Ethical and Policy Factors in Care Coordination Presentation Script
Hello, and welcome to the presentation on the role of ethics and policy in care coordination. This presentation has been specifically designed to help you comprehend government regulations that directly affect how your treatment is coordinated. Additionally, the presentation will assist you in comprehending how the nursing code of ethics affects care coordination. This will be accomplished by discussing a specific community organization.
Presentation Outline
We will begin by explaining how community health-related governmental policies impact care coordination. This will entail explaining the impact of policies on specific community organizations. We will then assess federal, state, and local legislations that raise ethical questions and conundrums about care coordination. In this context, giving the effects of these policies will be necessary. After that, we will assess how well your care is being coordinated in light of the nursing code of ethics. To accomplish this, we will combine the social determinants of health mentioned in Healthy People 2020. We will wrap up by providing a recap of the presentation.
Governmental Policies and Care Coordination
The chosen community organization is Homeless shelters. Policies proposed by various government organizations affect care coordination for homeless people. Firstly, the National Alliance to End Homelessness proposed the Homelessness Prevention Guide. This guide provides evidence-based strategies for addressing homelessness. Its scope entails strategies for resolving crises, upholding the autonomy of individuals, empowering them, and availing timely assistance (National Alliance to End Homelessness, n.d.). Furthermore, the guide advocates for making relevant community resources available to homeless people. Secondly, the National Health Care for the Homeless Council is involved in policy-making and advocacy by collaborating with Congress. This organization prioritizes various policy provisions: optimizing the healthcare sector, curbing the effects of COVID-19 among homeless people, providing respite care, and managing substance use problems among this population (National Health Care for the Homeless Council, n.d.).
Thirdly, the American Planning Association (APA) has policy provisions to address the problem of homelessness. The APA advocates for concerted efforts between various stakeholders to make affordable housing available. These housing options should be distributed equally to mitigate the problem of homelessness (American Planning Association, n.d.). The national and state governments should collaborate with sectors such as the land use departments to achieve this objective. The U.S. Department of Housing and Urban Development aims to address homelessness via various programs. The Rapid Re-housing for Families Demonstration Program targets homeless people who can sustain their housing needs at the end of the assistance program (CountyHealthRankings.org, 2019). Examples of services include affordable housing, job training, and holistic healthcare services (CountyHealthRankings.org, 2019). The Homelessness Prevention and Rapid Re-Housing Program targets individuals who can benefit from temporary housing plans (CountyHealthRankings.org, 2019). Examples of services provided by this plan include house placement and holistic healthcare services. The Health Insurance Portability and Accountability Act (HIPPA) advocates for the protection of electronically transmitted personal health information (Moore & Frye, 2019). This will ensure that the privacy of homeless people is upheld during healthcare delivery.
According to the National Alliance to End Homelessness (n.d.), affordable housing suggests that the rent, household expenses, and mortgage should not exceed 30% of the household’s gross income. The National Alliance to End Homelessness and the American Planning Association are organizations that advocate for affordable housing. To provide affordable housing, the Department of Housing and Urban Development has created a unique program called the Housing Choice Voucher program. Data indicates that approximately two million people have benefited from this program household (National Alliance to End Homelessness, n.d.). Beneficiaries are chosen based on several factors, such as low-income status, older adults, and if the home is led by a person with a disability household (National Alliance to End Homelessness, n.d.). The availability of affordable housing guarantees safety to homeless people by providing adequate housing options.
Policy Provisions That Raise Ethical Questions
The Affordable Care Act (ACA) was enacted in 2010. It aimed at fulfilling three main goals. Firstly, it aimed to expand the Medicaid program to include adults whose income is 138 percent lower than the federal poverty level (McIntyre & Song, 2019). Secondly, it aimed at enhancing innovation in the delivery of healthcare services to lower treatment costs. Thirdly, it intended to provide affordable health coverage to the majority of Americans (McIntyre & Song, 2019). However, some of its provisions raise ethical concerns. The ethical concerns comprise themes such as unlimited access to care and flexibility when selecting healthcare services. The first ethical concern is access to care by undocumented immigrants. The ACA limits access to healthcare services by undocumented immigrants (McIntyre & Song, 2019). As such, this breaches the ethical principles of justice, beneficence, and non-maleficence.
