4050 (M) Assessment 2 Script

docx

School

University of Nairobi *

*We aren’t endorsed by this school

Course

Subject

Nursing

Date

Nov 24, 2024

Type

docx

Pages

Uploaded by OTEMOI

1 Ethical and Policy Factors in Care Coordination Student's Name Institutional Affiliation Course Code Professor's Name Due Date

2 Ethical and Policy Factors in Care Coordination Slide 1: Background Ethical practices, policies, and care coordination regulate healthcare systems and services. These elements are essential as they provide caregivers guidelines to provide care and solve various medical problems or dilemmas. This means that a caregiver has to follow certain steps to provide care to avoid causing harm or conflict. This practice in health facilities leads to improved patient safety and improved efficiency as care processes are well guided to make patients get better. When the regulations and ethics are keenly followed, it usually leads to improved quality of care as every stakeholder’s needs are addressed through the policies. It should be noted that through the policies and ethics, the caregivers can adhere to the regulations set by healthcare agencies for better outcomes. Slide 2: Nursing Homes and Care Coordination The presentation will address the care coordination in nursing homes as they currently play a significant role in continuing care for the patients discharged from health facilities. It should be noted that sometimes patients can be discharged from facilities and opt to stay in a nursing home to ensure that they recover as they get daily support. Primarily, the nursing homes were known for supporting patients, but Chisholm et al. (2018) point out that they are currently relied upon by families and patients to provide care and even coordinate daily living activities. This ensures patients get the care they deserve and do not relapse to poor outcomes due to personalized care. Although they do not function as health facilities, they are regulated by various policies which ensure that they adhere to patient care guidelines Slide 3: Policies and Care Coordination

3 One of the policies that have been vital in care provision and coordination is the Affordable Care Act. According to Gaffney and McCormick (2017), the ACA was enacted in 2010 but was fully implemented in 2014, allowing 32million Americans access to affordable care. This is because its purpose was to allow populations access to care, even those from vulnerable areas, to attain healthy outcomes. The ACA worked in the sense that it subsidized health insurance for patients and ensured that nursing homes could also take in patients for extended care as they could coordinate care processes. One of the schemes under ACA is Medicare, and it is meant for elderly patients (Above 65 years) or young people with disabilities, and it is meant to allow them access to high-quality and specialized care when ailing. Slide 4: Policies and Care Coordination Another health policy that has improved care coordination is Medicaid, as it allows the low-income populations to get access to care and other groups which might require special care in nursing homes. The nursing homes must take in the pregnant mothers, children, or other adults covered by the program. There is the use of technology in nursing homes, and the Health Insurance Portability and Accountability Act (HIPAA) comes in to protect patient confidentiality, prevent discrimination, and provide guidelines on the technology used to improve care. According to Ferro et al. (2019), the hospital readmission reduction program ensures that nursing homes provide value-based care, preventing readmission cases by making facilities incur additional medication costs. This is further reinforced by the patient safety quality and improvement act (PSQIA) which dictated that facilities have to coordinate care to report any safety issues for timely prevention. Slide 5: National, State, and Local Policy

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

4 On policies that affect care, it should be noted that all of them impact how caregivers conduct their daily practice. This is because nursing homes are dependent on sharing patient data with other facilities to help with patient care, but HIPAA policy limits the capabilities due to rules governing information sharing. The HIPAA policy implementation presents a new challenge to information sharing as it requires facilities to outline new frameworks on data sharing to protect patient confidentiality. In case a policy is not in place, a patient can be affected by the limitations as the caregivers do not have enough information, and to protect patients, the facilities have to adhere to the regulations to the latter. Also, third parties in the care process can have limited access to information as the HIPAA strives to uphold patient confidentiality and ethical values. Slide 6: National, State, and Local Policy It should be noted that expanding the ACA and applying new guidelines for patient care affects the financial performance of a nursing home as it is strict on insurance reimbursements. According to Ferro et al. (2019), the ACA reinforces the use of the HRRP policy by punishing the facilities with many readmission rates as they assume it is because of poor care. This means that caregivers are pressed to provide the best care to ensure that their pay is not affected. The policy can affect the patients' autonomy as caregivers overrule their preferences for best practices that they deem effective to prevent readmission cases no matter the costs. The inclusion of the preferred provider organizations (PPOs) that provide huge incentives hurts the general financial positions of a facility and can compromise the health advertising policies. Slide 7: Impact of the Code of Ethics

