Date of Conferral



Doctor of Nursing Practice (DNP)




Terese M. Verklan


AbstractAstute care coordination is essential to eliminating fragmented care, duplication of services, medication errors, and unnecessary emergency rooms visits. This Doctor of Nursing practice project was a quality improvement (QI) initiative that addressed the gap in practice regarding RN care managers who were not consistently performing care coordination as outlined by the office of community care at the project site. The purpose of the project was to evaluate the effectiveness that an educational intervention had on the RN care managers’ abilities to perform care coordination. The care coordination model (CCM) served as the project framework because it provides a systematic approach to coordination and transition of care. Evidence for the project was obtained from the Medline, PsycINFO, Science Direct, Cochrane, and Cumulated Index to Nursing and Allied Health Literature databases. A modified care coordination tool was used to evaluate care coordination activities and outcomes 3 months prior to the educational intervention and 3 months after. The preintervention data revealed lack in care coordination activities and outcomes, such as timely follow up and notification to the patient’s primary care team. The postintervention data revealed an increase in timely follow up and notification to the primary care team. Thus, the project showed an increase in the care coordination process as outlined in the CCM. The project contributes to positive social change by implementing the CCM guidelines to increase the RN care managers’ abilities to perform care coordination, which will improve health outcomes, enhance patient experience, and decrease health care expenditures.

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Nursing Commons