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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.

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