Assessment 1 Instructions: Preliminary Care Coordination Plan

Top of Form

Bottom of Form

Content

• Print
• Develop a 3-4 page preliminary care coordination plan for a selected health care problem. Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care.

Introduction

NOTE: You are required to complete this assessment before Assessment 4.

The first step in any effective project is planning. This assignment provides an opportunity for you to strengthen your understanding of how to plan and negotiate the coordination of care for a particular health care problem.

Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care.

As you begin to prepare this assessment, you are encouraged to complete the Care Coordination Planning activity. Completion of this will provide useful practice, particularly for those of you who do not have care coordination experience in community settings. The information gained from completing this activity will help you succeed with the assessment. Completing formatives is also a way to demonstrate engagement.

Preparation

Imagine that you are a staff nurse in a community care center. Your facility has always had a dedicated case management staff that coordinated the patient plan of care, but recently, there were budget cuts and the case management staff has been relocated to the inpatient setting. Care coordination is essential to the success of effectively managing patients in the community setting, so you have been asked by your nurse manager to take on the role of care coordination. You are a bit unsure of the process, but you know you will do a good job because, as a nurse, you are familiar with difficult tasks. As you take on this expanded role, you will need to plan effectively in addressing the specific health concerns of community residents.

To prepare for this assessment, you may wish to:

• • Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete.
  • Allow plenty of time to plan your chosen health care concern.

Note: Remember that you can submit all, or a portion of, your draft plan to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24-48 hours for receiving feedback.

Instructions

Note: You are required to complete this assessment before Assessment 4.

Develop the Preliminary Care Coordination Plan

Complete the following:

• • Identify a health concern as the focus of your care coordination plan. In your plan, please include physical, psychosocial, and cultural needs. Possible health concerns may include, but are not limited to:
    • Stroke.
    • Heart disease (high blood pressure, stroke, or heart failure).
    • Home safety.
    • Pulmonary disease (COPD or fibrotic lung disease).
    • Orthopedic concerns (hip replacement or knee replacement).
    • Cognitive impairment (Alzheimer’s disease or dementia).
    • Pain management.
    • Mental health.
    • Trauma.
  • Identify available community resources for a safe and effective continuum of care.

Document Format and Length

• • Your preliminary plan should be an APA scholarly paper, 3-4 pages in length.
    • Remember to use active voice, this means being direct and writing concisely; as opposed to passive voice, which means writing with a tendency to wordiness.
  • In your paper include possible community resources that can be used.
  • Be sure to review the scoring guide to make sure all criteria are addressed in your paper.
    • Study the subtle differences between basic, proficient, and distinguished.

Supporting Evidence

Cite at least two credible sources from peer-reviewed journals or professional industry publications that support your preliminary plan.

Grading Requirements

The requirements, outlined below, correspond to the grading criteria in the Preliminary 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.

• • Analyze your selected health concern and the associated best practices for health improvement.
    • Cite supporting evidence for best practices.
    • Consider underlying assumptions and points of uncertainty in your analysis.
  • Describe specific goals that should be established to address the health care problem.
  • Identify available community resources for a safe and effective continuum of care.
  • Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
  • Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
    • Write with a specific purpose with your patient in mind.
    • Adhere to scholarly and disciplinary writing standards and current APA formatting requirements.

Additional Requirements

Before submitting your assessment, proofread your preliminary care coordination plan and community resources list to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan. Be sure to submit both documents.

Assessment 3 Instructions: Interdisciplinary Plan Proposal

• For this assessment you will create a 2-4 page plan proposal for an interprofessional team to collaborate and work toward driving improvements in the organizational issue you identified in the second assessment.

The health care industry is always striving to improve patient outcomes and attain organizational goals. Nurses can play a critical role in achieving these goals; one way to encourage nurse participation in larger organizational efforts is to create a shared vision and team goals (Mulvale et al., 2016). Participation in interdisciplinary teams can also offer nurses opportunities to share their expertise and leadership skills, fostering a sense of ownership and collegiality.

