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Stakeholder Presentation
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Hi. My name is a student. The main purpose and idea of my presentation is to talk about a plan based on coordination for heart problems.
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The medical field employs an official communication technique termed interested party presentation that is used to educate and engage stakeholders on certain initiatives, challenges, or problems that relate to the provision of healthcare. Stakeholders in the healthcare services sector include patients, healthcare providers, insurance companies, and regulatory bodies, among other groups that are directly or indirectly involved in healthcare. In the healthcare sector, a stakeholder analysis necessitates a holistic understanding of the needs and interests of each stakeholder community. It consists of obtaining and handling necessary data, creating suitable communication techniques, and creating appealing presentations that are able to communicate the needed information (Eljiz et al., 2020). The following is a list of possible stakeholders and their roles.
Here, the patient is the most important stakeholder. Before coming up with a treatment plan, the patient’s needs, likes, and dislikes must be considered (Chukwu & Garg, 2020). Since loved ones and other caregivers or providers may play a role in the care of a person, they should be taken into consideration in terms of their preferences and points of view (Cusi et al., 2022). The physician is in charge of the patient’s treatment while in the hospital. NURS FPX 4010 Assessment 4 Stakeholders presentation: Other than monitoring for potential drug interactions or adverse effects, pharmacists may assist in making sure the patient obtains the right prescribed medications and doses (Duncan et al., 2020).
Organizational or Patient Issues
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An inpatient heart failure patient has an intricate medical history. The patient’s health is worsened by chronic renal disease, diabetes, and hypertension. Failure of the heart occurs when the heart does not pump enough amount of blood. Hypertension is a type of coronary artery disease that viruses can induce. Dyspnea, fatigue, and edema of the legs and feet tend to develop in heart failure patients (Golas et al., 2018).
Multiple medical conditions can go along with the underlying medical problem. Disorders include obesity, kidney disease, and elevated cholesterol levels. Different medicines, diets, and surveillance may be needed after coronary artery bypass surgery based on the condition. (Source: Lee and colleagues, 2019). This kind of challenging medical dossier can be handled using the participatory multidisciplinary team method. The interdisciplinary healthcare team will work jointly to address the nutritional, mental disorders, and social wants and needs of every individual. The collective includes experts, such as doctors, social workers, nurses, nutritionists, pharmacists, and physiotherapists. Numerous hospitals in America utilize interdisciplinary teams to increase patient outcomes (Saint-Pierre et al., 2018). A Mayo Clinic team-based approach to chronic illness management has brought about better outcomes and reduced the cost of care (Mitchell et al., 2019). NURS FPX 4010 Assessment 4 Stakeholders presentation: Coronary artery disease, cholesterol levels, glucose levels, and renal health would all be taken care of by the treatment. Our team would also recognize and fix financial or social barriers to care that may hinder an individual from following the regimen they have been prescribed. (Cusi et al., 2022).
Cons for Not Handling the Issue
Slide 4
Adverse outcomes might occur, such as increased frequency of adverse events, hospital admission, and days in hospital if this strategy is not employed. In addition, the patient’s standard of life would be decreased by the complexities of their medical challenges and the state of flux they cause. Lack of a successful cooperation approach may cause a patient’s medical needs to be incomplete, which might have unintended effects (Harris, 2019).
Evidence-Grounded Interdisciplinary Strategy
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A research multidisciplinary approach called the Comprehensive Integrated Care approach (CICP) could be utilized to treat an individual with a convoluted medical history who has been brought to the hospital with many illnesses and a new diagnosis of congestive heart failure (Alí et al., 2019).
By combining social and medical services, the CICP aims to provide comprehensive patient care. In order to deliver the highest level of care to patients, the plan calls for a partnership of medical experts, comprising physicians, nurses, therapists, and other specialists. A comprehensive medical examination, pharmaceutical treatment, disease-specific schooling, social support, and an aftercare strategy are some of the key elements that make up the overall effort (He et al., 2021). In order to find the underlying cause of coronary artery disease and treat the patient’s comorbidities, an in-depth investigation of the patient’s medical record, physical exam, and lab results is part of the medical review procedure. The management of medications includes controlling side effects and improving the patient’s medication intake by the use of scientifically validated suggestions (Zhao et al., 2022).
Disease-specific teaching entails addressing the anxieties and worries of those suffering & their loved ones while teaching them about the condition and how to manage it. Locating and meeting a patient’s social needs—such as transportation, lodging, and financial help—is designated as social support. Finally, a plan of action ensures that the patient goes home from the hospital and gets the correct medical care (Alí et al., 2019).
