NURS FPX4050 Assessment 2 Ethical and Policy Factors in Care Coordination
Assessment 2: Ethical and Policy Factors in Care Coordination
FPX4050: Coordinating Patient-Centered Care
Month Date, Year
Ethical and Policy Factors in Care Coordination
Hello my name is [Student Name] and I am here to present ethical and policy factors in care coordination. It is an integrated health care provider practice regulated by the health care professionals at the health care settings. It is a multidisciplinary concept that holds immense importance in the health care setup. Nurses are the main stakeholders of the care ordination according to the American Nursing Association Nursing Code of Ethics. The care coordination requires multiple sectors involvement of the community health care and national policymakers (Suhonen et al., 2018). This presentation analyzes the ethical considerations and implications in terms of the policies of the governments related to coordinated care. Several factors contribute to the care coordination plan including the nurses’ ethical conduct and the service provision limitations. The organization addressed for the policy regulatory analysis and ethical implications is the American Lung Association (ALA) for COPD. This organization works with the Federal and local governments to provide optimal lung health under different community and national laws (Hannigan et al., 2018).
Governmental Policies Provision for Health Care and Community
The government also have set up coordination care strategies and policies to enhance the patient-centred outcomes at the health care center and community level. The Affordable Care Act provides the necessary financial support to the patients to obtain optimal care. The Affordable Care Act was started in 2011 providing socio-economic benefits in the form of health insurance to chronic disease patients. The patients with COPD having frequent readmissions can be managed by the Affordable care act (Gerada, 2019).
The coordination of care enhances communication across the health care department. It also enhances the coordination among professionals that will reduce medication errors and provide the timely diagnosis of intra professional communication. The care coordination plan also improves the quality of care (Gerada, 2019). The Center for Medicare & Medicaid Services (CMS) issues some community-based care transition programs that enhance the coordination in post-discharge patients and reduce the rehospitalization rate. This program uses meaningful technologies for monitoring and investigation of the improvement of the patient (Suhonen et al., 2018).
The American Lung Association (ALA) working with the U.S. Health Department has the triple aim of providing Care Coordination oriented health care. The policies include the involvement of the multiple sectors of society and health care units (ALA, 2021). The policies originated by the U.S. health care department and regulated by the ALA are centred to improve the patient experience of care at the health care units. Improve the health of the overall population with efficient care and reduce the costs of the health measures and treatment measures (Hannigan et al., 2018).
HIPAA permits health care providers to disclose to other health providers any protected health information (PHI) contained in the medical record about an individual for treatment, case management, and coordination of care and, with few exceptions, treats mental health information the same as other health information. The Federal Action Plan undergoes the multisectoral management of the policy. The 2021 action plan agenda emphasizes the policy implementation in the research arenas and the environmental pollution reduction (World Health Organization, 2021).
National, State and Local policies
The U.S. implemented National and State policies of the cessation of smoking and funded programs for the people who wants to quit smoking is provided. The local laws and regulations of preventing indoor smoking, cessation of the smoking campaigns, high taxes on tobacco and general community campaigns of the awareness of smoking and its health effects create a reasonable impact on the policy measures (Stumm et al., 2019). The American Lung Association is an organization that works with the Federal government in implementing and regulating lung health-related policies and laws. It is working in multiple domains to ensure safe air, lung health and preventing tobacco. ALA is mainly concerned with uplifting lung health. Its main purpose is to advocate and educate the events related to lung health (Suhonen et al., 2018).
ALA advocates the national laws and policies that support lung health. The main advocacy policies of ALA are clean air that means free of toxins, pollutants and dirt, as people with lung diseases often have respiratory triggers related to the environmental pollutants (Gerada, 2019). Lung health policy includes medical, health care and community policies of improving the health of lungs. Tobacco, the most common irritant of COPD, policies of quiet smoking is necessary for COPD patients. ALA introduces tobacco and cigarette prevention measures to prevent the exacerbation of COPD. (ALA, 2021)
The community-based National program for the prevention of tobacco, cigarette smoking is being implemented that provides support for smoking cessation. The government have laved high taxes on the purchase of the cigarette and tobacco (Hannigan et al., 2018).
The purpose of care coordination is to work collectively with the patient-centred approach. The nursing practice often reports certain ethical and moral dilemmas that address the nurses to review the code of conduct. Nurses being the stakeholders of the health care department are responsible for keeping the confidentiality of the patient’s information to themselves. The negligence in the workplace can cause the patient’s long recovery time and poor health outcomes (Stumm et al., 2019). The malpractice can be identified by the nurses and addressed to the authorities. The whistleblower at the organization requires to build a trustworthy relationship with the organization to address the negligence practiced at the organization. The nurse code of conduct for the provision of efficient care with coordinated and continuously improving efforts of care requires the nurses to address the negligence in the care at once.