You are encouraged to complete the Budgeting for Nurses activity before you develop the plan proposal. The activity consists of seven questions that will allow you the opportunity to check your knowledge of budgeting basics and as well as the value of financial resource management. The information gained from completing this formative will promote success with the Interdisciplinary Plan Proposal. Completing this activity also demonstrates your engagement in the course, requires just a few minutes of your time, and is not graded.

Demonstration of Proficiency

• • Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
    • Explain organizational resources, including a financial budget, needed for the plan to be a success and the impacts on those resources if nothing is done, related to the improvements sought by the plan.
  • Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
    • Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific objective related to improving patient or organizational outcomes.
    • Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
  • Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
    • Explain a change theory and a leadership strategy, supported by relevant evidence, that are most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
  • Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
    • Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
    • Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

Reference

Mulvale, G., Embrett, M., & Shaghayegh, D. R. (2016). ‘Gearing up’ to improve interprofessional collaboration in primary care: A systematic review and conceptual framework. BMC Family Practice, 17.

Professional Context

This assessment will allow you to describe a plan proposal that includes an analysis of best practices of interprofessional collaboration, change theory, leadership strategies, and organizational resources with a financial budget that can be used to solve the problem identified through the interview you conducted in the prior assessment.

Scenario

Having reviewed the information gleaned from your professional interview and identified the issue, you will determine and present an objective for an interdisciplinary intervention to address the issue.

Note: You will not be expected to implement the plan during this course. However, the plan should be evidence-based and realistic within the context of the issue and your interviewee’s organization.

Instructions

For this assessment, use the context of the organization where you conducted your interview to develop a viable plan for an interdisciplinary team to address the issue you identified. Define a specific patient or organizational outcome or objective based on the information gathered in your interview.

The goal of this assessment is to clearly lay out the improvement objective for your planned interdisciplinary intervention of the issue you identified. Additionally, be sure to further build on the leadership, change, and collaboration research you completed in the previous assessment. Look for specific, real-world ways in which those strategies and best practices could be applied to encourage buy-in for the plan or facilitate the implementation of the plan for the best possible outcome.

Using the Interdisciplinary Plan Proposal Template [DOCX] will help you stay organized and concise. As you complete each section of the template, make sure you apply APA format to in-text citations for the evidence and best practices that inform your plan, as well as the reference list at the end.

Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

• • Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.
  • Explain a change theory and a leadership strategy, supported by relevant evidence, that is most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
  • Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
  • Explain organizational resources, including a financial budget, needed for the plan to succeed and the impacts on those resources if the improvements described in the plan are not made.
  • Communicate the interdisciplinary plan, with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.

Additional Requirements

• Length of submission: Use the provided template. Remember that part of this assessment is to make the plan easy to understand and use, so it is critical that you are clear and concise. Most submissions will be 2 to 4 pages in length. Be sure to include a reference page at the end of the plan.
• Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
• APA formatting: Make sure that in-text citations and reference list follow current APA style.

Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

HRM Effectiveness Improvement Plan
Complete your 15-25 page final capstone project plan and a 5-10 slide PowerPoint presentation
synthesizing your research and summarizing your plan for improving effectiveness.
The field of HRM has experienced many opportunities and challenges in recent years. HRM has moved
from being an administrative function to being a role that demands a number of new and challenging
competencies. The HRM literature suggests that the profession faces a critical time. With more
organizations downsizing, outsourcing, or eliminating their HRM functions, clearly HRM professionals
must seize the opportunity to solidify with other senior management their role as strategic partners.
Review your own experiences with HRM. There are many important HR functions and programs to
assess. The most important question may be whether HRM in your organization, or based on your
reading, has become this strategic partner within an organization. More important, does HR leadership
exhibit the competencies necessary to lead an organization through a period of more uncertainty and
change?
As you complete your course project, imagine yourself as an HRM leader who must lead and enhance
the role of HRM in your organization. Think about what employees and senior managers need to know
about a strategic HRM function.
Introduction
Complete your capstone project plan and PowerPoint presentation. This work synthesizes your research
in the field of HRM and summarizes your effectiveness improvement plan as it relates to your topic,
organization, and problem or opportunity.
Instructions
Complete the following:
• Finalize your plan, adding all the components you have completed and integrate them with an
introduction and a conclusion. Note that your final plan should not simply merge the previous
project components into a single document. Rather, it should be a thoughtful, fully integrated
plan that demonstrates your achievement of the HRM program outcomes. Use headings and
subheadings to organize and structure your plan.
• Develop a PowerPoint presentation that showcases your effectiveness improvement plan by
providing a summary of your capstone project. The presentation should synthesize all of your
research, highlight key findings, and summarize your final plan for improving effectiveness.
Additional Requirements
The deliverables for this assessment apply professional skills in HRM to workplace situations that you
will likely encounter in your day-to-day work in human resources. As part of your learning, focus on the
development of effective professional communication skills for the workplace. Your assessment should
meet the following additional requirements:
• Length: Your plan should be 15–25 typed, double-spaced pages, plus the cover and resources
pages.

