Posted: January 17th, 2023

Ethical and Policy Factors in Care Coordination

Ethical and Policy Factors in Care Coordination
lntroduction The nursing homes depend on the core ethical and policy considerations to improve the coordination of health care services. The code of ethics is a critical ethical framework that improves the overall coordination of the health care services. For example, the autonomy of the patients and confidentiality rights helps to improve the access to ethical health programs in the nursing homes (Daniel & Sulmasy, 2015). The code of ethical demands nurses should always act at the interest of patients and act with professionalism. Such ethical guidelines are vital in pushing for the confidentiality and privacy of the patient information. The nursing homes rely on the professionalism and the work of the nurses to meet the needs of their patients. Therefore, the evaluation of the ethical and policy factors helps to improve the coordination of the health care services. The different government policies relating to health have a significant impact on coordination of health care services in the nursing homes.
The government has the responsibility of ensuring the access to quality health care services.

The government has the responsibility of ensuring the access to quality health care services. Medicare program and quality policies in the government are keen on providing acceptable access to geographical locations. Policies and programs are vital in improving training programs that are critical in enhancing the distribution and training initiatives to achieve positive health outcomes. The ACA Act is an example of a specific policy that is devoted towards improving the coordination of health care services amongst the nursing homes. The Health lnsurance Portability and Accountability Act (HlPPA) is a critical legislation that offers data privacy and security guidelines to improve the safeguarding of medical information (Pesut, et al., 2019). The Act would help to coordinate health care services through giving the patients the right to make their personal medical decisions. The exposure of the confidential information of the patients exposes them to security concerns.
The national, state, and local policy provisions are important in raising the key ethical questions to improve care coordination. For example, local and state nursing guidelines for registering nursing homes are vital in ensuring that the facilities follow quality health standards. The policies also encourage the involvement of the diverse people in the decision making to achieve positive care coordination outcomes. According to Daniel and Sulmasy (2015), state and local agencies have been working with the individual nurse hoes to implement the quality requirement standards and policies. The evidence is a clear indication of the increased commitment from the nurses and other health care to enhance access to quality health care services.
The code of ethics for the nurses has a significant impact on promoting care coordination.
https://www.americannursetoday.com/issues-up-close-14/ 33%
The code of ethics for the nurses has a significant impact on promoting care coordination. Codes of ethics are critical in nursing the nurses to perform their roles effectively. The national code could offer the nurses with guidance and assists in the making of ethical decisions in the nursing homes. The nurses have a role to work with patients, families and other patients to improve the health outcomes.
According to Preshaw, Brazil, McLaughlin and Frolic (2016), care coordination is a vital professional competency and standard to improve access to efficient access to quality health care services.
https://www.researchgate.net/publication/250307234_A_mixed-method_systematic_review_Support_for_ethical_competence_of_nurses 33%
According to Preshaw, Brazil, McLaughlin and Frolic (2016), care coordination is a vital professional competency and standard to improve access to efficient access to quality health care services. The code of ethics has a positive influence in pushing for improved coordination of health care services. Coordination of care is critical in achievement of improved patient experience. lt includes improving quality, access, and the reliability of the patient care services. Therefore, the influence of the professional ethical values would impact on the access to coordinated health care services.
The factors that contribute to health, health disparities, and improving the access to care services also impacts on the coordination of care services.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6356134/ 33%
The factors that contribute to health, health disparities, and improving the access to care services also impacts on the coordination of care services.
The factors are explained by the social determinants of health services as explained in the Healthy People 2020 framework.
https://www.healthypeople.gov/sites/default/files/SocietalDeterminantsHealth.pdf 33%
The factors are explained by the social determinants of health services as explained in the Healthy People 2020 framework. These factors include social and demographical influences such as education levels, gender, insurance coverage, poverty level, and development of illnesses. Gender could impact on health and the level of health disparities.
