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Assessment 2 Instructions: Ethical and Policy Factors in Care Coordination

May 15, 2023 | Nursing | Capella FlexPath | FPX4050 | 45
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. 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. Demonstration of Proficiency 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. 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 5/11/2021 Assessment 2 Instructions: Ethical and Policy Factors in Care 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 Assessment 2 Instructions: Ethical and Policy Factors in Care .. 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.
Ethical and Policy Factors in Care Coordination Care coordinators play a crucial role in the provision of health care to individuals in nursing homes. Among the benefits that patients gain from coordinated care include quality care, reduced costs when accessing the care, better management of diseases, and improved patient satisfaction (Friedman et al., 2016, p. 90). However, for effective care coordination, there need to be ethical values and supportive policies. Incorporating ethical standards in coordinated care means that healthcare workers get the ability to make informed judgements, recognize and easily solve dilemmas, and stay within the laws that govern them (Haddad & Geiger, 2020). Policies support coordinated care in many ways, such as ensuring care is affordable and that the privacy of patient's data is maintained at all times. HIPPA and The Affordable Care Act The Affordable care act is the first policy to effectively address the quality of care provided to older people in nursing homes. The Act has improved enforcement and oversight for the nursing home in the Medicaid and Medicare programs. There have been many reports on care problems regarding nursing homes before, including welfare, safety, and health problems. This is bound to affect coordinated care (KFF, 2013). The nursing home transparency act of 2009, incorporated through the affordable care act, helped improve compliance with various federal requirements. The affordable care act makes it easier to provide coordinated care as it allows for a state Medicaid option to offer community-based attendant services. This makes the services affordable. The nursing home transparency and improvement ensures that patients are also protected from abuse (National Consumer Voice, 2020). HIPPA, the Health Insurance Portability and Accountability Act, protects the medical records of all patients through ought America by implementing strict privacy standards. For coordinated care to be effective, patients need to feel that there is a satisfactory level of confidentiality between them and the health personnel. In the past, staff have been found abusing patients verbally or taking their pictures to send others in nursing homes (Davidson, 2019). As most nursing homes fall under healthcare providers, they are covered under HIPPA, and in cases such as this, the regulation should take action against such employees. HIPPA provides patients with control over their information and set boundaries regarding information distribution. Despite these benefits, some challenges and dilemmas could hinder properly coordinated care (SeniorLivingU, 2019). These include limiting new research, consuming much time as healthcare providers must seek consent to share information with others, and the increase in healthcare costs due to training and education programs. Policy Provisions that raise Ethical Questions or Dilemmas for Care Coordination There have been several ethical issues that have been raised by healthcare professionals, especially in payment consistency. In cases where reimbursement does not happen to all qualified staff who take part in coordination services, then a challenge of high-quality care outcomes is created. Payments highly stimulate value, and if they are not balanced, then care coordination becomes a challenge (Lamb et al., 2015, p. 523). Another ethical issue that is observed in various policies, such as the Affordable Care Act, is the coordination of care among poor people. The Patient Protection and Affordable Care Act (PPACA) requires that most American citizens have medical insurance despite it being of different forms such as private or Medicaid. Those people with the ability to pay more than 8% of their total income towards insurance can get subsidized premiums (Sorrell, 2012). The government, therefore, has little control over the healthcare system at this point. Coordinated care means accessing everyone who requires quality care. However, the PPACA has minimal intentions of providing care to those immigrants that are undocumented. The Affordable care act may have increased the cover for non-citizen immigrants. Still, questions arise whether it is okay not to provide a person in need with care just because they are undocumented immigrants (Bustamante et al., 2018, p. 217). Future reforms should reduce this gap to reduce these dilemmas that care coordinators face while providing care. Impact of the Code of Ethics for Nurses on the Coordination and Continuum of Care The most common issues that nurses deal with are often contained in the code of ethics. Due to ethical dilemmas, arguments may occur between patients, families, and hospital staff. Through the code of ethics, nurses can provide a well-coordinated and continuum of care as they can arrive at the right solutions. The code of ethics acts as a guide, and it is non-negotiable (EMU, 2018). Nurses in nursing homes should follow the code as it is