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NURS FPX 4050 Assessment 2 Ethical Policy Factors Care Coordination Essay

NURS FPX 4050 Assessment 2 Ethical Policy Factors Care Coordination Essay

Care co-ordination is described as the process through which the many parties involved in a patient’s care interact and communicate with one another in order to improve outcomes and service quality (“Care Coordination,” 2014). During times of transition, such as the move from hospital to home or vice versa, different healthcare personnel must work together.

The importance of Care Coordination is undeniable, as a lack of adequate coordination between many players can result in negative outcomes, leaving the patient mentally and physically damaged. A smooth transfer from one professional’s care to another is beneficial to a faster recovery.

When it comes to delivering health care, there are numerous ethical considerations. When deciding on a course of action, nurses can prioritize patients depending on their age, gender, and previous medical condition.

Poor care coordination can lead to inconsistencies in treatment, which can result in poor outcomes.

Introduction

An example of ethical considerations in healthcare – Choosing between two patients

The role of an ethical code of conduct in healthcare decision-making

If two patients visit a hospital at the same time and only one bed is available, the administration must review and evaluate the related ethical aspects before deciding what course of action to pursue. The Code of Conduct, which will be described in full in this article, governs these types of judgments and responses.

The Code of Conduct enables nurses to assess and comprehend the situations and conditions of patients in order to prioritize the order in which they must be cared for. This is in reference to the previous example.

Assessment 2 Ethical and Policy Factors in Care Coordination PS NURS FPX 4050

Governmental Policies Have an Impact

 

The Department of Health and Human Services of the United States of America (Regis College Online, 2021)

Government policies have an impact on care coordination and healthcare.

The provision of healthcare and care coordination in the United States is heavily influenced by government policy. As a result of the Department of Health and Human Services’ initiatives, a variety of policies are currently in effect in the United States (Regis College Online, 2021)

 

Various rules and directions for institutes and healthcare practitioners can be found in government policies. The government’s enforcement of particular norms could be for a variety of reasons, including improving healthcare provision, protecting patients’ rights, and so on. In addition, policies might urge professionals to take specific steps while dealing with patients. Similarly, policies can serve as a motivator for professionals to seek a particular treatment or engagement with patients.

The Hospital Readmission Reduction Program (HRRP) aims to reduce hospital readmissions

What is HRRP and how does it work? – Determining the scope of HRRP

HRRP Goals – What is the goal of HRRP?

HRRP’s Impact – How can HRRP aid in care coordination?

Assessment 2 Ethical and Policy Factors in Care Coordination PS NURS FPX 4050

NURS FPX 4050 Assessment 2 Ethical Policy Factors Care Coordination Essay

The Hospital Readmission Reduction Program can be used as an example to better understand how government policies affect care coordination. The HRRP’s major goal is to lower the number of readmissions. This is accomplished by encouraging healthcare providers (nurses, doctors, etc.) to discuss post-discharge plans with patients in an efficient and skilled manner in order to aid their recovery and reduce readmissions for problems that can be managed (CMS.gov, n.d.).

This strategy influences care coordination by encouraging different healthcare service providers to actively and expertly engage with one another, as well as with patients, with the goal of identifying the numerous aspects necessary for post-discharge rehabilitation and treatment. This strategy helps to improve the quality of coordination and collaboration between patients and professionals by keeping the goal of reduced readmissions in mind.

The Affordable Care Act (ACA) (Regis College Online, 2021)

The Hospital Readmission Reduction Program (HRRP) aims to reduce hospital readmissions (CMS.gov, n.d)

(There are no notes for this slide.) These are just the names of the two acts.)

Assessment 2 Ethical and Policy Factors in Care Coordination PS NURS FPX 4050

Provisions in policy that cause ethical quandaries

The Affordable Care Act (ACA) has a long and illustrious history. (2021, Regis College Online)

What is the purpose of the Affordable Care Act (ACA)?

What did the ACA include in terms of obligations and fines?

What ethical concerns did the ACA bring up?

A few policy provisions can lead to ethical quandaries and have repercussions for care coordination. The Affordable Care Act of 2010 is the first policy provision that can be examined. The essence of the Affordable Care Act was the requirement and enforcement of obtaining health insurance, with fines imposed if this was not done (Regis College Online, 2021). From a distance, the ethical ramifications and challenges that the ACA can cause are obvious. The ACA’s ethical corruption can mostly be traced to religious influences. In Islam, the fastest growing religion on the planet, the concept of insurance is prohibited. Because the concept of insurance is prohibited in the United States’ third largest religion, the Affordable Care Act, which promotes and emphasizes insurance, might be perceived as a source of ethical discontent and problems. When it comes to the impact on care coordination, because not having insurance would result in fines and penalties, a person who is uninsured will be unable to be treated or receive medical assistance. When such inconsistencies arise due to insurance, the process of care coordination can become tumultuous. It can be quite difficult for someone without health insurance to receive treatment. If such a person is only able to receive partial treatment, he may encounter issues in the future due to a lack of insurance.

