Agenda and Outcomes

[Audio] Hello everyone, and thank you for joining us today as we explore the crucial topic of care coordination. We have organized our presentation's agenda to cover a number of important topics. We will start by defining care coordination, clarifying its main goal, and highlighting the inherent value it adds to the healthcare system. Moving forward, we will concentrate on the area of care coordination for people with mental illnesses and examine how it might improve mental health outcomes. Additionally, we will carefully evaluate the effects of regulations, looking at federal, state, and local laws that create moral conundrums when it comes to coordinating care for people with mental health issues. We will also examine care coordination and continuity in the context of mental illness by delving into the nursing ethical code. Finally, we will discuss the socioeconomic factors that affect health that are part of Healthy People 2020 since they are crucial in determining how we approach care coordination. By the end of this presentation, we want to have given you a thorough grasp of care coordination, its effects on the healthcare sector, and its consequences for patient welfare..

[Audio] The idea of care coordination is an essential strategy in the delivery of modern healthcare. It involves the systematic orchestration of many aspects of a patient's care plan, according to the Association for Quality in Healthcare's (2019) definition. This procedure depends on a broad, multidisciplinary team of healthcare specialists working closely together and smoothly communicating information. Providing patients with great, patient-centered care that is both effective and cost-effective is the ultimate goal of care coordination. This strategy strives to improve patient outcomes, reduce duplication of effort, and improve the quality of care by coordinating the activities of healthcare providers. It does this by redefining the healthcare landscape in favor of a more comprehensive and efficient model of delivery..

[Audio] Care coordination is crucial in healthcare for several reasons. First, it reduces hospital visits, improving healthcare efficiency and freeing up resources for more urgent patients. Second, it streamlines medical treatments, reduces redundancy, and cuts costs. treatment coordination also ensures that patients receive well-rounded and tailored treatment, which improves health outcomes and patient satisfaction. Clearer and more effective communication among healthcare providers is essential for accurate diagnosis and treatment strategies. Finally, good care coordination eliminates unnecessary tests and treatments, saving patients time, money, and medical risks. In conclusion, care coordination is essential to modern healthcare, improving patient care, resource optimization, and health outcomes..

[Audio] For people dealing with mental illness, improving outcomes depends critically on the coordination of care. Patients can gain a variety of advantages by giving this element of treatment priority. First of all, it encourages the development of therapeutic connections that respect and reflect the particular aims and requirements of each patient, encouraging a more patient-centric approach to treatment. Additionally, care coordination allows easy access to a wide range of priceless resources, including support groups and medical specialists, enhancing the patient's overall experience with care. Additionally, it helps them on their path to sobriety, especially when substance misuse and mental health issues go hand in hand. According to Karam et al. in 2021, the implementation of care coordination ultimately gives all parties involved in the patient's care a greater sense of agency and responsibility. This collaborative approach not only promotes more effective treatment but also enhances people's prospects and general well-being as they navigate the complicated world of mental illness..

[Audio] There are pros and cons to having the government oversee care coordination. The Affordable Care Act (ACA) may have a substantial effect on people with mental health problems by expanding their access to effective treatments. This improves public health by focusing on a neglected yet essential part of medical care. In addition, the ACA's prohibition on excluding people based on their health status is a significant advance toward universal healthcare. However, there is a drawback to government engagement, which is that bureaucracy and incompetence may slow down care delivery. While the ACA has been helpful, there are still problems with healthcare that have not been fixed, such as the coverage gap for prescription medicines under Medicare. There is a nuanced trade-off between the advantages and disadvantages of government regulation in care coordination that must be taken into account. Carbajal, n.d..

[Audio] A major issue in modern healthcare is the potential harmful effect of government laws on care coordination. An important case in point is the Supreme Court decision from 2012, which allowed individual states to opt out of Medicaid expansion. This might make it more challenging for those with mental health conditions to get the care they need. There is a dire need for additional treatment options, and yet the present healthcare system is struggling to cope with a dearth of physicians, with almost none taking on new patients at the moment (Rosenbaum & Wilensky, 2020). Because of the serious consequences for people's health and their ability to get the treatment they need, the government must immediately reform the restrictions that get in the way of effective care coordination..

