NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission
Student Name
Capella University
NURS-FPX 6614 Structure and Process in Care Coordination
Prof. Name
Date
Disseminating the Evidence Scholarly Video Media Submission
Hello everyone, my name is [Name]. In this presentation, I will examine strategies to enhance care coordination for adult patients living with chronic diseases through an evidence-based intervention. The focus will be on addressing coordination challenges guided by a specific PICOT question. I will also discuss services and resources that facilitate interprofessional collaboration to improve outcomes for chronic disease management. Furthermore, strategies to engage stakeholders effectively will be explored, culminating in recommendations to optimize resource use and maintain a safe, coordinated care environment.
Analysis of Care Coordination Efforts Related to PICOT Question
The PICOT question guiding this analysis is: “In adult patients with chronic diseases (P) in local healthcare organizations, does implementing a centralized Electronic Health Record system (I) compared to no technology-oriented coordination (C) result in improved care coordination (O) within two years (T)?”
Chronic disease management demands seamless communication and collaboration among healthcare providers. Breakdowns in information sharing across interprofessional teams frequently impede patient-centered care, causing delays in treatment and increasing the likelihood of errors (Schot et al., 2019). Centralized Electronic Health Record (EHR) systems are identified as a key intervention to address these challenges. EHRs enable real-time access to patient data across care teams, allowing clinicians to respond rapidly to changes in patient conditions, adjust treatment plans, and mitigate adverse events (Martyn et al., 2022).
Centralized EHR integration promotes a collaborative care model by providing a unified platform for care plans and treatment objectives. This integration enhances data-driven decision-making, enabling quality assurance teams to monitor trends and evaluate outcomes. As a result, clinical priorities are better aligned with evidence-based practices (Classen et al., 2020). Additionally, EHR adoption streamlines communication processes, eliminating reliance on manual record-keeping and phone-based coordination, which reduces operational inefficiencies (Mullins et al., 2020).
Table 1: Comparison of Traditional Coordination vs. EHR-Integrated Coordination
| Aspect | Traditional Coordination | EHR-Integrated Coordination |
|---|---|---|
| Data Access | Paper-based, delayed | Real-time, electronic |
| Communication | Phone, in-person, fragmented | Centralized, instant |
| Care Plan Consistency | Variable, often inconsistent | Unified, easily accessible |
| Decision-Making | Isolated, delayed | Collaborative, data-driven |
| Risk of Errors | High | Reduced through automated alerts |
| Outcome Tracking | Manual, retrospective | Automated, real-time |
Key Implications and Conclusions
Implementing a centralized EHR system has the potential to markedly enhance care coordination for adults managing chronic conditions. Technology-enabled coordination ensures the timely exchange of patient information, supporting patient-centered care delivery. EHRs also contribute to operational efficiency by allowing providers to act swiftly in response to changes in patient status, thereby improving outcomes (Mullins et al., 2020). Beyond immediate care benefits, these systems enable strategic resource management and continuous evaluation of clinical processes, supporting sustainable and high-quality chronic disease management.
Change in Practice Related to Services and Resources Available for Interprofessional Care Coordination Team
The integration of an EHR system transforms the practice of interprofessional care teams by centralizing access to patient data. Physicians, nurses, pharmacists, behavioral health specialists, and nutritionists can simultaneously retrieve updated patient information, reducing the need for physical meetings and paper-based communication (Renoux et al., 2020). This digital approach not only improves workflow efficiency but also decreases treatment delays.
EHR systems overcome traditional communication barriers by providing real-time alerts and collaborative platforms for care planning. Research indicates that healthcare organizations employing EHRs report improved chronic disease outcomes, enhanced team coordination, and fewer communication errors (Lourie et al., 2020; Mullins et al., 2020). These operational efficiencies support a unified approach to patient care, ensuring all team members are working toward the same goals using accurate and current data.
Efforts to Build Stakeholder Engagement within Interprofessional Team
Successful EHR implementation relies heavily on stakeholder engagement. Leadership and structured interprofessional collaboration are essential to smooth transitions to technology-driven care coordination (Robertson et al., 2022). Key stakeholders include clinicians, nurses, administrators, IT staff, and support personnel. Regular interdisciplinary meetings help clarify roles and demonstrate the benefits of shared EHR use in chronic disease management.
Inclusive engagement fosters buy-in from all stakeholders and encourages the creation of shared care plans within the EHR system. Continuous support, troubleshooting services, and a proactive risk assessment strategy address operational concerns such as data security, resistance to adoption, and workflow disruption (Vos et al., 2020; Sittig et al., 2022). High-priority risks are mitigated collaboratively with internal and external experts to minimize unexpected challenges and ensure a seamless transition.
Future Steps to Thoughtful Resource Utilization and Safe Care Coordination
To sustain improvements in care coordination, continuous professional training and targeted education for interprofessional teams are vital. These initiatives ensure proficiency in EHR utilization and readiness for system updates (Samadbeik et al., 2020). Routine audits are necessary to maintain data accuracy and security while identifying potential vulnerabilities (Poulos et al., 2021).