Assessment 2 Ethical and Policy Factors in Care Coordination PS NURS FPX 4050

 

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HRRP as an ethical stumbling block

 

 

Possibility of a misdiagnosis

Misunderstandings are possible.

Denial of readmission on the basis of a mistake

The HRRP, which was previously mentioned, is another policy that might be mentioned in this regard. While the HRRP’s premise was deemed beneficial in that it pushed doctors and nurses to better connect and communicate with patients (CMS.gov, n.d.), there is the potential for ethical issues to arise. The HRRP’s problems can include the chance of a patient being misunderstood or the ailment being misdiagnosed, both of which can result in admission denial.

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Nurses’ Code of Ethics

 

 

Autonomy

Beneficence

Justice

Non-Maleficence

Autonomy entails entrusting decision-making to patients (as far as possible)

The term “beneficence” refers to the act of doing good. This is a positive thing for relationships.

Acting with equity and without bias is what justice entails.

‘Do no damage’ is the definition of non-maleficence.

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Assessment 2 Ethical and Policy Factors in Care Coordination PS NURS FPX 4050

The Impact of an Ethics Code on Care Coordination

 

 

How Autonomy Aids Care Coordination – Improved Patient Understanding

Beneficience as a tool for care coordination – fostering positive relationships

Better relationships will be developed as a result of how justice aids care coordination.

How non-maleficence aids in care coordination – trust development

The first consideration is autonomy. When it comes to choosing between different therapies and medications, etc., the patient’s discretion and decision-making should be given to them. It is critical for the nurse to give feasible options to the patient so that he or she can make an informed decision (Gaines, 2020). This has an impact on coordination and continuity of care since it allows the patient to be fully informed about his treatment. He will be able to accurately convey and explain the treatment process to any future doctor because he is the one making the decisions.

Then there’s the beneficence element, which aids in the development of positive relationships between nurses and patients, which promotes better cooperation (Gaines, 2020).

Then there’s the issue of justice. The nurses must not act in any way that is racist or prejudiced, according to this component of the code of ethics. Nurses must provide the same level of care regardless of age, gender, race, or ethnicity (Gaines, 2020). This aids in care coordination and continuity by forming stronger ties between the patient and the caregiver.

Finally, there’s ‘Non-maleficence,’ which refers to not harming others (Gaines, 2020). This means that nurses must choose the least deteriorating and damaging methods for the patient. This aids in care coordination by establishing confidence between the patient and the nurse.

 

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Assessment 2 Ethical and Policy Factors in Care Coordination PS NURS FPX 4050

Conclusion

 

 

The impact of government policy in a nutshell

The impact of the nurse’s code of ethics on care coordination in a nutshell

Government policies can have a significant impact on care coordination. The goal of this research was to explain how government policies affect care coordination and provide some examples. The Affordable Care Act (ACA) and the Human Resources Reform Act (HRRA) were enumerated and explained.

In addition, the code of ethics for nurses includes various points and characteristics that have an impact on care coordination. These points were listed, along with their perceived implications.

 

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References

 

 

Coordination of care (2014). https://www.ahrq.gov/ncepcr/care/coordination.html was retrieved from https://www.ahrq.gov/ncepcr/care/coordination.html.

CMS.gov is a federal government website (n.d.). The Hospital Readmissions Reduction Program (HRRP) aims to reduce hospital readmissions (HRRP). Readmissions-Reduction-Program may be found at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program.

K. Gaines, K. Gaines, K. Gaines, K (2020). What is the Code of Ethics for Nurses? https://nurse.org/education/nursing-code-of-ethics/ (accessed June 18, 2021).

Online at Regis College (2021, April 22). In the United States, there are eight important health-care regulations. https://online.regiscollege.edu/blog/8-important-regulations-united-states-health-care/ (accessed June 18, 2021).

K. M. McDonald, V. Sundaram, and D. M. Bravata (2007). A Critical Analysis of Quality Improvement Strategies for Closing the Quality Gap (Vol. 7: Care Coordination). The Agency for Healthcare Research and Quality (AHRQ) is a non-profit organization (US).

NURS FPX 4050 Assessment 2 Ethical Policy Factors Care Coordination Essay

No voice over by the writer will be necessary, I will do this once PPT is received; will need a narrative essay or speaker notes to accompany PPT. Please contact me via email kittykat66@comcast.net with any questions please Select a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care. Then, develop and record a 10-12-slide, 20-minute presentation, with audio, intended for that audience. Create a detailed narrative script or speakers notes for your presentation, 4-5 pages in length.

