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Ethical and Policy Factors in Care Coordination Assignment

Ethical and Policy Factors in Care Coordination Assignment

this assignment requires a narrative script approximately 4 pages long for me to voice record that is then utilized in making the powerpoint with speaker notes for each slide. ive added some additional resources below

Collins, B. L. Saylor, J. (2018). The Affordable Care Act: 8 years later. Nursing Management, 49(8), 42–48.

Magelssen, M., Gjerberg, E., Lillemoen, L., Førde, R., Pedersen, R. (2018). Ethics support in community care makes a difference for practice. Nursing Ethics, 25(2), 165–173. Ethical and Policy Factors in Care Coordination Assignment

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Hello, thank you for joining me here today for my presentation. Care coordination in nursing homes is a topic I will be covering today from an ethical and policy perspective. I will also discuss some of the ethical dilemmas inherent in the role of a care coordinator in nursing homes and the impact of governmental policies on care coordination. Finally, I will go through how the social determinants of health and the nursing code of ethics influence care coordination.

Care Coordination

Care coordination is the method of overseeing the provision of healthcare throughout the medical system and disseminating relevant information to all relevant parties. To coordinate care effectively, clinicians must have an in-depth knowledge of their patient’s specific requirements, priorities, and inclinations. Care coordination’s key goal is to see to it that patients’ requirements are met so that treatment does not become fragmented and healthcare spending is kept to a minimum (Karam et al., 2021)Ethical and Policy Factors in Care Coordination Assignment. In order to guarantee a proper exchange of information across all involved entities and medical specialties, care coordination is often connected to high levels of communication. Nursing home residents with multiple medical requirements benefit greatly from care coordination because it simplifies the provision of care.

Government Policies and Care Coordination

Healthcare expenses may be lowered and patient safety can be improved with the support of government regulations that govern the industry and deploy resources. When it comes to healthcare, consumers, providers, and insurers may all benefit from clearer standards, which is exactly what health policy aims to do. I will delve into how two governmental policies, including the Patient Protection and Affordable Care Act (ACA) and the Health Insurance Portability and Accountability Act (HIPAA)Ethical and Policy Factors in Care Coordination Assignment, influence the process of coordinating care for patients.

ACA and Care Coordination

In an effort to expand medical coverage and lower premiums, President Obama signed the Affordable Care Act into law in 2010. Care coordination has been reinforced thanks to the ACA which has improved the quality and effectiveness of care provision. Medicare and the community-based care transition program (CCTP) are two examples of ACA-created initiatives that contribute to improved coordination of care (Cleveland et al., 2019)Ethical and Policy Factors in Care Coordination Assignment. People with extensive medical requirements, such as those residing in nursing homes, have benefitted from Medicare’s coverage. Additionally, clinicians are supported in their efforts to reduce unnecessary hospitalizations and medical spending through the community-based care transition program that facilitates the evaluation of care transition approaches.

HIPAA and Care Coordination

The Health Insurance Portability and Accountability Act (HIPAA) mandates the creation of national criteria for keeping individual patients’ health records confidential. By ensuring that patients’ health records are kept private while also making it easier for them to switch insurance providers, HIPAA regulations assist in expediting the care provision process (Cohen & Mello, 2018)Ethical and Policy Factors in Care Coordination Assignment. It lays forth the rules and procedures on a nationwide scale for keeping medical records private. Patients, therefore, are entitled to autonomy and discretion in making decisions about the sharing of their medical data. Nursing home residents, for instance, should have the right to view their medical records and make decisions about how their data is shared. Doctors and other medical staff cannot share a patient’s medical data without permission.

 National, State, and Local Policy Provisions Associated with Ethical Dilemmas for Care Coordination

When it comes to coordinating care, medical personnel encounter a number of ethical dilemmas. One such situation is when clinicians have to treat people who are unable to afford their care because they lack health insurance. The practitioner risks poorer quality of care increased liability, and a decline in professional confidence if they deviate from conventional, established medical care protocols. The risks for the patient include issues regarding their financial situation and physical health. According to Cubanski (2019)Ethical and Policy Factors in Care Coordination Assignment, the costs of medical treatments are quite expensive; Medicare reported that the benefits it paid out in 2018 were $730 billion, which is a significant increase from the $460 billion reported in 2008. Care coordination under the ACA also presents ethical issues. While ACA has opportunities for insurance coverage, it also has certain drawbacks, such as the inability of low-income households to obtain health insurance, larger medical expenditure deductions for all households, and extra charges on pharmaceuticals and medical equipment.