Ongoing quality improvement requires performance audits, benchmarking against institutional or national standards, and feedback loops to adjust care processes based on evolving patient needs (Yurkofsky et al., 2020; Mollica et al., 2021). Engaging patients and families in care planning promotes adherence to treatment regimens and reinforces patient-centered care (Sauers-Ford et al., 2021).
Conclusion
This scholarly dissemination emphasizes a PICOT-guided intervention focused on improving care coordination for chronic disease patients through EHR implementation. The analysis identified gaps in current practices and highlighted centralized EHRs as an effective solution. Changes in practice, strengthened stakeholder engagement, and forward-looking strategies were explored to support safe, efficient, and coordinated care. Sustaining improvements will require ongoing training, system audits, and active patient engagement to ensure high-quality, collaborative chronic disease management.
References
Classen, D. C., Holmgren, A. J., Co, Z., Newmark, L. P., Seger, D., Danforth, M., & Bates, D. W. (2020). National trends in the safety performance of electronic health record systems from 2009 to 2018. JAMA Network Open, 3(5), e205547. https://doi.org/10.1001/jamanetworkopen.2020.5547
Lourie, E. M., Utidjian, L. H., Ricci, M. F., Webster, L., Young, C., & Grenfell, S. M. (2020). Reducing electronic health record-related burnout in providers through a personalized efficiency improvement program. Journal of the American Medical Informatics Association. https://doi.org/10.1093/jamia/ocaa248
Martyn, T., Montgomery, R. A., & Estep, J. D. (2022). The use of multidisciplinary teams, electronic health records tools, and technology to optimize heart failure population health. Current Opinion in Cardiology, 37(3), 302–306. https://doi.org/10.1097/hco.0000000000000968
Mollica, M. A., Buckenmaier, S. S., Halpern, M. T., McNeel, T. S., Weaver, S. J., Doose, M., & Kent, E. E. (2021). Perceptions of care coordination among older adult cancer survivors: A SEER-CAHPS study. Journal of Geriatric Oncology, 12(3), 446–452. https://doi.org/10.1016/j.jgo.2020.09.003
Mullins, A., O’Donnell, R., Mousa, M., Rankin, D., Ben-Meir, M., Boyd-Skinner, C., & Skouteris, H. (2020). Health outcomes and healthcare efficiencies associated with the use of electronic health records in hospital emergency departments: A systematic review. Journal of Medical Systems, 44(12). https://doi.org/10.1007/s10916-020-01660-0
Poulos, J., Zhu, L., & Shah, A. D. (2021). Data gaps in Electronic Health Record (EHR) systems: An audit of problem list completeness during the COVID-19 pandemic. International Journal of Medical Informatics, 150, 104452. https://doi.org/10.1016/j.ijmedinf.2021.104452
NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission
Renoux, J., Veiga, T. S., Lima, P. U., & Spaan, J. (2020). A unified decision-theoretic model for information gathering and communication planning. Örebro University Library (Örebro University). https://doi.org/10.1109/ro-man47096.2020.9223597
Robertson, S. T., Rosbergen, I. C. M., Burton-Jones, A., Grimley, R. S., & Brauer, S. G. (2022). The effect of the electronic health record on interprofessional practice: A systematic review. Applied Clinical Informatics, 13(03), 541–559. https://doi.org/10.1055/s-0042-1748855
Samadbeik, M., Fatehi, F., Braunstein, M., Barry, B., Saremian, M., Kalhor, F., & Edirippulige, S. (2020). Education and training on Electronic Medical Records (EMRs) for health care professionals and students: A scoping review. International Journal of Medical Informatics, 142(1), 104238. https://doi.org/10.1016/j.ijmedinf.2020.104238
NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission
Sauers-Ford, H., Statile, A. M., Auger, K. A., Wade-Murphy, S., Gold, J. M., Simmons, J. M., & Shah, S. S. (2021). Short-term focused feedback. Medical Care, 59(8), S364–S369. https://doi.org/10.1097/MLR.0000000000001588
Schot, E., Tummers, L., & Noordegraaf, M. (2019). Working on working together: A systematic review on how healthcare professionals contribute to interprofessional collaboration. Journal of Interprofessional Care, 34(3), 1–11. https://doi.org/10.1080/13561820.2019.1636007
Sittig, D. F., Sengstack, P., & Singh, H. (2022). Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER guides. JAMA, 327(8), 719. https://doi.org/10.1001/jama.2022.0085
NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission
Vos, J. F. J., Boonstra, A., Kooistra, A., Seelen, M., & van Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties. BMC Health Services Research, 20(1), 676. https://doi.org/10.1186/s12913-020-05542-6
Yurkofsky, M. M., Peterson, A. J., Mehta, J. D., Horwitz-Willis, R., & Frumin, K. M. (2020). Research on continuous improvement: Exploring the complexities of managing educational change. Review of Research in Education, 44(1), 403–433. https://doi.org/10.3102/0091732×20907363