Nurs fpx 4065 Assessment 3 Ethical and Policy Factors in Care Coordination

Nurs fpx 4065 Assessment 3 Ethical and Policy

Factors in Care Coordination

Nana Sarpong

Capella University

NURS-FPX 4065

Instructor’s Name

May, 2025

NURS FPX 4065 Assessment 3 explores ethical and policy factors that influence effective care coordination. It emphasizes legal, cultural, and financial aspects.

Ethical and Policy Factors in Care Coordination

Care coordination within network-based care for collaborative populations is greatly influenced by the resources of government policy. The health care in the Valley Medical Center operates under the guidelines offered with the assistance of the federal and kingdom criminal guidelines in regard to business enterprise, finance, and provision. The advice includes the low-value Care Act, Medi-cal, person-centered scientific houses (PCMHs), and accountable Care agencies (Ercia,2021). In so doing, the rules also cover some underlying ethics and health concerns, i.e., equity, access, and utilization of resources. As observed, nurses encounter a number of ethically significant situations elaborated below under the Code of Ethics because nurses hold an obligatory role in resolving the challenging scenarios on the way to provide holistic affected man or woman-centered care.

Effect of Governmental Policies on Coordination of Care 

Fitness recommendations take the middle ground in clinics’ application of care transport, primarily for compliant clients at the grassroots level in the network. In my practicum website on the internet, the recommendations drive the clinics’ utilization of planning, resourcing, or even the evaluation of care coordination in Valley Clinic, federal and national laws further determining the entire method of care. Some of the guidelines are directed towards organizational care provider transport and clarifying areas that encompass staffing mix and outreach. Coordination is most important in managing health equity and the full health of the population (Itchhaparia, 2021). Understanding of those rules helps to offer the sufferers the necessary, accurate, and complete treatment.

Affordable Care Act

From a care coordination perspective, ultimately, potentially the most significant insurance is the less expensive, more expensive Care Act (ACA). The ACA encourages models such as PCMHs and ACOs that focus on enhancing the coordination and efficiency of the impacted individual care delivery system (U.S. Health Policy Gateway, 2023). Nurs fpx 4065 Assessment 3 Ethical and Policy Factors in Care Coordination are based on operating closer to reducing fragmentation and assisting with the submission of contained care at some point or another in many settings, including a health facility. Nursing, as a result of this, has employed different practitioners, including nurses, case managers, and social staff, in Valley Hospital. Among them, they are involved in a collaboration that eases the coordination of care, detection of variance in prescription, and patient transfer to the respective specialists or departments.

Medi-Cal

Having access to healthcare is some different insurance, which includes Medicaid expansion in California, which covers the ACA, also known as Medi-Cal. It has offered insurance protection to the state’s poor residents; it also serves undocumented women and men within the narrow application of protection (Dietz et al., 2022).

Such victim burdens being covered, especially in terms of medical health insurance, there is a legislative component utilizing the care coordinators and at the same time helping to clarify the needs and escort the victim in obtaining a properly included carrier. This increase has created the possibility for some to obtain proper access to healthcare products, along with intellectual well-being, diet counseling, and preventive fitness care. Caregivers in the care team are, therefore, rightly positioned to deliver effective and personalized care to the broad spectrum of patients.

State Immunization Requirements 

Those criminal powers still shape the coordination of care in inner health centers in 2 ways. Because the kingdom had special immunization objectives and COVID-19 crisis protocols from a specific U.S., the care units would have been required to be responsive and sensitive to them.

During the COVID period, staff coordinated and managed individual vaccine appointments and information handling, imposed quarantine guidelines, and persevered to accomplish the patients’ objectives in terms of being quarantined successfully (Blake et al., 2022). Those activities have been controlled under the vigilant eye of the federal and community policies meant to bring about and maintain public order. In conclusion, by legislation, the policy of government influences the form, mode of organization of the enterprise, and ethical dynamics, which are quotidian in care coordination in community health centers.

Ethical and Policy Considerations in Care Coordination

The country, kingdom, or community laws provide ethically challenging situations in terms of care coordination by blocking or eliminating gaps among services. As an example, on the national diploma, the ACA enhances the excellence of insurance coverage provision, but patients who are undocumented are not able to obtain full coverage benefits; this is an ethical problem of justice/equal right of access.

