Patient discharge care plan

Introduction

The Institute of Medicine’s 2000 report To Err Is Human: Building a Safer Health System identified health information technology (HIT) as one avenue to explore to reduce avoidable medical errors. As a result of the IOM report and suggestions for patient advocacy groups, health care organizations are encouraged to act by utilizing HIT to improve patient quality and safety.Health care organizations determine outcomes by how patient information is collected, analyzed, and presented, and nurse leaders are taking the lead in using HIT to bridge the gaps in care coordination. This assessment provides an opportunity for you to analyze the effects of HIT support, data reporting, and EHR data collection on effective care planning.

Reference

Institute of Medicine. (2000). To err is human: Building a safer health system. National Academies Press.

Preparation

Marta Rodriguez, a student, recently moved from New Mexico to Nevada to live with her aunt and uncle and was enrolled as a freshman in college. While attending her first semester, Marta was involved in a hit-and-run car accident. She was transported to the nearest shock trauma center where she spent the next four weeks undergoing multiple surgeries and antibiotic treatment for a systemic infection. Spanish is Marta’s first language and English is her second. Marta has a student health insurance plan.You are the senior care coordinator overseeing Marta’s care. You will be presenting her case to the interdisciplinary team members who are caring for Marta at an upcoming meeting to consider key aspects of a successful and safe discharge care plan for her. You are expected to lead the discussion, focusing on the role of informatics in effective discharge care planning, and have decided to prepare an analysis of key issues for team members to consider, which you will distribute to the attendees for review prior to the meeting.Note: Remember that you can submit all or a portion of your draft to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Instructions

Analyze key issues for consideration at the discharge planning meeting. Determine the effects of HIT support, data reporting, and EHR data collection on effective care planning.Use the following template for your written analysis:

• APA Style Paper Template [DOCX].

Analyzing Key Issues

The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your analysis addresses each point, at a minimum. You may also want to read the Patient Discharge Care Planning Scoring Guide to better understand how each criterion will be assessed.

• Explain how the interprofessional team will use HIT to provide a longitudinal, patient-centered care plan across the continuum of care that supports Marta in the discharge planning process.
  • What HIT elements will the team members use and why?
  • How can the interprofessional team members utilize the HIT elements to prevent a readmission of this patient 48 hours after being discharged?
  • How will the use of these elements support the coordination of care for this patient?
• Describe at least three ways in which data reporting specific to client behaviors can shape care coordination, care management, clinical efficiency, and interprofessional innovation in care.
  • How would you evaluate the quality of the data?
• Explain how information collected from client records can be used to positively influence health outcomes.
  • How will the interprofessional team members coordinate their individual findings in the collaborative use of HIT?
• Write clearly and concisely, using correct grammar and mechanics.
  • Express your main points and conclusions coherently.
  • Proofread your writing to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your analysis.
• Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
  • Is your supporting evidence clear and explicit?
  • How or why does particular evidence support a claim?
  • Will your audience see the connection?

Additional Requirements

Written Analysis Format and Length

Format your written analysis using APA style:

• Use the APA Style Paper Template [DOCX] provided. Be sure to include:
  • A title page and references page. An abstract is not required.
  • A running head on all pages.
  • Appropriate section headings.
• See also the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your analysis.
• Your analysis should be 6–7 pages in length, not including the title page and references page.

Supporting Evidence

• Cite at least eight sources of credible scholarly or professional evidence to support your analysis.
• Apply APA formatting to all in-text citations and references.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 1: Apply care coordination models to improve the patient experience, promote population health, and reduce costs.
  • Explain how HIT can be used to provide a longitudinal, patient-centered care plan across the continuum of care.
• Competency 2: Explain the relationship between care coordination and evidence-based data.
  • Describe ways in which data reporting specific to client behaviors can shape care coordination, care management, clinical efficiency, and interprofessional idea development.
• Competency 3: Use health information technology to guide care coordination and organizational practice.
  • Explain how information collected from client records can be used to positively influence health outcomes.
• Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
  • Write clearly and concisely, using correct grammar and mechanics.
  • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.