As recent studies suggest, professional nurses have the potential for significant contributions to patient-centered, cost-effective care through the care coordination role. In order to fully achieve this potential, clear models and outcome measures are needed which specify the context for care coordination, identify nursing competencies, and value the nurse’s role within the health care team.
This article explores the individual and collective contributions of registered nurses in ambulatory care and the value of the impact of those contributions on patient outcomes.
This clinical practice guideline (CPG) has been developed under a project conducted by the American Medical Directors Association (AMDA), and is intended for the members of the interdisciplinary team in long-term care facilities, including the medical director, director of nursing, practitioners, nursing staff, consultant pharmacist, and other professionals such as therapists, social workers, dietitians, and nursing assistants who care for residents of long-term care facilities.
This document provides an overview of the pediatric care coordination curriculum developed by Dr. Peter Antonelli, and provides information on contacting him for access to the full content.
The Ottawa Personal Decision Guide is for people who are facing tough decisions, such as those with critical health issues. It will help you instruct the patient on how to identify personal needs, plan next steps, track progress, and communicate views to others involved when making health care decisions.
The 5 A’s Behavior Change Model is intended for use with the Improving Chronic Illness Care Chronic Care Model (CCM), and was created with the goal of ensuring that all patients have a Self-Management (SM) Action Plan informed by and including all the 5 A’s elements (Assess, Advise, Agree, Assist, Arrange).
A resource that defines teach-back and provides guidelines for the successful use of that approach when assessing a patient's understanding of their condition and care.
This article outlines the rights of patients with respect to EMR/EHR data, and the resources available to patients to make use of that data.
A sample tool for assessing the care coordination process for pediatric patients in a hospital environment.
Telehealth Nursing Practice uses the nursing process to provide nursing care and access to health care for individual patients or patient populations over the telephone in multiple health care settings.