Professional Context Care coordination is the process of providing a smooth and seamless transition of care as part of the health continuum. Nurses must be aware of community resources, ethical considerations, policy issues, cultural norms, safety, and the physiological needs of patients. Nurses play a key role in providing the necessary knowledge and communication to ensure seamless transitions of care.

They draw upon evidence-based practices to promote health and disease prevention to create a safe environment conducive to improving and maintaining the health of individuals, families, or aggregates within a community. When provided with a plan and the resources to achieve and maintain optimal health, patients benefit from a safe environment conducive to healing and a better quality of life. In this assignment, you will evaluate the preliminary care coordination plan you developed in Unit 3, using best practices found in the literature.

To prepare for your assignment, you will research the literature on your selected health care problem. You will describe the priorities that a care coordinator would establish when discussing the plan with a patient and family members. You will identify changes to the plan based upon EBP and discuss how the plan includes elements of Healthy People 2030. Scenario In this assignment, you will evaluate the preliminary care coordination plan you developed in Unit 3 and communicate the plan in a professional, culturally sensitive, and ethical manner.

Instructions Note: For this assignment: Evaluate the comprehensive care coordination plan developed in Unit 3, making changes based upon comparison to evidence-based practice. Document Format and Length Evaluate the preliminary plan you created in Unit 3. Your final plan should be a scholarly APA formatted paper, 5–7 pages in length, not including title page and reference list. Supporting Evidence Support your care coordination plan with peer-reviewed articles, course study resources, and Healthy People 2030 resources. Cite at least three credible sources. Grading Requirements

The requirements, outlined below, correspond to the grading criteria in the Final Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. Design patient-centered health interventions and timelines for a selected health care problem Address three patient health care issues. Design an intervention for each health issue. Identify three community resources for each health intervention.

Consider the ethical decisions in designing patient-centered health interventions. Consider the practical effects of specific decisions. Include the ethical questions that generate uncertainty about the decisions you have made. Identify relevant health policy implications for the coordination and continuum of care. Cite specific health policy provisions. Describe the priorities that a care coordinator would establish when discussing the plan with a patient and family members, making changes based upon evidence-based practice.

Clearly explain the need for the changes to the plan. Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2030 document. Use the literature on evaluation as a guide to compare learning session content with best practices.