course content/assignment

1. Ethical and Policy Factors in Care

2. Introduction
 My presentation today is on ethical policy factors in coordination.
 I will delve into ethical and policy dimensions of care coordination.
 I will also address the implications of these dimensions for nursing homes.
 I will also discuss government policies and how they affect coordination an how I brings
ethical difficulties in care coordination.

3. Care Coordination
 Care coordination is the organization of activities related to patient care Kuo et al. (2018).
 The implantation of care coordination is vital because it minimizes fragmented care.
 It also decrease costs associated with needless emergency department visits and hospital
readmissions.
 Care coordination also ensures everyone involved has updated information.
 Nursing home residents dealing with chronic patients will benefit most from care coordination.

4. Government Health Policies Effects On Care
Coordination
 Both affordable Affordable Care Act (ACA) and the Health Insurance Portability and Accountability Act
(HIPAA) relate to nursing.
 ACA was passed to make health insurance cover accessible.
 It also enhanced patient care quality, satisfaction and streamline treatment costs (Freundlich et al.,
2018).
 Improved care coordination and transitional care were among the efforts included in the Affordable
Care Act.
 As a result, Medicare expenditures have been lowered.

5. Government Health Policies Effects On Care
Coordination cont.
 Patient health information should be protected by HIPAA.
 HIPAA also gave access to important patient data.
 It was composed of the privacy and the security rule.
 Nursing homes should adhere to HIPAA regulations if they fall under business affiliate category
(Freundlich et al., 2018).
 HIPAA violations are punishable by imprisonment, and the loss of one's right to practice
medicine.

6. Policy Provision Raising Dilemma Or Ethical
Questions In Care Coordination
 Medical policies are developed to increase professionalism and accountability.
 Compliance with medical policies create ethical dilemmas and distract care discharge.
 Obama care was introduced to facilitate free access to healthcare.
 The implementation of Obama care gave rise to private insurers (Hsiao et al., 2018).
 The Affordable Care Act has created suspicion and may be oriented to profit making.

7. Policy Provision Raising Dilemma Or Ethical
Questions In Care Coordination
 Care provision for the elderly population has some ethical quandaries.
 An example of this quandary is the topic of geriatric access to health care.
 Despite legislation mandating generic medications, costs remain high (Hsiao et al., 2018).
 The ACA gives an opportunity for insurance coverage.
 However, its annual revisions and complexity may cause unpredictable repercussions for the
organization and employee.

8. Code of Ethics for Nurses on Coordination and
Continuum of Care
 The American Nurses Association (ANA) has developed a nursing Code of Ethics.
 The code comprises nine key elements aimed at improving patient health outcomes and
strengthening nursing practice.
 Health disparities for elderly people are caused by a variety of variables.
 These disparities include accessibility, availability, and price.
 ANA advocates the provision of care that takes all of the patient's requirements and choices into
consideration.

9. Code of Ethics for Nurses on Coordination and
Continuum of Care cont.
 Patient-centered care coordination is also encouraged by the code of ethics .
 It is also the most effective method of caring for patients and has 5 codes.
 The codes state that nurses have the same obligations to themselves as they have to others (Van
Malderen et al., 2019).
 The ANA code encourages collaborative leadership and the development of care plans that
assure patient safety.

10. Code of Ethics for Nurses on Coordination and
Continuum of Care cont.
 The code of ethics for nurses describes the activities and duties that nurses in healthcare (Van
Malderen et al., 2019).
 ANA code motivate nurses to offer treatment that is focused on the patient to shape their
experience.
 The code also assist nurses enhance their healthcare environment and professionalism.
 This professionalism is vital outside and within healthcare institution.

11. Code of Ethics for Nurses on Coordination and
Continuum of Care cont.
 Health social determinants are non-medical elements that impact health.
 There ere known five social determinants of health.
 They include neighborhood, built environment, education and economic instability.
 Others include health and healthcare, as well as social and communal context.
 social determinants of health are the circumstances in which individuals are born and grown.

12. References
 Freundlich, R. E., Freundlich, K. L., & Drolet, B. C. (2018). Pagers, smartphones, and HIPAA: Finding
the best solution for electronic communication of protected health information. Journal of Medical
Systems, 42(1), 1-3.
 Hsiao, Y. L., Bass, E. B., Wu, A. W., Richardson, M. B., Deutschendorf, A., Brotman, D. J., ... &
Berkowitz, S. A. (2018). Implementation of a comprehensive program to improve coordination of
care in an urban academic health care system. Journal Of Health Organization And Management.
 Kuo, D. Z., McAllister, J. W., Rossignol, L., Turchi, R. M., & Stille, C. J. (2018). Care coordination for
children with medical complexity: whose care is it, anyway?. Pediatrics, 141(Supplement_3), S224-
S232.
 Van Malderen, C., Amouzou, A., Barros, A. J., Masquelier, B., Van Oyen, H., & Speybroeck, N. (2019).
Socioeconomic factors contributing to under-five mortality in sub-Saharan Africa: a decomposition
analysis. BMC public health, 19(1), 1-19.