The Nurses has reported the negligence of the patient care in the primary health care setting and addressing the negligence of the fellow nurse was faced by the moral and ethical concern of the whistleblower. However, the ANA code of conduct allows the nurses to address penitent centred care. The ethical dilemmas of care coordination are also observed in the autonomy and dignity of the physicians to work in coordination. The balance between responsibility and accountability must be maintained which become an ethical dilemma (ANA, 2021).
Ethical Implications, Nurse Code of Conduct, Coordination and Continuum of Care
The ethical implications and the code of conduct of nurses provide the continuum of care in the community and medical care. The working ethics of the hospital provide interprofessional communication and timely, safe, quality and efficient health care. The code of conduct addresses the basic care coordination practices that ensure the practice of the regulatory conduct at the health care organization (Hannigan et al., 2018).
The impact of the Nurses code of conduct of care coordination., continuous improvement, patient centred safe and efficient care provisions provide patient satisfactory care. The addressing of the malpractice and medication negligence will increase the number of reported medication errors. The costs for the medication and the organizational expense son the readmission will decrease after the efficient care practices along with better post-discharge care and monitoring (Gerada, 2019)
The nurse’s code of ethics is based on the care coordination ‘triple aim’ enables them to provide quality, access and reliable care to the patients with continuous efforts to improve coordinated care and efficient health care practices. Nurses have the role of care coordinators. It implicates the nurses to provide coordinated care by communicating with the other health care professionals (Stumm et al., 2019). The American Association for College of Nursing (AACN) also enables Nurses to practice holistic care measures. The continuum of health and illness must be regulated by enhancing the communication with the patient and with other health care providers. The caring practices require multiple resources in the form of financial, medication and manpower to provide better-coordinated care.
The main issues identified in the ethical practice is the dilemma of malpractice by the nurses and personal autonomy for the professional to work together. It enables the nurses to depend on their decision-making abilities to competently handle the situation. The autonomy of the patient and the confidentiality issue of the patient’s electronic health records give jeopardy of the post-discharge monitoring. However, patients’ consent and electronic telehealth technology can policies the right benefit. The policies of the health care and community resources require costs analysis and financial support. However, there is also a need for research in identifying the low costs and highly energy-efficient sources of the energy (Stumm et al., 2019).
The Nursing code of conduct and organizational working ethics implicate the nurses to provide safe and efficient care provisions under the umbrella of a coordinated care plan. The ethical dilemmas pose certain implications in the proper care coordination measures. It also affects the autonomy, dignity and freedom of work of fellow professionals. The policies of smoking cessation programs and high taxes have improved the non-smoking rates in the younger generation because of the low affordability of the products.
Care Coordination and the Essential Role of Nurses | American Nurses Association (ANA). (2021). ANA. https://www.nursingworld.org/practice-policy/health-policy/care-coordination/
Gerada C. (2019). Clare Gerada: We need a complaints code of conduct. BMJ (Clinical research ed.), 364, l59. https://doi.org/10.1136/bmj.l59
Hannigan, B., Simpson, A., Coffey, M., Barlow, S., & Jones, A. (2018). Care Coordination as Imagined, Care Coordination as Done: Findings from a Cross-national Mental Health Systems Study. International journal of integrated care, 18(3), 12. https://doi.org/10.5334/ijic.3978
Stumm, J., Thierbach, C., Peter, L., Schnitzer, S., Dini, L., Heintze, C., & Döpfmer, S. (2019). Coordination of care for multimorbid patients from the perspective of general practitioners – a qualitative study. BMC family practice, 20(1), 160. https://doi.org/10.1186/s12875-019-1048-y
Suhonen, R., Stolt, M., Habermann, M., Hjaltadottir, I., Vryonides, S., Tonnessen, S., Halvorsen, K., Harvey, C., Toffoli, L., Scott, P. A., & RANCARE Consortium COST Action – CA 15208 (2018). Ethical elements in priority setting in nursing care: A scoping review. International journal of nursing studies, 88, 25–42. https://doi.org/10.1016/j.ijnurstu.2018.08.006
World Health Organization. (2021). Continuity and coordination of care: a practice brief to support implementation of the WHO Framework on integrated people-centred health services.