NURS FPX 6616 Assessment 1

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NURS FPX 6616 Assessment 1 Community Resources and Best Practices

In NURS FPX 6616 Assessment 1 success is to know what the community needs and wants so doing community surveys or interviews are a must. Forums and social media groups are designated as communication channels that promote interaction and equality, whereby all members are included in the culture. Supply resources such as educational materials and mentorship programs to members to assist them in succeeding in their goals while providing the members with collaboration opportunities through organisational workshops and networking events to enhance engagement.

Policies and standards that are clearly presented help foster a respectful environment, while regular evaluations allow for adjustments of approach (Smith & Johnson, 2021). Linking with external sources and implementing sustainability both keep the group moving forward and set it up for permanent success. A sample of useful resources and strategies include online forums, mental programs, educative events, libraries with resources, volunteer activities, and collaborative projects. Social activities such as these really enable communities to build up a network of support in which members can connect and share experiences together.

Ethical Issues Pertaining to Using Health Care Information Systems

An exclusive analysis of the ethical problems that intensify when healthcare information systems connect people for care coordination requires a great deal of appreciation of the complicated topics of patients’ data management and privacy. Above all other aspects, the issue of medical confidentiality and personal information privacy is vital. Conversely, healthcare information systems accumulate huge volumes of confidential data of patients classified into medical history, lab results, and treatment plans. However, maintaining the confidentially and the privacy of medical information is a core component of trust-building between patients and healthcare providers. Non-authorized access to patient data or any violation of data security can lead to gross misconduct that ultimately undermines patient trust in the healthcare system.

The second ethical issue is data security and integrity, which also present a major challenge. Healthcare informatics systems must be developed with reference to which the systems are able to resist authorised access or data breaches (Kierkegaard, 2019). Data integrity is paramount to avoid erroneous diagnosis and treatment applications. Ethical challenges arise when healthcare systems have a weak link for hackers or data consumers and are the causative agents of data corruption following system errors and technical errors. The primary ethical tasks are to keep the privacy of patient data and the accuracy of informed decisions.

Another key ethical principle in healthcare is informed consent. Patients have the right to understand how their medical data will be used and exchanged, whether by the healthcare provider or between different healthcare providers. Ethical care coordination involves obtaining informed consent from patients before sharing their health information with other providers or organizations. This should be a patient’s right to choose the path of their treatment and decide who can access their health information. Respecting patients’ autonomy and their right to confidentiality is crucial in preventing unethical practices in general health management.

Legal Issues of Current Practices and Potential Changes

Legal issues relating to existing practices and future plans for improved care coordination investigation necessitates the application of a set of legal principles, such as consequent legislation, rules, and polices in healthcare delivery. Here are some key legal considerations:

HIPAA Compliance: HIPAA is federal legislation providing the rules of deidentification and protection of limited health information (PHI). Healthcare organizations and providers should guarantee HIPAA compliance when inter-organizational exchange of patient data is conducted to coordinate care. Breach of HIPAA regulations not only has legal implications but also poses the threat of lawsuits and fines in later years.

NURS FPX 6616 Assessment 1 Interoperability and Data Sharing: Interoperability legal issues may come up concerning the cooperation of healthcare information systems and the passage of patient data among various platforms and organisations. Interoperability is one of the key factors for comprehensive care coordination, and its obstacles, like restricted access to data or data management and consent procedures, can prevent the exchange of data. One of the legal challenges needs to be solved in order for data sharing to be more facilitated while maintaining the privacy and rights of patients (Terry et al. et al., 2020).

Licensing and Credentialing: Physicians involved in Integrated Care may have to address bureaucratic and jurisdictional challenges related to permitting and credentialing in different areas. Legal issues can be stirred up in case operators work in multiple states or even regions, thus creating challenges like licensure reciprocity, telemedicine laws, and scope of practice to be regulated. The knowledge and practical requirements of suitable laws and regulations are crucial to ensuring the legal compliance of care coordination activities (Hodge et al., 2020).