o The first page should be a cover sheet with your name, the course number, assessment
title, and date. No other information is required on this page.
o The last page should be the reference list.
• Length: Your PowerPoint presentation should include 5–10 slides.
o Select a professional slide background.
o Use slide headings and concise, bulleted text.
o Use the notes section of PowerPoint to outline supporting research and to cite
references.
• Organization: Make sure that your assessment writing is well organized, using headings and
subheadings to organize content for the reader.
• Font and font size: Times New Roman, 12 point.
• Resources: Use a total of at least 10 references and include both trade publications and peer-
reviewed articles.
• Evidence: Support your assertions with data and/or in-text citations.
• APA formatting: Resources and in-text citations are formatted according to current APA style
and formatting.
• Written communication:
o Articulate meaning relevant to the topic, scope, and purpose of the plan.
o Address the appropriate audience, using familiar, discipline-specific language and
terminology.
o Organize content so ideas flow logically with smooth transitions.
o Use spell-check and other tools to ensure correct spelling and grammar.
Before submitting both your plan and the presentation, read the HRM Effectiveness Improvement Plan
scoring guide to ensure that you have included all requirements of the assessment. Both the plan and
your presentation will be graded based on the HRM Effectiveness Improvement Plan scoring guide.
Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback
Tool is designed to provide you with guidance and resources to develop your writing based on five core
skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been
evaluated.
Portfolio Prompt: You should consider adding this assessment to your personal ePortfolio. This
assessment demonstrates your ability to synthesize your research, summarize, and present your plan for
improving effectiveness as it relates to your organization, and problem or opportunity. This skill is
necessary in a professional setting when you are trying to make recommendations. You will want to

organize your assessments to easily support future reflection and to showcase your knowledge with
employers after graduation. For more information on ePortfolio, visit the Campus ePortfolio page.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following
course competencies:
• Competency 1: Apply a strategic perspective to Human Resource Management that guides and
influences organizational effectiveness.
o Apply foundational disciplines of HRM to be an effective HR practitioner.
o Employ strategic thinking and business acumen to be an effective strategic partner.
• Competency 2: Develop skills to lead, build relationships, partner, influence others, and navigate
the organization.
o Utilize leadership, change management, and consultation in the roles of an HR
practitioner.
• Competency 3: Apply and interpret the law and the legal responsibilities of a human resource
professional.
o Apply and interpret the law and the legal responsibilities of an HR manager.
• Competency 4: Use evidence-based decision making to inform and support Human Resource
Management practices.
o Analyze data and metrics to support and evaluate HR programs.
• Competency 5: Apply the SHRM code of ethics to decision making and practice.
o Apply the SHRM code of ethics to decision making and practice.
• Competency 6: Communicate clearly, accurately, and professionally for the HR field.
o Articulate meaning relevant to the topic, scope, and purpose of the plan.
o Address the appropriate audience, using familiar, discipline-specific language and
terminology.
o Organize content so ideas flow logically with smooth tran