Discussion 1 

In your own words, describe the OPT model and the CCCR model. How have you used it in caring for patients and their families in a clinic setting?

Support all responses using at least one scholarly source other than your textbook.

Use national guidelines and evidence-based research when applicable.

• Students may enhance responses with an example, either from personal experience or from the media, which illustrates and supports ideas.
• All sources must be referenced and cited using the correct APA format (including a link to the source)
• Assignment 
• Chronic Condition and Care Coordination Paper
• The body of your paper should be 3-4 pages long NOT including the title page and reference page. Papers that are more than 4 pages long will not be accepted

References – incorporate information from the course text plus a minimum of two (2) scholarly references published within the last five (5) years. Textbooks are not to be considered scholarly references.

Use current APA format to style your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas. 

Headings are required.

• Be sure to allow time for editing and proofreading. Budget your time to take advantage of Tutor.com services.
• Discuss all aspects of healthcare coordination in context to the chosen diagnosis.
• Your paper must include the following:
• Identifying a chronic health condition listed on the CMS websiteLinks to an external site.
  *PMHNP students should select a population focused chronic condition (i.e., Depression, Schizophrenia, Psychotic Disorders, etc. from this list).
• Description of the health issue chosen from the CMS website.
• The incidence and prevalence of this condition in the US.

How the condition is diagnosed, monitored, and treated in individuals with this condition?

Description of the interdisciplinary team that will participate in coordinating care. Specifically, define the role of the APRN in management and coordination.  

1. Can care teams use the CCCR model? Think in terms of systems and complexity reflective thinking. If not, name another model to help manage care?

What is the cost of managing this disease in the county you live? Download the CMS Excel to determine the cost of the condition in context to the state and county. Use the CMS link below:
Spending County Level: All Beneficiaries, 2007-2018 (ZIP)Links to an external site.

What resources are available to help manage the costs of care related to this condition?

Identify barriers or challenges that you foresee for patients and care teams. How can barriers be overcome?

NURS 682 – Chronically Ill Patient Paper

NURS 682 – Chronically Ill Patient Paper

CriteriaRatingsPts

1. This criterion is linked to a Learning OutcomePatient Content
2. 30 to >27.6 pts
3. Proficient
4. Description leaves the reader with a “holistic” picture of the patient’s history, diagnosis, management, and current plan of care.
5. 27.6 to >24.6 pts
6. Acceptable

Description demonstrates a good understanding of the patient’s history, diagnosis, management, and current plan of care.

24.6 to >20.7 pts

Needs Improvement

Description demonstrates a fair understanding of the patient’s history, diagnosis, management, and current plan of care.

20.7 to >0 pts

Unsatisfactory

1. Description demonstrates no understanding of the patient’s history, diagnosis, management, and current plan of care.
2. 30 pts

This criterion is linked to a Learning OutcomeClinic Setting Content

30 to >27.6 pts

Proficient

Provides a rich and detailed description of the clinic setting, providers, and support staff. Description leaves the reader with a complete picture of the setting and patients and diagnoses typically seen.

27.6 to >24.6 pts

Acceptable

Provides a good description of the clinic setting, providers, and support staff. Description leaves the reader with a good picture of the setting and patients and diagnoses typically seen.

24.6 to >20.7 pts

Needs Improvement

Provides a fair description of the clinic setting, providers, and support staff. Description leaves the reader with a fair picture of the setting and patients and diagnoses typically seen.

20.7 to >0 pts

Unsatisfactory

Provides no description of the clinic setting, providers, and support staff. Description leaves the reader with no picture of the setting and patients and diagnoses typically seen.

30 pts

This criterion is linked to a Learning OutcomeCare Coordination Model Content

20 to >18.4 pts

Proficient

Provides a rich and detailed description of the care coordination model proposed. Description is accurate and thorough demonstrating a sophisticated understanding of the care model.

18.4 to >16.4 pts

Acceptable

Provides a good description of the care coordination model proposed. Description is accurate and mostly thorough demonstrating a good understanding of the care model.

