SIM 440 American Sentinel Uni

Activity 3

Continuum of Care 

Explain how the concept continuum of care is used in case management and within your organization.  What new services/programs are your organization currently evaluating or performing that are assisting patients to reach their health goals?  How do these services/programs impact the bottom line of the organization? 

Quality indicators, such as accessibility, appropriateness, continuity, effectiveness, efficacy, efficiency, timeliness, patient perspective issues, and safety, can influence quality of care. Choose one indicator and discuss its influence on care inventory environments, including local, state, national, and global. Discuss the practice of linking hospital reimbursement to performance outcomes.

Reading & Resources

Additional Instructions:

  • All submissions should have a title page and reference page.
  • Utilize a minimum of two scholarly resources.
  • Adhere to grammar, spelling and punctuation criteria.
  • Adhere to APA compliance guidelines.
  • Adhere to the chosen Submission Option for Delivery of Activity guidelines.

Submission Options:

Choose One:

Instructions:

Paper

  • 4 to 6-page paper. Include title and reference pages.

Microsoft PowerPoint Presentation

  • 8 to 10 slides. Add title and reference slides.
  • Follow Rules of 7.

Other media (Prezi, etc.) presentation

  • 8 to 10 slides with speaker notes. Add title and reference slides.
  • Follow Rules of 7.

Video Presentation

  • 5 to 8-minute video presentation.
  • Attach reference page or include in video.
  • Professional appearance and background.
  • Video submissions must include a script in Word format, submitted through Turnitin for an Originality Report.

Table

  • Table with appropriate columns and headers.
  • Include title and reference pages.

Graphs or other illustrations

  • Graphs or illustrations with appropriate labels. Include title and reference pages.

Poster

  • Poster utilizing any applicable poster template. Include visual graphics/images/other formats for visual appeal. Include appropriate title and references on poster.

Note: Title and reference pages/slides do not count towards the count requirements. 

RUBRIC: Collaboration for Improving Outcomes – Continuum of Care  Description: The baccalaureate graduate nurse will apply concepts of quality and safety to  identify clinical questions and describe the process of changing current practice.  Course Competencies: 2) Develop a holistic case management plan for a specified disease or  population that incorporates the role of insurance, health care finance, and utilization of  community resources. 3) Examine the role of case management in end of life care including  ethical and legal issues. 4) Coordinate the care of individuals across the lifespan utilizing  principles and knowledge of interdisciplinary models of care delivery and case management. QSEN Competencies: 1) Patient-Centered Care 2) Teamwork and Collaboration 3) EvidenceBased Practice  BSN Essential II Area Gold Mastery Silver Proficient  Bronze Acceptable  Acceptable  Mastery not  Demonstrated Explain how the  concept  continuum of care  is used in case  management and  within your  organization Explains how the  concept  continuum of care  is used in case  management and  within your  organization States how the  continuum of care  is used in case  management and  within your organization Lists how the  concept  continuum of care  is used in case  management and  within your  organization Does not  address the  topic Explain new  services/programs  that your  organization is  currently  evaluating or  performing that  are assisting  patients to reach  their health goals  Explains new  services/programs  that your  organization is  currently  evaluating or  performing that  are assisting  patients to reach  their health goals  States new  services/programs  that your  organization is  currently  evaluating or  performing that  are assisting  patients to reach  their health goals  Lists new  services/programs  that your  organization is  currently  evaluating or  performing that  are assisting  patients to reach  their health goals Does not  address the  topic Explain how  these new  services/programs  can impact the  bottom line of the  organization. Explains how  new  services/programs  can impact the  bottom line of the  organization. States how new  services/programs  can impact the  bottom line of the  organization. Lists how new  services/programs  can impact the  bottom line of the  organization. Does not  address the  topic Choose a quality  indicator and  discuss how it can  influence quality  of care Chooses a quality  indicator and  explains how it  can influence  quality of care Chooses a quality  indicator and  states how it can  influence quality  of care Chooses a quality  indicator but  doesn’t discuss  how it can  influence care Does not  address the  topic Assesses the  practice of linking  hospital  reimbursement to  Assesses the  practice of  linking hospital  reimbursement to  Explains the  practice of  linking hospital  reimbursement to  Lists the practice  of linking  hospital  reimbursement to  Does not  address the  topicperformance  outcomes performance  outcomes performance  outcomes performance  outcomes  APA, Grammar, Spelling, and  Punctuation No errors in  APA, Spelling,  and Punctuation. One to three  errors in APA,  Spelling, and  Punctuation. Four to six errors  in APA, Spelling,  and Punctuation. Seven or more  errors in APA,  Spelling, and  Punctuation. References Provides two or  more references. Provides two  references. Provides one  references. Provides no  references

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SIM 440 American Sentinel Uni

Activity 2

Chronic Disease Management

Choose one of the following chronic diseases to address in this component:

  • Hypertension
  • Chronic Obstructive Pulmonary Disease
  • Diabetes Mellitus type 2
  • Childhood Asthma

Complete the following:

  • Detail the population including who the members are, contributing causes, past medical history, family/genetic components.
  • Evaluate the population including size, seriousness of disease, special needs, etc.
  • Assess the need for formal case management.
  • Argue the potential benefits to implementing a case management model including economics, quality of life/care, social disruption, etc.
  • Analyze why nursing should be a part of this plan. What can they bring to the table?
  • Identify other team members who should be included on a case management team. Why should they be on this team and what is their role?

