Chronic Condition and Care Coordination Essay Paper

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Chronic Condition and Care Coordination Essay 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.
  • Discuss all aspects of healthcare coordination in context to the chosen diagnosis. Chronic Condition and Care Coordination Essay Paper

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Your paper must include the following:

  1. 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).
  2. Description of the health issue chosen from the CMS website.
  3. The incidence and prevalence of this condition in the US.
  4. How the condition is diagnosed, monitored, and treated in individuals with this condition?
  5. Description of the interdisciplinary team that will participate in coordinating care. Specifically, define the role of the APRN in management and coordination.
  6. 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?
  7. 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. Chronic Condition and Care Coordination Essay Paper
  8. What resources are available to help manage the costs of care related to this condition?
  9. Identify barriers or challenges that you foresee for patients and care teams. How can barriers be overcome?

Management and Coordination of a Chronic Health Condition

Introduction

This comprehensive analysis explores a chronic health condition from the CMS website. It examines various aspects of its identification, description, incidence, prevalence, diagnosis, treatment, interdisciplinary care coordination, care management models, cost implications, available resources, and potential barriers. This discussion seeks to offer significant insights into managing and coordinating this chronic health condition by taking a professional and thorough approach. Depression has been chosen as the chronic health condition for this discussion.

Depression

  1. Description of the Health Issue

Depression is a complex mood disorder characterized by a pervasive sadness, lack of interest or pleasure in once-pleasant activities, loss of interest, appetite and sleep disturbances, low energy, difficulties concentrating, and suicidal thoughts (Park & Zarate Jr., 2019). Individuals’ daily functioning is substantially hindered, impacting their performance, relationships, and quality of life. Park and Zarate Jr (2019) assert that depression can exacerbate underlying medical issues and raise the risk of substance dependence. Standardized criteria are employed for diagnosis, and evidence-based therapies, including psychotherapy and medication, work to reduce symptoms. It is essential to recognize depression as a chronic health condition, fostering awareness, early detection, and proper care to enable people to regain control of their lives. Establishing a society that emphasizes mental health and supports people impacted by this ubiquitous mood disease and addressing the issues of depression is essential. Chronic Condition and Care Coordination Essay Paper

  1. Incidence and Prevalence in the US

Liu et al. (2019) consider depression a prevalent health condition in the United States. The research adds that depression has a considerable burden on public health. According to the National Institute of Mental Health, an estimated 17.3 million adults (7.1% of the adult population) experienced at least one major depressive episode in 2021. Haight et al. (2019) assert that depression in children and adolescents is rising, affecting approximately 3.2 million youth aged 12 to 17. Chronic Condition and Care Coordination Essay Paper

  • Diagnosis, Monitoring, and Treatment

A comprehensive assessment of the symptoms, medical history, and elimination of other possible explanations are necessary to diagnose depression. According to Park et al. (2019), the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) utilizes standardized diagnostic standards as its basis. Monitoring include regular assessments of symptom intensity, treatment response, and potential adverse effects. The range of available treatments includes a multimodal strategy individualized for each patient and includes complementary interventions, medication, and psychotherapy.

  1. Interdisciplinary Team and the Role of the APRN

An interdisciplinary team must be included for the care of people with depression to be effectively coordinated. Psychiatrists, psychologists, social workers, psychiatric nurses, and other mental health specialists frequently comprise this team. An APRN’s responsibilities in managing and coordinating care include conducting thorough assessments, creating treatment plans, writing prescriptions, giving psychoeducation, participating in psychotherapy, keeping track of treatment response, and working with other team members to achieve the most remarkable outcomes. Chronic Condition and Care Coordination Essay Paper

  1. Care Team Models: CCCR and Beyond

The Chronic Care Model (CCM) is widely utilized for chronic disease management, but its effectiveness in mental health conditions such as depression is limited. However, the Collaborative Care model is an alternative model that aligns with systems and complexity reflective thinking (Bauer et al., 2019). This model integrates psychiatric expertise into primary care settings, facilitating enhanced communication, care coordination, and shared decision-making among the primary care provider, psychiatrist, and care manager.

  1. Cost of Managing Depression in the County

In Bethel County, Alaska (State/County FIPS Code: 02050), the per capita spending standardized for managing depression is $7,996.2. This indicates the average expenditure allocated per person in the county for addressing the needs related to depression management. Understanding the per capita spending helps policymakers, healthcare organizations, and providers assess the financial resources required to deliver effective care and support to individuals with depression in Bethel County. By considering this information, stakeholders can allocate appropriate funding and develop strategies to ensure accessible and comprehensive care for those affected by depression in the county. Chronic Condition and Care Coordination Essay Paper

  • Resources for Managing Care Costs

Various resources are available to help manage the costs of care related to depression. These include public and private insurance coverage options, community mental health centers, sliding fee scales, pharmaceutical assistance programs, and nonprofit organizations providing financial assistance for medication and therapy services. Accessing these resources can alleviate the financial burden on individuals seeking treatment.

  • Identifying Barriers and Overcoming Challenges

Barriers to effectively managing depression include lack of provider knowledge, stigma, cultural and linguistic differences, and restricted access to mental health treatment It is vital to take a multifaceted approach to overcome these obstacles. Adopting telehealth and telepsychiatry, community education, targeted campaigns, raising mental health literacy, and collaboration between primary care and mental health practitioners are some strategies for enhancing access (Park & Zarate Jr, 2019). Chronic Condition and Care Coordination Essay Paper

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Conclusion

To effectively manage and coordinate care for people with depression, a comprehensive, interdisciplinary strategy must be used as the unique difficulties presented by this long-term health condition. Healthcare must be used. Practitioners can overcome obstacles and improve patient outcomes by having a thorough grasp of the condition’s prevalence, diagnosis, treatment options, and associated costs and utilizing the best care team models and accessible resources. We can improve the quality of life for people with depression and advance a more complete and integrated healthcare system by taking a proactive and person-centered approach. Chronic Condition and Care Coordination Essay Paper

References

Bauer, M. S., Weaver, K., Kim, B., Miller, C., Lew, R., Stolzmann, K., … & Elwy, A. R. (2019). The collaborative chronic care model for mental health conditions: from evidence synthesis to policy impact to scale-up and spread. Medical care, 57(10 Suppl 3), S221.

Haight, S. C., Byatt, N., Simas, T. A. M., Robbins, C. L., & Ko, J. Y. (2019). Recorded diagnoses of depression during united states delivery hospitalizations, 2000–2015. Obstetrics and gynecology, 133(6), 1216.

Liu, Y., Collins, C., Wang, K., Xie, X., & Bie, R. (2019). The prevalence and trend of depression among veterans in the United States. Journal of affective disorders, 245, 724-727.

Park, L. T., & Zarate Jr, C. A. (2019). Depression in the primary care setting. New England Journal of Medicine, 380(6), 559-568. Chronic Condition and Care Coordination Essay Paper