NURS FPX 6612 Assessment 3 Patient Discharge Care Planning

NURS FPX 6612 Assessment 3 Patient Discharge Care Planning

Patient Discharge Care Planning 

Patient-centered care is examined through the patient experience, referred to as patient satisfaction. As the patients are more involved in their healthcare and are knowledgeable, they demand a high level of services and improved outcomes (Kippenbrock et al., 2019). Get complete NURS FPX 6612 Assessment 3 Patient Discharge Care Planning

Nurses shall remain in discussion with patients for all the procedures and applications and also brief them about ailment, diagnosis, and treatment to provide good quality care and achieve patient satisfaction. Nurses should provide care with favor, respect, and courtesy for patients to emphasize the importance of communication. 

The survey form was designed to gauge the patients’ satisfaction. It was useful in improving nursing care quality in line with patient satisfaction (Karaca & Durna, 2019).

NURS FPX 6612 Assessment 3 Patient Discharge Care Planning

Marta, a student nurse who had recently moved to Nevada, was enrolled in the first semester, got hit by a car in a road accident, and shifted to a nearby shock trauma center. She would spend four weeks there going through multiple surgeries.

Much useful information related to patient care is noted for patients, including the provider’s comments and drug review plan. This patient information is utilized in lifelong patient-centered care planning. The ability to store patient data and process and retrieve crucial information for healthcare, appointments, patient history, and care records is integrated into Health Information Technology (HIT).

Moreover, Electronic Health Record (EHR) is the key to introducing transparency and accountability in the healthcare system and digitizing health records to keep data safe, secure, and accessible as required. However, there are challenges regarding cyber security and data breaches that have compromised patients’ safety and clinicians’ honor. The shortcoming of communication system existence among different EHR software systems is also creating problems in the effectiveness of EHRs. 

The new data coming from EHR usage provides important information which would be utilized to make better healthcare systems (Kataria & Ravindran, 2020).

This assessment discusses Marta’s practical case and how the staff developed a reliable and safe discharge plan for the patient. However, the advantages of planning discharge care have been discussed.   

How HIT Can be used to Provide Longitudinal Patient-Centered Care Plan

HIT possesses capabilities to improve the safety and quality of care services for health. The future is sustainable for organizations striving to improve patient outcomes. However, HIT concerning the improvement of outcomes needs further research. The role of HIT is crucial as technological advances have led organizations to increase interoperability in the United States as it prepares for stage three of meaningful use. 

Moreover, developed countries like Denmark, Germany, and Switzerland have reconciled medical programs nationally, for example, national EHR, electronic patient record system at the regional level, and national medical cards with chip versus the outcomes (Kruse & Beane, 2018).

Use of HIT Elements

In the United States, many people are prone to diseases due to their lack of quality healthcare knowledge and unhealthy dietary habits. Smoking, stress, and lack of exercise make chronic ailments more likely to occur. HIT has a wider role in providing patient-centered care (PCC) for providing quality healthcare services to individuals to manage their chronic conditions better.

The prevalence of multiple or single chronic conditions among adult US citizens was analyzed. The analysis has been done on the 2018 National Health Interview Survey (NHIS) data. 51.8% of adults have been diagnosed with at least one of ten identified chronic conditions, such as hypertension, arthritis, etc., whereas 27.2% have multiple chronic conditions (Boersma et al., 2020).

NURS FPX 6612 Assessment 3 Patient Discharge Care Planning

Clinical Decision Support Systems (CDSS), which are computerized, provide a greater opportunity for clinicians to enhance their complex decision-making. It is widely used across healthcare settings through electronic medical records and other clinical workflows. It is being facilitated by adopting electronic medical records globally (Sutton et al., 2020). 

Prevention of Readmission with HIT

Health information technology (HIT) is the solution proposed for care fragmentation, and it is perceived to reduce readmission risk by using a better flow of information. Results show that patient usage and access to EHRs may be helpful for hospitals’ readmission rates (Elysee et al., 2021). 

Data Reporting Specific to Client Behavior 

Patients can access a wide range of rehabilitation and human services for better managing their healthcare needs using HIT. The care manager and other healthcare staff can access all the patient’s required information with EHR, which can be used for specific patient discharge plans.

Incorporating Social Determinants of Health (SDOH) in public health practice will increase public health benefits. However, it would require research on interventions, collaboration, education, practice, and policy. The perspective of Social Determinants of Health acknowledges the societal forces that influence health conditions and permits innovative approaches to addressing public health problems (Hahn, 2021).

