AACN sub-competency2.9aP4 · Integration

Facilitate continuity of care based on assessment of assets and needs.

AACN domain
2.Person-Centered Care

Genuinely cross-Practice. Procedural assessment in Hands; clinical reasoning in Head; therapeutic communication in Integration.

Competency
2.9Provide care coordination.
Five Practices mapping
P4 · IntegrationThe Big Picture

"How do you bring it together?"

Progression Indicators

The three-bucket rubric for this sub-competency. Behavioral anchors are shown when available.

Not Demonstrated

No evidence yet. Either the behavior has not been performed in a captured context, or the captured evidence does not yet meet the rubric.

Novice anchor: Aware of discharge planning conceptually; does not yet identify continuity needs at admission; reactive rather than proactive.
Developing

Matches the AACN Developing descriptor for this sub-competency. Caps at Developing in solo activation mode for P3 (Hands) sub-comps without preceptor observation.

Advanced beginner anchor: Identifies continuity needs at admission and shift start; communicates needs to social work, case management; participates in discharge planning.
Developed

Matches the AACN Developed descriptor. For P3 sub-comps this requires a preceptor or peer observation to triangulate the self-report.

Competent anchor: Coordinates complex discharges across multiple services; anticipates post-discharge risks; advocates for adequate transition resources.

Deeper analysis coming. All 434 sub-competency pages are scaffolded against the AACN definition, the Five Practices mapping, and the Progression Indicator rubric. 5 carry the full narrative this version (listed on the framework index). The remaining long-form copy is being authored alongside the behavioral anchors and will land in the next framework version.

Currently writing the long-form for: 2.8c, 2.8d, 2.8b, 3.1c, 10.2a.

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