Ethical And Policy Factors In Care Coordination Essay
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. Ethical And Policy Factors In Care Coordination Essay
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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. Ethical And Policy Factors In Care Coordination Essay
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. Ethical And Policy Factors In Care Coordination Essay
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. Ethical And Policy Factors In Care Coordination Essay
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.
Local religious groups.
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. Ethical And Policy Factors In Care Coordination Essay
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. Ethical And Policy Factors In Care Coordination Essay
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.
For this assessment:
Choose the community organization or support group that you plan to address.
Develop and record a presentation, 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. Ethical And Policy Factors In Care Coordination Essay
Note: 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 but you certainly could if you chose to.
Presentation Format and Length
You may use PowerPoint (recommended) or other suitable presentation software to create your slides and add your voiceover. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues. You can also record your presentation using Kaltura or similar software.
Be sure that your slide deck includes the following slides:
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.
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.
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. Ethical And Policy Factors In Care Coordination Essay
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. Ethical And Policy Factors In Care Coordination Essay
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.
Present a concise overview.
Support your main points and conclusions with relevant and credible evidence. Ethical And Policy Factors In Care Coordination Essay
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. Ethical And Policy Factors In Care Coordination Essay
Which issues impact hospital administrators and clinical leaders the most? Healthcare Briefings spoke to a panel of experts to get their view of the top ethical challenges in healthcare that are facing today’s leaders:
1. Balancing care quality and efficiency
Many of the challenges facing the healthcare system in the future will be related to the overall challenge of balancing quality and safety with efficiency, said Cynda Hylton Rushton PhD, RN, the new Anne and George L. Bunting Professor of Clinical Ethics at Johns Hopkins University.
“It raises a real question about whether the right values are driving our focus in our healthcare system,” she said. “Should efficiency be the driver?” Ethical And Policy Factors In Care Coordination Essay
2. Improving access to care
The ongoing issue of providing everyone with access to basic medical care remains a concern.
Philip Rosoff, MD, director of clinical ethics for Duke Hospital and Duke University School of Medicine, sees this lack of access as the country’s biggest ethical issue.
“It’s shameful,” he said. “All the other stuff pales in comparison.”
Gerard Magill, PhD, professor with the Center for Healthcare Ethics at Duquesne University, notes that there are still questions about the implementation of the healthcare reform law, as well as Medicaid expansion efforts in the states. Most ethicists believe that access to basic care is a hallmark of a civilized society, he said, and if many people still do not have access, “that is a problem.”
3. Building and sustaining the healthcare workforce of the future
As the baby boomer generation continues to age, more healthcare professionals will be needed to take care of this population–to manage chronic illnesses, coordinate care and provide many other services. But will there be enough competent, compassionate people who not only enter the healthcare workforce but remain in it to provide that care?
Despite a recent influx of younger people into the nursing profession, for instance, many experts are forecasting a resurgence of the nursing shortage by the end of this decade–just when more nurses will be needed.
“This is not just a supply issue,” said Rushton. “This is a sustainability issue. And one of the real threats to keeping the people we train in practice is having an ethical practice environment where they can actually practice with integrity, and where they are not constantly barraged with morally distressing situations that burn them out.” Ethical And Policy Factors In Care Coordination Essay
4. Addressing end-of-life issues
Nancy Berlinger, PhD, a research scholar with the Hastings Center, noted that end-of-life issues will also grow in importance as the population ages. The entire decision-making process, as well as the financing that pays for end-of-life care, will be up for discussion as these issues affect more people. But that is the reward for the great leaps in life expectancy that were achieved in the 20th century, she said.
“This is the ‘other shoe’ in the 21st century, the consequences of people living into their 90s,” she said.
The Hastings Center will soon release a revised and expanded version of its 1987 guidelines on end-of-life decision-making and care; it will include resources for providers who want to learn how to have better conversations with each other and with patients and their families.
5. Allocating limited medications and donor organs
Will there be enough critical medications available to meet people’s needs in the future, and if not, what can be done about it? How will organs be allocated in the future, when they are often in short supply?
Medication shortages often happen because there’s not enough economic incentive for manufacturers. For example, certain intravenous medications that are generics tend to be the ones that become scarce because there’s not much profit in making them, said Rosoff. Ethical And Policy Factors In Care Coordination Essay
“Until we fix some of the perverse incentives that we’ve built into the system for the creation and distribution of drugs in this country, I think it’s going to continue to happen,” he said.
Although some advances have been made to encourage the reporting of drug shortages in an effort to reduce them, the Food and Drug Administration still expects shortages to occur in the future.
According to clinical ethicist Katrina A. Bramstedt, PhD, the Affordable Care Act may help transplant candidates with coverage for certain necessary medications, such as immunosuppressants.
“The bigger problem is the ongoing shortage of donor organs,” said Bramstedt, associate editor of the Journal of Bioethical Inquiry. “There are just not enough livers or deceased donor organs to meet the need. Here is where continued research, as well as more donations, would help.”
In addition to this list of five issues, ethicists acknowledge that other concerns will continue to develop, such as healthcare technology’s impact on communication policies, medical records and patient privacy.
But Rosoff maintains that access to care is the most significant ethical matter at present. The other issues are very important, but this one is at the top of his list. Ethical And Policy Factors In Care Coordination Essay