Nurs fpx 4065 Assessment 3 Ethical and Policy Factors in Care Coordination

Catterson et al. (2022) have discussed a have a study in which this exclusion bars illegal individuals from accessing the prospect of receiving medical treatment, and the care group faces some of the following ethical concerns in treating these patients. At the kingdom level, California Medi-Cal still maintains extended coverage, even though the patients never get to see specialists because of the unavailability of specialists, ultimately reaching the ethical level of timeliness and fairness. At the communal level, regulations that entail mandatory COVID-19 vaccination raised ethical concerns between non-public freedoms and the not uncommon right with reference to patients’ refusal to get vaccinated largely because of religious or cultural ideals (Olick et al., 2021). Such situations place care coordinators in an ethical dilemma of beneficence, autonomy, and justice against the backdrop of Valley Sanatorium threatening widespread sensitization of patients near the COVID-19 vaccines.

Impact and Consequences of the Policies

In Valley Hospital, national and state policies are viewed in most ways care groups are managed, as well as the services that can be delivered. With ACA’s focus on ACOs, there can now be a model where nurses and social staff collaborate for care transitions; this is incredible, however, highly reliant on assets. But, as Kyle and Frakt (2021) also highlighted to the attention of those models contributes to the care forms and workload of healthcare companies, which is reported to lead to delays in organizational transport at Valley Health Centre.

Due to Medi-Cal expansion, there was increased internet site online traffic among the impacted individuals going with the flow, i.e., testing public health systems through long visitors that demand referral, screening, and benefits in terms of alignment. Catterson et al. (2022) attested that Medi-Cal beneficiaries are kept awake for a long time period to obtain their appointments, which indeed shows the device is under stress. These are the effects that, even though provisions in the code are set up to invoke improvement within the exceptional care, they do strain overload and compounding of the problems of a moral care issuer provider, as our private agency had as quickly as feasible.

Impacts at the National, State, and Local Levels

At the national level, ACA has revolutionized the manner in which price constructions and care coordination responsibility elements are undertaken with the valuable implementation of applying incentivizing price and delivery models based on effects and outcomes, and which removes much of the documentation and follow-up time from the care groups. In accordance with Gesner et al. (2022), they’ll also most probably advise burnout on the care coordinators and advise that very little time be spent on the victims. California Medi-Cal has grown as a kingdom and thus increased the medical insurance premiums, but no longer the corporations’ commitments. Thus, some of the boundaries to achieving the right of access to care for rural and underserved communities.

The California Fitness Care Foundation (2024) reported that nearly 38% of the farmworkers who utilize Medi-Cal experience some difficulty with getting a timely professional appointment. In a network diploma, local regulations that were directed towards stimulating experimentation or compulsory wearing of facemasks triggered the machine where the nurses trained and cared for the patients, particularly where the proposals had been deliberated to infringe the freedom of the patients at one time during the pandemic. Nurs fpx 4065 Assessment 3 Ethical and Policy Factors in Care Coordination has been enormous misinformation about the virus, which has prompted human beings to come up with a gruesome tendency as opposed to vaccines (Zimmerman et al., 2022). They’re guidance on many phases, and they are interrelated to the point that once accomplished, care coordination must do this regardless of the fact that being compliant with what the patients require. They’ve been forced to emerge and adjust their strategies to international regions and put their assets in a way that could make them viable for the latter and closing compliant.

The Role of the Code of Ethics in Care Coordination 

The Nurses Code of Ethics is a significant contribution to guiding the care business enterprise and continuity plan, and appropriate patients’ self-determined choices, grounded primarily on the principle moral values: understanding, beneficence, non-harming intention, and justice. These are requirements that guarantee all patients from different social and cultural statuses receive equal and quality care desired for their recovery purposes (Varkey, 2020).