ln the United States, females are high utilizers of health care services than males (Pesut, et al., 2019).
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ln the United States, females are high utilizers of health care services than males (Pesut, et al., 2019). The nursing homes should understand the health care needs of the female population compared to male population to improve the infrastructure to provide quality health care services. Education levels also impacts on health and often leads to health disparities amongst persons with low education qualifications. lndividuals who have education qualifications have a proper knowledge to plan for their health care treatment programs compared to the uneducated persons.
The poverty level limits the ability of the individuals affected to advocate for quality health care services. Poor persons might be unable to access purchase insurance and fund quality health care treatments. Most nursing homes are expensive for persons from low–income families. Low insurance coverage in the access to quality health care also impacts on the coordination of care services. The access to insurance programs makes it possible to cushion the patients from unnecessary expenses. The risks of contracting illnesses might also be high in a certain circumstances compared to other conditions. A high risk of having certain illnesses impacts on health quality in the community. Nursing homes should evaluate the impact of these factors of health and disparities to create policies that promotes care coordination amongst the nurses and other key stakeholders.
Ethical and Policy lssues ln the nursing homes, there are various ethical and policy factors that affect the coordination and framework of the health care services. Resource allocation is a critical policy consideration that impacts on the effective coordination of the nursing health care services. The administrators of the nursing homes should improve their allocation of resources to enhance effective access to quality resources. The distribution of resources in the nursing homes helps to give the clinicians the adequate resources to manage the access to quality health care services. ln addition, the protection of the ethical obligations of the nurses helps to coordinate quality care services. The nursing homes should create cost-control and quality improvement programs that align with the ethical obligations of the nurses such as beneficence. The health care administrators should help the nurses to model ethical behavior and create conducive climate to manage the ethical issues effectively.
The creation of fair decision processes is necessary in improving the transparency in the nursing homes. Fair decision process would improve the ability of the nursing homes to make effective decisions that incorporates the different stakeholders. The important ethical factors that affect the coordination of care in the nursing homes include professional autonomy, privacy and confidentiality, and patient engagement (Preshaw, et al., 2016). Privacy and confidentiality of the health care process is also vital to allow the patients access to quality health care process. The administrators should recognize the principles of confidentiality and privacy to protect the patients. The nursing homes should engage the patients regularly to ensure they are involved in the health care processes.
Conclusion ln summary, the nursing homes should work to coordinate the ethical and policy considerations to improve health care collaboration and coordination in the health care services. The health policy seeks to ensure that patients have quality insurance coverage that enhances quality nursing care. The coverage of the patients gives them the opportunity to work with other health care providers in improving nursing care services. The autonomy of patient and the need to seek informed consent from the patients is a critical challenge that gives patients opportunity to make choice. Giving the patients autonomy enhances the ability to improve care coordination in the society. The government policies are useful in encouraging delivery approaches to improve efficiency and the provision of quality of patient experience.
References Daniel, H., & Sulmasy, L. S. (2015). Policy recommendations to guide the use of telemedicine in primary care settings: an American College of Physicians position paper. Annals of lnternal Medicine, 163(10), 787-789.
Bompart, Francois. “ Ethical rationale for better coordination of clinical research on COVID-19.” Research Ethics 16.3-4 (2020): 1-10.
Pesut, B., Thorne, S., Greig, M., Fulton, A., Janke, R., & Vis-Dunbar, M. (2019). Ethical, policy, and practice implications of nurses’ experiences with assisted death: A synthesis. Advances in Nursing Science, 42(3), 216-230. Preshaw, D. H., Brazil, K., McLaughlin, D., & Frolic, A. (2016). Ethical issues experienced by healthcare workers in nursing homes: literature review. Nursing Ethics, 23(5), 490-506.
Berlinger, N., Wynia, M., Powell, T., Hester, D.M., Milliken, A., Fabi, R. and Jenks, N.P., 2020. Ethical framework for health care institutions responding to novel Coronavirus SARS-CoV-2 (COVID-19) guidelines for institutional ethics services responding to COVID-19. The Hastings Center, 12.

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