After examining Marta’s results, she will have rehabilitation for four weeks. The social worker will counsel and help her to cope with her trauma. Upon contemplating the professionals’ advice, the care manager will refer individuals to outpatient treatment. The care manager will help find the primary care doctor and arrange consultations with other healthcare professionals, such as infectious disease and orthopedic experts.  

For the smooth transition of Marta from hospital to home, the care manager and Marta’s aunt and uncle will be taken on board to build consensus for follow-up post-discharge visits of Marta. 

She would use an online platform and electronic records to see her medications and further her care plan. She can view her lab reports and discuss the further care plan with her assigned care manager. For plain shifting from the hospital to Marta’s home and to avoid risking any chances of readmission, issues need to be resolved after due diligence by the care manager.   

How Information is Collected from Client’s Record

HIT primarily refers to providing coordinated and quality care to patients. The healthcare staff has good care coordination and communication for exchanging information and utilizing HIT to benefit patients. Collaboration among the healthcare staff is essential for handling patient data. It ensures the healthcare team designated to provide quality care is on the same page and information is readily available as and when required.  

For healthcare staff, strong professional collaboration is essential. The complex nature of healthcare issues and patients’ care requirements have emphasized the need for interprofessional collaboration now more than ever required. Healthcare staff attitudes and experiences are primary in assessing collaboration effectiveness (Ansa et al., 2020).

All healthcare professionals involving doctors, paramedics, and nurses, would be onboard on Marta’s care and discharge plan. Data would be shared using EHR among all the relevant staff to ensure quality care and improved outcomes for Marta. These meaningful consultations would not only enhance recovery of Marta and get her ready after four weeks of rehabilitation but also avoid any chance of readmission after her discharge. 

NURS FPX 6612 Assessment 3 Patient Discharge Care Planning

HIT offers multiple options for handling the critical data of patients. The exchange of information will be carried out through carefully developed and managed EHRs. It provides data sharing, examination of lab reports, and post-discharge strategies to be tailored according to the needs of individual patients. Patients can also access their examination reports and the history of tests performed earlier for a thorough assessment.   

The database in HIT is quite comprehensive for doctors, nursing staff, and other concerned healthcare staff involved. The system provides up-to-date information, specific and critical for the patient’s care planning. It helps the care providers with the relevant information for an in-depth analysis to provide quality care and improve patient outcomes. 


Marta’s doctors could handle the care and prepare for discharge using HIT. The doctors, through the use of EHRs, could share data with orthopedics and infectious disease experts. The care manager handled Marta’s case through the mutually agreed upon care coordination plan. It was agreed that her recovery is achieved through strong emotional support provided by the care staff and the family support given by Marta’s uncle and aunt. The care staff understood the social determinants of health well, which would provide her strength to attend the follow-up consultations and therapy sessions. It was also decided that Marta’s family would engage their family nurse to support her during her follow-up visits. Patient satisfaction is achieved through coordinated care and EHRs integrated with Health Information Technology (HIT).


Ansa, B. E., Zechariah, S., Gates, A. M., Johnson, S. W., Heboyan, V., & De Leo, G. (2020). Attitudes and behavior towards interprofessional collaboration among healthcare professionals in a large academic medical center. Healthcare, 8(3), 323. 

Boersma, P., Black, L. I., & Ward, B. W. (2020). Prevalence of multiple chronic conditions among us adults, 2018. Preventing Chronic Disease, 17. 

Elysee, G., Yu, H., Herrin, J., & Horwitz, L. I. (2021). Association between 30-day readmission rates and health information technology capabilities in US hospitals. Medicine, 100(8), e24755. 

Hahn, R. A. (2021). What is a social determinant of health? Back to basics. Journal of Public Health Research, 10(4). 

Karaca, A., & Durna, Z. (2019). Patient satisfaction with the quality of nursing care. Nursing Open, 6(2), 535–545. 

Kataria, S., & Ravindran, V. (2020). Electronic health records: A critical appraisal of strengths and limitations. Journal of the Royal College of Physicians of Edinburgh, 50(3), 262–268. 

Kippenbrock, T., Emory, J., Lee, P., Odell, E., Buron, B., & Morrison, B. (2019). A national survey of nurse practitioners’ patient satisfaction outcomes. Nursing Outlook, 67(6), 707–712. 

Kruse, C. S., & Beane, A. (2018). Health information technology continues to show positive effect on medical outcomes: Systematic review. Journal of Medical Internet Research, 20(2), e41. 

Sutton, R., Pincock, D., Baumgart, D., Sadowski, D., Fedorak, R., & Kroeker, K. (2020). An overview of clinical decision support systems: Benefits, risks, and strategies for success. NPJ Digital Medicine, 3(1), 1–10. 

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