Assignment Task:
Response to this discussion:
Care coordination during care transitions is the selected client-centered care initiative in this case. It is important to note that during transitions, it is critically important to have care coordination, particularly when patients move from one healthcare setting to another. Efficient coordination results in continuity of care, reduces errors, and improves outcomes, and thus care coordination during care transitions is critical (Smith et al., 2019). In my future practice, I would like to improve care coordination during transitions to potentially reduce readmissions to healthcare facilities. Enhancing coordination of care during transitions will also be key in improving safety, especially for complex cases such as those involving psychiatry, hospice, and palliative care (Smith et al., 2019). The coordination in this case can thus be improved by ensuring seamless transition for different patients as they move from one healthcare setting to another.
CQI Framework: Plan-Do-Study-Act (PDSA)
An efficient Continuous Quality Improvement (CQI) strategy for improving care coordination during transitions is the Plan-Do-Study-Act (PDSA) cycle (Agency for Healthcare Research and Quality (AHRQ), 2024). This framework consists of four key steps, which include;
Plan- This is the first step of the PDSA framework. In this step, determine a specific area for improvement in care transitions, such as reducing readmission numbers for those with heart failure. Creating a framework that consists of clarifying goals, identifying needed resources, and enumerating the actions needed for change implementation is key during this stage (AHRQ, 2024).
Do- This is the implementation stage. Put the plan into effect on a smaller scale. Initial a pilot project in which a specific care coordinator monitors patients after discharge to make certain they understand their discharge guidelines and follow-up visits.
Study- Evaluate implementation results by gathering information on readmission numbers, scores of patient satisfaction, and insights from patients and healthcare professionals participating in the transition (AHRQ, 2024).
Act- Lastly, this is the action stage. From the results of the evaluation, modify the plan as needed. Given positive results from the pilot program, one should consider broadening it to include a greater number of patients or additional health conditions.
Improving Client-Centered Care with PDSA
The use of the PDSA framework may significantly enhance client-centered care during transitions by promoting a systematic approach for identifying problems and putting solutions into practice. Therefore, to ensure the care provided meets specific patient needs, the steps outlined above must be followed, particularly driven by feedback and results in real time. The patient can receive timely follow-ups to ensure effective continued care (Abuzied et al., 2023). Consequently, client-centered acre is improved significantly. Similarly, it is worth mentioning that the PDSA cycle strengthens collaboration in care by providing an organized and iterative approach for modifying changes in clinical workflows. For example, improving discharge planning and coordination allows nurse practitioners (NPs) to deliver client follow-ups and education in a timely manner, preventing any care gaps (Abuzied et al., 2023).
Involvement of Interprofessional Team Members
Engaging interprofessional team participants in the CQI approach is necessary for achieving integrated improvements in client satisfaction. Some of the ways I would involve interprofessional team members in the CQI process include;
Collaborative Planning: In the planning phase, I would involve team members from diverse backgrounds, such as nursing, social work, and pharmacy, to gather different perspectives on what clients find safe and satisfying. Their observations can help identify both the barriers and the strategies that prove effective.
Training and Education: I would also set up training sessions for every team member to highlight the importance of client satisfaction alongside the particular changes taking place.
Feedback Mechanism: Since team members play an integral role in the CQI process, it is critical to get their feedback. Team meetings held routinely can promote dialogue on what is effective to include in CQI (Smith et al., 2019).
Shared Goals: Lastly, I would establish shared goals concerning client satisfaction that are congruent with the general goals of the healthcare organization. Encouraging collaboration and accountability, all team members know how their role helps to improve patient experiences.
1. What part of care coordination do you find most difficult to complete? List one recent source/reference. Need Assignment Help?