Assessment 2: Ethical and Policy Factors in Care Coordination
Governmental Policies on Nursing Homes and the Coordination of Care
´Governmental policies related to nursing homes can have a significant impact on the coordination of care for residents. The way these policies are designed and implemented can affect how care is delivered, how resources are allocated, and how communication and collaboration between healthcare providers and stakeholders are facilitated. Here are some ways governmental policies related to nursing homes can affect the coordination of care:
´Regulations: Governmental regulations can set minimum standards for staffing, training, quality of care, and safety measures in nursing homes. These regulations can influence the coordination of care by mandating certain practices, such as regular assessments of residents’ needs, care planning, and interdisciplinary team meetings.
Struggling to Meet Your Deadline?
Get your assignment on Assessment 2: Ethical and Policy Factors in Care Coordination done on time by medical experts. Don’t wait – ORDER NOW!
Meet my deadline
´Funding: Governmental funding policies can influence the availability and quality of care provided in nursing homes. For example, funding models that incentivize shorter lengths of stay or encourage higher occupancy rates can lead to pressure to discharge residents too early or to accept residents who may not be appropriate for the level of care offered.
Governmental policies related to nursing homes can have a significant impact on the coordination of care for residents. The way these policies are designed and implemented can affect how care is delivered, how resources are allocated, and how communication and collaboration between healthcare providers and stakeholders are facilitated. Here are some ways governmental policies related to nursing homes can affect the coordination of care:
Regulations: Governmental regulations can set minimum standards for staffing, training, quality of care, and safety measures in nursing homes. These regulations can influence the coordination of care by mandating certain practices, such as regular assessments of residents’ needs, care planning, and interdisciplinary team meetings.
Funding: Governmental funding policies can influence the availability and quality of care provided in nursing homes. For example, funding models that incentivize shorter lengths of stay or encourage higher occupancy rates can lead to pressure to discharge residents too early or to accept residents who may not be appropriate for the level of care offered.
´Integration with other healthcare providers: Governmental policies can also facilitate or hinder integration between nursing homes and other healthcare providers, such as hospitals, primary care providers, and home health agencies. Policies that promote care coordination and communication among healthcare providers can enhance the quality of care and prevent medical errors.
´Liability and accountability: Governmental policies can also establish liability and accountability frameworks that can affect the coordination of care. For example, policies that promote transparency, reporting, and investigation of adverse events can improve accountability and prevent future errors.
´In brief, governmental policies related to nursing homes can have a significant impact on the coordination of care for residents. The way these policies are designed and implemented can influence staffing, training, quality of care, safety measures, funding, integration with other healthcare providers, and liability and accountability frameworks.
Integration with other healthcare providers: Governmental policies can also facilitate or hinder integration between nursing homes and other healthcare providers, such as hospitals, primary care providers, and home health agencies. Policies that promote care coordination and communication among healthcare providers can enhance the quality of care and prevent medical errors.
Liability and accountability: Governmental policies can also establish liability and accountability frameworks that can affect the coordination of care. For example, policies that promote transparency, reporting, and investigation of adverse events can improve accountability and prevent future errors.
In brief, governmental policies related to nursing homes can have a significant impact on the coordination of care for residents. The way these policies are designed and implemented can influence staffing, training, quality of care, safety measures, funding, integration with other healthcare providers, and liability and accountability frameworks.
Ethical Questions for Nursing Homes in Care Coordination
´Admission and discharge policies: Nursing homes are required to comply with admission and discharge policies that are often governed by state and federal laws. However, there may be ethical concerns if nursing homes are pressured to accept residents who require a higher level of care than the facility is equipped to provide, or if they are pressured to discharge residents before they are ready.
´Staffing levels: Many nursing homes are required to maintain a minimum staffing level to ensure that residents receive adequate care. However, some nursing homes may struggle to maintain adequate staffing levels due to financial constraints or a shortage of qualified staff. This can lead to ethical concerns related to resident safety and quality of care. Medical decision-making: Nursing homes are responsible for making medical decisions on behalf of residents who are unable to make decisions for themselves. This can include decisions related to medical treatments, end-of-life care, and advance directives. However, there may be ethical concerns if nursing homes make decisions that are not in the best interest of the resident, or if they do not adequately involve residents and their families in the decision-making process.
There are several national, state, and local policy provisions that raise ethical questions for nursing homes in care coordination. Some of these include:
Admission and discharge policies: Nursing homes are required to comply with admission and discharge policies that are often governed by state and federal laws. However, there may be ethical concerns if nursing homes are pressured to accept residents who require a higher level of care than the facility is equipped to provide, or if they are pressured to discharge residents before they are ready.
Staffing levels: Many nursing homes are required to maintain a minimum staffing level to ensure that residents receive adequate care. However, some nursing homes may struggle to maintain adequate staffing levels due to financial constraints or a shortage of qualified staff. This can lead to ethical concerns related to resident safety and quality of care.
