NURS 4050 Assessment 2: Ethical and Policy Factors in Care Coordination
Capella University NURS 4050 Assessment 2: Ethical and Policy Factors in Care Coordination-Step-By-Step Guide
This guide will demonstrate how to complete the Capella University NURS 4050 Assessment 2: Ethical and Policy Factors in Care Coordination assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NURS 4050 Assessment 2: Ethical and Policy Factors in Care Coordination
Whether one passes or fails an academic assignment such as the Capella University NURS 4050 Assessment 2: Ethical and Policy Factors in Care Coordination depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NURS 4050 Assessment 2: Ethical and Policy Factors in Care Coordination
The introduction for the Capella University NURS 4050 Assessment 2: Ethical and Policy Factors in Care Coordination is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NURS 4050 Assessment 2: Ethical and Policy Factors in Care Coordination
After the introduction, move into the main part of the NURS 4050 Assessment 2: Ethical and Policy Factors in Care Coordination assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NURS 4050 Assessment 2: Ethical and Policy Factors in Care Coordination
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NURS 4050 Assessment 2: Ethical and Policy Factors in Care Coordination
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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NURS 4050 Assessment 2: Ethical and Policy Factors in Care Coordination
Introduction
Coordination of care is essential for better health outcomes
Ethical and policy factors promote nurse-patient interaction
Polices are usually government-based and state-provided
Nurses’ mandate and conduct are based on ethics and policies
Nursing homes should understand the ethics-policies intersection in care coordination’
Ethical and policy factors intersect to promote the required interaction between nurses and patients in care provision. Besides their instrumental role in enabling health care providers to meet the desired health outcomes, ethics are central to ensuring coordination and continuum of care in health care facilities. In the broader health practice, government-based policies and state provisions influence care coordination for patients and communities. As central players in the health practice, nurses’ mandate and conduct are regulated by ethical standards and policies. Since ethics and policy guidelines apply to all nurses irrespective of where they work, knowledge of factors applicable in care coordination is vital in a nursing home.
Government Policies and Coordination of Care
The US health care system is policy-based.
Medicare and Medicaid are among the significant policy frameworks.
Others include VHA and SCHIP.
Relevance: regulating government finances (Synovitz & Larson, 2018).
Regular policy updates helps to reduce illness, disability, and illness burdens.
For a long time, several federal policies have greatly influenced the US health care system. Medicare and Medicaid have been among the main policies significantly affecting care coordination. Other programs with a significant impact include the Veterans Health Administration (VHA) and State Children’s Health Insurance Programs (SCHIP). To a huge extent, these policies influence the coordination of care by ensuring that the finances that government allocates to support health care through different programs are spent as expected (Synovitz & Larson, 2018). To improve the desired outcomes, the government implements and update policies regularly to help reduce the illness, disability, and injury burdens.
Specific Policy Affecting the Nursing Home
Medicare
Among the most influential government policies.
Central to insurance of over 24.1 million Americans (Freed et al., 2021).
Medicare improves access to care.
Enrolment exempts people from unnecessary cost burdens.
Relevance to Reformed Care Nursing Home: vital in reducing illness burden.
Medicare is among the most notable government policies that influence care coordination in the United States. According to Freed et
al. (2021), Medicare is central to health insurance of over 24.1 million individuals in the United States, with the figure expected to increase as time advances. From a coordination point of view, Medicare has improved outcomes by improving access to care for eligible and covered populations. In the same case, residents of Reformed Care Nursing Home should enroll in such programs to help the nation’s health care providers deal with the illness burden effectively. Enrolment in Medicare is a cost-saving approach since it exempts people from the costs associated with unnecessary procedures and tests.
Specific Policy Affecting the Nursing Home
Medicaid
Often confused with Medicare.
Spectrum and eligibility criteria are different.
Has expanded insurance to more than 20 million Americans (CAP Health Policy Team, 2018).
Targets low-income earners.
Funded jointly by states and federal government.
Medicaid is often confused with Medicare, but its spectrum and eligibility criteria differ from Medicare. According to CAP Health Policy Team (2018), Medicaid has expanded insurance services to more than 20 million Americans, and the number is expected to grow progressively, like in the case of Medicare. The program usually covers people from poor backgrounds who require a lot of government support to remain healthy and meet their health care needs. Financed jointly by the states and the federal government, the government-centered policies majorly depend on private health care providers, managed care plans, and community health centers to facilitate coordination of care.
