NURS-FPX4050 Assessment 2: Ethical and Policy Factors in Care Coordination

Ethical and Policy Factors in Care Coordination

Name

Capella University: NURS-FPX4050 Assessment 2

Date

 

 

Ethical and Policy Factors in Care Coordination

I am probably speaking about the ethical and insurance concerns in NURS-FPX4050 Assessment 2 Care Coordination. Specifically, I can speak of the ethical and insurance concerns in care coordination as they investigate nursing homes. I’ve placed my presentation just so that it touches on the four most significant areas. Firstly, I can briefly outline the time frame for care coordination. Then, I can demonstrate how authorities’ recommendations affect care coordination. Afterward, I became aware of different nationwide, the United States, and community insurance policies that pose ethical issues and questions for care coordination. Lastly, I can conduct an examination of the impact of the code of ethics for nurses on coordination and continuum care.

What is care coordination?

First, the Institute of Medicine coordinates care coordination to mean the extent to which care services for the affected person are coordinated along the continuum of internet websites, individuals, sports activities sports, and features grade by grade in order to maximize the cost of healthcare services provided to patients (Okado et al., 2021). It entails the deliberate business enterprise of concerned persons caring sports, sports, and the sharing of scientific information on several of the involved events to accomplish more powerful and safer care. This implies that the choices and wants of the person affected are taken into consideration beforehand and communicated to the right humans at the right time and that this information plays a central part in providing effective, closed, and suitable affected person care. Care coordination benefits nursing homes as it may reduce hospitalization, improve affected men’s or women’s satisfaction, and beautify the quality of sustained sickness management. In their study, MU look, Popejoy et al. (2021) revealed that a care coordination software program program program to improves strong and resilient health facility discharges, crucial to lowering readmissions to nursing homes, crucial to increased high-quality care and increased patient outcomes.

How Government Policies Affect Care Coordination

In the US, there are special federal policies that have a wide-reach effect on the healthcare tools and the overall coordination of affected men or women’s care. Some of the packages and policies that affect care coordination are HIPPA, Medicaid, and Medicare. Through its several networks, the US and federal authorities are also delayed in charge and responsible for ensuring that the range of annual charges that it charges to the healthcare device under one-of-a-kind clinical packages are utilized in an effective way (Bower, 2016). The authority ensures that all healthcare programs and services are utilized effectively to reduce the burden of disabilities, disease, and injury. Medicare is a great government coverage that influences care coordination. In America, this software program software offers medical health coverage services to approximately one million citizens, with the number projected to go upward (Andes et al., 2019). This software program software care coordination in the sense that it definitely works to beautify get right of access to in order to the protected population. It’s been found that recipients of Medicare are particularly baffled by the use of persistent illnesses that reduce their ability. This utility has significantly reduced the related worth of individual care through the elimination of duplicate exams and methods.

NURS-FPX4050 Assessment 2: Ethical and Policy Factors in Care Coordination

In a few distinctive places, Medicaid offers more than forty-two million people. Most of the people aforementioned humans are of disadvantaged backgrounds and rely on health center treatment avenues to meet their healthcare desires and stay healthy. Medicaid is supported and controlled through the means of Genius of both the federal and US governments. This computer program is typically founded on community health facilities, personal bearers of clinic treatment, and some managed care schemes in order to provide room for successful care coordination. Through this coverage, the American government makes sure that the care provided through distinctive organizations is not delivered in silos. due to this, disturbing circumstances that adversely affect the care coordination, such as the cost of hospital therapy, are greatly reduced. 

Patients’ personal records is protected under the Health Insurance and responsibility Act (HIPAA). The basic objective of federal recommendations is to facilitate the promotion, advertising, marketing, and advertising of virtual facts change in the healthcare setting. The primary state of affairs to the authorities is ensuring the confidentiality of affected character details in order to guard the affected man or woman in competition from information breaches gained in the place of professional files. Through HIPAA, a healthcare expert is authorized to percentage essential records about the affected individual with everybody who can assist in lessening or preventing the threatened damage in the event an affected person poses a major and imminent risk to his very personal or someone else’s health or safety (Qin, 2019). As a capitulation to cease impact, HIPAA has created sophisticated affected character safeguards despite the fact that healthcare professionals are able to bar troubles from obtaining the right of entry to affected man or woman data. This supports affected individual-commercial enterprise employer reaction. This, too, holds genuine. Nursing homes whose patients’ health and well-being are largely dependent on the availability of facts, not in the long term but in sanctioning decision implementation plans.