16.4 to >13.8 pts

Needs Improvement

Provides a fair description of the care coordination model proposed. Description is generally accurate demonstrating a fair understanding of the care model.

13.8 to >0 pts

Unsatisfactory

Provides no description of the care coordination model proposed. Description is inaccurate demonstrating a lack of understanding of the care model.

20 pts

This criterion is linked to a Learning OutcomeAnalysis

20 to >18.4 pts

Proficient

Demonstrates a sophisticated understanding and of how the care model will be effective for patients exhibiting similar diagnoses and how the care model will fit into the clinic setting described. Provides an insightful explanation of what will need to change in the clinic setting to improve the fit.Demonstrates a sophisticated understanding of the topic(s) and issue(s). Provides a rich and detailed explanation to the questions.Provides an in-depth, critical analysis appropriately connecting findings to specific clinical concepts, using carefully selected quotes, principles, and/or theories cited from course readings.

18.4 to >16.4 pts

Acceptable

Demonstrates a good understanding of how the care model will be effective for patients exhibiting similar diagnoses and how the care model will fit into the clinic setting described. Provides an insightful explanation of what will need to change in the clinic setting to improve the fit.Demonstrates a good understanding of the topic(s) and issue(s). Provides a rich and detailed explanation to the questions. Provides a fairly in-depth, critical analysis connecting many findings to specific clinical concepts, using carefully selected quotes, principles, and/or theories cited from course readings.

16.4 to >13.8 pts

Needs Improvement

Demonstrates a fair understanding of how the care model will be effective for patients exhibiting similar diagnoses and how the care model will fit into the clinic setting described. Provides an insightful explanation of what will need to change in the clinic setting to improve the fit.Demonstrates a fair understanding of the topic(s) and issue(s). Provides a rich and detailed explanation to the questions. Provides a somewhat critical analysis connecting some findings to specific clinical concepts, using carefully selected quotes, principles, and/or theories cited from course readings.

13.8 to >0 pts

Unsatisfactory

Demonstrates a lack of understanding of how the care model will be effective for patients exhibiting similar diagnoses and how the care model will fit into the clinic setting described. Provides an insightful explanation of what will need to change in the clinic setting to improve the fit.Demonstrates a lack of understanding of the topic(s) and issue(s). Provides a rich and detailed explanation to the questions. Provides no critical analysis connecting findings to specific clinical concepts, using carefully selected quotes, principles, and/or theories cited from course readings.

20 pts

This criterion is linked to a Learning OutcomeEvidence-based Research

10 to >9.2 pts

Proficient

Supplements the paper with relevant and appropriate research; clearly and thoroughly documents all sources of information.

9.2 to >8.2 pts

Acceptable

Supplements the paper with relevant and somewhat thorough research; generally, correctly documents all sources of information.

8.2 to >6.9 pts

Needs Improvement

Supplements the paper with little relevant research into the present: not all sources of information are clearly and thoroughly documented.

6.9 to >0 pts

Unsatisfactory

Does not supplement the paper with relevant research; does not appropriately document all sources of information.

10 pts

This criterion is linked to a Learning OutcomeAPA and Mechanics

10 to >9.2 pts

Proficient

The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly.

9.2 to >8.2 pts

Acceptable

The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are cited and referenced correctly.

8.2 to >6.9 pts

Needs Improvement

The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Many sources are cited and referenced incorrectly, or citations and references are missing where needed.

6.9 to >0 pts

Unsatisfactory

No attempt to follow APA format is indicated. Sources are not used and/or there is no reference page. Mechanical errors significantly interfere with the readability of the paper.

10 pts

Total Points: 120

Collepals.com Plagiarism Free Papers

Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.

Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS

Why Hire Collepals.com writers to do your paper?

Quality- We are experienced and have access to ample research materials.

We write plagiarism Free Content

Confidential- We never share or sell your personal information to third parties.

Support-Chat with us today! We are always waiting to answer all your questions.