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Impact of the Code of Ethics for Nurses on the Coordination and Continuum of Care

Professional responsibilities and requirements defined by the nursing profession are outlined in the code of ethics. In this way, the nursing code of ethics serves as a symbol of the dedication nurses have to society’s greater good and as an inviolable professional norm for nurse practitioners to follow. Reducing health inequities relies on nurses working with other healthcare providers to better coordinate patient care. As a result, nurses are reminded of the importance of putting patients first, standing up for their rights, and supporting legislation that will raise healthcare standards while keeping costs down (Bah & Sey-Sawo, 2018)Ethical and Policy Factors in Care Coordination Assignment. Nurses are also required to further their careers by participating in nursing education programs in order to enhance the provision of medical treatment via coordination of care. The goals of Healthy People 2020 are to improve people’s quality of life by making them live longer and free of preventable illnesses, to ensure that everyone has access to excellent healthcare, and to take concrete steps toward attaining these goals via policy and social change. While nursing homes are working hard to ensure that their patients get properly coordinated care, they are particularly concerned about the social determinants of health.

Key Ethical and Policy Issues Affecting the Coordination and Continuum of Care

Problems with end-of-life care, insufficient funding, and the use of compulsion are just a few examples of the ethical and policy challenges that plague the nursing home’s ability to coordinate care for its residents. Nursing home workers encounter ethical conundrums while providing treatment for the elderly, including issues of whether or not to use compulsion and whether or not to provide comfort measures. Privacy regulations under HIPAA further restrict the ability to coordinate treatment. Value-based buying in healthcare, as mandated by the Affordable Care Act (ACA)Ethical and Policy Factors in Care Coordination Assignment, raises moral concerns about how to fairly assess the quality of care provided by various healthcare providers and what role individuals should have in making such assessments.

Conclusion

It is essential for nurses to work together and exchange information in their roles as care coordinators so that patients get the best possible treatment. When it comes to individuals in a nursing home who have several, complicated medical requirements, care coordination is an effective way to simplify patient care. The ACA and HIPAA are examples of federal laws that impact care coordination and, by extension, quality care. As part of their ethical obligations, nurses must work with other medical staff to provide coordinated care. Ethical and Policy Factors in Care Coordination Assignment

References

Bah, H. T., & Sey-Sawo, J. (2018). Teaching and practicing nursing code of ethics and values in the Gambia. International Journal of Africa Nursing Sciences, 9, 68–72. https://doi.org/10.1016/j.ijans.2018.08.005

Cleveland, K., Motter, T., & Smith, Y. (2019). Affordable care: Harnessing the power of nurses. OJIN: The Online Journal of Issues in Nursing, 24(2). https://doi.org/10.3912/ojin.vol24no02man02

Cohen, I. G., & Mello, M. M. (2018). HIPAA and Protecting Health Information in the 21st Century. JAMA, 320(3), 231. https://doi.org/10.1001/jama.2018.5630

Cubanski, J. (2019, August 20). The facts on Medicare spending and financing.  https://files.kff.org/attachment/Issue-Brief-Facts-on-Medicaid-Spending-and-Financing

Karam, M., Chouinard, M. C., Poitras, M. E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing care coordination for patients with complex needs in primary healthcare: A scoping review. International Journal of Integrated Care, 21(1), 16. https://doi.org/10.5334/ijic.5518 Ethical and Policy Factors in Care Coordination Assignment

Assessment 2 Instructions: Ethical and Policy Factors in Care Coordination

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  • PRINT
  • 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)Ethical and Policy Factors in Care Coordination Assignment. 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 Ethical and Policy Factors in Care Coordination Assignment.

    • 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.

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 [email protected] to request accommodations. Ethical and Policy Factors in Care Coordination Assignment

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 Ethical and Policy Factors in Care Coordination Assignment.

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)Ethical and Policy Factors in Care Coordination Assignment.
    • 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. Ethical and Policy Factors in Care Coordination Assignment

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.

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      • 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. Ethical and Policy Factors in Care Coordination Assignment