NURS FPX 6616 Assessment 1

NURS FPX 6616 Hypo Assessment 1 Community Resources and Best Practices


Capella University


Professor’s Name

March 2024

NURS FPX 6616 Hypo Assessment 1

Community Resources and Best Practices

Greetings healthcare leaders, I’m Susie, and today I’ll be discussing a crucial subject concerning community resources and optimal practices within a meticulously organized healthcare system and care administration. Meet Mrs. Evelyn Thompson, a fictitious 72-year-old woman grappling with hypertension, representing a demographic faced with unique challenges in healthcare. As leaders committed to quality care coordination, it is essential to delve into the outcomes we aim to achieve for individuals like Mrs. Thompson. The best practices supporting these outcomes involve a personalized approach to hypertension management, considering the specific needs of older individuals. This introduces a pivotal exploration of community resources and best practices tailored for older people dealing with hypertension within the healthcare delivery system. The journey begins with understanding Mrs. Thompson’s requirements, navigating legal and ethical considerations, and determining recommendations rooted in evidence-based practices. Collaborating with an interprofessional team, efficiently using health care information systems, and communicating clearly are crucial elements for leaders aiming to make a meaningful impact on the quality of care for older adults facing hypertension challenges (Li et al., 2020).

In assessing the needs of the community related to care coordination for individuals like Mrs. Thompson, leaders should consider a multifaceted approach. This involves engaging in discussions within the professional community, exploring potential issues that may arise, and seeking insights from various perspectives. Understanding the legal and ethical implications of implementing or changing care coordination practices is paramount (Poon et al., 2021). For Mrs. Thompson and her peers, the stakes are high, and far-reaching effects may arise if care coordination falls short. Enhanced interprofessional coordination becomes imperative, prompting leaders to consider the ethical and legal ramifications if improvements are not achieved. In this context, community resources and best practices emerge as powerful tools to address the healthcare challenges faced by older individuals dealing with hypertension. This presentation aims to unravel the layers of care coordination, shedding light on actionable strategies and resources that can significantly impact the lives of older adults like Mrs. Thompson.


Meet Mrs. Evelyn Thompson, a 72-year-old woman residing in a close-knit community. Mrs. Thompson has been managing hypertension for the past five years, a condition that requires ongoing care and attention. As a retiree, she values her independence and actively participates in community events, but her health condition poses specific challenges. Mrs. Thompson relies on a combination of medications to control her blood pressure, requiring regular medical check-ups and lifestyle adjustments. Despite her resilient spirit, navigating the complexities of healthcare coordination becomes a daily concern. The community lacks a centralized platform to disseminate information on hypertension management, leaving Mrs. Thompson seeking guidance from various sources. The absence of an organized approach to hypertension care coordination in the community poses hurdles for Mrs. Thompson and her peers, underscoring the need for tailored community resources and best practices to enhance the quality of care delivery for older individuals facing hypertension challenges.

Ethical Issues about Use of Health Care Information Systems for Care Coordination

Navigating the integration of health care information systems into care coordination processes for older individuals dealing with hypertension demands a thoughtful examination of the associated ethical considerations. One primary ethical concern revolves around the protection of patient privacy and confidentiality. As healthcare leaders harness digital platforms and interconnected systems to streamline care delivery, safeguarding sensitive health information becomes paramount (Brown et al., 2022). Unauthorized access, potential data breaches, or inadvertent disclosures pose significant threats to patient trust and privacy, underscoring the need for stringent ethical guidelines and technological safeguards. Moreover, the ethical framework should address the equitable access to health care information systems, ensuring that all older individuals, irrespective of socio-economic status, can benefit from advancements without exacerbating existing healthcare disparities (Zaman et al., 2022).