Medical decision-making: Nursing homes are responsible for making medical decisions on behalf of residents who are unable to make decisions for themselves. This can include decisions related to medical treatments, end-of-life care, and advance directives. However, there may be ethical concerns if nursing homes make decisions that are not in the best interest of the resident, or if they do not adequately involve residents and their families in the decision-making process.
´Privacy and confidentiality: Nursing homes are required to protect residents’ privacy and confidentiality, but this can be challenging in a care coordination context. For example, sharing medical information with other healthcare providers may be necessary to coordinate care effectively, but nursing homes must ensure that they have obtained the appropriate consent from residents and their families.
´Infection control: Nursing homes are responsible for implementing infection control measures to prevent the spread of infectious diseases among residents and staff. However, there may be ethical concerns if nursing homes fail to implement adequate infection control measures, putting residents and staff at risk.
´There are several national, state, and local policy provisions that raise ethical questions for nursing homes in care coordination. These include admission and discharge policies, staffing levels, medical decision-making, privacy and confidentiality, and infection control measures. It is important for nursing homes to be aware of these ethical considerations and to prioritize the well-being and safety of their residents.
Privacy and confidentiality: Nursing homes are required to protect residents’ privacy and confidentiality, but this can be challenging in a care coordination context. For example, sharing medical information with other healthcare providers may be necessary to coordinate care effectively, but nursing homes must ensure that they have obtained the appropriate consent from residents and their families.
Infection control: Nursing homes are responsible for implementing infection control measures to prevent the spread of infectious diseases among residents and staff. However, there may be ethical concerns if nursing homes fail to implement adequate infection control measures, putting residents and staff at risk.
In summary, there are several national, state, and local policy provisions that raise ethical questions for nursing homes in care coordination. These include admission and discharge policies, staffing levels, medical decision-making, privacy and confidentiality, and infection control measures. It is important for nursing homes to be aware of these ethical considerations and to prioritize the well-being and safety of their residents.
Effects of Ethical Questions for Nursing Homes in Care Coordination
´Resident outcomes: Policy provisions that raise ethical questions, such as inadequate staffing levels, can negatively impact resident outcomes, including quality of care, safety, and overall well-being. Conversely, policies that prioritize resident-centered care, such as advance care planning, can lead to better outcomes.
´Staff morale: Ethical concerns related to nursing home policies can affect staff morale and job satisfaction. For example, staff may feel conflicted if they are asked to implement policies that they believe compromise resident safety or well-being.
´Financial implications: Some policy provisions that raise ethical questions, such as staffing levels or admission and discharge policies, may have financial implications for nursing homes. For example, nursing homes may struggle to meet staffing requirements if they cannot afford to hire enough staff.
National, state, and local policy provisions that raise ethical questions for nursing homes in care coordination can have significant effects on residents, their families, and the healthcare providers who care for them. Here are some possible effects of these policy provisions:
Resident outcomes: Policy provisions that raise ethical questions, such as inadequate staffing levels, can negatively impact resident outcomes, including quality of care, safety, and overall well-being. Conversely, policies that prioritize resident-centered care, such as advance care planning, can lead to better outcomes.
Staff morale: Ethical concerns related to nursing home policies can affect staff morale and job satisfaction. For example, staff may feel conflicted if they are asked to implement policies that they believe compromise resident safety or well-being.
Financial implications: Some policy provisions that raise ethical questions, such as staffing levels or admission and discharge policies, may have financial implications for nursing homes. For example, nursing homes may struggle to meet staffing requirements if they cannot afford to hire enough staff.
´Legal implications: Failure to comply with ethical policy provisions can have legal implications for nursing homes, including fines and sanctions.
´Public perception: Nursing homes that are perceived to prioritize profits over resident well-being may face negative public perception and may struggle to attract new residents.
´Policy provisions that raise ethical questions for nursing homes in care coordination can have significant effects on residents, staff, finances, legal implications, and public perception. Nursing homes must navigate these ethical considerations to provide the best possible care for their residents. It is important for policymakers to prioritize resident-centered care and ensure that policy provisions align with ethical principles.
Legal implications: Failure to comply with ethical policy provisions can have legal implications for nursing homes, including fines and sanctions.
Public perception: Nursing homes that are perceived to prioritize profits over resident well-being may face negative public perception and may struggle to attract new residents.
In summary, policy provisions that raise ethical questions for nursing homes in care coordination can have significant effects on residents, staff, finances, legal implications, and public perception. Nursing homes must navigate these ethical considerations to provide the best possible care for their residents. It is important for policymakers to prioritize resident-centered care and ensure that policy provisions align with ethical principles.
