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

This presentation evaluates approaches to strengthen care coordination for adults living with chronic illnesses by applying an evidence-based intervention. The discussion is structured around a defined PICOT question, which serves as the analytical framework for identifying gaps in coordination and proposing solutions. Emphasis is placed on leveraging healthcare services and organizational resources to improve interprofessional collaboration and patient outcomes. Additionally, the role of stakeholder engagement is examined, followed by practical recommendations aimed at optimizing resource utilization while ensuring safe, integrated care delivery.

Analysis of Care Coordination Efforts Related to PICOT Question

The guiding PICOT question is: In adult patients with chronic diseases (P) in local healthcare organizations, does implementing a centralized Electronic Health Record system (I), compared to the absence of technology-based coordination (C), improve care coordination outcomes (O) over a two-year period (T)?

Managing chronic diseases requires consistent, accurate, and timely communication across multidisciplinary healthcare teams. However, fragmented information exchange often disrupts continuity of care, leading to delayed interventions and increased clinical risks (Schot et al., 2019). A centralized Electronic Health Record (EHR) system addresses these inefficiencies by enabling immediate access to patient data, thereby supporting timely clinical decisions and reducing preventable errors (Martyn et al., 2022).

Moreover, EHR systems facilitate a unified care delivery model by consolidating treatment plans and clinical goals into a single accessible platform. This promotes evidence-based decision-making and allows healthcare teams to monitor patient progress systematically (Classen et al., 2020). By replacing manual documentation and disconnected communication channels, EHRs enhance workflow efficiency and reduce administrative burdens (Mullins et al., 2020).

How does EHR integration compare with traditional coordination methods?

Aspect	Traditional Coordination	EHR-Integrated Coordination
Data Access	Paper-based and delayed	Real-time digital access
Communication	Fragmented (phone/in-person)	Centralized and instantaneous
Care Plan Consistency	Inconsistent and variable	Standardized and accessible
Decision-Making	Isolated and slower	Collaborative and data-driven
Risk of Errors	Higher due to manual processes	Lower through automated alerts
Outcome Tracking	Retrospective and manual	Continuous and automated

Key Implications and Conclusions

The adoption of centralized EHR systems significantly improves coordination for patients with chronic conditions by ensuring seamless data sharing among providers. This technological integration enhances responsiveness to patient needs, supports clinical accuracy, and contributes to better health outcomes (Mullins et al., 2020).

Key implications include:

• Improved timeliness and reliability of patient information exchange
• Enhanced alignment with evidence-based clinical guidelines
• Increased operational efficiency within healthcare organizations
• Strengthened capacity for continuous quality monitoring

Collectively, these benefits position EHR systems as a foundational component of sustainable and high-quality chronic disease management.

Change in Practice Related to Services and Resources Available for Interprofessional Care Coordination Team

The implementation of EHR systems transforms interprofessional practice by providing shared, real-time access to patient data for all care team members, including physicians, nurses, pharmacists, and allied health professionals (Renoux et al., 2020). This reduces dependence on traditional communication methods and minimizes treatment delays.

EHR-enabled systems also introduce:

• Automated alerts for critical clinical updates
• Integrated care planning tools
• Enhanced coordination across specialties

Evidence suggests that organizations utilizing EHRs experience improved patient outcomes, stronger team collaboration, and fewer communication breakdowns (Lourie et al., 2020; Mullins et al., 2020). These improvements support a cohesive care model where all providers operate using consistent and up-to-date information.

Efforts to Build Stakeholder Engagement within Interprofessional Team

Effective implementation of EHR systems depends on active stakeholder participation. Key stakeholders include clinicians, administrative leaders, IT professionals, and support staff. Their engagement is essential for ensuring system usability and successful integration into clinical workflows (Robertson et al., 2022).

What strategies support stakeholder engagement?

• Conducting regular interdisciplinary meetings to clarify roles and expectations
• Demonstrating the clinical and operational benefits of EHR adoption
• Providing continuous technical support and training
• Addressing concerns related to workflow disruption and data security

Proactive risk management strategies, including system testing and feedback loops, help mitigate challenges such as resistance to change and technical limitations (Vos et al., 2020; Sittig et al., 2022). Collaborative problem-solving further strengthens trust and promotes long-term adoption.

Future Steps to Thoughtful Resource Utilization and Safe Care Coordination

Sustaining improvements in care coordination requires ongoing investment in workforce development and system optimization. Continuous education ensures that healthcare professionals remain proficient in EHR use and adaptable to technological advancements (Samadbeik et al., 2020).

What actions are necessary for long-term success?

• Routine system audits to ensure data accuracy and security (Poulos et al., 2021)
• Performance benchmarking against established healthcare standards
• Implementation of feedback mechanisms for continuous improvement
• Active involvement of patients and families in care planning

Engaging patients in decision-making enhances adherence to treatment plans and reinforces patient-centered care principles (Sauers-Ford et al., 2021). These strategies collectively support safe, efficient, and coordinated healthcare delivery.

Conclusion

This analysis highlights the effectiveness of a PICOT-guided intervention focused on implementing centralized EHR systems to improve care coordination for chronic disease management. Identified gaps in traditional coordination practices underscore the need for technology-driven solutions. The integration of EHRs enhances collaboration, streamlines workflows, and supports data-informed decision-making.

Sustained success depends on continuous training, stakeholder engagement, system evaluation, and patient involvement. These elements are critical to maintaining a high standard of coordinated, safe, and patient-centered care.

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

NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission

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

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. https://doi.org/10.1109/ro-man47096.2020.9223597

NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission

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

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