Similarly, the care coordination model is structured to create interconnected healthcare systems, fostering seamless communication and information exchange among interprofessional healthcare teams. This cross-linked association ensures that relevant data is accessible across the care continuum (Awad et al., 2021). Moreover, the CCM emphasizes using EHRs to facilitate coordination and collaboration, allowing healthcare providers to draw patient data from comprehensive health records in EHRs (Du et al., 2019).
Furthermore, this model integrates performance metrics and quality indicators to assess care coordination effectiveness. These structured measures provide a systematic approach to evaluating the quality of care delivered across different hospital care points. This leads to understanding the success of care coordination and identifying areas for improvement (Javed et al., 2020).
Evidence-Based Data Shaping Coordinated Care Procedure
Evidence-based data plays a crucial role in honing the care coordination procedure in nursing by providing a foundation for informed decision-making and enhancing communication among healthcare providers. This ultimately leads to improved patient health outcomes and quality of care. As nurses access and analyze evidence-based data for care coordination, they can make decisions grounded in the best available evidence. This contributes to developing care plans and interventions tailored to patients’ needs. Furthermore, nurses can integrate research findings and clinical guidelines into their decision-making and deliver evidence-based care treatments (Belita et al., 2020). This reduces the likelihood of making medication and treatment errors and enhances safety with better patient outcomes.
Similarly, evidence-based data facilitates effective communication as healthcare professionals share relevant patient information, treatment plans, and outcomes in interprofessional team meetings. This leads to articulating treatment plans based on particular patient scenarios and cases and promotes crafting tailored treatment plans through a collaborative and cohesive approach to patient care (Hoffmann et al., 2023).
Governmental Regulatory Initiatives and Outcome Measures
Several governmental regulatory initiatives aim to enhance the care coordination process and achieve the Triple Aim of boosting patient outcomes, ameliorating patient experience, and diminishing healthcare expenses. One of these governmental initiatives is the Health Information Exchange (HIE) initiatives, which promote the seamless sharing of patient health information across healthcare providers and settings. These programs encourage the electronic exchange of patient health data to support coordinated, continuous care. The outcome measures of this initiative will include reduced duplicate testing, improved medication reconciliation rates, and enhanced continuum of care (Zhuang et al., 2020).
By coordinated care through technology use, data sharing becomes efficient, minimizing unnecessary repetitions, leading to cost savings and improved utilization. Similarly, by tracking the accuracy of medication reconciliation during care transition, the safety of patients is enhanced, and the continuum of care is ameliorated. Another Medicare Shared Savings Program (MSSP) promotes accountable care organizations (ACOs) to coordinate care and reduce healthcare costs.
NURS FPX 6612 Assessment 1 Triple Aim Outcome Measures
This program was developed by the Centers for Medicare and Medicaid Services (CMS) to enable ACOs to enhance savings achieved through improved care quality and cost-effectiveness. The outcome measures of this program are cost savings and enhanced patient satisfaction scores (McWilliams et al., 2020).
With the help of cost-savings through strategic planning by ACO, quality of care is enhanced as optimal resources are allocated by reducing costs, contributing to the Triple Aim. The Meaningful Use Program incentivizes healthcare providers to practice and efficiently use Electronic Health Records to boost patient care coordination, data exchange, and overall healthcare quality. This results in improved interoperability through easier exchange of patient data, increased patient engagement by providing access to patients for enhanced collaboration, and reduced medical and treatment errors (Mohammadzadeh et al., 2021). SHH can adopt these governmental initiatives and outcome measures to achieve the Triple Aim.
Process Improvement Recommendations to Stakeholders
Our healthcare organization, SHH, can improve the care coordination process to achieve Trip Aim outcomes for Barnes County Community with the help of the collaborative effort of healthcare providers, leadership authorities, and hospital administration. These stakeholders express concerns about initial investment and potential workflow disruptions. Additionally, questions may arise regarding the adaptability of the workforce to automate processes. To address these concerns, prioritize pilot-phase implementation to minimize disruptions and allow teams to adapt gradually.
Moreover, it is also recommended that comprehensive training programs be integrated to ensure a smooth transition and build workforce capacity. Additionally, stakeholders must establish continuous quality improvement initiatives to ensure the long-term efficiency of the care coordination process. Lastly, I recommend developing enhanced communication protocols for ameliorating collaboration among cross-departmental team members. This will ensure streamlining the communication without disrupting existing processes with open dialogue and refined communication strategies (Karam et al., 2021).
Conclusion
To conclude, SHH must prioritize care coordination and achieve the Triple Aim by integrating healthcare models such as PSMM and CCM. The collaborative efforts of healthcare leaders, administrators, and outside partnerships can achieve this aim and promote enhanced quality of care with better patient outcomes for Barnes Community County. I urge the relevant stakeholders to consider these suggestions to fulfill the Triple Aim of boosting patient care and experience, facilitating the community’s health, and decreasing healthcare costs. Thank you.
References
Awad, A., Trenfield, S. J., Pollard, T. D., Ong, J. J., Elbadawi, M., McCoubrey, L. E., Goyanes, A., Gaisford, S., & Basit, A. W. (2021). Connected healthcare: Improving patient care using digital health technologies. Advanced Drug Delivery Reviews, 178(1), 113958. https://doi.org/10.1016/j.addr.2021.113958