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

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Ethical and Policy Factors in Care Coordination

Hello. My Name is Michelle Chavis/ My topic is Ethical and Policy Factors in Care Coordination. To explain it simply, it is the impact and effect of different policies and ethical factors in these regulations. To some it causes problems yet others say it is necessary. We will see this explained further in the presentation.

  The American Nursing Association has legally declared ethical norms in healthcare practice to improve nursing care performance in Vila hospital. In recent decades, there has been a greater emphasis on care coordination and the factors that determine the quality-of-care collaboration in hospital environments. Poor healthcare collaboration can have serious consequences, which is why’s ethical concepts and regulations play an important role in care, supporting caregivers in determining right methods and make knowledgeable medical decisions (Kooli, 2021). The ANA code of conduct is comprised of nine sections that were modified to meet the evolution of health practices and caregivers’ responsibilities to their patients (Kooli, 2021).

There appear to be numerous things to assess when it comes to sustainable evidence-based strategies. The major purpose of this presentation is to show how moral codes impact care coordination processes and the government’s involvement in them. Nursing staff must be attentive while deciding on the optimal strategy because they are accountable for patients of multiple age groups, gender, nationalities, and psychiatric difficulties. As a response, a professional caregiver must understand a patient’s condition and deliver the best moral quality care.

The Effect of Governmental Policies on Coordination of Care

To ensure successful collaboration and treatment continuity, all procedures in the United States are regulated by government legislation as well as ethical norms. In the United States, for example, the public and government have various rules and technical standards to aid nurses in adhering to high practice, such as the Office for the Aging. Even in recent times, the county has established a variety of rules and suggestions to increase these performances and ensure certified nursing administration and services. These principles are intended to safeguard patients’ welfare and interests while also making caregivers comfortable about implementing them (Tiruneh & Ayele., 2018). So, a reason, following this legal regulation is crucial to the operation of the medical company, as it permits caregivers to converse with one another. As a result, the regulatory regime considerably helps the group improve coordination and interaction to provide excellent care to the community (Varkey, 2021). The healthcare profession appreciates this plan and anticipates that it will be feasible for the organization in the future to achieve the best results (Suen, 2019).

Moreover, the administration’s most important Healthcare policy has an impact on treatment coordination and consistency in the United States. Eventually, the technique improved coordinated care and reduced the cost of the certified nursing facility. Medicare is a government plan that gives medical insurance regardless of income if you are 65 or older and have a handicap. Similarly, Medicaid is a provincial and national program that provides health insurance to people with low incomes. So, Medicare provides around 42 million patients in the United States that are unable to incur additional charges due to budget constraints (Tiruneh & Ayele., 2018). This ensures that financial help from these patients improves nursing facility quality healthcare. The Affordable Care Act (ACA) addresses patient care in portions on improvement initiatives, payment reform, and measuring benefits, and also particular concerns for patients with melancholy, full Medicare-Medicaid enrollees, and family medical participants. Policy changes under the ACA include barring insurers from rejecting services for post diseases, extending Medicaid coverage, reducing insurance prices, and giving incentives that provide healthcare coverage. Health Insurance Portability and Accountability Act (HIPAA) restrictions have compelled clinicians to think more deeply about how sensitive information may be communicated to outsiders. As a result, practitioners should consider HIPAA standards to be broadly supportive of the exercise of professional opinion in delivering superior medical treatment. Even though not all components of HIPAA are ethical, the overarching aim of the HIPAA laws is congruent with the moral medical profession and operations (Suen, 2019). As a consequence of this broad convergence of professional and ethical standards, practitioners should focus more on using sound judgment in selecting how to reveal personal data, instead of taking the irrational position that privacy may never be compromised.

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

National, State, or Local Policy Provisions that Raise Ethical Dilemmas

Irrespective of whether ethical standards and values are important for enhancing care delivery, legislation changes at the provincial or national levels may cause moral issues and major obstacles. The judgment forces professionals to modify their behavior when it comes to preserving individuals’ healthcare insurance information; anybody found in violation may pay a penalty (Östman et al., 2019). The Affordable Care Act (ACA) raises many complications and moral dilemmas in the realm of belief. For example, Islam has different limits and prohibitions when it comes to allowing insurance utilization, even though it is the fastest-growing belief in the United States, therefore the ACA’s demand for insurance may be unproductive (Kooli, 2021).