Implementation of Interdisciplinary Plan
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The patient-centered Complete Integrated Medical Plan (CICP) uses multidisciplinary teams of physicians, nurses, social workers, and other healthcare providers to deliver comprehensive therapy. CICP covers the complicated healthcare requirements of individuals who have several ongoing medical conditions, such as heart failure, high blood pressure, diabetes, and chronic renal failure (Jimenez et al., 2018). Implementing the CICP starts by gathering a multidisciplinary team of healthcare experts to create a patient care strategy. The team will comprise a physician, a nurse, a social worker, and others if necessary (Jimenez et al., 2018).
The team of experts will assess the patient’s medical background, current well-being, and social support. The team of professionals is going to develop a medical, social, and psychological care plan for the patient. The course of action should be personalized, patient-centered, and focused on objectives to improve the enjoyment of life (Jimenez et al., 2018).
The doctor’s team will execute the plan of action. The team will constantly inform the patient and each other on how they are doing and any alterations to the therapy regimen (Sudore et al., 2018). As the final phase in CICP implementation, verify the care plan’s performance and make any necessary changes in order to enhance care. The group of specialists ought to periodically check the advancements and outcomes of the patients and adjust their plan of action as needed (He et al., 2021).
Handling Human and Monetary Resources
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Hospitals should determine the availability and level of experts needed to complete the CICP by analyzing the labor requirements. Workers should create educational programs in order to conduct proper customer service. Healthcare organizations should budget for CICP acceptance, including technology equipment and supplies. According to Mitchell et al. (2019) technology should also be utilized to improve communication and coordination among healthcare professionals (Mitchell et al., 2019). Healthcare organizations should initiate quality improvement programs to evaluate the effectiveness of CICP and point out areas for improvement. According to Sudore et al. (2018), in order to promote ongoing development and progress, they should provide the team with interdisciplinary and regular input.
Actual World Examples
NURS FPX 4010 Assessment 4: Slide 8
An interdisciplinary approach is involved in developing care plans that are specific to the patient, including those of nurses, psychologists, pharmacists, and many other healthcare providers. The treatment plan emphasizes chronic disease leadership, healthy living, and hospital readmission prevention (Healthcare, n.d.). Dartmouth-Hitchcock Medical Center has set up the heart failure CICP program. The team of a diverse composition collaborates with the patients and their relatives in order to develop an individual treatment plan. The treatment package consists of medication management, nutrient intake, physical activity, and support from others (Health, 2023).
Evidence-Based Criteria for Evaluation
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The Comprehensive Integrated Treatment Plan (CICP)’s efficacy in improving comprehensive and coordinated therapy for complex medical history and heart failure individuals. Patient focus underpins evidence-based standards. The Patient-Centeredness concept stresses patient needs, preferences, and values and engages patients in attitudes and making choices (Jimenez et al., 2018). Surveys or surveys ought to quantify client happiness with care. This could reveal whether therapy was patient-centered and addressed demand (Jimenez et al., 2018). The individual’s level of life should be evaluated before and after CICP adoption. Patients’ quality of life improves when treatment is sufficient and patient-centered (Cusi et al., 2022).
Readmission rates, the length of stay, and death should be assessed in advance of and following CICP adoption. Readmission, duration of stay, and death rates should decrease if care is sufficient and patient-centered (Cusi et al., 2022). Assess if patients participated in the treatment’s planning and decision-making. Surveys and interviews can evaluate care that centers around patients (Collins et al., 2021). Evaluate the success of teamwork between doctors and nurses in treatment. This can be done by reviewing medical records or provider assessments. Coordination of services improvement indicates that the CICP provides comprehensive and coordinated nursing (Jimenez et al., 2018).
Sources of Evidence
NURS FPX 4010 Assessment 4: Slide 10
The requirements were based on patient-centered care studies, heart failure treatment recommendations, and quality improvement paradigms like the Plan-Do-Study-Act (PDSA) cycle. Additionally, medical records and patient and healthcare provider questionnaires may be employed to assess all of these variables (Collins et al., 2021).
Conclusion
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On the whole, complex case management, presented here, requires the cooperation of the patient, family, healthcare professionals, and community. Coronary artery bypass graft intervention complications by comorbid conditions like hypertension, type 2 diabetes, and chronic renal disease, which demands a personalized care approach. Communication and cooperation are required from every team so that the patient can get the best therapy and result. Decision-making is a collaborative process involving patients, their families, and education to improve self-management and treatment plan adherence. NURS FPX 4010 Assessment 4 Stakeholders presentation: A patient-centered approach and collaboration would improve treatment and results among patients with such complex medical conditions.
