/j.heliyon.2022.e10380

NURS FPX 4050 Assessment 4 Final Care Coordination Plan

Friis, K., Lasgaard, M., Pedersen, M. H., Duncan, P., & Maindal, H. T. (2019). Health literacy, multimorbidity, and patient-perceived treatment burden in individuals with cardiovascular disease. A danish population-based study. Patient Education and Counselinghttps://doi.org/10.1016/j.pec.2019.05.013

Ganguli, M. (2020). Aging and functional health literacy: A population-based study. The American Journal of Geriatric Psychiatryhttps://doi.org/10.1016/j.jagp.2020.12.007

Glick, A. F., Brach, C., Yin, H. S., & Dreyer, B. P. (2019). Health literacy in the inpatient setting. Pediatric Clinics of North America66(4), 805–826. https://doi.org/10.1016/j.pcl.2019.03.007

Jackson, D. N., Trivedi, N., & Baur, C. (2020). Re-prioritizing digital health and health literacy in healthy people 2030 to affect health equity. Health Communication36(10), 1–8. https://doi.org/10.1080/10410236.2020.1748828

Larsen, M. H., Mengshoel, A. M., Andersen, M. H., Borge, C. R., Ahlsen, B., Dahl, K. G., Eik, H., Holmen, H., Lerdal, A., Mariussen, K. L., Thoresen, L., Tschamper, M. K., Urstad, K. H., Vidnes, T. K., & Wahl, A. K. (2022). “A bit of everything”: Health literacy interventions in chronic conditions – a systematic review. Patient Education and Counseling105(10). https://doi.org/10.1016/j.pec.2022.05.008

Nicolet, A., Perraudin, C., Krucien, N., Wagner, J., Peytremann-Bridevaux, I., & Marti, J. (2023). Preferences of older adults for healthcare models designed to improve care coordination: Evidence from western switzerland. Health Policy132, 104819. https://doi.org/10.1016/j.healthpol.2023.104819

NURS FPX 4050 Assessment 4 Final Care Coordination Plan

Palumbo, R., Nicola, C., & Adinolfi, P. (2021). Addressing health literacy in the digital domain: insights from a literature review. Kybernetes51(13), 82–97. https://doi.org/10.1108/k-07-2021-0547

Paulus, A. B., Wendte, J. M., & Vinson, B. (2023). Integrating care coordination and mental health research into dialysis practice: Stakeholder perspectives, methods, and outcomes. Kidney Medicine5(12), 100732–100732. https://doi.org/10.1016/j.xkme.2023.100732

Pronk, N., Kleinman, D. V., Goekler, S. F., Ochiai, E., Blakey, C., & Brewer, K. H. (2020). Promoting health and well-being in healthy people 2030. Journal of Public Health Management and PracticePublish Ahead of Print(1). https://doi.org/10.1097/phh.0000000000001254

Saunders, C., Palesy, D., & Lewis, J. (2019). Systematic review and conceptual framework for health literacy training in health professions education. Health Professions Education5(1), 13–29. https://doi.org/10.1016/j.hpe.2018.03.003

Turnbull, H., Dark, L., Carnemolla, P., Skinner, I., & Hemsley, B. (2023). A systematic review of the health literacy of adults with lifelong communication disability: Looking beyond accessing and understanding information. Patient Education and Counseling106, 151–162. https://doi.org/10.1016/j.pec.2022.10.008

Vamos, S., Okan, O., Sentell, T., & Rootman, I. (2020). Making a case for “education for health literacy”: An international perspective. International Journal of Environmental Research and Public Health17(4), 1436. https://doi.org/10.3390/ijerph17041436

Zegers, C. A., Gonzales, K., Smith, L. M., Pullen, C. H., De Alba, A., & Fiandt, K. (2020). The psychometric testing of the functional, communicative, and critical health literacy tool. Patient Education and Counselinghttps://doi.org/10.1016/j.pec.2020.05.019

 

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