In addition to privacy concerns, the responsible and transparent use of health data for care coordination purposes constitutes another ethical dimension. Leaders must grapple with the ethical responsibility of utilizing patient data judiciously to enhance outcomes for those managing hypertension while ensuring the avoidance of any misuse or exploitation. Striking a delicate balance between leveraging data for improved outcomes and upholding individual autonomy is crucial. This involves establishing clear guidelines on data ownership, consent, and the permissible scope of information sharing within the interprofessional team (Godongwana et al., 2021). Leaders should advocate for an ethical framework that prioritizes patient autonomy, informed consent, and the secure, responsible use of health care information systems. This approach fosters a healthcare environment grounded in trust, fairness, and patient-centered care coordination for older individuals grappling with hypertension.

Legal Issues of Current Practices and Potential Changes

In the realm of care coordination for older individuals managing hypertension, a critical consideration involves evaluating the legal aspects of existing practices and potential modifications. Current practices should be scrutinized for compliance with healthcare regulations, particularly focusing on patient privacy and data security. Any contemplated changes must align with legal frameworks such as the Health Insurance Portability and Accountability Act (HIPAA) to safeguard patient confidentiality (Bowling et al., 2021). To ensure legal robustness, an evaluation of state-specific laws is imperative, as these may impact the delivery of healthcare services. This assessment aims to identify and address legal challenges in the current practices and lay the groundwork for legal adherence in proposed changes, supporting this analysis with evidence from scholarly resources.

Potential Changes Recommended

  1. Informed Consent Enhancement: Strengthening informed consent procedures, ensuring patients are comprehensively educated about the use of health information systems.
  2. Data Encryption Implementation: Introducing advanced data encryption measures to heighten the security of patient information and adhere to legal standards (Williams et al., 2020).
  3. Legal Audits and Assessments: Collaborating with legal professionals to conduct regular audits, ensuring ongoing compliance with evolving healthcare laws.
  4. Standardized Legal Frameworks Advocacy: Advocating for the establishment of standardized legal frameworks at the national level to provide clear guidelines for care coordination practices.
  5. Patient Education Initiatives: Implementing initiatives for patient education on legal rights, data usage, and care coordination processes.
  6. Interdisciplinary Legal Collaboration: Encouraging collaboration with legal experts within the healthcare team to address complex legal challenges effectively.
  7. Continuous Legal Education: Incorporating ongoing legal education for healthcare providers to stay abreast of changing legal landscapes and ensure compliance in care coordination practices.

Comparison of Current Outcomes with Best Practices

In the realm of care coordination for older individuals managing hypertension, a critical assessment involves comparing current outcomes with established best practices. Best practices encompass a multifaceted approach, including evidence-based interventions, streamlined communication channels, and robust data utilization. To conduct a comprehensive evaluation, leaders must analyze current outcomes within their healthcare organization or community-based care delivery service. This involves scrutinizing key performance indicators related to hypertension management, such as patient adherence to treatment plans, blood pressure control rates, and the frequency of preventable hospitalizations. By leveraging evidence and scholarly resources, leaders can identify gaps between existing outcomes and the benchmarks set by best practices.

Effective care coordination relies on the integration of best practices to enhance patient outcomes. Leaders should explore the implementation of patient-centered approaches, interdisciplinary collaboration, and proactive management strategies. Best practices often involve leveraging health information systems to facilitate seamless communication, track patient progress, and identify areas for improvement (Padwal & Wood, 2021). By comparing current outcomes with these best practices, leaders can pinpoint areas in need of enhancement. Scholarly resources and empirical evidence play a pivotal role in supporting these comparisons, guiding leaders in making informed decisions that align with the overarching goal of achieving optimal care coordination outcomes for older individuals dealing with hypertension.

Evidence-Based Practices

In addressing the healthcare needs of older individuals like Mrs. Evelyn Thompson dealing with hypertension, implementing evidence-based practices is paramount for achieving optimal care coordination outcomes. An appropriate evidence-based intervention for hypertension management involves the adoption of lifestyle modifications and medication adherence strategies. Encouraging regular exercise, a heart-healthy diet rich in fruits and vegetables, and stress reduction techniques align with evidence supporting their efficacy in blood pressure control (Carey et al., 2021). Additionally, promoting medication adherence through educational programs and personalized counseling can significantly contribute to improved outcomes. Leveraging scholarly resources and empirical evidence, leaders can emphasize these evidence-based interventions, tailoring them to the unique needs of the older population and considering Mrs. Thompson’s scenario for relevance.