References
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Alí, A., Giraldo-Cadavid, L. F., Karpf, E., Quintero, L. A., Aguirre, C. E., Rincón, E., Vejarano, A. I., Perlaza, I., Torres-Duque, C. A., & Casas, A. (2019). Frequency of emergency department visits and hospitalizations due to chronic obstructive pulmonary disease exacerbations in patients included in two models of care. Biomédica, 39(4), 748–758.
https://doi.org/10.7705/biomedica.4815
Chukwu, E., & Garg, L. (2020). A systematic review of blockchain in healthcare: Frameworks, prototypes, and implementations. IEEE Access, 8, 21196–21214. https://doi.org/10.1109/access.2020.2969881
Collins, J. T., Mohamed, B., & Bayer, A. (2021). Feasibility of remote Memory Clinics using the plan, do, study, act (PDSA) cycle. Age and Ageing. https://doi.org/10.1093/ageing/afab173
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Duncan, E., O’Cathain, A., Rousseau, N., Croot, L., Sworn, K., Turner, K. M., Yardley, L., & Hoddinott, P. (2020). Guidance for reporting intervention development studies in health research (GUIDED): An evidence-based consensus study. BMJ Open, 10(4), e033516.
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Eljiz, K., Greenfield, D., Hogden, A., Taylor, R., Siddiqui, N., Agaliotis, M., & Milosavljevic, M. (2020). Improving knowledge translation for increased engagement and impact in healthcare. BMJ Open Quality, 9(3), e000983. https://doi.org/10.1136/bmjoq-2020-000983
Golas, S. B., Shibahara, T., Agboola, S., Otaki, H., Sato, J., Nakae, T., Hisamitsu, T., Kojima, G., Felsted, J., Kakarmath, S., Kvedar, J., & Jethwani, K. (2018). A machine learning model to predict the risk of 30-day readmissions in patients with heart failure: A retrospective analysis of electronic medical records data. BMC Medical Informatics and Decision Making, 18(1).
https://doi.org/10.1186/s12911-018-0620-z
Harris, B. (2019). Veteran administration disease model to an interdisciplinary healthcare model. Walden Dissertations and Doctoral Studies. https://scholarworks.waldenu.edu/dissertations/6574/
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https://www.dartmouth-health.org/news/expanding-dhmc-heart-vascular-center
Healthcare, A. (n.d.). Primary Care | Chicago, IL | Advocate Health Care. Care.advocatehealth.com. Retrieved April 17, 2023, from https://care.advocatehealth.com/locations/advocate-medical-group-93rd-st-chicago-il
Jimenez, G., Tan, W. S., Virk, A. K., Low, C. K., Car, J., & Ho, A. H. Y. (2018). Overview of systematic reviews of advance care planning: summary of evidence and global lessons. Journal of Pain and Symptom Management, 56(3), 436-459.e25. https://doi.org/10.1016/j.jpainsymman.2018.05.016
Lee, H., Ryu, K., Sohn, Y., Kim, J., Suh, G. Y., & Kim, E. (2019). Impact on patient outcomes of pharmacist participation in multidisciplinary critical care teams. Critical Care Medicine, 47(9), 1243–1250. https://doi.org/10.1097/ccm.0000000000003830
Mitchell, J. D., Haag, J. D., Klavetter, E., Beldo, R., Shah, N. D., Baumbach, L. J., Sobolik, G. J., Rutten, L. J., & Stroebel, R. J. (2019). Development and implementation of a team-based, primary care delivery model: Challenges and opportunities. Mayo Clinic Proceedings, 94(7), 1298–1303.
https://doi.org/10.1016/j.mayocp.2019.01.038
Saint-Pierre, C., Herskovic, V., & Sepúlveda, M. (2018). Multidisciplinary collaboration in primary care: A systematic review. Family Practice, 35(2), 132–141. https://doi.org/10.1093/fampra/cmx085
Sudore, R. L., Heyland, D. K., Lum, H. D., Rietjens, J. A. C., Korfage, I. J., Ritchie, C. S., Hanson, L. C., Meier, D. E., Pantilat, S. Z., Lorenz, K., Howard, M., Green, M. J., Simon, J. E., Feuz, M. A., & You, J. J. (2018). Outcomes that define successful advance care planning: A delphi panel consensus. Journal of Pain and Symptom Management, 55(2), 245-255.e8.
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Zhao, J., Demir, F., Ghosh, P. K., Earley, A., & Kim, M. (2022). Reforming the countermeasures injury compensation program for COVID-19 and beyond: An economic perspective. Journal of Law and the Biosciences, 9(1). https://doi.org/10.1093/jlb/lsac008
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