[Audio] Reforms that have improved mental health patient treatment must be recognized. For instance, the 2015 Bipartisan Budget Act provided significant funds to promote mental health services, early intervention, and quality. This act set a milestone by addressing mental health in US healthcare. The Substance Use Disorder Parity and Education Act has also helped ensure equitable care for those with substance use disorders, sometimes in conjunction with mental diseases. These measures have boosted mental health care accessible and reduced stigma, benefiting countless people seeking help..

[Audio] The Health Insurance Portability and Accountability Act (HIPAA) has significant and far-reaching effects on people with mental illness. In addition to facilitating the availability and affordability of health insurance, HIPAA also protects the privacy and confidentiality of individuals' mental health information and treatment. HIPAA ensures that sensitive mental health information remains confidential by enforcing stringent rules and standards on healthcare providers, insurers, and organizations. This reduces the possibility of stigmatization or discrimination. This legislation encourages increased confidence and accessibility within the mental healthcare system by enabling people living with mental illness to seek essential treatment without worrying that their private medical information would be exploited or revealed (Krzyzanowski & Manson, 2022)..

[Audio] Care coordination is essential to providing patients with the best care and support. According to the Nurse's Code of Ethics, ethics guide this cooperation. Maintaining dignity in human connections involves respect and empathy for patients, trust, and good communication within the healthcare team. Respect for choice and independence emphasizes the idea that patients should have a say in their treatment decisions, honoring their autonomy and preferences. Healthcare providers must collaborate to consider all facets of a patient's well-being. Privacy is essential for protecting patients' medical data. Disruptions in care coordination can result from ethical issues including confidentiality and discrimination, emphasizing the necessity for strict ethical standards in healthcare delivery..

[Audio] The three main objectives for achieving health in 2020 were to improve health equity, reduce health disparities, and improve people's general well-being. The goal of this purpose was to develop a society that promoted a condition of perfect health by making illnesses, disabilities, injury, and early death uncommon occurrences. Furthermore, the goal was to create communities that were safe and caring for everyone, understanding that one's surroundings have a significant impact on health outcomes. Promoting healthy behaviors and helping people reach their full potential were essential for achieving these goals, with an emphasis on personal growth and flourishing as essential components of a better and more equal future (Burggraf, 2020)..

[Audio] In conclusion, enhancing health outcomes and elevating the quality of treatment in the realm of mental health necessitates a seamless coordination effort across the entire healthcare ecosystem. For people seeking mental health support, effective care coordination depends on the capacity of all pertinent disciplines to share precise information and engage in collaborative planning, especially when dealing with numerous entities like healthcare providers, organizations, and governmental agencies. To improve outcomes for persons who struggle with mental wellbeing, it is crucial to remove organizational and legal constraints that prevent the exchange of vital patient information, such as prescription drug information and results of mental health tests. The complexity of setting up care for people with mental health issues emphasizes how crucial this effort is. I appreciate you giving me your time today, and I am happy to answer any queries you might have..

References. Burggraf, V. (2020). Healthy People 2020: Implications for Practice. Healthy Aging, 9. http://49.231.238.169/pqlogin/doc/Healthy%20Aging.pdf#page=29 Carbajal, K. ACA: How has the Accountable Care Organization Impacted the Quality of Care in the State of California? (Doctoral dissertation, California State University, Northridge). https://scholarworks.csun.edu/bitstream/handle/10211.3/224070/Carbajal-Karissa-thesis-2022.pdf?sequence=1 Care Coordination. (n.d.). Agency for Healthcare Research and Quality. https://www.ahrq.gov/ncepcr/care/coordination.html Karam, M., Chouinard, M. C., Poitras, M. E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing care coordination for patients with complex needs in primary healthcare: A scoping review. International Journal of Integrated Care, 21(1). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7977020/ Krzyzanowski, B., & Manson, S. M. (2022). Twenty years of the health insurance portability and accountability act safe harbor provision: unsolved challenges and ways forward. JMIR Medical Informatics, 10(8), e37756. https://medinform.jmir.org/2022/8/e37756/ Montenegro, J. L. Z., da Costa, C. A., & da Rosa Righi, R. (2019). Survey of conversational agents in health. Expert Systems with Applications, 129, 56-67. https://www.sciencedirect.com/science/article/pii/S0957417419302283 Rosenbaum, S., & Wilensky, G. (2020). Closing The Medicaid Coverage Gap: Options For Reform: A review of options that could make health insurance more affordable for 2.5 million poor working age adults who live in states that have not expanded Medicaid under the Affordable Care Act. Health Affairs, 39(3), 514-518. https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.2019.01463.