their commitment to society. The different provisions are what nurses should always remember to enhance coordinated care. The first provision ensures that nurse's practice with compassion and recognizes the dignity of a person. This means that nurses in nursing homes and other areas will treat the patients with respect, whether they have autonomy or not. The third provision helps nurses to use the best practices when caring for the patient. This maximizes safety. Another important provision is the eighth, which requires nurses to engage in the health needs of everyone, whether inside the community or outside. The main principles of ethics, which include autonomy, beneficence, justice, and nonmaleficence, play a huge role in guiding the nurses. In the continuum of care, however, nurses can encounter complex ethical issues that require more guidance. In this case, one may seek guidance from the ethics committee (Gaines, 2020). Key Ethical and Policy Issues affecting Nursing Homes Over the 15000 nursing homes that are spread out through America, more than 95% of them receive funding from the government through Medicaid and/or Medicare programs to cover services provided to the elderly (Kusmaul et al., 2017, p. 87). Medicare is a key policy that offers insurance to individuals who are above 65 years of age or disabled. While Medicaid focuses more on long-term care costs, Medicare helps them to pay for short term rehabilitative care. Among the major ethical issues experienced in nursing homes include substance use and abuse among families and staff. The abuse of substances takes many forms in nursing homes leading to impaired job performance and poor interpersonal relationships. This may end up putting the lives of the patients in danger. There is also an increased risk of having patients in nursing homes abused. Where drugs abused are acquired from the hospital, there is a falsification of records. Resident-to-resident aggression during interactions may also be increased depending on the nurse's intervention. Nurses should understand how to ethically solve issues that arise between residents (Kusmaul et al., 2017, p. 94). Other major ethical challenges that are experienced in nursing homes include decision making over end-of-life care, inadequate resources, the use of restraints, and the extent of decision making. Nurses who are able to distinguish ethical issues and dilemmas find the right solutions by following the code of ethics or consulting the ethics committee. Conclusion Ethical and policy factors play a vital role in care coordination. They help ensure that all patients receive the best the best outcomes possible by regulating how care is provided. Policies also ensure equality among people ensuring that everyone receives care despite their position financially. Nurses should follow ethical practices to improve patient experience as well as satisfaction. References Bustamante, A. V., Chen, J., McKenna, R. M., & Ortega, A. N. (2018). Health care access and utilization among U.S. immigrants before and after the Affordable Care Act. Journal of Immigrant and Minority Health, 21(2), 211-218. https://doi.org/10.1007/s10903-018-0741-6 Davidson, G. (2019, November 26). HIPAA regulations for nursing homes. The JotForm Blog. https://www.jotform.com/blog/hipaa-regulations-for-nursing-homes/ EMU. (2018, January 5). Importance of ethics in nursing. Eastern Michigan University Online. https://online.emich.edu/articles/rnbsn/importance-of-ethics-in-nursing.aspx Friedman, A., Howard, J., Shaw, E. K., Cohen, D. J., Shahidi, L., & Ferrante, J. M. (2016). Facilitators and barriers to care coordination in patient-centered medical homes (PCMHs) from coordinators' perspectives. The Journal of the American Board of Family Medicine, 29(1), 90-101. https://doi.org/10.3122/jabfm.2016.01.150175 Gaines, K. (2020, September 4). What is the nursing code of ethics? Nurse.org. https://nurse.org/education/nursing-code-of-ethics/ Haddad, L. M., & Geiger, R. A. (2020, February 18). Nursing ethical considerations - StatPearls - NCBI bookshelf. National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/books/NBK526054/ KFF. (2013, January 15). Implementation of Affordable Care Act provisions to improve nursing home transparency, care quality, and abuse prevention. https://www.kff.org/medicaid/report/implementation-of-affordable-care-act-provisions-to-improve-nursing-home-transparency-care-quality-and-abuse-prevention/ Kusmaul, N., Bern-Klug, M., & Bonifas, R. (2017). Ethical issues in long-term care: A human rights perspective. Journal of Human Rights and Social Work, 2(3), 86-97. https://doi.org/10.1007/s41134-017-0035-2 Lamb, G., Newhouse, R., Beverly, C., Toney, D. A., Cropley, S., Weaver, C. A., Kurtzman, E., Zazworsky, D., Rantz, M., Zierler, B., Naylor, M., Reinhard, S., Sullivan, C., Czubaruk, K., Weston, M., Dailey, M., & Peterson, C. (2015). Policy agenda for nurse-led care coordination. ARTICLE AMERICAN ACADEMY OF NURSING ON POLICY, 63(4), 521-530. https://doi.org/10.1016/j.outlook.2015.06.003 National Consumer Voice. (2020). National consumer voice. https://theconsumervoice.org/issues/other-issues-and-resources/aca-provisions SeniorLivingU. (2019, November 26). HIPAA compliance: What you need to know | blog | SLU. https://www.seniorlivingu.com/hipaa-compliance-need-know-patient-privacy/ Sorrell, J. (2012). Ethics: The Patient Protection and Affordable Care Act: Ethical Perspectives in 21st Century Health Care. The Online Journal of Issues in Nursing, 18(1). DOI: 10.3912/OJIN.Vol18No02EthCol01100
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