Policy Agenda for Nurse Led Care Coordination in US PPT

Policy Agenda for Nurse Led Care Coordination in US PPT

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my papers are already written. I need help with the presentation (audio). I have the powerpoint, and script all ready. I will need the writer to check and make sure I followed all directions, I need do my presentation for me

I also attached the rubric for the course

Assessment 2 Instructions: 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 for your presentation, 4-5 pages in length.

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.

Demonstration of Proficiency

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. Policy Agenda for Nurse Led Care Coordination in US PPT

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.

Note: Remember that you can submit all, or a portion of, your draft presentation to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

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.

HELPFUL LINKS

POLICY AND ETHICS

As you read the following, consider how policy and ethics relate to your current role and the role of the care coordinator.

ETHICS AND COMMUNITY CARE

As you read the following documents, focus on how ethics impacts community care, and consider the cultural implications.

EFFECTIVE PRESENTATIONS

The following resources will help you create and deliver an effective presentation.

  • This video addresses the primary areas involved in creating effective audiovisual presentations. You can return to this resource throughout the process of creating your presentation to view the tutorial appropriate for you at each stage.

Assessment 3 Instructions: Care Coordination Presentation to Colleagues

Develop a 20-minute presentation for nursing colleagues highlighting the fundamental principles of care coordination. Create a detailed narrative script for your presentation, approximately 4-5 pages in length, and record a video of your presentation.

Nurses have a powerful role in the coordination and continuum of care. All nurses must be cognizant of the care coordination process and how safety, ethics, policy, physiological, and cultural needs affect care and patient outcomes. As a nurse, care coordination is something that should always be considered. Nurses must be aware of factors that impact care coordination and of a continuum of care that utilizes community resources effectively and is part of an ethical framework that represents the professionalism of nurses. Understanding policy elements helps nurses coordinate care effectively.

This assessment provides an opportunity for you to educate your peers on the care coordination process. The assessment also requires you to address change management issues. You are encouraged to complete the Managing Change activity.

Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 2: Collaborate with patients and family to achieve desired outcomes.
    • Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.
  • Competency 3: Create a satisfying patient experience.
    • Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.
  • Competency 4: Defend decisions based on the code of ethics for nursing.
    • Explain the rationale for coordinated care plans based on ethical decision making.
  • Competency 5: Explain how health care policies affect patient-centered care.
    • Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.
  • Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
  • Raise awareness of the nurse’s vital role in the coordination and continuum of care in a video-recorded presentation. Script and reference list are not submitted.

Preparation

Your nurse manager has been observing your effectiveness as a care coordinator and recognizes the importance of educating other staff nurses in care coordination. Consequently, she has asked you to develop a presentation for your colleagues on care coordination basics. By providing them with basic information about the care coordination process, you will assist them in taking on an expanded role in helping to manage the care coordination process and improve patient outcomes in your community care center.

To prepare for this assessment, identify key factors nurses must consider to effectively participate in the care coordination process.

You may also wish to:

  • Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.
  • Allow plenty of time to rehearse your presentation.

Note: Remember that you can submit all, or a portion of, your draft presentation to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Recording Equipment Setup and Testing

Check that your recording equipment and software are working properly and that you know how to record and upload your presentation. You may use Kaltura (recommended) or similar software for your audio recording. A reference page is required. However, no PowerPoint presentation is required for this assessment.

  • If using Kaltura, refer to the Using Kaltura tutorial for directions on recording and uploading your video 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

Complete the following:

  • Develop a video presentation for nursing colleagues highlighting the fundamental principles of care coordination. Include community resources, ethical issues, and policy issues that affect the coordination of care. To prepare, develop a detailed narrative script. The script will be submitted along with the video.

Note: You are not required to deliver your presentation.

Presentation Format and Length

Create a detailed narrative script for your video presentation, approximately 4–5 pages in length. Include a reference list at the end of the script.

Supporting Evidence

Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your video. Include your source citations on a references page appended to your narrative script. Explore the resources about effective presentations as you prepare your assessment.

Grading Requirements

The requirements outlined below correspond to the grading criteria in the Care Coordination Presentation to Colleagues 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.

  • Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.
    • Provide, for example, drug-specific educational interventions, cultural competence strategies.
    • Include evidence that you have to support your selected strategies.
  • Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.
  • Explain the rationale for coordinated care plans based on ethical decision making.
    • Consider the reasonable implications and consequences of an ethical approach to care and any underlying assumptions that may influence decision making.
  • Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.
    • What are the logical implications and consequences of relevant policy provisions?
    • What evidence do you have to support your conclusions?
  • Raise awareness of the nurse’s vital role in the coordination and continuum of care in a video-recorded presentation.
  • Fine tune the presentation to your audience.
  • Stay focused on key issues of import with respect to the effects of resources, ethics, and policy on the provision of high-quality, patient-centered care.
  • Adhere to presentation best practices.

Additional Requirements

Submit both your presentation video and script. The script should include a reference page. See Using Kaltura for more information about uploading multimedia files. You may submit the assessment only once, so be sure that both assessment deliverables are included.

HELPFUL LINKS

https://www.beckershospitalreview.com/quality/the-importance-of-care-coordination-in-a-value-based-world-lessons-learned-by-spectrum-health.html

https://catalyst.nejm.org/doi/full/10.1056/CAT.18.0291

https://www-ncbi-nlm-nih-gov.library.capella.edu/pmc/articles/PMC5728473/

Assessment 4 Instructions: Final Care Coordination Plan

For this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature.

NOTE: You are required to complete this assessment after Assessment 1 is successfully completed.

Care coordination is the process of providing a smooth and seamless transition of care as part of the health continuum. Nurses must be aware of community resources, ethical considerations, policy issues, cultural norms, safety, and the physiological needs of patients. Nurses play a key role in providing the necessary knowledge and communication to ensure seamless transitions of care. They draw upon evidence-based practices to promote health and disease prevention to create a safe environment conducive to improving and maintaining the health of individuals, families, or aggregates within a community. When provided with a plan and the resources to achieve and maintain optimal health, patients benefit from a safe environment conducive to healing and a better quality of life.

This assessment provides an opportunity to research the literature and apply evidence to support what communication, teaching, and learning best practices are needed for a hypothetical patient with a selected health care problem.

You are encouraged to complete the Vila Health: Cultural Competence activity prior to completing this assessment. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.

DEMONSTRATION OF PROFICIENCY

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Adapt care based on patient-centered and person-focused factors.
    • Design patient-centered health interventions and timelines for a selected health care problem.
  • Competency 2: Collaborate with patients and family to achieve desired outcomes.
    • Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice.
  • Competency 3: Create a satisfying patient experience.
    • Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2020 document.
  • Competency 4: Defend decisions based on the code of ethics for nursing. Policy Agenda for Nurse Led Care Coordination in US PPT
    • Consider ethical decisions in designing patient-centered health interventions.
  • Competency 5: Explain how health care policies affect patient-centered care.
    • Identify relevant health policy implications for the coordination and continuum of care.
  • Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
  • Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
  • Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

PREPARATION

In this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature.

To prepare for your assessment, you will research the literature on your selected health care problem. You will describe the priorities that a care coordinator would establish when discussing the plan with a patient and family members. You will identify changes to the plan based upon EBP and discuss how the plan includes elements of Healthy People 2020.

Note: Remember that you can submit all, or a portion of, your plan to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

INSTRUCTIONS

Note: You are required to complete Assessment 1 before this assessment.

For this assessment:

  • Build on the preliminary plan, developed in Assessment 1, to complete a comprehensive care coordination plan.
Document Format and Length

Build on the preliminary plan document you created in Assessment 1. Your final plan should be a scholarly APA formatted paper, 5–7 pages in length, not including title page and reference list.

Supporting Evidence

Support your care coordination plan with peer-reviewed articles, course study resources, and Healthy People 2020 resources. Cite at least three credible sources.

Grading Requirements

The requirements, outlined below, correspond to the grading criteria in the Final Care Coordination Plan 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.