National, State, and Local Policy Provisions that Raise Ethical Questions or Dilemmas for Care Coordination

Many healthcare corporations and care coordinators within the US find the process of balancing getting the right to entry to nice care and charge an unethical dilemma that needs involvement. The Yankee healthcare machine has earnestly brought forth a series of ethical concerns. For instance, the Individual Impacted Safety and Affordable Fee Care Act (PPACA) has brought numerous ethical concerns to the forefront of care coordination. The intention of PPACA was to gain medical coverage with everyone irrespective of socioeconomic status, age, clinical data, sex, or race (Kerkhoff & Hanson, 2019). The provisions within this Act were to take effect by 2020. The provisions are divided into two corporations: improving the right of admission to medical treatment through the useful resource of requiring protection and improving basic overall performance and outstanding healthcare delivery. Irrespective of these blessings, the Act raises a great many ethical issues and questions. The major question is, who should be insured? A good reason to worry was forthwith as quickly that PPACA will be offering free care to illegal aliens, which can be opposite to the rightful purpose of the law. It was previously anticipated that through 2014, Obamacare will enhance coverage with insurance for about 30 million of the 47 million people who’ve had no coverage, with the aid of means of then, other than jail records, of which none were residents. The law is not insured through exchanges nor provides free treatment for non-US citizens (Kerkhoff & Hanson, 2019). There can also be an issue with the area of the government.

NURS-FPX4050 Assessment 2 Policy Factors in Care Coordination

The Act calls for a majority of criminal citizens and citizens to have medical scientific health insurance, but this insurance can be through kingdom-based coverage exchanges, Medicare, individual agencies, and employers. Through the insurance exchanges, those who pay more than eight percent of their household incomes for clinical medical health insurance may get subsidized prices (Kerkhoff & Hanson, 2019). PPACA does not now call the government to intervene in the healthcare machine, but as an opportunity attempts to enhance each average performance and acquire proper access to through mandates to be achieved through personal scientific providers, states, and insurers. In the long run, will this law damage small businesses? With standard performance of business enterprise corporation rules tips guidance offered by way of American employers, a moral dilemma for managers is whether or no longer or now not or now not such instruction generates the right solution many employees and so wish to be controlled by mandate to provide it wherever possible. NURS-FPX4050 Assessment 2: Ethical and Policy Factors in Care Coordination current law mandates that all companies with 50+ workers provide insurance to licensed staff. The question is, is it appropriate to leave the staff of small companies to their very, very, very own devices in obtaining hospital therapy? Notwithstanding the fact that legislation does not now make provision for this, we recognize that small businesses have a moral obligation to do whatever they can within their means to cater to their list of employees.

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

A code of ethics is inevitable in nursing homes because it frames rules of behavior and place of business, artwork the thinking for anticipatory warning. The American Nurses Association (ANA) lists nine provisions of the nursing code of ethics to unveil which behavior is unacceptable in the healthcare setting and offer the need for proper care coordination. That is only possible through provisions two, four, and 8. Provision two requires nurses to be devoted to the stricken man or woman (ANA, 2021). Nurses want to be accessible to their patrons and help them with the precious asset of assisting or directing them with the resources and support that they need. They want to take into account reflection on patients’ needs to bring their man or lady concept into care for approaches. The fourth requirement requires that the nurse is responsible, in charge, and bound by duty for nursing practice and decides to provide high-quality patient treatment (ANA, 2021). Nursing look-after decisions should be taken into account, sound thinking should be done, and the work should be completed in a responsible manner. Provision eight focuses on collaboration among the different healthcare professionals and the majority as a way of minimizing gaps in health and safeguarding human rights (ANA, 2021).

Conclusion

The nurse will enact the practice that fitness is a right for every person and creates the door to important exercise. The code further posits that maximizing care coordination is a crucial element of ethical exercise in nursing. Capitulation. Many authority regulations affect care coordination not only for humans but also extend the network applications like nursing homes. Local, U.S., and national coverage packages like HIPAA, Medicaid, and Medicaid have major effects on care coordination in health environments. ANA’s codes of ethics that frame nurse-impacted character interaction have further effects on coordination and continuum of care. Most of those factors, if not met appropriately, can also worsen better care coordination in nursing homes.

References

American Nurses Association. (2021). Code of ethics with interpretative statements. Silver Spring, MD: American Nurses Enterprise; 2015.

Andes, L. J., Li, Y., Srinivasan, M., Benoit, S. R., Gregg, E., & Rolka, D. B. (2019). Diabetes incidence and occurrence amongst Medicare beneficiaries—the United States, 2001–2015. Morbidity and Mortality Weekly file, 68(40 3), 961.

Bower, A. (2016). Nursing management and care coordination: growing excellence in coordinating care in the course of the continuum. Nursing manipulate quarterly, forty two), ninety eight-102.

Kerkhoff, T. R., & Hanson, S. L. (2019). Applied ethics.

Okado, I., Pagano, I., Su’esu’e, A., Cassel, ok., Rhee, J., Berenberg, J. L., & Holcombe, R. F. (2021). Mixed-techniques studies to assess care coordination research among NCORP scientific trial contributors.

Popejoy, L. L., Vogelsmeier, A. A., Wang, Y., Wakefield, B. J., Galambos, C. M., & Mehr, D. R. (2021). Check out the Re-Engineered Discharge software program application implementation techniques in SNFs. clinical Nursing research, 30(five), 644-653.

The post NURS-FPX4050 Assessment 2: Ethical and Policy Factors in Care Coordination appeared first on Online Class Services.