NURS FPX 4065 Assessment 3 Ethical and Policy Factors

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• NURS FPX 4065 Assessment 3 Ethical and Policy Factors in Care Coordination.

Assessment 3: Ethical and Policy Factors in Care Coordination

Capella University

NURS-FPX4065

Instructor’s Name

Date

Slide: 01

• Ethical and Policy Factors in Care Coordination

Hello, I am Nana. During the presentation, I’m capable of paying specific attention to the ethical and coverage problems of care coordination in addressing care disparities at the Valley Health facility.

Slide: 02

Public rules affect care coordination immediately in network-based, totally really contend with vulnerable populations. The healthcare services in the Valley clinic are operated under the guidelines provided by the valuable resources of the country and federal legislation on structuring, financing, and delivering healthcare. The policies, amongst others, are a number of them reasonably-priced Care Act, Medi-cal, affected character-focused medical houses (PCMHs), and responsible Careasserting companies (Ercia,2021).

In doing so, the tips moreover set up a number of the most significant questions of ethics and fitness, the actual questions of equity, access, and utilization of property. Because it is straightforward to have a look at, nurses are faced with a chain of ethically challenging issues set up through the approach of the Code of Ethics, to the fact that nurses hold an administrative function of juggling troubles in search of holistic patient-targeted care. Explore NURS FPX 4065 Assessment 2 Preliminary Care Coordination Infographic for more information.

Slide: 03

• Effect of Governmental Policies on Coordination of Care 

Medical insurance plays a robust role in how care transport is prepared, especially for prone clients on the network level, with intervention at the same level. Regulations in my practicum business enterprise decide how care coordination is reimbursed, planned, or perhaps gauged at Valley Health Facility, and U.S.A. and federal guidelines decide the general care direction in the direction of. Others are organizational care provider delivery suggestions regarding regions, like outreach and personnel. Coordination can be very integral in the health fairness and public health domain in modern society (Itchhaporia, 2021). Familiarity with the above guidelines is imperative in order for the patients to gather the specified, appropriate, and sufficient remedy.

Slide: 04

• Affordable Care Act

Modern-day insurance under care coordination is a result of the fact that it is much less expensive than the Affordable Care Act (ACA). ACA favors fashions like PCMHs and ACOs, which strengthen the resiliency and coordination quality of the affected person care transport tool (U.S. Medical Insurance Gateway, 2023).

The fashions try to paint a massive, much less fragmented global picture and deliver care embedded in settings, consisting of 1 like a hospital. Nursing has consequently employed numerous practitioners in the field of nursing, social work, and case management. These have a collaborative exercise that allows coordination of care, detection of discrepancies in the prescription, and referral of the affected person to the relevant professional or ward.

Slide: 05

• Medi-Cal

The opposite insurance is the availability of care through California Medicaid growth, together with the ACA, known as Medi-Cal. The development has widened coverage insurance to the terrible people of society; it moreover affects undocumented residents with narrow bodies (Dietz et al., 2022).

As most of the sufferers have their insurance below insurance, i.e., a scientific medical health insurance policy, the care coordinators owe them the company of interpreting mandates and arranging for the affected individual an appropriate blanket carrier. This boom has facilitated the easy provision of services consisting of mental health, nutritional remedies, and preventive care offerings. As a final result, the patients are well sorted by the care group in a clean and individualized manner with the valuable aid of the caregivers.

Slide: 06

• State Immunization Requirements 

The kingdom’s legislative authorities additionally decide the care coordination within the healthcare centers in 2 ways. At the same time, the U.S. exercised a few immunization mandates and the COVID-19 emergency orders in a single precise order, the care agencies may additionally have been adaptive and compliant with those. Ultimately, due to COVID, the employees labored on and prepared vaccine data, gave vaccination facts, enforced quarantine protocols, and persevered in offering for the desires of quarantined sufferers (Blake et al., 2022). The ones that had been carried out in step with the federal and community regulations that have been designed to hold and maintain public order. In brief, via insurance, government recommendations set up, shape, and determine the ethical dynamics of care coordination at network health centers every day.