Current Outcomes to Outcomes Seen with Best Practices

Examining the current results by looking at what kind of care coordination works best includes measuring their usefulness and the need to improve where necessary.

Patient Outcomes: Analyze patient outcomes, including health status, satisfaction, and compliance with the treatment plan, that reflect the results of the current care coordination system. Let’s measure these outcomes against the results attained by best practices that have been outlined in the literature. Analysis reveals that taking care of the patients coordinately brings about positive results NURS FPX 6616 Assessment 1 Community Resources and Best Practices, which include a lower number of re-admissions to the hospitals, better management of chronic diseases, and an increased degree of patient satisfaction.

Healthcare Utilization: Study the extent of healthcare service utilisation such as ED admission, hospitalization and healthcare costs in order to determine the current care coordination practices. Against these figures, observe changes toward benchmarked best practices of continuity of care. In fact, research has proved that delivering care coordination well leads to less costly healthcare utilisation through promoting access to primary care, facilitating timely referrals, and coordinating in-patient and out-of-hospital care.

Provider Satisfaction: Analyze provider satisfaction and employee involvement in present care-coordinating practices compared to care-coordinating processes pertaining to best practices. Studies show that providers are more inclined to care better when care coordination is smooth, efficient, and effectively facilitated by means of training, good systems, and organisational support.

NURS FPX 6616 Assessment 1 Appropriate Evidence-Based Intervention

Determining what solid research proven intervention would be the most suitable for improving care coordination would consist of selecting the approaches that have the necessary evidence base of their effectiveness and application in enhancing the outcomes of patients and healthcare delivery. Here are some evidence-based interventions supported by scholarly resources:

Care Coordination Teams: The formation of multidisciplinary, patient-centred care coordination teams ensures seamless communication, collaboration and continuity of care by the whole medical team. These cross-functional teams traditionally combine personal medical staff of different kinds, like doctors, nurses, social workers, and pharmacists, which unite their efforts to create and realise individualized care plans (AHRQ [Agency for Healthcare Research and Quality], 2019). Recent studies show that, by implementing care coordination teams, patient readmission rates fall down, patients’ medication intake improves, and overall patient satisfaction regarding their healthcare is increased.

Health Information Exchange (HIE) Systems: The application of a health information exchange system facilitates efficient transportation and management techniques of health records across the various health care units and providers. Through HIE networks, providers can get access to the required patient data in time, share this information more effectively and avoid administering unnecessary services. Research has proved that HER systems influence patient care excellence, medical errors dismissed, and collaboration between healthcare providers.

Role of Stakeholders and Interprofessional Teams

Determining the roles of the team members and stakeholders involved in care coordination programs is one of the significant aspects of letting patients deliver proper care. Additionally, the programs should succeed. Stakeholders are, in such a way, composed of healthcare providers, patients, caregivers, administrators, payers and community organizations, and each of them comes with certain expertise and responsibility to the intervention. Front-line health workers may take the lead in providing direct clinical care to patients, and patients, as well as family caregivers, have a right to be fully involved in the process of making decisions. A unique feature of a healthcare system in a market economy is the presence of administrators, managers, and payers, who are in charge of implementation, resource allocation, financing, and incentivization.

The support of community organizations means they can provide marginal health services that focus on social determinants of health. Enlisting key players in the process increases the efficiency and the outcome of the intervention, resulting in better health outcomes and lower costs. The interprofessional team of experts working together from different specialties, including physicians, nurses, social workers, and others, delivers the continuum of care. Clinicians provide direct medical care, and patients get seamless transitions as nurses ensure continuity of care, pharmacists manage medications, social workers address the Psychosocial needs of both patient and family members, and care coordinators facilitate communication among members. Combined interprofessional teamwork approaches to medicine increase care coordination, communication, and patient outcomes. Outlining stakeholder and interprofessional team roles may create efficiencies in a collaborative environment. Such expenditure of resources is put in the service of providing patient-orientated care and a better quality of healthcare overall.