  • Design patient-centered health interventions and timelines for a selected health care problem.
    • Address three health care issues.
    • Design an intervention for each health issue.
    • Identify three community resources for each health intervention.
  • Consider ethical decisions in designing patient-centered health interventions.
    • Consider the practical effects of specific decisions.
    • Include the ethical questions that generate uncertainty about the decisions you have made.
  • Identify relevant health policy implications for the coordination and continuum of care.
    • Cite specific health policy provisions.
  • Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice.
    • Clearly explain the need for changes to the plan.
  • Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2020 document.
    • Use the literature on evaluation as guide to compare learning session content with best practices.
    • Align teaching sessions to the Healthy People 2020 document.
  • Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
  • Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Additional Requirements

Before submitting your assessment, proofread your final care coordination plan to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan.

Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.

Helpful links

 

Unformatted Attachment Preview

ETHICS AND CARE COORDINATION 1 Ethical and Policy Factors in Care Coordination Stella Alpha Capella University NURS-FPX4050 – Coordinating Patient-Centered Care Ethical and Policy Factors in Care Coordination Script January 2021 ETHICS AND CARE COORDINATION 2 Ethics and Care Coordination Script The elderly people in society require significant health care and attention given they are weak. Nursing homes accommodate the aged and provide efficient medical care. Ethical standards and policy issues affect the execution of care coordination in a nursing home. Ethical standards serve as a guideline in establishing moral values in the nursing home. Policy issues are a crucial factor that impacts care coordination in a nursing home. Ethical standards and policy issues bear an essential role in facilitating high-quality health care to the elderly in nursing homes. Various governmental policies regarding the health and safety of a community affect care coordination. The government has played a significant part in the health care system, particularly the nursing homes, over the past decades, ensuring the equal extension of services for a large portion of the U.S population. Through its various policies and regulations implemented, the United States’ federal and local governments have a responsibility to ensure that the finances allocated to healthcare groups and organizations annually via different healthcare programs are well catered. The government policies are significant because they decrease the ailment burdens, reduce the disabilities burdens, and even reduce injuries. The government overviews all Americans’ general health concerns and issues, thus establishing initiatives that promote further medical research and public health. The Department of health and human sciences has set goals to improve patient outcomes and decreasing medical costs in nursing homes by supporting several new laws. According to Collins and Saylor (2018), one of the government policies that has influenced care coordination in nursing homes is Medicare, the most significant policy. This program works towards providing insurance coverage for approximately a 50million Americans. For instance, Collins ETHICS AND CARE COORDINATION 3 and Saylor (2018) state that in 1945, President Harry Truman reunited a congress responsible for funding U.S citizens in nursing homes. Medicaid is another policy implemented by the government to improve the coordination of care in nursing homes. This program covers more recipients than Medicare, such as disabled, temporarily unemployed workers, and uninsured expectant mothers, generally the low-income people. Another policy is known as the Hospital Readmissions Reduction Program (HRRP). It is an affordable care act program that needs the Medicare centers and Medicaid services to minimize payouts to care facilities that go through excessive patient readmissions. It services more than a 42million citizens in the United States. Most of them are from humble backgrounds; hence they need healthcare services to maintain their good health and satisfy their needs. Collins and Saylor (2018)
assert that the Health Insurance Portability and Accountability Act (HIPAA) was enacted in 1996 to protect American workers by permitting them to carry health insurance policies from one job to another. This Act also allows workers to register to a selected group of health insurance strategies to replace lost coverage and modify family changes like adoptions and marriages. Lamb et al. (2015) assert that the Patient Safety and Quality Improvement Act that was put in place in 2005 plays a significant role in nursing homes because it protects health workers who report unsafe conditions. These laws have been fundamental in the implementation of care coordination. Through these policies, the government makes sure that the care provided by the caregivers is not offered in silos. Issues such as healthcare costs that affect care coordination negatively are significantly minimized. In the U.S, most healthcare providers and care coordinators acknowledge the Act of accessing quality healthcare services and balancing cost as an unethical dilemma that they need to participate in continually. Policy Agenda for Nurse Led Care Coordination in US PPT