Slide: 07

• Ethical and Policy Considerations in Care Coordination

Nationwide, countrywide, or nearby recommendations evoke care coordination ethical problems via the elimination or prohibition of gaps in offerings. For instance, on the countrywide diploma, the ACA enhances the insurance transport of insurance, but the illegal patients can not get the right of entry to the entire benefits of the insurance, and this creates a moral issue of justice/same property of right of entry to. Catterson et al. (2022) have suggested a check in which this exclusion continues to keep unlawful patients far from getting access to healthcare, and the treatment institution is confronted with a number of ethical troubles in treating such sufferers. California Medi-Cal has extended access to the country diploma despite the fact that the sufferers are not receiving care because the experts are not available, so there is a moral issue of timing and equity in getting proper care.

NURS FPX 4065 Assessment 3 Ethical and Policy Factors in Care Coordination

Geographically, rules inclusive of obligatory COVID-19 vaccination on the geographical stage invoked ethical disturbing situations among affected persons’ autonomy, and refusal of the affected characters refused the vaccines on the spiritual or cultural foundation (Olick et al., 2021). The ones covered include opposing emotions among care coordinators in the event of morally disturbing conditions, together with beneficence, autonomy, and justice, close to Valley Sanatorium’s coercive affected person sensitization of the COVID-19 vaccines.

Slide: 08

• Impact and Consequences of the Policies

National and country hints have affected most people of the regions of care groups and offerings furnished in the Valley sanatorium. There can be a care model in which nurses and social workers manage transitions of care because the ACA has prioritized ACOs first; this is preferred, however, as it is er, aid-based. However, as Kyle and Frakt (2021) argued, the fashions are also protected by the remedy forms and providers’ workload, and this is found to lead to delays in company provision at Valley Fitness Centre.

With the growth of Medi-Cal, website internet site online traffic in affected individuals going with the float has expanded and turned into a problem for most people’s health devices due to the fact there can be augmented visitors to be referred, screened, and benefited in accordance Catterson et al. (2022) made sure that the Medi-Cal sufferers wait for very extended periods in advance of their appointment, thereby making sure that the system is strained. Those are the effects that, aside from coverage assisting in decorating pleasant care, are susceptible to motivate them to make a contribution to the overload and buildup of a moral care enterprise provider trouble, as our private frame of humans had foreseen.

Slide: 09

• Impacts at the National, State, and Local Levels

At the countrywide level, ACA has converted fee and obligation machine operation for care coordination via the method of ensuring the adoption of very last consequences-based models and models of shipping of very last effects-based models in which considerable time is spent casting off from documentation and look-up from care groups.

Gesner et al. (2022) agree that they end up burning out the care coordinators and, as a result, have restricted time with the patients. Medi-Cal in California has grown as a program and therefore raised the volume of fitness insurance; however, with short-term enterprise agreements and consequently a few problems with getting access to care, most significantly, for the rural and underserved populations. California Fitness Care Foundation (2024), moreover, indicated that nearly 38of the agricultural vicinity’s patients who take Medi-Cal have trouble getting an expert appointment on a proper and timely basis. On a nearby degree, a number of the worrying conditions that encompass the neighborhood regulation that aimed closer to forcing attempting out or obligatory face masks affected how the nurses informed and informed the sufferers, mainly wherein the interventions had been regarded to restrict affected man or women freedom in some unspecified time within the destiny of the pandemic. There has been further wrong information about the virus, and because of this, people were acquiring immunity to the vaccines (Zimmerman et al., 2022).

Those are numerous kinds of rules, and they’re associated with the amount that at the same time as they placed into effect them, it’s far a sign that care coordination must do the equal except compromise to be in regardless of the sufferers want them to be in. They coordinated, so they re-engineered their practices into worldwide places and carried out their property in a way such that they ended up operational for the latter and came to be compliant, too.

Slide: 10

• The Role of the Code of Ethics in Care Coordination 

Nurses’ Code of Ethics can be very quintessential to altering the technique of making plans and enforcing care, similarly to correcting patients’ unbiased preferences based on the most vital ethical values: respect, beneficence, non-malevolent reason, and justice. Owing to one’s moral values, all patients of numerous social and cultural backgrounds maintain identical and great care to meet their own desires for care (Varkey, 2020).

