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Assessment 3: Patient Discharge Care Planning

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Student Name

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Capella University

Course Name

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Prof Name
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March 10, 2024
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Patient Discharge Care Planning rv
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This assessment focuses on the release care anticipating Marta Rodriguez, as of late hospitalized
because of a serious mishap en route to school. Following a four-week stay in the emergency
room, including different medical procedures and anti-toxin therapy, Marta's consideration
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coordination is basic. In my job as the senior consideration organizer, I will communicate Marta's
viewpoint during a forthcoming interdisciplinary group meeting to examine her release plans.
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Longitudinal, Patient-Centered Care Plan

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To guarantee Marta Rodriguez gets thorough, patient-focused care, the interdisciplinary group
will use Wellbeing Data Innovation (HIT) parts to upgrade correspondence and coordination
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across her consideration process. These HIT components incorporate electronic wellbeing
records (EHRs), secure informing stages, telehealth innovation, and drug compromise devices.
EHRs will work with continuous access and updates to Marta's clinical records, empowering the
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improvement of a far reaching care plan (Schwab et al., 2021).

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Secure informing stages will smooth out correspondence among colleagues, especially with
respect to changes in Marta's condition, arrangements, and prescription timetables (Flickinger et
al., 2022). Telehealth innovation will empower remote checking of Marta's important bodily

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functions, empowering early mediation (Chowdhury et al., 2020). Moreover, medicine
compromise instruments will guarantee the exactness of her prescription rundown, in this way
decreasing drug blunders.

To forestall Marta's readmission in the span of 48 hours after release, the between proficient
group should guarantee Marta gets satisfactory training, support, and follow-up care (Oksholm et
al., 2023). The use of HIT components can support these endeavors. For example, telehealth
innovation can screen Marta's post-release progress, offer virtual help, and recognize potential

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issues that could prompt readmission. Moreover, secure informing stages can give Marta
convenient and exact data with respect to her medicine and follow-up arrangements.

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In the interim, the joining of these HIT components will advance consideration coordination for
Marta by encouraging correspondence and joint effort among colleagues. Admittance to uniform

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data about Marta will empower the improvement of an extensive consideration plan. Besides,
EHRs will allow colleagues to keep tabs on Marta's development, guaranteeing that she gets

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proper consideration all through her recuperation. By saddling HIT components, the between
proficient group can convey a patient-focused, facilitated, and successful consideration plan

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Data Reporting
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Data reporting holds immense significance in the healthcare industry, shaping care coordination,
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administration, clinical efficiency, and interdisciplinary innovation in treatment. In Marta

Rodriguez’s case, data reporting on her behaviors can enhance the quality of her care and support
her recovery in three key ways:
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Care Coordination: Data reporting can facilitate care coordination among inter-professional team
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members by providing a shared understanding of Marta’s condition and progress (Brooks et al.,
2020). For instance, data on Marta’s medication adherence, vital signs, and symptoms can be
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reported through EHRs or secure messaging platforms, enabling effective collaboration in her
care management and reducing the risk of complications or readmissions.
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Care Management: Data reporting can shape care management by identifying areas where Marta
may require additional support or interventions. Information on her pain levels, mobility, and
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nutritional status, for example, can be reported to the team, allowing them to adjust her care plan
as needed to improve its quality and enhance her recovery.

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Inter-professional Innovation: Data reporting can drive innovation in inter-professional care by
providing insights into Marta’s behaviors and preferences. Data regarding her language
preferences or cultural background can be shared with the team, enabling them to tailor their care
to her specific needs, thereby promoting patient-centered care and better outcomes.

To ensure data quality, the team should implement data validation protocols, conduct regular
audits, and provide training on data entry and reporting best practices. Additionally, the data
must be relevant to Marta’s care goals and aligned with evidence-based practices, allowing the

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team to make informed decisions and provide her with the best possible care.

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Client’s Record Influencing Health Outcomes

Patient records play a pivotal role in improving health outcomes. Marta Rodriguez’s case

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demonstrates how inter-professional teams can leverage Health Information Technology (HIT) to
collect, analyze, and share information from client records, ultimately enhancing patient care and

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outcomes. This discussion explores how data obtained from patient records can positively
influence health outcomes and how inter-professional teams can coordinate their efforts using