Introduction
As coordinators of care, nurses must be aware of the code of ethics for nurses and health policy issues that affect the coordination of care within the context of the community. To help patients navigate the continuum of care, nurses must be proficient at interpreting and applying the code of ethics for nurses and health policy, specifically, the Affordable Care Act (ACA). Being knowledgeable about ethical and policy issues helps ensure that care coordinators are upholding ethical standards and navigating policy issues that affect patient care.

This assessment provides an opportunity for you to develop a presentation for a local community organization of your choice, which provides an overview of ethical standards and relevant policy issues that affect the coordination of care. Completing this assessment will strengthen your understanding of ethical issues and policies related to the coordination and continuum of care, and will empower you to be a stronger advocate and nursing professional.

It would be an excellent choice to complete the Vila Health: Ethical Decision Making activity prior to developing the presentation. The activity provides a helpful update on the ethical principles that will help with success in this assessment.

Preparation
Your nurse manager at the community care center is well connected and frequently speaks to a variety of community organizations and groups. She has noticed the good work you are doing in your new care coordination role and respects your speaking and presentation skills. Consequently, she thought that an opportunity to speak publicly about contemporary issues in care coordination would be beneficial for your career and has suggested reaching out to a community organization or support group to gauge their interest in hearing from you, as a care center representative, on a topic of interest to both you and your prospective audience.

You have agreed that this is a good idea and have decided to research a community organization or support group that might be interested in learning about ethical and policy issues related to the coordination of care. Your manager has suggested the following community organizations and support groups, but acknowledges that the choice is yours.

Homeless shelters.
Local religious groups.
Nursing homes.
Local community organizations (Rotary Club or Kiwanis Club).
To prepare for this assessment, you may wish to:

Research your selected community organization or support group.
Review the Code of Ethics for Nurses With Interpretive Statements and associated health policy issues, specifically, the ACA.
Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.
Allocate sufficient time to rehearse your presentation before recording the final version for submission.
Note: Remember that you can submit all, or a portion of, your draft presentation to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24-48 hours for receiving feedback.

Recording Equipment Setup and Testing
Check that your audio speaker and PowerPoint software are working properly. You can record audio directly to your slides, using PowerPoint or other presentation software.

Note: Technical support about the use of PowerPoint, including voice recording and speaker notes, can be found on Campus’s Microsoft Office Software page.

If using Kaltura, refer to the Using Kaltura tutorial for directions on recording and uploading your presentation in the courseroom.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@capella.edu to request accommodations.

Instructions
For this assessment:

Choose the community organization or support group that you plan to address.
Develop a PowerPoint with typed speaker notes (the script for your voice recording) and audio voice-over recording, intended for that audience. Video is not required.
Note: PowerPoint has a feature to type the speaker notes directly into the presentation. You are encouraged to use that feature or you may choose to submit a separate document. See Microsoft Office Software for technical support about the use of PowerPoint, including voice recording and speaker notes.

For this assessment, develop your presentation slides and speaker notes, then record your presentation. You are not required to deliver your presentation to an actual audience.

Presentation Format and Length
You may use PowerPoint (recommended) or other suitable presentation software to create your slides and add your voice over. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.

Be sure that your slide deck includes the following slides:

Title slide.
Presentation title.
Your name.
Date.
Course number and title.
References (at the end of your presentation).
Your slide deck should consist of 10-12 slides, not including a title and references slide with typed speaker notes and audio voice over. Your presentation should not exceed 20 minutes.

Create a detailed narrative script for your presentation, approximately 4-5 pages in length.

Supporting Evidence
Cite 3-5 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script.

Grading Requirements
The requirements outlined below correspond to the grading criteria in the Ethical and Policy Factors in Care Coordination Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

Explain how governmental policies related to the health and/or safety of the community affect the coordination of care.
Provide examples of a specific policy affecting the organization or group.
Refer to the assessment resources for help in locating relevant policies.
Be sure influential policies include the Health Insurance Portability and Accountability Act (HIPPA).
Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
What are the implications and consequences of specific policy provisions?
What evidence do you have to support your conclusions?
Assess the impact of the code of ethics for nurses on the coordination and continuum of care.
Consider the factors that contribute to health, health disparities, and access to services.
Consider the social determinants of health identified in Healthy People 2020 as a framework for your assessment.
Provide evidence to support your conclusions.
Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included for a proficient score; both speaker notes and the audio voice over are included for a distinguished score.
Present a concise overview.
Support your main points and conclusions with relevant and credible evidence.
Additional Requirements
Before submitting your assessment, proofread your presentation slides and speaker notes to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your presentation.

Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.

Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 4: Defend decisions based on the code of ethics for nursing.
Assess the impact of the code of ethics for nurses on the coordination and continuum of care.
Competency 5: Explain how health care policies affect patient-centered care.
Explain how governmental policies related to the health and/or safety of a community affect the coordination of care.
Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included.

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