Use of Data-Driven Outcomes, Including Data Measures and Evaluation Periods

Sharing about the relevance of evaluated care outcomes through data-driven techniques involves selecting associated data indicators, determining evaluation times, and using experimental evidence to evaluate the interventions’ effectiveness. Here’s how this process is supported by evidence and scholarly resources:

The corresponding metrics in the care coordination system encompassing vital aspects are expressed by the data measures of patient care, healthcare, and care outcomes utilisation. Data measures can be of two sorts, for instance, patient outcomes, like health status indicators, the patients’ scores of satisfaction, and honestly following the treatment. Healthcare utilisation metrics like hospital admission rates, emergency department visits, and healthcare costs are some of the parameters that give a direction of the outcome of care integration initiatives endeavours. The settings of measures, which will be timely care delivery, coordination of services and patient compliance with care plans, demonstrate the implementation of care coordination interventions (U.S. Department of Health and Human Services, 2020). Accreditations, as evaluated on metrics of observing evidence-based guidelines at different facets of the health care, coordination of care among all the units and the management of the discharge transition process, provide indicators of the overall quality of care offered.

NURS FPX 6616 Assessment 1 Community Resources and Best Practices

These data measures become an integral part of the track-and-improve performance approach served by healthcare organizations. Moreover, such measures can drive managers towards informed decisions concerning care coordination strategies.               Achieving the evaluation periods involves the delineation of the specific time horizons for the evaluation of the effect study interventions. Evaluation periods will change depending on the intervention, the community it is trying to help, and what the final desired success is. Short-term assessment sets standards on how process measures and patient satisfaction are carried out in the very beginning. Medium-term evaluation is hiding behind the curtain of changing usage and quality data at healthcare for some months to a year (U.S. Department of Health and Human Services, 2020). Long-term assessment focuses on continued improvements inefficacy of patient results and delivery of healthcare designed to be observed four to twelve months after a healthcare intervention or an intervention.

Ongoing Practices to Sustain Outcomes

Recommendations of keeping results movement aftercare consist of recurring practices that warrant continuous perfecting, cooperation, and adjusting to changes in health care arenas. Here are some key strategies supported by evidence and scholarly resources:

Continuous Quality Improvement (CQI) Processes: Executing CQI initiatives encompasses continuous monitoring of performance metrics, discovering improvement avenues, and thereafter implementing modifications to optimize care coordination. NURS FPX 6616 Assessment 1 Community Resources and Best Practices Engaging stakeholders in quality improvement activities would nudge healthcare establishments on the path to forming a culture of learning, innovation, and accountability.

Interprofessional Education and Training: Continuing training of healthcare practitioners in collaborative interprofessional practice and care management principles is a key element for maintaining favorable public health outcomes (Reeves et al., 2016). Interprofessional educational programs promote process improvement and provide healthcare professionals with a chance to work on their teamwork capabilities, fine-tune communication strategies, and become joint problem-solvers.

Utilization of Health Information Technology (HIT) Solutions: It is crucial to harness HIT techniques such as EHR, HIE and Telehealth technologies to facilitate the continual flow of information among many providers. Through the improvement of procedures, elimination of multiple services provided, and better information sharing among healthcare providers, Humanized Innovation and Technology (HIT) supports functional care coordination.


In conclusion NURS FPX 6616 Assessment 1 Community Resources and Best Practices, successful care coordination is a result of many things: the use of local resources, methods, and practices that help patients and a health delivery system that is constantly improving. The healthcare organization’s stake in ethical and legal issue analysis, current and best practice comparison, evidence-based procedures identification, and stakeholder roles definition will help to organize a comprehensive care coordination strategy. Besides, these processes track proven results, and continuous evaluation and infusion of evidence into improvements could not be absent. Through involving the stakeholders, interprofessional teamwork implementation, and leveraging health information technology solutions, healthcare organizations would be able to improve communication, standardize procedures and direct care services focus.


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