The reforms in healthcare have ETHICS AND CARE COORDINATION 4 brought a myriad of outstanding ethical issues to the forefront. One of the policies implemented by the U.S federal government is the Patient Protection and Affordable Care Act that has resulted in ethical questions among care coordination. This is an individual act consisting of various reforms that the government aims to affect the care quality of the average American positively. Several societal injustices that affiliate to the Act exist, thus impacts the proper care coordination negatively, despite the myriad of advantages that is Act of Affordable care and Patient Protection comprises. Lamb et al. (2015) assert that the policy provisions under this Act restrict individuals that are guaranteed to get covered, with most immigrants being left out. This care act is expected to significantly intensify the national debt, meaning that the comprehensive health budget will negatively affect health facilities’ care coordination. The code of ethics for nurses provides a meaningful insight that depicts precisely the values they are supposed to follow. In definition, ethical codes are instructions that shape the behavior of the individuals or professionals concerned, and they also determine the values and beliefs that should be deemed acceptable. In this case, the code of ethics for nurses will be assessed based on its impact on the coordination and continuum of care in their profession. The code of ethics for nurses is very vital, especially in the advent of new technological inventions that have taken place in the medical industry. This is because, since new machines and software are used daily in nursing, it has presented new sets of problems. For nurses, i.e., the proper coordination in the nursing profession in a hospital setup is well maintained. The code of ethics directly impacts this case since the nurses are presented with a set of regulations and instructions to ensure the nurses’ proper provision of healthcare services. Policy Agenda for Nurse Led Care Coordination in US PPT
ETHICS AND CARE COORDINATION 5 A nurse’s code of ethics is an approach to express shared values and beliefs which apply directly to the nursing profession. American Nurses Association (2001) states that the nursing profession is one of the professions that experience the most ethical issues. The code of ethics for nurses indicates that the nurses’ level of care is top-notch since they have something guiding them along the way. In a nutshell, the code of ethics for nurses has positively impacted the coordination and continuum of care in both the hospital setting and any other places where nurses exercise their profession. The next part of this paper will seek to draw insightful evidence-based conclusions informed by careful consideration of social determinants of health and a precise and accurate interpretation of the factors contributing to health, health disparities, and access to services. Magelssen et al. (2018) imply that one of the most insightful evidence-based conclusions one can arrive at considering the social determinants of health is that individuals who come from the high end of the social ladder tend to ail from lifestyle diseases compared to their less wealthy counterparts. An excellent example of a lifestyle disease that affects affluent people is obesity. Obesity tends to affect people from affluent backgrounds since they have the money to buy fast foods and rarely engage in challenging jobs, which translates to less exercise, leading to obesity. After taking a look at the precise and accurate interpretation of the factors contributing to health, health disparities, and access to services, it is correct to conclude that in most cases, people that have fewer chances of accessing healthcare services tend to pay the highest price in terms of the consequences of late discoveries of some diseases such as cancer. This is because it is relatively easy to control and treat a disease like cancer (of any nature) when discovered early enough. In the case of people who tend to have fewer chances of accessing healthcare services, they tend to have fewer check-ups. This makes them susceptible to late diagnosis, which is fatal ETHICS AND CARE COORDINATION since when a disease like cancer is diagnosed past a stage where it can be controlled, it stops becoming a matter of if the patient will succumb. It becomes a case of when the patient will succumb. Ethical standards and policy issues impact the implementation of care coordination in a nursing home. The elderly require maximum attention in the provision of health care services. Governmental policies affect care coordination and raise ethical queries in the medical sector. Policy Agenda for Nurse Led Care Coordination in US PPT
