Preliminary Care Coordination Plan

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.
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).
Identify available local community resources for a safe and effective continuum of care for this health concern and the community resources should align
with Smart Goals
Competency 1: Adapt care based on patient-centered and person-focused factors.
Analyze a health concern and the associated best practices for health improvement.
Competency 2: Collaborate with patients and family to achieve desired outcomes.
Describe specific goals that should be established to address a selected health care problem.
Competency 3: Create a satisfying patient experience.
Identify available community resources for a safe and effective continuum of care.
Identifies significant and available community resources for a safe and effective continuum of care. Provides a comprehensive list of resources, with credible
evidence of their contribution toward improving community health.
Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.