5 The nursing code of ethics is an important tool in providing care as it helps nurses to provide high-quality care through the provision of guidelines that nursing homes can use to handle patients and resolve conflict. According to Yıldız (2019), nurses can only provide high- quality care if they are well acquainted with the code of ethics and are thoroughly guided on applying them to guarantee safe care. This ensures that the nurses protect the dignity of the patients by providing them with the support they need, even those in their dying stages, and respecting their practices. Thereby, the nurses can coordinate care by following a code of ethics, committing to high-quality care guidelines, and embracing training/education to learn new opportunities to support patients. Slide 8: Impact of the Code of Ethics The code of ethics ensures that there are reduced health disparities by ensuring that there is no discrimination in health facilities and that the patients' rights are respected. This is achieved by outlining the consequences of not upholding the ethics and disregarding professional conduct. The code of ethics further points out that one can avoid conflict with patients by providing patient education to make them comfortable about health procedures and their importance. This improves the patients' health literacy and promotes care coordination as the nurses are well aware of the practices the patient is comfortable with and how to uphold their wishes. Lastly, the code of ethics communicates the need for accountability, and nurses are tasked with doing follow-ups to monitor patient progress and raise care access to even vulnerable populations. Slide 9: Impact of the Code of Ethics By upholding the code of ethics, the nurses directly support and implement the Healthy People 2020 objectives. This is because the framework supports access to care, improving

6 population health, and supporting communities to achieve better health outcomes. The caregivers are obligated to implement effective measures and promote high-quality care. It should be noted that Health People 2020 indicates that caregivers have to assess patients for the social determinants of health and identify how they affect their health outcomes. This helps develop ways to be supported throughout their care process and utilize available community resources. Conclusion In conclusion, healthcare policies are vital to care provision, and caregivers must adhere to the guidelines to provide high-quality care. This is because the policies provide guidelines on how caregivers are supposed to handle patients and implement interventions. The approach allows the nurses to understand their role in care coordination, patient monitoring, and implementation of policies such as the HIPAA, HRRP, and the ACA. When implemented well, the policies and ethical guidelines enable the caregivers to achieve improved quality and patient safety. The ethics further ensure that the facilities provide continued care by following the Healthy People 2020 frameworks for better community outcomes.

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

7 References Chisholm, L. Z. (2018). Culture change in nursing homes: What Is the role of nursing home resources? Inquiry : A Journal of Medical Care Organization, Provision and Financing, 55 , 46958018787043. https://doi.org/10.1177/0046958018787043 Ferro, E. G. (2019). Patient readmission rates for all insurance types after implementation of the hospital readmissions reduction program. Health Affairs, 38 (4), 585-593. https://doi.org/10.1377/hlthaff.2018.05412 Gaffney, A., & McCormick, D. (2017). The Affordable Care Act: Implications for health-care equity. The Lancet, 389 (10077), 1442-1452. https://doi.org/10.1016/S0140- 6736(17)30786-9 Yıldız, E. (2019). Ethics in nursing: A systematic review of the framework of evidence perspective. Nursing Ethics, 26 (4), 1128–1148. https://doi.org/10.1177/096973301773441

Related Documents

8210 Wk Responses.docx

Screenshot 2024-01-05 at 1.51.04 PM.png

Environmental Health and Health Effects on Environmental Change.docx

Geonette Charles Resume.docx

Professional Capstone and Practicum Reflective Journal-Week 10.docx

MACRA.docx

Addressing Health Disparities Among Refugees and Displaced Persons.edited.docx

6752484 Contemporary Professional Midwifery - Personal Development Reflective Assignment REVISED (2.

week 4 6120 reply .doc

ENG (22).pdf

CRC EXAM Q&AS BEST EXAM SOLUTION LATEST UPDATE (58).pdf

TWO WEEK 5 DISCUSSION ADVANCED HEALTH AND PHYSICAL ASSESSMENT.docx

Recommended textbooks for you

Intro To Health Care

Health & Nutrition

ISBN:9781337338295

Author:Mitchell

Publisher:Cengage

Case Studies In Health Information Management

Biology

ISBN:9781337676908

Author:SCHNERING

Publisher:Cengage

Biomedical Instrumentation Systems

Chemistry

ISBN:9781133478294

Author:Chatterjee

Publisher:Cengage

3-2-1 Code It

Biology

ISBN:9781337660549

Author:GREEN

Publisher:Cengage

Understanding Health Insurance: A Guide to Billin...

Health & Nutrition

ISBN:9781337679480

Author:GREEN

Publisher:Cengage

Comprehensive Medical Assisting: Administrative a...

Nursing

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Cengage Learning

SEE MORE TEXTBOOKS

Recommended textbooks for you

Intro To Health Care
Health & Nutrition
ISBN:9781337338295
Author:Mitchell
Publisher:Cengage
Case Studies In Health Information Management
Biology
ISBN:9781337676908
Author:SCHNERING
Publisher:Cengage
Biomedical Instrumentation Systems
Chemistry
ISBN:9781133478294
Author:Chatterjee
Publisher:Cengage
3-2-1 Code It
Biology
ISBN:9781337660549
Author:GREEN
Publisher:Cengage
Understanding Health Insurance: A Guide to Billin...
Health & Nutrition
ISBN:9781337679480
Author:GREEN
Publisher:Cengage
Comprehensive Medical Assisting: Administrative a...
Nursing
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Cengage Learning