Ethical and Policy Factors in Care Coordination Assignment

Ethical and Policy Factors in Care Coordination Assignment

Ethical and Policy Factors in Care Coordination Assignment

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.

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 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).

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

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. Ethical and Policy Factors in Care Coordination Assignment

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.

Competencies Measured

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.

ETHICAL AND POLICY FACTORS IN CARE COORDINATION (NURSING HOMES) Example Presentation

INTRODUCTION

vEthics refer to moral principles that govern behavior and conduct (Molterer et al., 2020).

vHealth care ethics encompasses application of core principles of bioethics to health care and medical decisions (Molterer et al., 2020).

vA clinical case is viewed and the best course of action decided based on values, facts and logic.

vPractical and moral issues and concerns ordinarily present a constant challenge to healthcare administration and care delivery (Molterer et al., 2020 Ethical and Policy Factors in Care Coordination Assignment).

vClinicians therefore require training and enlightenment on ethical issues and considerations.

vHealthcare policies are guidelines and standards that are set by local, federal or state government to facilitate provision of healthcare (Benjamin, 2018).

vComprises of laws, regulations, decisions, plans and actions undertaken to achieve specific healthcare goals (Benjamin, 2018).

vUnited States formulated numerous healthcare policies that determine how healthcare is delivered, accessed, financed and the quality (Benjamin, 2018).

vEthics and policies are critical to functioning of various institutions such as nursing homes.

NURSING HOMES

vPrivate or public residential facilities providing topmost long term personal or nursing care for older adults outside hospital (Mor et al., 2018).

vProvides custodial care including nursing care, 24-hour supervision, and assistance with daily activities (Mor et al., 2018).

vCandidates include individuals with worsening and progressive illnesses such as Alzheimer’s disease and individuals whose medical needs are unmanageable at home.

vNursing homes are affected by ethical and policy factors.

vAdditionally, factors such as registered nurse burn out, cost, job dissatisfaction, and missed care have been implicated in nursing homes (White et al., 2019).

CARE COORDINATION AND CARE CONTINUUM

vCare coordination-deliberate organization of patient care between two or more healthcare providers (Vimalananda et al., 2018).

vPrevents fragmentation and facilitates delivery of appropriate health services

vCare continuum-provision of integrated and comprehensive range of health services to a patient over time (Vincent, 2019).

vThe aforementioned processes promotes quality, safety and efficiency of patient care (Vimalananda et al., 2018).

vNurses play a pivotal role in both process by contributing to the formulation of transitional care plans.

GOVERNMENT POLICIES AFFECTING CARE COORDINATION

vGovernment enact laws and regulations that affect healthcare delivery as well as care coordination (Benjamin, 2018).

vSubsequently, the government ensures that these guidelines and standards are strictly adhered and followed (Benjamin, 2018).

vNumerous government policies have been stipulated that impact on care coordination

vThis policies are continually amended to ensure they conform to the dynamic healthcare environment (Benjamin, 2018).

vNurses should participate in formulation of these policies

vHealth Insurance Portability and Accountability Act (HIPAA) of 1996 (Cohen & Mello, 2018).

vThe Affordable Care Act (2010) (McIntyre & Song, 2019).

vMedicare (Wadhera et al., 2020).

vMedicaid (Wadhera et al., 2020).

vState Children’s Health Insurance Program (SCHIP)

vVeterans Health Administrations (VHA)

vAgency for Healthcare Research and Quality (AHRQ) (Brach & Borsky, 2020)

vDepartment of Defense (DOD) TRICARE

POLICY PROVISIONS WITH ETHICAL DILEMMA

vHealth Insurance Portability Accountability Act-nurses at times are in dilemma whether to disclose particular patient’s information (Cohen & Mello, 2018).

vAffordable care Act poses challenges and ethical dilemmas corelated with payment and reimbursement of health services (McIntyre & Song, 2019).

vMedicare has increased healthcare accessibility with a provoking ratio of patient to provider (Wadhera et al., 2020; Shrank et al., 2019 Ethical and Policy Factors in Care Coordination Assignment).

vThe Agency for Health Research and Quality emphasizes on quality nursing care despite shortage of staffing (Brach & Borsky, 2020)

IMPACT OF CODE OF ETHICS FOR NURSES ON CARE COORDINATION

vNurses are critical for care coordination in healthcare.

vNursing practice is based upon a professional code of ethics

vEthics act as a guide to nurses and clinicians

vNon negotiable standards of morals for nurses (Haddad & Geiger, 2021).