Specific Policy Affecting the Nursing Home
HIPPA
Communication and data sharing are crucial in coordination of care
Policies for protecting patient data enable patients to give adequate information when receiving care
HIPPA is founded on the need to protect patient data
Focus areas (Hoffman, 2016):
I.Administration
II.Physical security
III.Technical measures’
The federal government has implemented policies that protect patient data. Accordingly, patients should not conceal some of their information when seeking health care to enable health care providers to assess them sufficiently and get the medication that addresses their needs. One of such policies is Health Insurance Portability and Accountability Act (HIPAA). According to Hoffman (2016), the HIPAA rule has three compliance components: administrative, physical security, and technical security requirements. Administrative requirements ensure that data is correct and accessible to authorized parties. Physical security requirements prevent physical theft and loss of devices containing patient information. Technical measures protect networks and devices from data breaches.
Provisions Raising Ethical Questions
Policy Provision: The Affordable Care Act (ACA)
Implications and Consequences of ACA
Reforms leave out the majority of immigrants
It limits the principle of equitable health care
Increases the national debt
Evidence to support conclusions
Anecdotal Research evidence
The process of balancing cost and access to quality care usually raises ethical dilemmas, and getting a universally agreed position is challenging. Over time, progressive health care reforms have been at the center of ethical issues, and Affordable Care Act is among such policies. From a health perspective, the Act contains several reforms aiming to impact the quality of care positively, but it has downsides. One of its recommendations that negatively impacts care coordination is leaving out the majority of immigrants. It limits individuals covered, violating the principle of equitable health care. The Act also increases the national debt substantially. The considerable implication on national debt affects care coordination adversely.
Code of Ethics
Serves as the practice guidelines for nurses and clinicians
Acts as standards of nurses’ morals
Regulates nurses’ conduct
Enables nurses to accord patients the best care possible
Enables nurses to interact with interdisciplinary colleagues
Obligates nurses to place patients at the core of the quality of care
The code of ethics acts as standards of nurses’ morals to ensure that their conduct matches what the profession dictates. In coordination and continuum of care, the code of ethics regulates nurses to enable them to accord patients the best care possible. The other crucial function is enabling nurses to interact with interdisciplinary colleagues since misconduct is highly controlled. Improved interaction facilitates the provision of care coordination. Since the code of ethics obligates nurses to place patients at the core of the quality of care, care coordination improves, considering that nurses usually work in teams to deliver the best patient outcomes.
Health, Health Disparities, and Acess
Factors Contributing to Health, Health disparities, and Access
Income
Residential segregation
Employment status
Education
Social and physical environment
People’s approach to health and ability to access health services have huge implications. Factors that contribute to health, health disparities, and access to health services are usually socioeconomic. They include income, residential segregation, employment status, education, and social and physical environment. A person’s income determines the type of health care services the person can afford. It affects lifestyle too. Residential segregation determines how the government perceives the group regarding resource allocation. Education affects one’s knowledge of health care matters. Employment determines the policies that a person is qualified for enrolment. The physical and social environment determines people’s access to healthy food and health care services.
Social Determinants of Health
Access to educational, economic, and job opportunities
Availability of community-based resources
Transport options
Social norms and attitudes
Socioeconomic conditions
Social disorder and violence
Overall impact: hugely influence on how communities collaborate to live healthily and how they get government’s support
When assessing policy and ethical frameworks central to care coordination, it is crucial to be guided by the social determinants of health identified in Healthy People 2020. Some of the determinants central in care coordination include access to educational, economic, and job opportunities. The extent of access determines where a person lives and the type of health policies eligible for that person. The other crucial determinant includes the availability of community-based resources to support community living. Others include transport options, social norms and attitudes, socioeconomic conditions and exposure to crime, social disorder and violence. Individually or jointly, these determinants have a huge influence on how communities collaborate to live healthily and how they get government’s support.
