In this teamBIT episode, Morgan discusses how nurses can facilitate care coordination in primary care to support complex patients.
Care coordination is less intensive than case management and involves assessing patient needs, connecting with community supports, and maintaining ongoing patient relationships. Morgan describes how, in care coordination, the role of nurses in optimizing care plans is emphasized, especially for frail or complex care patients. Benefits include reducing avoidable crises and ER visits, enhancing patient and family support, and helping patients remain at home longer.
Special Thanks
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Throughout this season you’ll hear from several amazing nurses:
- Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.
- Diana Boateng is a Registered Nurse and is working on her dual master’s degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.
- Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.
- Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.
- Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.
- Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.