At Valley Health Center, for poor or uninsured patients, the Code encourages nurses to assert their authoritative health care in spite of consumer-sourced limitations such as no medical insurance, appropriate care in their lifestyle, or institutional bias (American Nurses Association, 2025). This lobbying also ensures that, apart from access to care in the proper manner, vulnerable patients have an equal and rightful opportunity at patronage and hence make the device human and holistic.

Nurs fpx 4065 Assessment 3 Ethical and Policy Factors in Care Coordination

The care of the patients should be managed at the same time by the nurses without violating some of the patients’ rights at any point while giving the care; appropriate care also must be consistent with all the ethical needs/needs as well as wishes that the patient has. They’re right here; they give recreation to affected person advocacy and joint work, in and out of wellness care settings, inside the care of the hundreds of thousands of struggling wellness care consumers, which radiates from the ugly contexts. Nurses at Valley Sanatorium engage in collaborative relationships with case managers and social workers, and improved health care professionals to help the clinical needs of the character of interest, along with their natural, mental, financial, and social needs that include poverty, education, and homelessness. It becomes holistic care in the experience that a character’s health is not damaged in the long term. There may be extensive literature hypothesizing institutional care, especially for victims who are from low-socioeconomic backgrounds, because it favors the health of the patient since the general aims of the victim are all addressed (Kongkar et al., 2025).

The Code of Ethics highlights the occupational ethical duty of nurses to engage with superior humans to enable customers’ right of access to the majority of care and comparative human improvement in public health, thus endorsing health equality and commerce in health inequalities.

Factors Contributing to Health Disparities and Access to Services

In Valley Hospital, the following are determinants of fitness disparities and availability of services for some of the color patients who are willing. The above patients also encounter challenges like uninsured reputation, loss of culturally appropriate care, and espresso self-confidence in the health facility, which amounts to the already existing disparities. Social determinants of inequality, the lifestyle of poverty, dangerous living conditions, and low literacy are all magnifying the challenging conditions typical of abhorrent fitness (Facilities for Illness Manipulation and Prevention, 2024).

As a business enterprise with respect to patient rights, the nursing staff conducts itself in relation to the framework of professional practice for Registered Nurses and the conviction of the moral Code for nurses. They paint the body with one-of-a-kind specialists such as the social players and the case managers, where, in addition to curing the scientific sickness, they cure the social and intellectual aspects that could be linked to the sickness. It conforms to the principle of justice since it not only eliminates disparities in care but also eases future well-being through the method of integration of unique amounts of healthcare, which are typically complex and difficult to attain for persons undergoing vulnerability in health issues.

Conclusion

Finally, In Nurs fpx 4065 Assessment 3 Ethical and Policy Factors in Care Coordination, Authority regulations such as the Superior Less Extravagant Care Act and Medi-Cal facilitate the continuity of care in addressing the fitness requirements of the public, primarily among the underserved population. While those regulations try to make opportunities for access to medical care more appealing, they raise issues as to several ethical questions related to equity, potentiality, and distribution.

Nurse’s Code of Ethics assists the nurse in overcoming one’s troubling situations as it expresses the desire to act on behalf of the impaired man or woman, the effect of social determinants on health, relationships among disciplines, and interdisciplinary teamwork. They are of great importance in delivering essential care to the willing population while simultaneously attempting to bridge the gap between the machines. Coordination of care, for this purpose, involves nurses beginning fitness care responsibilities with regard to ethical principles for the role of constructing social justice in society.

References

https://codeofethics.ana.org/home

https://doi.org/10.3390/ijerph19020653

https://www.chcf.org/publication/health-disparities-by-race-and-ethnicity-in-california-almanac/#related-links-and-downloads

https://www.chcf.org/publication/2022-chcf-california-health-policy-survey

https://www.cdc.gov/public-health-gateway/php/about/social-determinants-of-health.html

https://healthpolicy.ucla.edu/publications/Documents/PDF/2022/Californias-biggest-coverage-expansion-since-the-ACA-apr2022.pdf

https://doi.org/10.1186/s12913-021-06961-9

https://doi.org/10.1055/s-0042-1757157

https://doi.org/10.1016/j.jacc.2021.09.001  https://doi.org/10.1159/000509119 

https://doi.org/10.1016/j.vaccine.2022.11.014

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