Coordination of Care in Nursing Homes
Ethical and Policy Issues Affecting Coordination and Continuum of Care in Nursing Homes
Needs for people in nursing homes not covered in traditional insurance policies
Under-coverage prompts the need for long-term care policies
Long-term policies: take care of the needs for functional and cognitively impaired
Ethical concern: under-coverage of some populations’ interests violates the equitable care principle
As people advance in age, the need for dressing and bathing help, among other activities of daily living, increases. This increased need stems from decreased mobility and increased physical and mental disability. Such needs are often overlooked in mainstream health insurance policies such as Medicare. Given this, it is crucial to enroll in long-term care schemes. Long-term insurance policies ensure that the functional or cognitively impaired can access health services besides the care they receive at nursing homes. The isolation of this deserving group is a critical ethical concern since Medicare and similar programs are reserved for active taxpayers. Long-term care policies include GoldenCare and CLTC Insurance Services.
Conclusion
Government policies are central to coordination of care
Medicare, Medicaid, and HIPPA apply to nursing homes
HIPPA concentrates on patient data
Social determinants of health influence policy formulation
Ethics enable nurses to provide patient-centered care
Government policies play a crucial role in enabling the coordination of care. Some of the specific policies affecting nursing homes include Medicare and Medicaid. To facilitate better coordination of care, the government has established the HIPPA to prevent patient data misuse. The rule ensures that the patient can provide as much information as possible to guide diagnosis and treatment. When thinking about care coordination, it is crucial to consider the influence of social determinants of health as described in Healthy People 2020. Some of the factors with a huge impact include access to educational, economic, and job opportunities. Overall, ethics are crucial to ensure nurses provide patient-centered care. They ensure that nurses have practice guidelines to follow to meet the set health benchmarks and practice standards.’
Introduction
Ethical and policy factors intersect to promote the required interaction between nurses and patients in care provision. Besides their instrumental role in enabling health care providers to meet the desired health outcomes, ethics are central to ensuring coordination and continuum of care in health care facilities. In the broader health practice, government-based policies and state provisions influence care coordination for patients and communities. As central players in the health practice, nurses’ mandate and conduct are regulated by ethical standards and policies. Since ethics and policy guidelines apply to all nurses irrespective of where they work, knowledge of factors applicable in care coordination is vital in a nursing home.
Government Policies and Coordination of Care
For a long time, several federal policies have greatly influenced the US health care system. Medicare and Medicaid have been among the main policies significantly affecting care coordination. Other programs with a significant impact include the Veterans Health Administration (VHA) and State Children’s Health Insurance Programs (SCHIP). To a huge extent, these policies influence the coordination of care by ensuring that the finances that government allocates to support health care through different programs are spent as expected (Synovitz & Larson, 2018). To improve the desired outcomes, the government implements and update policies regularly to help reduce the illness, disability, and injury burdens.
Specific Policy Affecting the Nursing Home
Medicare
Medicare is among the most notable government policies that influence care coordination in the United States. According to Freed et al. (2021), Medicare is central to health insurance of over 24.1 million individuals in the United States, with the figure expected to increase as time advances. From a coordination point of view, Medicare has improved outcomes by improving access to care for eligible and covered populations. In the same case, residents of Reformed Care Nursing Home should enroll in such programs to help the nation’s health care providers deal with the illness burden effectively. Enrolment in Medicare is a cost-saving approach since it exempts people from the costs associated with unnecessary procedures and tests.
Medicaid
Medicaid is often confused with Medicare, but its spectrum and eligibility criteria differ from Medicare. According to CAP Health Policy Team (2018), Medicaid has expanded insurance services to more than 20 million Americans, and the number is expected to grow progressively, like in the case of Medicare. The program usually covers people from poor backgrounds who require a lot of government support to remain healthy and meet their health care needs. Financed jointly by the states and the federal government, the government-centered policies majorly depend on private health care providers, managed care plans, and community health centers to facilitate coordination of care.
HIPPA
The federal government has implemented policies that protect patient data. Accordingly, patients should not conceal some of their information when seeking health care to enable health care providers to assess them sufficiently and get the medication that addresses their needs. One of such policies is Health Insurance Portability and Accountability Act (HIPAA). According to Hoffman (2016), the HIPAA rule has three compliance components: administrative, physical security, and technical security requirements. Administrative requirements ensure that data is correct and accessible to authorized parties. Physical security requirements prevent physical theft and loss of devices containing patient information. Technical measures protect networks and devices from data breaches.