vDeveloped by American Nurses Association (ANA) to ensure that nurses practice competently with integrity (Haddad & Geiger, 2021).

vComposed of nine provisions that enhances care coordination.

vProvision 1 advocates for compassion and respect for inherent dignity which is crucial for care coordination (Haddad & Geiger, 2021).

vProvision 2 emphasizes commitment to the patient

vProvision 3 outlines the critical roles and the responsibility of nurses to patients (Haddad & Geiger, 2021).

vProvision 5 addresses the responsibility of nurses to self and to others

vProvision 6 highlights the importance of collective collaboration which is key to care coordination (Haddad & Geiger, 2021).

vProvision 7 encourages nurses to participate in research and formulation of health policies (Haddad & Geiger, 2021).

ETHICAL POLICIES AFFECTING CARE COORDINATION IN NURSING HOMES

vMedicare-federal health insurance for people 65 years and above and thus determines accessibility (Wadhera et al., 2020).

vAffordable care Act is focusing on enabling persons to remain at home as long as possible due to the high cost of custodial care in nursing homes (Vincent, 2019).

vHealth Insurance Portability and Accountability Act ensures patients privacy and confidentiality is maintained throughout the care coordination process in nursing homes (Cohen & Mello, 2018).

vThe Agency of Health Research and Quality ensures quality healthcare in nursing homes (Brach & Borsky, 2020).

SOCIAL DETERMINANTS

vHealthy People (2020) outlines the social determinants of health which reflect on social factors and physical conditions of the environment

vInclude availability of resources, residential segregation, poverty, public safety, social support and interactions, housing and physical barriers among others (Healthy People, 2020)

vThe aforementioned factors were to be looked into to create a favorable environment for healthcare delivery (Healthy People, 2020)

vThese objectives were to be met by 2020

vThese factors also affect care coordination in nursing homes

CONCLUSION

vEthical and policy factors affect care coordination in healthcare institutions as well as nursing homes.

vGovernment health related policies and regulation govern healthcare delivery and are always amended to keep pace with the dynamic healthcare industry

vCare coordination is vital for quality patient care

vNurses, working under the professional code of ethics play a key role in nursing homes to ensure quality care

vNurses should actively participate in health policy formulations

vSocial determinants of health affect care coordination in nursing homes.

Ethical and Policy Factors in Care Coordination Assignment References

  • McIntyre, A., & Song, Z. (2019). The US Affordable Care Act: Reflections and directions at the close of a decade. PLoS Medicine, 16(2), e1002752. https://doi.org/10.1371/journal.pmed.1002752
  • Molterer, K., Hoyer, P., & Steyaert, C. (2020). A practical ethics of care: Tinkering with different ‘goods’ in residential nursing homes. Journal of Business Ethics, 165(1), 95–111. https://doi.org/10.1007/s10551-018-04099-z
  • Mor, V., Thomas, K. S., & Rahman, M. (2018). Defining and measuring nursing home placement. Journal of the American Geriatrics Society, 66(10), 1866–1868. https://doi.org/10.1111/jgs.15546
  • Shrank, W. H., Rogstad, T. L., & Parekh, N. (2019). Waste in the US health care system: Estimated costs and potential for savings: Estimated costs and potential for savings. JAMA: The Journal of the American Medical Association, 322(15), 1501–1509. https://doi.org/10.1001/jama.2019.13978
  • Vimalananda, V. G., Dvorin, K., Fincke, B. G., Tardiff, N., & Bokhour, B. G. (2018). Patient, primary care provider, and specialist perspectives on specialty care coordination in an integrated health care system. The Journal of Ambulatory Care Management, 41(1), 15–24. https://doi.org/10.1097/jac.0000000000000219
  • Vincent, J.-L. (2019). The continuum of critical care. Critical Care (London, England), 23(Suppl 1), 122. https://doi.org/10.1186/s13054-019-2393-x
  • Wadhera, R. K., Figueroa, J. F., Joynt Maddox, K. E., Rosenbaum, L. S., Kazi, D. S., & Yeh, R. W. (2020). Quality measure development and associated spending by the centers for medicare & medicaid services. JAMA: The Journal of the American Medical Association, 323(16), 1614–1616. https://doi.org/10.1001/jama.2020.1816
  • White, E. M., Aiken, L. H., & McHugh, M. D. (2019). Registered nurse burnout, job dissatisfaction, and missed care in nursing homes. Journal of the American Geriatrics Society, 67(10), 2065–2071. https://doi.org/10.1111/jgs.16051

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