Reading and Resources

Chapter 2 pages 44-47 in Fundamentals of Case Management Practice

De Regge, M., Pourcq, K. D., Meijboom, B., Trybou, J., Mortier, E., & Eeckloo, K. (2017). The role of hospitals in bridging the care continuum: A systematic review of coordination of care and follow-up for adults with chronic conditions. BMC Health Services Research, 17

Davis, M. M., Devoe, M., Kansagara, D., Nicolaidis, C., & Englander, H. (2012). “Did I do as best as the system would let me?” healthcare professional views on hospital to home care transitions. Journal of General Internal Medicine, 27(12), 1649-56.

Additional Instructions:

  • All submissions should have a title page and reference page.
  • Utilize a minimum of two scholarly resources.
  • Adhere to grammar, spelling and punctuation criteria.
  • Adhere to APA compliance guidelines.
  • Adhere to the chosen Submission Option for Delivery of Activity guidelines.

Submission Options:

Choose One:

Instructions:

Paper

  • 4 to 6-page paper. Include title and reference pages.

Microsoft PowerPoint Presentation

  • 8 to 10 slides. Add title and reference slides.
  • Follow Rules of 7.

Other media (Prezi, etc.) presentation

  • 8 to 10 slides with speaker notes. Add title and reference slides.
  • Follow Rules of 7.

Video Presentation

  • 5 to 8-minute video presentation.
  • Attach reference page or include in video.
  • Professional appearance and background.
  • Video submissions must include a script in Word format, submitted through Turnitin for an Originality Report.

Table

  • Table with appropriate columns and headers.
  • Include title and reference pages.

Graphs or other illustrations

  • Graphs or illustrations with appropriate labels. Include title and reference pages.

Poster

  • Poster utilizing any applicable poster template. Include visual graphics/images/other formats for visual appeal. Include appropriate title and references on poster.

Note: Title and reference pages/slides do not count towards the count requirements.

RUBRIC:

Collaboration for Improving Outcomes – Chronic Disease Management
Description: The baccalaureate graduate nurse will collaborate with other members of the
healthcare team to improve patient outcomes.
Course Competencies: 1) Assess the roles of the nurse case manager in the contemporary
health care structure. 2) Develop a holistic case management plan for a specified disease or
population that incorporates the role of insurance, health care finance, and utilization of
community resources.
QSEN Competencies: 1) Patient-Centered Care 2) Teamwork and Collaboration 3) EvidenceBased Practice
BSN Essential III
Area Gold
Mastery
Silver
Proficient
Bronze
Acceptable
Acceptable
Mastery not
Demonstrated
Population Detail the
population
Identifies the
population
List the population Does not address
section
Evaluate Evaluates the
population (size,
seriousness,
special needs,
etc.)
Reviews the
population (size,
seriousness,
special needs,
etc.).
Names the
population (size,
seriousness,
special needs,
etc.).
Does not address
section
Assesses Assesses why
there should be a
formal case
management
program.
Explains why
there should be a
formal case
management
program.
Lists why there
should be a formal
case management
program.
Does not address
section
Potential
benefits
Argues the
potential benefits
to implementing a
systematic case
management plan
(economics,
quality of
life/care, social
disruption, etc.).
Classifies the
potential benefits
to implementing a
systematic case
management plan
(economics,
quality of
life/care, social
disruption, etc.).
Lists the potential
benefits to
implementing a
systematic case
management plan
(economics,
quality of
life/care, social
disruption, etc.)
Does not address
section
Analyze Analyzes why
nursing should
coordinate this
plan of care.
Discusses why
nursing should
coordinate this
plan of care.
Lists why nursing
should coordinate
this plan of care.
Does not address
section
Identify Identifies the
other team
members who
should be
included and
why.
Recognizes the
other team
members who
should be
included and why.
Lists the other
team members
who should be
included and why.
Does not address
sectionAPA,
Grammar,
Spelling, and
Punctuation
No errors in APA,
Spelling, and
Punctuation.
One to three
errors in APA,
Spelling, and
Punctuation.
Four to six errors
in APA, Spelling,
and Punctuation.
Seven or more
errors in APA,
Spelling, and
Punctuation.
References Provides two or
more references.
Provides two
references.
Provides one
references.
Provides no
references

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Posted in Uncategorized