By integrating evidence-based practices, leaders can enhance care coordination for older individuals managing hypertension, like Mrs. Thompson. Drawing on research and scholarly insights, they can guide healthcare professionals and the interprofessional team in implementing interventions that have demonstrated effectiveness in similar contexts. This approach ensures that care coordination is rooted in scientific evidence, fostering better patient outcomes and aligning with the commitment to quality healthcare delivery (Turana et al., 2020). Moreover, the utilization of evidence-based practices provides a solid foundation for leaders to assess and measure the impact of interventions on hypertension management, facilitating data-driven decision-making and continuous improvement in care coordination processes.

Role of Stakeholders in Intervention

In enhancing care coordination for older individuals dealing with hypertension, the effective engagement of stakeholders and interprofessional teams is crucial. Leaders must define and delineate the roles of various stakeholders involved in the intervention to ensure a cohesive and collaborative approach. This involves identifying the responsibilities of healthcare providers, community organizations, caregivers, and other relevant stakeholders (Shrestha et al., 2022). For example, healthcare providers play a central role in implementing evidence-based interventions, conducting regular health assessments, and managing medications. Community organizations can contribute by organizing educational programs, support groups, and facilitating access to local resources. By defining and communicating these roles clearly, leaders create a framework that fosters collaboration and synergy among the diverse entities involved in hypertension care.

Supporting this approach with evidence and scholarly resources reinforces the significance of stakeholder engagement in achieving positive care coordination outcomes. Research demonstrates that interventions involving coordinated efforts of various stakeholders lead to better health outcomes for older individuals with chronic conditions (Cavero et al., 2022). Leaders can draw on such evidence to emphasize the value of interprofessional collaboration, encouraging a collective commitment to improving the health and well-being of the older population dealing with hypertension, exemplified by Mrs. Evelyn Thompson’s scenario.

Explanation of Data-Driven Outcomes


In the realm of care coordination for older individuals dealing with hypertension, a data-driven approach is indispensable for achieving and evaluating positive outcomes. Leaders must understand that the effective use of health care information systems provides valuable insights into the community’s needs, allowing for targeted interventions and improved care coordination. By utilizing data measures such as health assessments, medication adherence rates, and lifestyle modifications, leaders can gain a comprehensive understanding of the community’s health landscape (Kuan et al., 2021). For example, tracking blood pressure control rates and identifying gaps in care can guide leaders in tailoring interventions to address specific needs, as seen in the case of Mrs. Evelyn Thompson, an imaginary individual navigating hypertension.

Moreover, leaders need to emphasize the importance of setting appropriate evaluation periods for data-driven outcomes. Regular evaluations enable continuous improvement and refinement of care coordination strategies based on the evolving needs of the community. Evidence and scholarly resources support the effectiveness of data-driven decision-making in healthcare, reinforcing the significance of this approach for achieving quality care coordination outcomes. As leaders integrate this methodology into their practices, they contribute to the creation of a responsive and adaptive healthcare system that meets the unique challenges of older individuals dealing with hypertension.

Practices to Sustain Outcomes

In the pursuit of sustaining positive outcomes in care coordination for older individuals dealing with hypertension, leaders must adopt a multifaceted approach grounded in evidence-based practices. One crucial aspect is the establishment of continuous monitoring mechanisms, leveraging health care information systems to track key performance indicators. Regular data analysis, including blood pressure control rates, medication adherence, and lifestyle modifications, allows leaders to identify trends, anticipate challenges, and proactively address emerging needs within the community. This ongoing surveillance not only ensures that the established outcomes are maintained but also facilitates the adaptation of care strategies to the dynamic nature of health needs.