Provisions Raising Ethical Questions
The process of balancing cost and access to quality care usually raises ethical dilemmas, and getting a universally agreed position is challenging. Over time, progressive health care reforms have been at the center of ethical issues, and Affordable Care Act is among such policies. From a health perspective, the Act contains several reforms aiming to impact the quality of care positively, but it has downsides. One of its recommendations that negatively impacts care coordination is leaving out the majority of immigrants. It limits individuals covered, violating the principle of equitable health care. The Act also increases the national debt substantially. The considerable implication on national debt affects care coordination adversely.
Code of Ethics
The code of ethics acts as standards of nurses’ morals to ensure that their conduct matches what the profession dictates. In coordination and continuum of care, the code of ethics regulates nurses to enable them to accord patients the best care possible. The other crucial function is enabling nurses to interact with interdisciplinary colleagues since misconduct is highly controlled. Improved interaction facilitates the provision of care coordination. Since the code of ethics obligates nurses to place patients at the core of the quality of care, care coordination improves, considering that nurses usually work in teams to deliver the best patient outcomes.
Health, Health Disparities, and Access
People’s approach to health and ability to access health services have huge implications. Factors that contribute to health, health disparities, and access to health services are usually socioeconomic. They include income, residential segregation, employment status, education, and social and physical environment. A person’s income determines the type of health care services the person can afford. It affects lifestyle too. Residential segregation determines how the government perceives the group regarding resource allocation. Education affects one’s knowledge of health care matters. Employment determines the policies that a person is qualified for enrolment. The physical and social environment determines people’s access to healthy food and health care services.
Social Determinants of Health
When assessing policy and ethical frameworks central to care coordination, it is crucial to be guided by the social determinants of health identified in Healthy People 2020. Some of the determinants central in care coordination include access to educational, economic, and job opportunities. The extent of access determines where a person lives and the type of health policies eligible for that person. The other crucial determinant includes the availability of community-based resources to support community living. Others include transport options, social norms and attitudes, socioeconomic conditions and exposure to crime, social disorder and violence. Individually or jointly, these determinants have a huge influence on how communities collaborate to live healthily and how they get government’s support.
Coordination of Care in Nursing Homes
As people advance in age, the need for dressing and bathing help, among other activities of daily living, increases. This increased need stems from decreased mobility and increased physical and mental disability. Such needs are often overlooked in mainstream health insurance policies such as Medicare. Given this, it is crucial to enroll in long-term care schemes. Long-term insurance policies ensure that the functional or cognitively impaired can access health services besides the care they receive at nursing homes. The isolation of this deserving group is a critical ethical concern since Medicare and similar programs are reserved for active taxpayers. Long-term care policies include GoldenCare and CLTC Insurance Services.
Conclusion
Government policies play a crucial role in enabling the coordination of care. Some of the specific policies affecting nursing homes include Medicare and Medicaid. To facilitate better coordination of care, the government has established the HIPPA to prevent patient data misuse. The rule ensures that the patient can provide as much information as possible to guide diagnosis and treatment. When thinking about care coordination, it is crucial to consider the influence of social determinants of health as described in Healthy People 2020. Some of the factors with a huge impact include access to educational, economic, and job opportunities. Overall, ethics are crucial to ensure nurses provide patient-centered care. They ensure that nurses have practice guidelines to follow to meet the set health benchmarks and practice standards.
References
CAP Health Policy Team. (2018, Feb 22). Medicare extra for all. Center for American Progress. https://www.americanprogress.org/issues/healthcare/reports/2018/02/22/4470 95/medicare-extra-for-all/
Freed, M., Damico, A., & Neuman, T. (2021, Jan 3). A dozen facts about Medicare advantage in 2020. KFF. https://www.kff.org/medicare/issue-brief/a-dozen-facts-about-medicare-advantage-in-2020/
Hoffman, S. (2016). Electronic health records and medical big Data (Vol. 32). Cambridge University Press.
Synovitz, L. B., & Larson, K. L. (2018). Consumer health & integrative medicine: A holistic view of complementary and alternative medicine practice. Jones & Bartlett Learning.