Policy provisions bear implications and outcomes of care coordination. The code of ethics influences the nurses’ role in the coordination and continuum of care. Different aspects contribute to health, its disparities, and access to services when providing high-quality medical care to the aged. . 6 ETHICS AND CARE COORDINATION 7 References American Nurses Association. (2001). Code of ethics for nurses with interpretive statements. Nursesbooks. org. Collins, B. L., & Saylor, J. (2018). The Affordable Care Act: 8 years later. Nursing management, 49(8), 42-48. Lamb, G., Newhouse, R., Beverly, C., Toney, D. A., Cropley, S., Weaver, C. A., … & Naylor, M. (2015). Policy agenda for nurse-led care coordination. Nursing Outlook, 63(4), 521-530. Magelssen, M., Gjerberg, E., Lillemoen, L., Førde, R., & Pedersen, R. (2018). Ethics support in community care makes a difference for practice. Nursing Ethics, 25(2), 165-173. Ethics and Care Coordination Stella Alpha Capella University NURS-FPX4050 – Coordinating PatientCentered Care December 2020 Selected Community: Nursing Homes Nursing homes provide medical care to the aged Ethical practice is essential in nursing homes Ethics ensure morals in nursing homes Policy issues impact care provision Ethics and policies aims at quality care for the aged How Governmental Policies Affect the Coordination of Care 1 2 3 Ensure equality in service provision countrywide Decrease ailments Reduce disability burden 4 Reduce injury drain Examples of Policies Affecting Care Coordination Policies requiring eating healthy foods in meetings Policies allowing extension of physical exercises Policies prohibiting use of tobacco and alcohol in public places • Aims to improve patient outcomes • Projects reduction of health costs • It is the most significant health policy in the United States • Covers numerous individuals, including those Medicare living with disabilities • Raises ethical concerns Hospital Readmissions Reduction Program (HRRP) • • • • • Raises ethical questions for care coordination It is an affordable care program covers several poor people in America Allows carrying insurance policies from one job to another Protects health workers who tackle unsafe conditions Patient protection and Affordable Care Act • • • • • Consists of various reforms. Impacts proper care coordination negatively Restrict individuals that are guaranteed to get covered Cover few immigrants Expected to significantly intensify the national debt Medicare and HRRP health policies • Minimize healthcare costs • Provides medical insurance for aged population • Aim at achieving quality care Impact of the Code of Ethics For Nurses • Offer values that nurses should follow • Ethics shape behavior • Code of ethics is essential, especially due to recent technology use in medicine • Positively impacts coordination and continuum of care Evidence Based Conclusions • • • • • • Wealthy individuals suffer from lifestyle diseases Their lifestyle involve consuming fast foods, which are unhealthy Affluent people do not undertake challenging jobs Most of rich people do not engage in physical exercise People from substandard families are susceptible to late diagnosis Several poor people do not have medical insurance Conclusion
• Ethics and health policies impact care coordination • Elder people require advanced health attention • There are government policies that positively impact health and still pose ethical concerns • Code of ethics influence coordination and continuum of care Policy Agenda for Nurse Led Care Coordination in US PPT
References • American Nurses Association. (2001). Code of ethics for nurses with interpretive statements. Nursesbooks. org. • Collins, B. L., & Saylor, J. (2018). The Affordable Care Act: 8 years later. Nursing management, 49(8), 42-48. References • Lamb, G., Newhouse, R., Beverly, C., Toney, D. A., Cropley, S., Weaver, C. A., … & Naylor, M. (2015). Policy agenda for nurse-led care coordination. Nursing Outlook, 63(4), 521-530. • Magelssen, M., Gjerberg, E., Lillemoen, L., Førde, R., & Pedersen, R. (2018). Ethics support in community care makes a difference for practice. Nursing Ethics, 25(2), 165-173. Care coordination Ethical and Policy Factors in Care Coordination Stella Alpha Capella University NURS-FPX4050 – Coordinating Patient-Centered Care December 2020 Accessibility Individualization Fundamental Principles of Care Coordination Interaction with the community Solutions to systemic problems Strategies for Collaborating with Patients and their Families Applying reliable tools and skills for shared decision making Creating patient portals. Including patients, families, and clinicians in motivational interviewing. The establishment of patient education programs Care Coordination Process  Follows a process  Involves updating community and environmental scan  Involves screening and detection  In-depth evaluation  Involves identifying the patient’s strengths, weaknesses, and resources  development of an individualized patient support plan  Implementation and scrutinizing of the care plan  completion of the process Rationale for coordinated care plans Ethical decision making is a vital aspect of coordinated care Decisions made are confidential Decision making on care coordination is controlled by ethical principles such as utilitarianism and deontology Ethical decision influences the rationale for coordinated care  Cover a wide range of topics  Requires  Medical medical professionalism policies form the basis for formal procedures How Health Care Policies Affect PatientCentered Care. Change Management  Facilitates