- NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination.
What is care coordination?
Initially, the Institute of Medicine defines coordination as the process by which care services are coordinated across various settings, including individuals, facilities, and activities, to gradually maximise the effectiveness of healthcare services provided to patients (Okado et al., 2021). It involves deliberately organising care for affected individuals and sharing scientific data on the most critical occasions to achieve more effective and powerful care.
This indicates that the desires and alternatives of the affected person are identified in advance and communicated to the right individuals at the proper time, and that this information is vital in providing robust, resilient, and appropriate care for the affected individual.
Care coordination is helpful in nursing houses as it can reduce clinic admissions, decorate affected individuals’ delight, and beautify the excellent management of chronic illnesses . of their MU check, Popejoy et al. (2021) exposed that a care coordination application supposed to promote robust and invulnerable hospital discharges is proper at reducing readmissions to nursing homes indispensable to better tremendous care and better-affected character consequences. Explore Preliminary Care Coordination Plan for more information.
How Government Policies Affect Care Coordination
Within the US, specific federal regulations have a far-reaching impact on healthcare devices and the overall coordination of care for men and women. Certain rules and regulations, including HIPAA, Medicaid, and Medicare, impact care coordination. Through its numerous federal and local authorities, the US is now responsible for ensuring that the funding allocated annually for the healthcare sector through specific healthcare programs is utilised effectively (Bower, 2016).
The authorities ensure that all healthcare programs and recommendations are implemented accurately to reduce the impact of disabilities, illnesses, and accidents. Medicare is an exceptional government insurance that affects care coordination. Within the US, this application provides medical health insurance to approximately 1,000,000 citizens, and this number is expected to increase (Andes et al., 2019).
This software is in the process of providing access to care coordination for the included population. It has been confirmed that beneficiaries of Medicare are specifically the ones burdened by chronic conditions, which lower their functionality. This software application has notably reduced affected character care costs by eliminating unnecessary tests and methods.
Medicaid Coverage and Administration
In some exclusive vicinity, Medicaid serves more than forty-two million people. The general public of those humans are from terrible backgrounds and rely closely on health center treatment services to meet their healthcare needs and live healthily.
Medicaid is financed and administered using the methods of the federal and central authorities of the United States. This software program is based on community health facilities, private groups of medical institutions, and unique managed care plans to enable effective care coordination.
Ensuring Secure and Coordinated Healthcare
Through this insurance, the us government guarantees that the care delivered via outstanding agencies is not furnished in silos. As a result, disturbing conditions that adversely affect care coordination, such as the rate of clinic remedies, are significantly reduced. The Health Insurance Portability and Accountability Act (HIPAA) protects patients’ private information.
NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination
The primary motive of federal regulations is to enable the marketing of digital record exchange in the healthcare setting. The primary situation for the authorities is to ensure the confidentiality of affected character facts to shield the affected character from data violations accessed within the location of professional data.
HIPAA Enhances Patient Safety
Through HIPAA, a healthcare professional is authorized to percentage essential statistics about the affected person with a doubt anyone who can assist in reducing or saving you the threatened damage in the event an affected person poses a vast and coming close to risk to his very own or someone else’s health or safety (Qin, 2019).
As a result, HIPAA has stepped forward and affected individual safety because healthcare professionals, besides issues, can gain access to patient data. This enhances the affected person-company response. This applies to nursing homes, where patients’ well-being is based on the availability of statistics that ultimately lead to the implementation of preference-based strategies.
National, State, and Local Policy Provisions that Raise Ethical Questions or Dilemmas for Care Coordination
Many healthcare vendors and care coordinators in the US have discovered the challenge of balancing access to quality care and have identified an unethical catch-22 situation that requires engagement. The Yankee healthcare reform has brought about many ethical questions. For example, the Patient Protection and Affordable Care Act (PPACA) has added numerous moral troubles to care coordination.
The primary objective of PPACA was to ensure access to quality healthcare for all Americans, regardless of socioeconomic status, age, medical history, gender, or race (Kerkhoff & Hanson, 2019). The provisions of this Act were to take effect with the benefit and valuable aid of 2020. The provisions fall into two groups: enhancing proper access to hospital treatment through mandating insurance and improving the overall performance and quality of healthcare transport.
Ethical and Coverage Challenges
Despite these benefits, the Act will raise numerous ethical questions and concerns. The huge question is, who might be protected? A major hassle used to be that PPACA would offer loose care to undocumented immigrants, which can be contrary to the actual purpose of the law. It was anticipated that, through the use of Obamacare in 2014, insurance would be made available to approximately 30 million of the 47 million parents who had been uninsured previously, none of whom were residents except those with criminal records.
The law is not eligible for coverage through the US Exchanges, and it does not provide free care to non-US residents (Kerkhoff & Hanson, 2019). There may be additional trouble with the characteristics of the government. The Act requires most individuals who are citizens or non-citizens to have medical insurance; however, this coverage can be obtained through government-based exchanges, Medicare, private groups, or employers.
PPACA’s Impact on Affordability and Employer Responsibilities
Through the insurance exchanges, individuals who pay more than 8% of their household earnings for clinical medical insurance should receive subsidised charges (Kerkhoff & Hanson, 2019). PPACA no longer invites the government to interfere in the healthcare system, but, as an opportunity, attempts to improve both overall performance and access through mandates to be fulfilled by private healthcare corporations, states, and insurers. Ultimately, will this law harm small businesses?
NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination
With the overall performance of organisational insurance guidelines supplied with the beneficial aid of American employers, an ethical issue for managers is whether such guidelines offer the best content to many personnel and should be considered a responsibility to provide it whenever feasible.
The prevailing law requires all businesses with 50 or more employees to provide insurance to certified personnel. The question is, is it right for personnel of small organisations to use their personal gadgets to access medical institution treatment? Even supposing the law does not provide for this, we understand that small corporations are morally obliged to do everything within their power to protect their human resources.
The Impact of the Code of Ethics for Nurses on the Coordination and Continuum of Care
A code of ethics is vital in nursing homes because it establishes policies for conduct and workplace behaviour, including preventive measures. The American Nurses Association (ANA) lists nine provisions of the nursing code of ethics to identify unacceptable behaviour within the healthcare setting, specifically emphasising the need for effective care coordination. That is made viable through provisions two, 4, and 8. Provision 2 requires nurses to be devoted to the affected individual (ANA, 2021).
Nurses must be there for their patients and help them by directing or supplying them with the valuable aid and resources they need. They want to consider the sufferers’ desire to include their concept of man or woman in care practices. The fourth provision states that the nurse has the obligation, authority, and responsibility for nursing work and elects to provide exceptional patient care (ANA, 2021).
Nursing care picks must be planned, well-notion, and carried out responsibly. Provision 8 emphasises the importance of nurses collaborating with other healthcare professionals and the general public to address health disparities and promote human rights (ANA, 2021). Through teamwork, the nurse will uphold the idea that health is a right for everyone, opening the channel for the best exercise. The code, therefore, indicates that improving care coordination is a crucial segment of moral nursing practice.
Conclusion
Many government tips impact care coordination not only for people but also for nurses. Nearby kingdoms and nationwide insurance packages, such as HIPAA, Medicaid, and Medicare, have notably affected care coordination in healthcare settings. ANA’s codes of ethics, which govern nurse-patient interaction, also impact coordination and the continuum of care. If not well addressed, most of these factors can also be used in pot care coordination in nursing homes.