The second ethical concern is cost containment. The Affordable Care Act champions responsibility and accountability in the healthcare organization. It increases the likelihood of medical-legal complications, hefty participation expenses, and patient exclusion (McIntyre & Song, 2019). As such, ethical concerns such as beneficence and autonomy are elicited. Furthermore, care coordination is compromised. The third ethical concern is public health. The Affordable Care Act includes policies like the Tanning Tax that may restrict access to care. Additionally, its provisions do not address serious health threats like traffic violations (McIntyre & Song, 2019).
The ACA does not advocate for advanced directives regarding end-of-life. Advanced directives communicate patients’ wishes. The government should not be involved in determining decisions and resources for advanced directives (Carey et al., 2020). The Affordable Care Act will result in more patients visiting the emergency room (Carey et al., 2020). Subsequently, about 30 million people in the USA will have access to healthcare services (Carey et al., 2020). The ACA does not deal with the issue of deficient medical facilities and services. As a result, the quality of care will undoubtedly suffer due to overcrowding in emergency rooms. Primary care doctors are anticipated to be overworked by the increase in insured patients (Carey et al., 2020). Additionally, they may turn down reimbursements from Medicaid. By so doing, patients will be forced to seek services from the overcrowded emergency department hence compromising the quality of care.
Code of Ethics for Nurses and Care Coordination
The American Nurses Association developed a code of ethics to guide nurses’ routine practice. It requires nurses to uphold compassion and respect the uniqueness of all patients (Nursing.rutgers.edu, n.d.). Nurses should demonstrate commitment to patients and advocate for and protect their rights. The code of ethics grants nurses authority to practice while remaining accountable and responsible for their actions (Nursing.rutgers.edu, n.d.). Furthermore, nurses should engage in research to achieve continuous professional development. Nurses should uphold interdisciplinary collaboration in health promotion and advocacy (Nursing.rutgers.edu, n.d.). Finally, the professional organization should ensure that nursing values, the integrity of the profession, and the provisions of social justice are upheld (Nursing.rutgers.edu, n.d.).
Various social factors affect an individual’s health. Firstly, access to quality healthcare services is associated with better health outcomes. This can be achieved by making affordable health coverage available. Quality healthcare services entail health promotion and prevention (Health.gov, n.d.). Secondly, access to quality education equips individuals with pertinent information about healthy lifestyles. As such, people with quality education are less likely to engage in risky behaviors and are likely to be healthier than those with low educational levels. Thirdly, neighborhoods and environments with adequate housing, water supply, and proper waste disposal approaches are most likely to have a healthy population (Health.gov, n.d.). On the other hand, environmental pollution increases the risk of health risks. The fourth factor is societal and community factors. The presence of social and community support programs is associated with a healthy population (Health.gov, n.d.). Notably, social and community programs provide holistic care services to ensure the well-being of members. The other factor is economic stability. Economic stability increases access to quality healthcare services and quality education (Health.gov, n.d.). Overall, quality healthcare services are associated with better patient outcomes.
The code of ethics for nurses impacts care coordination by affecting various determinants of health. Nurses can promote access to quality healthcare services through advocacy and protection of patients’ rights (Nursing.rutgers.edu, n.d.). Furthermore, nurses should collaborate with interdisciplinary team members to achieve health promotion and advocacy (Nursing.rutgers.edu, n.d.). Access to quality education can also be achieved via advocacy for and protection of patients’ rights (Nursing.rutgers.edu, n.d.). Regarding the neighborhood, environment, and social factors, nurses promote equity through advocacy and commitment to the patient (Nursing.rutgers.edu, n.d.).
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Question 
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 speaker notes for your presentation, 4-5 pages in length.
Ethical and Policy Factors in Care Coordination Presentation Script
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 the 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 courtroom.
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.