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HIT.
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HIT enables inter-professional teams to gather and analyze data from client records, offering
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insights into trends, patterns, and care gaps (Leslie & Paradis, 2018). For instance, Marta’s
records can provide valuable information about her medical history, medication regimen, and
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health status, facilitating the development of a comprehensive care plan tailored to her unique
needs. HIT can also help identify potential risks, such as adverse drug reactions or postoperative
complications, enabling prompt intervention to prevent negative health outcomes.
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Moreover, HIT enhances care coordination among inter-professional team members. By sharing
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information from client records, team members can collaborate more effectively in managing
patient care. Tools like EHRs and secure messaging platforms enable real-time communication,
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ensuring that all team members are up-to-date with the latest patient information. This reduces
the risk of miscommunication and errors, ultimately leading to improved health outcomes for the
patient.
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Effective coordination of findings among inter-professional team members requires clear

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communication, a shared care plan, and a willingness to collaborate toward common goals
(Rawlinson et al., 2021). HIT tools provide a centralized platform for accessing and sharing
information, ensuring that all team members have a comprehensive understanding of the

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patient’s care needs. This collaborative approach enables the provision of holistic care that
addresses all aspects of the patient’s health, resulting in better health outcomes.

Positive health outcomes can be influenced by the use of HIT to collect, analyze, and distribute
data from patient records. Inter-professional teams can utilize HIT tools to coordinate their
efforts, ensuring access to the latest patient information. Through effective collaboration and the
proficient use of HIT tools, these teams can provide patient-centered care that comprehensively
addresses all aspects of the patient’s health, leading to improved health outcomes.

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Conclusion

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Marta Rodriguez’s post-discharge care involves a patient-centered approach characterized by
effective coordination. The utilization of HIT elements, including EHRs, telehealth technology,

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medication reconciliation tools, and secure messaging platforms, will enhance communication
and coordination across her care continuum. The significance of data reporting in care

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coordination, clinical efficiency, and inter-professional innovation is acknowledged by the team,
with high-quality data providing insights into Marta’s behaviors and preferences, resulting in

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improved patient-centered care and outcomes. Client records serve as a valuable source of data
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for enhancing health outcomes, and the adept use of HIT assists inter-professional teams in
collecting, analyzing, and sharing this information to develop a tailored care plan for Marta. The
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inter-professional team’s effective collaboration will ensure Marta receives proper education,
support, and follow-up care, reducing the risk of readmission within 48 hours after discharge.
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References

Brooks, E. M., Winship, J. M., & Kuzel, A. J. (2020). A “Behind-the-Scenes” look at

inter-professional care coordination: How person-centered care in safety-net health system
complex care clinics produces better outcomes. International Journal of Integrated Care, 20(2).
https://doi.org/10.5334/ijic.4734

Chowdhury, D., Hope, K . D., Arthur, L. C., Weinberger, S. M., Ronai, C., Johnson, J. N., &
Snyder, C. S. (2020). Telehealth for pediatric cardiology practitioners in the time of COVID-19.

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Pediatric Cardiology, 41(6), 1081–1091. https://doi.org/10.1007/s00246-020-02411-1

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Flickinger, T. E., Waselewski, M., Tabackman, A., Huynh, J., Hodges, J., Otero, K., Schorling,
K., Ingersoll, K., Tiouririne, N. A.-D., & Dillingham, R. (2022). Communication between

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patients, peers, and care providers through a mobile health intervention supporting
medication-assisted treatment for opioid use disorder. Patient Education and Counseling.

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https://doi.org/10.1016/j.pec.2022.02.014

Leslie, M., & Paradis, E. (2018). Is health information technology improving inter-professional

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care team communications? An ethnographic study in critical care. Journal of Interprofessional
Education & Practice, 10, 1–5. https://doi.org/10.1016/j.xjep.2017.10.002
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Oksholm, T., Gissum, K. R., Hunskår, I., Augestad, M. T., Kyte, K., Stensletten, K., Drageset, S.,
Aarstad, A. K. H., & Ellingsen, S. (2023). The effect of transitions intervention to ensure patient
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safety and satisfaction when transferred from hospital to home health care—A systematic review.
Journal of Advanced Nursing. https://doi.org/10.1111/jan.15579
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Rawlinson, C., Carron, T., Cohidon, C., Arditi, C., Hong, Q. N., Pluye, P.,
Peytremann-Bridevaux, I., & Gilles, I. (2021). An overview of reviews on inter-professional
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collaboration in primary care: Barriers and facilitators. International Journal of Integrated Care,
21(2), 32. https://doi.org/10.5334/ijic.5589
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Schwab, P., Mehrjou, A., Parbhoo, S., Celi, L. A., Hetzel, J., Hofer, M., Schölkopf, B., & Bauer,
S. (2021). Real-time prediction of COVID-19-related mortality using electronic health records.
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Nature Communications, 12(1). https://doi.org/10.1038/s41467-020-20816-7

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