NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination TS

NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination  TS

NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination TS

Introduction
Introduction to Care Coordination
The consequences of poor care coordination can be adverse.
The American Nursing association (ANA) has provided a formal code of ethics for all healthcare professionals to work with more compassion, dignity, and commitment to treat all patients fairly and equally (Isaacs, 2021).
The Code helsp nurses to choose the right course of action to handle patients of different ages, genders, cultures, and mental health conditions.
The American Nursing association has formally adopted the code of ethics in nursing practices to improve the nursing care outcomes. Over the years, a greater emphasis has been placed on the care coordination and the factors that impact quality of care coordination in nursing settings. The consequences of poor care coordination can be adverse; which is why, ethical and moral codes and practices play an important role in healthcare that help nurses to choose the best practices and make savvy healthcare decisions (Isaacs, 2021).

). The ANA code of ethics comprises of 9 provisions that were updates in late 2015; the purpose of those changes was to reflect the improvements in healthcare practices and nurses’ responsibilities towards their patients. Scholars state that those ethical codes of the ANA reflect the importance of considering the social and economical status while being mindful of other nursing attributes

NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination TS

There are several different factors and considerations when it comes to ethical nursing practices. The goal of this presentation is to discuss the impact of ethical considerations on care coordination practices and the role of the government in it. Nurses have to be careful to decide the right course of action because they can handle patients of different ages, genders, cultures, and mental health conditions. Therefore, it is vital for a trained nurse to understand the position of a patient and to offer them the best ethical healthcare services.

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Impact of Code of Ethics of Nurses on the Coordination and Continuum of Care
Our contemporary healthcare organization follows the rules and regulations of the government and other bodies that significantly impact the care of coordination and continuum of services (Gunderson, 2018).

The three components of code of ethics are autonomy, justice, and is non- malfeasance .

According to Hafidh (2020), collaborative health care in any nursing settings is a vital process that allows behavioural and physical health providers to work together. For example, in our case in the nursing settings, the universal screening and diagnosis of mentally ill patients due to substance abuse and depression is vital to plan multidisciplinary care and share the potential information between the healthcare providers and the family members (Kuo, 2018).

The second factor is the justice factor that which demands that the nurses do not demonstrate any prejudice and racism in their current practices and treat all patients equally. This factor also helps to improve the coordination care and continuum of services (Pereira, 2021).

The third factor is non- malfeasance that secures all mental health patients facing substance abuse problem to feel safe and feel no harm in our settings. This suggests that noses must opt for methods that refrain from deteriorating or harming patients suffering from depression and substance abuse. This will allow nurses to develop faith and trust among patients (Francis, 2018).

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Effect of Governmental Policies on Coordination Care
important Hospital Readmission Reduction Program (HRRP) that helps to reduce the number of relapses and readmission into the psychotherapy department.

The Department of Health and Human Services (DHHS) that help nurses to stop the breach of ethical codes.

NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination TS

The HRRP motivates and encourages healthcare professionals in our settings to recover patients effectively
The Department of Health and Human Services (DHHS) that help nurses to stop the breach of ethical codes.
Hospital Readmission Reduction Program (HRRP) that helps to reduce the number of relapses and readmission into the psychotherapy department. The HRRP motivates and encourages healthcare professionals in our settings to recover patients effectively and faster than ever before.

. This reduces our readmission problem significantly and helps us to accommodate and serve new patients quickly. Therefore, follow this governmental guideline is crucial tithe success of our healthcare organization that helps use to effectively communicate with one another. As a result, this policy guideline significantly helps our staff to enhance the level of coordination and collaboration to continue better services for the community. We admire this policy and consider it sustainable in our organization for producing the best results in the future (Finucane, 2020).

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Medicare policy of the government also impacts the coordination and continuum of care in the US.

The program initially had a positive impact on the coordination of care with reduced cost of mental illness treatment.

These programs ensure that healthcare services at nursing centres are improved due to financial help of mentally ill patients.

Moreover, the most important Medicare policy of the government also impacts the coordination and continuum of care in the US. The program initially had a positive impact on the coordination of care with reduced cost of mental illness treatment. Moreover, Medicaid also serves almost 42 million patients in America who cannot pay heavy fees due to poor backgrounds (Berkowitz, 2018). This ensures that healthcare services at nursing centres are improved due to financial help of mentally ill patients.

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The affordable care act 2010 enforce healthcare professionals to secure patients information and imposes fines on those breaking this rule (Arquette, 2021).
However, the ACA brings some complications as Islamic patients consider many rules of insurance as unethical and anti-religious.
This results in the low quality of services due to not benefiting from insurance.
National, State, or Local Policy Provisions that Raise Ethical Dilemmas
Despite the fact that ethical codes and rules are extremely crucial for the improvement of nursing practices, some national or state level policy changes can raise ethical dilemmas and give birth to new problems. For example, observing the example of the affordable care act of 2010. The act enforces behavioural changes for healthcare professionals regarding securing healthcare insurance information of clients; anyone observed breaching that rule could be subject to fine (Arquette, 202).
For instance, the religion of Islam has some limitations and restrictions regarding allowing insurance use and it are also the fastest growing religion in the United States, therefore, the emphasis of the ACA on insurance can build more ethical problems and unrest in some religious groups.
The sad fact is that unless an individual is insured my Medicare or other providers, they are not able to reap all the medical healthcare benefits of the American system. This can result in low quality of care and facilities utilized by Islamic patients of mental health and depression or suffering from substance abuse. Hence, insurance can cause significant stress and tabulation to disturb the process of Islamic healing and medical treatment. Moreover, a mentally ill patient deserves and needs all the benefits of the system to get the best care possible; they cannot be treated partially and left to survive on their own. Therefore, the lack of insurance can become a hindrance in their way of an effective recovery.

NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination TS

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More Policy Provisions That Raise Ethical Dilemmas
The HRRP discussed above also ensures that medical healthcare professionals must communicate effectively and clearly with each other and patients to ensure quality care outcomes.

However, it raises more ethical dilemmas for patients who get misunderstood by nurses and get misdiagnosed (Abendstern, 2019).

Moreover, the HRRP discussed above also ensures that medical healthcare professionals must communicate effectively and clearly with each other and patients to ensure quality care outcomes. More ethical issues can arise due to the HRRP implementation in nursing settings such as patients getting misunderstood or get misdiagnosed by nurses and doctors. This can result in a denial of admission in the hospital and can elongate their mental illness or increase its severity (Abendstern, 2019).

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HRRP as an Ethical Issue
Increases changes of patients
misdiagnosis
Creates misunderstandings for professionals
Results in readmissions
Another policy that is vital to discuss is the HRRP. It was discussed in the previous slide. Even though the HRRP has seen to be advantageous because it helps doctors and nurses to better engage and communicate with the patients it also suffers from several ethical complications. The complications that can rise from the HRRP such as increased chances of patients getting misunderstood, or the condition misdiagnosed, which can lead to denial of admission.
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The HRRP was aimed to reduce the number of hospital admissions, however, studies show that differences in hospitals had different impacts of this law on vulnerable populations (Berkowitz, 2018).

Patients of heart failure and low income served by many nursing homes and hospitals fail to get the desired service qualities and spillover effects.
The Hospital Readmissions Reduction Program (HRRP) was established by the 2010 Patient Protection and Affordable Care Act (ACA) in an effort to reduce excess hospital readmissions, lower health care costs, and improve patient safety and outcomes. The act was supposed to reduce re-admissions for vulnerable populations of patients including low-income patients, patients served by hospitals that serve a high percentage of low-income or Medicaid patients, and high-risk patients. However, the research by Berkowitz (2018) shows the evidence of evidence of spillover effects for non-targeted conditions among Medicare patients compared to privately insured patients.
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Code of Ethics on Care Coordination Impact
Improves autonomy and enhances better understanding for patient

Creates good relationships

Justice helps care coordination by improving relationships and quality of care.

The code of ethics helps professionals to work with more freedom and autonomy to make the best decision in the favor of patients as well as for the institution. It helps them to regain their confidence and feel empowered. The code also helps practitioners and nurses to form stronger relationships with their patients. It also helps them to work with equality and treat every single patient with dignity, respect and justice to improve coordination of care.

NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination TS

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Creating Good Relationships
The mission of the ACA is to improve the life quality of patients attending sessions at nursing homes and healthcare organizations.

Professional counselors and nursing homes can use the code of ethics to promote respect for human dignity and respect.

Through ethical obligations, the code of ethics paves way for nurses to devise the best course of action to strengthen relationships.
The Code sets forth the ethical obligations of ACA members and provides guidance intended to inform the ethical practice of professional counselors. The Code helps to support the mission of ACA. The standards contained in this Code serve as the basis for processing inquiries and ethics complaints concerning ACA members. This means that therapists and mental healthcare nurses have an obligation to commit in writing with clients an utmost integrity and informed consent.
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Conclusion


The code of ethics helps to positively govern the interaction and behavior of nurses and improves their relationships with patients.

There are several government policies in the US that impact the coordination of care.

the code of ethics provided by state and federal governments exist to facilitate nurses and doctors to improve the continuum of care and reduce costs.
The code of ethics is indispensable in modern nursing settings that positively govern the interaction and behavior of nurses and improves their relationships with patients. Moreover, there are several government policies in the US that impact the coordination of care. National and governmental insurance programs such as Medicare and Medicaid significantly help the poor families to avail healthcare benefits as Medicare and Medicaid significantly help the poor families to avail healthcare benefits. This shows that the code of ethics provided by state and federal governments exist to facilitate nurses and doctors to improve the continuum of care. Despite some dilemmas such as creating religious conflicts with insurance, ethical codes also reduce unnecessary healthcare costs and enhance patient outcomes for mentally ill patients.

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References

bendstern, M., Jasper, R., Hughes, J., Loynes, N., Sutcliffe, C., & Challis, D. (2019). Care coordination for older people in England: Does context shape approach?. Journal of Social Work, 19(4), 427-449.

Arquette, K. L., Noble, C. J., & Simmons, S. W. (2021). 21.1 Building Remote Bridges: Mental Health Care Coordination in the COVID-19 Pandemic. Journal of the American Academy of Child and Adolescent Psychiatry, 60(10), S196.

Berkowitz, S. A., Parashuram, S., Rowan, K., Andon, L., Bass, E. B., Bellantoni, M., … & Brown, P. M. (2018). Association of a care coordination model with health care costs and utilization: the Johns Hopkins Community Health Partnership (J-CHiP). JAMA network open, 1(7), e184273-e184273.

De Regge, M., De Pourcq, K., Meijboom, B., Trybou, J., Mortier, E., & Eeckloo, K. (2017). The role of hospitals in bridging the care continuum: a systematic review of coordination of care and follow-up for adults with chronic conditions. BMC Health Services Research, 17(1), 1-24.

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