Impact of the Code of Ethics for Nurses on the Coordination and Continuum of Care
The code of ethics for nurses can have a significant impact on the coordination and continuum of care. The code of ethics outlines the values and principles that guide the nursing profession and provides a framework for ethical decision-making in nursing practice. Here are some ways the code of ethics can impact care coordination and continuum of care:
´Patient-centered care: The code of ethics emphasizes patient-centered care, which means that care is tailored to the unique needs and preferences of each patient. This can improve care coordination by promoting communication and collaboration among healthcare providers and ensuring that care is aligned with the patient’s goals and values.
´Communication and collaboration: The code of ethics promotes effective communication and collaboration among healthcare providers, which is essential for care coordination. Nurses are encouraged to work collaboratively with other healthcare providers to promote the best possible outcomes for patients.
The code of ethics for nurses can have a significant impact on the coordination and continuum of care. The code of ethics outlines the values and principles that guide the nursing profession and provides a framework for ethical decision-making in nursing practice. Here are some ways the code of ethics can impact care coordination and continuum of care:
Patient-centered care: The code of ethics emphasizes patient-centered care, which means that care is tailored to the unique needs and preferences of each patient. This can improve care coordination by promoting communication and collaboration among healthcare providers and ensuring that care is aligned with the patient’s goals and values.
Communication and collaboration: The code of ethics promotes effective communication and collaboration among healthcare providers, which is essential for care coordination. Nurses are encouraged to work collaboratively with other healthcare providers to promote the best possible outcomes for patients.
´Continuity of care: The code of ethics emphasizes the importance of continuity of care, which means that patients receive consistent, high-quality care throughout their healthcare journey. This can improve care coordination by promoting seamless transitions between different healthcare settings and providers.
´Advocacy: The code of ethics encourages nurses to advocate for their patients and to ensure that their rights and interests are protected. This can improve care coordination by promoting effective communication between healthcare providers and ensuring that patients receive the care they need.
´Ethics committees: The code of ethics encourages the formation of ethics committees to address ethical issues and challenges in healthcare settings. These committees can play a key role in promoting ethical decision-making and improving care coordination.
The code of ethics for nurses can have a significant impact on the coordination and continuum of care. By promoting patient-centered care, communication and collaboration, continuity of care, advocacy, and ethics committees, the code of ethics can help ensure that patients receive the highest quality of care possible.
Continuity of care: The code of ethics emphasizes the importance of continuity of care, which means that patients receive consistent, high-quality care throughout their healthcare journey. This can improve care coordination by promoting seamless transitions between different healthcare settings and providers.
Advocacy: The code of ethics encourages nurses to advocate for their patients and to ensure that their rights and interests are protected. This can improve care coordination by promoting effective communication between healthcare providers and ensuring that patients receive the care they need.
Ethics committees: The code of ethics encourages the formation of ethics committees to address ethical issues and challenges in healthcare settings. These committees can play a key role in promoting ethical decision-making and improving care coordination.
In summary, the code of ethics for nurses can have a significant impact on the coordination and continuum of care. By promoting patient-centered care, communication and collaboration, continuity of care, advocacy, and ethics committees, the code of ethics can help ensure that patients receive the highest quality of care possible.
Assessment 2: Ethical and Policy Factors in Care Coordination
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.
Introduction
As coordinators of care, nurses must be aware of the code of ethics for nurses and health policy issues that affect the coordination of care within the context of the community. To help patients navigate the continuum of care, nurses must be proficient at interpreting and applying the code of ethics for nurses and health policy, specifically, the Affordable Care Act (ACA). Being knowledgeable about ethical and policy issues helps ensure that care coordinators are upholding ethical standards and navigating policy issues that affect patient care.
This assessment provides an opportunity for you to develop a presentation for a local community organization of your choice, which provides an overview of ethical standards and relevant policy issues that affect the coordination of care. Completing this assessment will strengthen your understanding of ethical issues and policies related to the coordination and continuum of care, and will empower you to be a stronger advocate and nursing professional.
It would be an excellent choice to complete the Vila Health: Ethical Decision Making activity prior to developing the presentation. The activity provides a helpful update on the ethical principles that will help with success in this assessment.
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).
To prepare for this assessment, you may wish to:
Research your selected community organization or support group.
Review the Code of Ethics for Nurses With Interpretive Statements and associated health policy issues, specifically, the ACA.
Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.
Allocate sufficient time to rehearse your presentation before recording the final version for submission.
Recording Equipment Setup and Testing
Check that your audio speaker and PowerPoint software are working properly. You can record audio directly to your slides, using PowerPoint or other presentation software.
Note: Technical support about the use of PowerPoint, including voice recording and speaker notes, can be found on Campus’s Microsoft Office Software page.
If using Kaltura, refer to the Using Kaltura tutorial for directions on recording and uploading your presentation in the courseroom.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@capella.edu to request accommodations.
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.
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.
Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.
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 Scoring Guide
CRITERIANON-PERFORMANCE
