The clinical nurse leader (CNL) is a key leader in healthcare systems, working collaboratively with interdisciplinary teams to improve client outcomes and ensure effective coordination of care. In this assignment, we will address several critical elements related to the coordination of care by CNLs, including the development of a care plan, consideration of the appropriate healthcare facility setting, establishment of interdisciplinary relationships, implementation of cost-effective services, assessment of technological solutions, avoidance of readmission, and utilization of informatics systems for care management.
When developing a plan for the coordination of care, CNLs should rely on current, evidence-based best practice guidelines. These guidelines provide a framework for the CNL’s decision-making process and ensure that the care provided is based on the most up-to-date knowledge and research. The plan should outline the necessary clinical guidelines to move the client to the next level of care, addressing their needs as an inpatient and post-discharge. Additionally, the plan should detail how the treatment will be coordinated, including the frequency of client encounters with clinicians.
In considering the appropriate facility setting for the client, CNLs must evaluate whether the current facility is suitable and if it would be cost-effective to explore alternative care settings. Factors such as the client’s medical condition, required level of care, and available resources should be taken into consideration. CNLs should assess whether the current facility can adequately meet the client’s needs and if alternative care settings, such as home care or community health resources, could provide a more cost-effective solution.
Interdisciplinary professional working relationships play a crucial role in facilitating ethical and strategic decision making. Collaborative communication and teamwork among healthcare providers from different disciplines foster a comprehensive understanding of the client’s needs and enable the development of holistic care plans. CNLs can encourage ethical and strategic decision making by promoting a culture of mutual respect, open communication, and shared decision making within the interdisciplinary team.
To ensure high-quality and cost-effective care, CNLs must consider and implement appropriate services for the client. This includes provisions for durable medical equipment, home services, and community health resources. CNLs should identify cost-effective solutions, such as exploring options for equipment rental rather than purchase or coordinating with community resources to provide necessary services at a lower cost. By optimizing the use of available resources, CNLs can ensure that the client receives the care they need without unnecessary financial burden.
Technology, such as telehealth or remote health technological monitoring systems, can play a significant role in managing clients’ care. CNLs should assess whether the client can be effectively managed through these technologies, considering factors such as the client’s medical condition and the availability of specialist services. The use of specialized applications for monitoring vital signs, such as O2 saturation, blood pressure, and blood glucose, can provide real-time data and facilitate timely interventions, resulting in improved client outcomes.
The potential for readmission within 30 days is an important consideration for CNLs. By carefully assessing the client’s condition and implementing appropriate interventions, CNLs can work to minimize the risk of readmission. This may include interventions such as medication management, care coordination, and education on self-care practices. By addressing potential risk factors and providing comprehensive support, CNLs can help reduce the likelihood of readmission and the associated costs.
The assessment of intradisciplinary and interdisciplinary care provided through the coordination of the client’s care can be facilitated through the use of informatics systems. These systems enable the collection, analysis, and interpretation of data, allowing CNLs to monitor the client’s progress, identify trends, and make informed decisions regarding their care. By leveraging informatics systems, CNLs can enhance the quality and efficiency of care delivery, promoting positive client outcomes.
In conclusion, the role of the clinical nurse leader in coordinating care is multifaceted and requires careful consideration of various factors. By developing evidence-based care plans, evaluating the suitability of healthcare facility settings, fostering interdisciplinary relationships, implementing cost-effective services, assessing technological solutions, preventing readmissions, and utilizing informatics systems, CNLs can enhance client-centered outcomes and ensure the delivery of high-quality care in a complex healthcare environment.