 Nevertheless, until someone is insured by Health care or perhaps another agency, they will not be able to use practically all of the American medical rights. This may result in bad service and circumstances for Islamic citizens who are currently or will be in the future seeking employment for themselves or their dependents. So, healthcare insurance can cause a great deal of tension and concern, potentially disrupting the Islamic purification and basic healthcare process. Experts agree that the ANA’s moral norms emphasize the need of monitoring patients’ social class while also evaluating other healthcare parameters. These rules also help practitioners and experts in addressing people in their environments truthfully and fairly, with far more compassion, dignity, and dedication. This indicates that moral standards and factors in medication and care coordination may combat to improve patient care while also resolving caregivers’ responsibility to the organization for their actions and responsibilities. As a consequence, resolving these standards and moral difficulties may significantly improve caregivers’ general performance (Suen, 2019). HIPAA’s legal structure, on the other hand, entails the basic necessities. The need concept, safety and technological constraints, restrictions quality of services delivered, and a lack of direction in terms of care coordination significantly restrict enterprises’ capacity to communicate health records with government welfare agencies (Östman et al., 2019). As a consequence, health professionals are fundamentally unable to provide adequate care coordination and elevated medical treatment.

Impact of Code of Ethics of Nurses on the Coordination and Continuum of Care

According to Fields (2020), collaborative effort in registered nurse contexts is a vital process that allows stress-related health professionals to interact. The healthcare of persons in healthcare facilities in the study context is discussed in this presentation. According to many researchers, the therapy for their treatment and medication is terrible. The professionals’ behavior is irresponsible and disrespectful (Haddad & Geiger, 2021). The government’s code of conduct must be adopted in all healthcare settings and must be strictly enforced if the personnel adhere to it. Multidisciplinary healthcare is founded on several foundations, such as: 

Patient-centered treatment, local and area-based healthcare, monitoring treatment equipment and procedures, statistics and solid evidence care and better Opportunities and accountability.

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

Such observations are extremely important and must be incorporated throughout the centers (Östman et al., 2019). Guidelines play a significant role in facilitating patient care and execution in healthcare institutions in the United States. The contemporary healthcare organization follows in national and other agencies’ standards and recommendations, which have a significant impact on treatment coordination and sustainability (Morrell et al., 2019). Moreover, competent caregivers are educated and led by ethical principles and standards in care-related procedures. According to Morrell et al. (2019), there appear to be three key components of an ethical code that all caregivers should adhere to in their treatment plan. Personal freedom, for example, relates to the caregivers’ ability to deal with varied elderly patients in the hospital and make the best treatment decisions feasible. Patients may end up having a say in how they are treated and how health care workers explain processing activities to them. The other significant component is integrity, which demands caregivers to treat every patient equitably and without prejudice. This component also leads to better treatment plans and service continuity (Morrell et al., 2019). Individuals needing staff assistance should be given a comfortable and safe atmosphere in care facilities for elderly patients. Nursing staff and other professionals must be kind and cautious in their interactions (Morrell et al., 2019).


A code of ethics is vital in today’s registered nurse contexts for managing healthcare workers’ participation and performance and developing their interactions with patients. Likewise, different government legislation in the United States has an impact on coordinated care. Federal and local insurance programs, such as Medicare and Medicaid, certainly help low-income individuals in getting medical health care benefits. This highlights how state and local standards of behavior may help health care employees and improve medication consistency. Although certain challenges, such as religious conflicts with healthcare insurance, moral norms save unnecessary healthcare costs and enhance employee behavior.

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Fields B. G. (2020). Regulatory, Legal, and Ethical Considerations of Telemedicine. Sleep medicine clinics15(3), 409–416. 

Haddad, L. M., & Geiger, R. A. (2021). Nursing Ethical Considerations. In StatPearls. StatPearls Publishing.

Kooli C. (2021). COVID-19: Public health issues and ethical dilemmas. Ethics, medicine, and public health17, 100635. 

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

Morrell, T. J., Konda, S., & Grant-Kels, J. M. (2019). Response to a letter to the editor regarding “The ethical issue of cherry-picking patients”. Journal of the American Academy of Dermatology80(5), e127.

Östman, L., Näsman, Y., Eriksson, K., & Nyström, L. (2019). Ethos: The heart of ethics and health. Nursing ethics26(1), 26–36.

Suen K. K. (2019). Ethical implications of population aging in the intensive care unit. Irish journal of medical science188(2), 699–702.

Tiruneh, M. A., & Ayele, B. T. (2018). Practice of code of ethics and associated factors among medical doctors in Addis Ababa, Ethiopia. PloS one13(8), e0201020.

Varkey B. (2021). Principles of Clinical Ethics and Their Application to Practice. Medical principles and practice: international journal of the Kuwait University, Health Science Centre30(1), 17–28.