For the Valley Health facility’s deprived or illicit sufferers, the Code mandates nurses to preserve their authoritative care no matter client-imposed setbacks of non-insurance of healthcare, culturally suitable healthcare, or discriminatory organization (American Nurses Employer, 2025). It also guarantees care that, apart from being fairly dealt with, willing patients enjoy an equal and rightful opportunity at patronage, and the device is, therefore, holistic and humane. The patients should be attended to via the use of the nurses’ equal time but with dignity concerning their rights notice, considering the reality that they’re dealing with them; the treatment ought to be tied to every ethical code/norm and expectations for which the affected person has arrived.

NURS FPX 4065 Assessment 3 Ethical and Policy Factors in Care Coordination

They pay attention properly right here in partnership with, and on foot for, sufferers internal and besides the fitness care environments, in addressing the epidemic breadth of suffering fitness care clients on account of the deplorable environments. Valley Health Center nurses collaborate with case managers, social human beings, and awesome fitness care carriers such that the medical goals of the affected character are satisfied along with their economic, physical, intellectual, and social needs, which include poverty, education, and housing. That makes the care holistic; with the valuable resource of the technique, the affected individual’s condition is not ultimately broken.

There may be sufficient literature on the element that organizational care, in the instance of terrible patients, improves the health of the affected individual because of the reality that all the affected person’s desires are addressed (Kongkar et al., 2025). The Code of Ethics stresses the ethical duty of the nurses to act in live overall performance with distinctive imaginative and prescient personnel for the sake of ensuring clients get the right of entry to the most useful care and comparable human development inside the face of a rustic of shared properly-being, thereby advancing health equity and retaining off fitness inequities.

Slide: 11

• Factors Contributing to Health Disparities and Access to Services

Those are the determinants of access to business organizations and disparities in the health outcomes of patients of color in Valley Health Center. The sufferers are being faced with problems of being uninsured, receiving awful culturally successful care, and low ranges of trust in the health facility, which can be contributing to exacerbate the already exisexisting disparitiescial determinants of literacy, poverty, housing instability, and inequality impose introduced obstacles, for that reason, contributing to terrible health (Facilities for Ailment Management and Prevention, 2024)—Valley Sanatorium.

The nurse expert’s feature is one in each corporation that promotes the interests of affected individuals primarily based on the requirements of professional practice for Registered Nurses and the imposition of the nurses’ ethical Code. Furthermore, they collaborate alongside the possibility professionals, which encompass the social personnel and the case managers, wherein, in addition to healing the scientific disorder, they heal the intellectual and social factors that include the illness. That might be exercising, which is also enabled with the detail of justice as it fills in the gaps in care and moreover secures future health through the coordination of numerous care services, which are otherwise complicated and inaccessible to individuals with intellectual disabilities and fitness issues.

Slide: 12

• Conclusion

Authorities’ actions, which incorporate the less luxurious Care Act and Medi-Cal, ensure continuity of care in responding to population health necessities, in particular, folks who might be underserved. Even at the same time as those pointers are looking to boost the extent of possibility to gain access to health care, they’re followed through numerous ethical troubles of fairness, opportunity, and distribution.

Nurses’ Code of Ethics assists the nurse in surmounting such obstacles because it espouses the need for affected men or women, social determinants of health, operating relationships amongst specialists and individuals of numerous professions, and collaboration. They are of pivotal importance in searching to offer required care to the inclined business enterprise and additionally try to close the loop for the device. Care coordination is a result of thinking of nurses’ personal occupations in fitness care below the region of ethical practice to promote social justice.

References

• https://codeofethics.ana.org/home 
• https://doi.org/10.3390/ijerph19020653 
• https://www.chcf.org/publication/health-disparities-by-race-and-ethnicity-in-california-almanac/#related-links-and-downloads 
• https://www.chcf.org/publication/2022-chcf-california-health-policy-survey/ 
• https://www.cdc.gov/public-health-gateway/php/about/social-determinants-of-health.html 
• https://healthpolicy.ucla.edu/publications/Documents/PDF/2022/Californias-biggest-coverage-expansion-since-the-ACA-apr2022.pdf 
• https://doi.org/10.1186/s12913-021-06961-9