Furthermore, leaders should champion the integration of patient and community engagement initiatives. Establishing support groups, educational sessions, and outreach programs can empower individuals like Mrs. Evelyn Thompson to actively participate in their care. These practices foster a sense of community and shared responsibility, contributing to sustained positive health outcomes. Evidence and scholarly resources support the effectiveness of such patient-centered interventions in improving long-term adherence to care plans (Adinkrah et al., 2020). By embedding these practices within the organizational culture, leaders create a foundation for sustained success in care coordination, enhancing the overall well-being of older individuals dealing with hypertension in the community.


In conclusion, optimizing care coordination for older individuals, exemplified by Mrs. Evelyn Thompson grappling with hypertension, requires a comprehensive and evidence-based approach. The integration of health care information systems, continuous monitoring, and patient-centric initiatives forms the cornerstone of effective leadership in this domain. By aligning current practices with best practices and addressing legal, ethical, and community-related considerations, leaders can create a robust framework for sustained positive outcomes. Recognizing the dynamic nature of healthcare needs and leveraging stakeholder engagement, leaders contribute to a community-driven model that not only meets immediate health goals but also fosters long-term well-being. The multifaceted strategies presented, rooted in scholarly resources, collectively empower leaders to navigate the complexities of care coordination, ensuring a holistic and enduring impact on the health and lives of older individuals facing hypertension challenges.


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Bowling, C. B., Lee, A., & Williamson, J. D. (2021). Blood pressure control among older adults with hypertension. American Journal of Hypertension, 34(3), 258–266. https://doi.org/10.1093/ajh/hpab002

Brown, J. B., Reichert, S. M., Boeckxstaens, P., Stewart, M., & Fortin, M. (2022). Responding to vulnerable patients with multimorbidity. BMC Primary Care, 23, 62. https://doi.org/10.1186/s12875-022-01670-6

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Godongwana, M., Wet, N., & Milovanovic, M. (2021). The comorbidity of HIV, hypertension and diabetes: A qualitative study exploring the challenges faced by healthcare providers and patients in selected urban and rural health facilities where the ICDM model is implemented in South Africa. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06670-3

Kuan, V., Fraser, H. C., Hingorani, M., Denaxas, S., Gonzalez-Izquierdo, A., Direk, K., Nitsch, D., Mathur, R., Parisinos, C. A., Lumbers, R. T., Sofat, R., Wong, I. C. K., Casas, J. P., Thornton, J. M., Hemingway, H., Partridge, L., & Hingorani, A. D. (2021). Data-driven identification of ageing-related diseases from electronic health records. Scientific Reports, 11(1), 2938. https://doi.org/10.1038/s41598-021-82459-y

Li, L. W., Xue, J., Conwell, Y., Yang, Q., & Chen, S. (2019). Implementing collaborative care for older people with comorbid hypertension and depression in rural China. International Psychogeriatrics, 1–9. https://doi.org/10.1017/s1041610219001509

Padwal, R., & Wood, P. W. (2021). Digital health approaches for the assessment and optimisation of hypertension care provision. Canadian Journal of Cardiology, 37(5), 711–721. https://doi.org/10.1016/j.cjca.2020.12.009

Poon, I. O., Skelton, F., Bean, L. R., Guinn, D., Jemerson, T. L., Mbue, N. D., Charles, C. V., & Ndefo, U. A. (2021). Building community-engaged multidisciplinary partnerships to improve medication management in elderly patients with multiple chronic conditions. Journal of Patient-Centered Research and Reviews, 8(2), 113–120. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8060036/

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Zaman, S. B., Khan, R. K., Evans, R. G., Thrift, A. G., Maddison, R., & Islam, S. M. S. (2022). Exploring barriers to and enablers of the adoption of information and communication technology for the care of older adults with chronic diseases. JMIR Aging, 5(1), e25251. https://doi.org/10.2196/25251

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