strategy implementation  Guarantees high quality patient-centered care  Ensures patients feel safe  Examines reactions of medics to patients  Makes nurses expound on patients’ conditions  Improves patient-physician relationship  Impacts teamwork among health workers  Enhances better working environment Change management Enhances patient experience Causes high quality patient care Change Management Issues in Care Coordination Degree of the change Poor leadership Competing demands Patient resistance Limited resources Methodological issues Conclusion  Care coordination facilitates efficient healthcare  Focuses on patients’ needs  Ethical decision making is crucial in care coordination  Change management affects patients’ response Conway, P., & Gawronski, B. (2013). Deontological and utilitarian inclinations in moral decision making: a process dissociation approach. Journal of personality and social psychology, 104(2), 216. Hofmarcher, M. M., Oxley, H., & Rusticelli, E. (2007). Improved health system performance through better care coordination. References Toth, F. (2010). Healthcare policies over the last 20 years: Reforms and counter-reforms. Health Policy, 95(1), 82-89. Wolf PhD, C. P. X. P., & Jason, A. (2014). Defining patient experience. Patient experience journal, 1(1), 7-19. CARE COORDINATION SCRIPT 1 Ethical and Policy Factors in Care Coordination Stella Alpha Capella University NURS-FPX4050 – Coordinating Patient-Centered Care Care Coordination Script January 2021 CARE COORDINATION SCRIPT 2 Care Coordination Script Health care is definitely a priority. It is a vital element in our lives. Who would disagree it is a core aspect of our existence? No one, obviously. Well, as nurses, there comes the necessity to achieve safe and efficient patient care. Policy Agenda for Nurse Led Care Coordination in US PPT
There is always the responsibility to organize patient’s care activities and engage anyone involved in this care provision. Patient’s needs and preferences for medical services should be met on time. Through care coordination, we ensure value maximization of services provided to patients by conducting effective and high-quality healthcare processes. The fundamental principles of care coordination reflect the central role of the parties involved in delivering patient care. According to Hofmarcher et al. (2007), accessibility, individualization, interaction with the community, and solutions to systemic problems serve as the fundamental principles of care coordination. Accessibility focuses on the availability of effectual and secure health care by all patients. Medical settings integrate with community resources to enable patients from various linguistic and cultural groups to easily access the services. Accessibility strives for universal provision of health care services to all types of patients. Individualization, in this case, is based on the patient’s circumstances, needs, and strengths. Not only does individualization maximizes patient care-giving capacity, but it also looks to patients and include them in defining their needs. With individualization, the patient receives anticipatory guidance to prepare them for anything whatsoever regarding their health. Due to individualization, nurses respect and engage with a patient’s culture and customs. Care coordination aligns with the patient’s interactions with the broader community. Policy Agenda for Nurse Led Care Coordination in US PPT
In so doing, this elevates the patient’s status, legitimizes any concerns to a broader community, such as the family. Solutions to systemic problems link individual care coordination to a wider network for CARE COORDINATION SCRIPT 3 quality assurance, accountability, and support. Moreover, these solutions to systemic problems controlled by clear standards and ethics promote proper use of services and resources based on a patient’s needs. They reduce fragmentation and tie services across the systems. These fundamental principles guide the delivery of care coordination to affected individuals. Engaging patients and their family members enable them to work collectively with medical staff to improve healthcare quality. There are several strategies to achieve collaboration between patients and their family members in care coordination. Policy Agenda for Nurse Led Care Coordination in US PPT
Nurses should apply reliable tools and skills for shared decision-making with patients and their families regarding clinical needs, goals, and procedures that patients are willing to take in their recovery. Medical settings should create patient portals that will ease information sharing and communication among the patients, families, and nurses. The patient, family, and clinician should be included in motivational interviewing that assist the affected parties in finding the internal motivation to push them in the recovery process. The establishment of patient education programs that involve both the patients and their families teach them on measures required in providing home-based care to a patient. Such effective strategies in collaborating with patients and their families accomplish desired medical goals. Care coordination follows a process for it to function effectively. Hofmarcher et al. (2007) allude that the care coordination pr … Policy Agenda for Nurse Led Care Coordination in US PPT