Answer for NURS-FPX 4050 Assessment 2: Ethical and Policy Factors in Care Coordination

Slide 1: Title Slide Greetings, everybody. My name is ___________, and I work as a care coordinator at the community care center in our locality. It is a privilege to be present today to examine the ethical and policy concerns that are vital in managing care, particularly about homeless shelters.

Slide 2: Introduction Care for the Homeless has received official recognition from the National Committee for Quality Assurance (NCQA) as a Level 3 Patient-Centered Medical Home (PCMH) (Treglia et al., 2019). A more profound understanding of these difficulties is crucial for improving the health and welfare of susceptible groups, such as homeless persons, and guaranteeing fair and equal access to high-quality healthcare treatments (Chen et al., 2021). This analysis will explore the effects of several policies and ethical factors on care coordination. Additionally, we will discuss how experts in this area may work together to tackle these challenges and foster beneficial transformations in our community.

Slide 3: Governmental Policies and Their Impact on Care Coordination Treglia et al. (2019) have supposed that government policies have a significant effect on the health and safety of our communities, and they also directly influence the coordination of care for those who are vulnerable. An example of this would be the “Health Insurance Portability and Accountability Act (HIPAA),” which safeguards the privacy of individuals’ health information and ensures that it is kept secure (Chen et al., 2021). This policy affects homeless shelters since it requires them to preserve the personal health information of their residents and coordinate treatment with other healthcare experts while maintaining confidentiality (Benavides & Nukpezah, 2020). This policy influences shelters for people experiencing homelessness.

Slide 4: Affordable Care Act (ACA) Consider the “Affordable Care Act (ACA),” which expands access to medical coverage for millions of individuals in the United States, including those who are homeless (Chen et al., 2021). This is an additional example of a policy that impacts the coordination of treatment. According to Benavides and Nukpezah (2020), the Affordable Care Act (ACA) includes a variety of initiatives, one of which is the expansion of Medicaid. This makes it possible for states to give health insurance coverage to more individuals with low incomes, including those who are homeless. As a consequence of increased access to insurance, it is now possible for homeless shelters to better coordinate treatment with healthcare specialists. This ensures that the people in these shelters get the necessary medical treatments.

Slide 5: McKinney-Vento Homeless Assistance Act Furthermore, the “McKinney-Vento Homeless Assistance Act” allocates funds for services and housing programs to assist the homeless population, directly impacting the resources accessible for coordinating care in homeless shelters (Chen et al., 2021). This legislation assists the “Continuum of Care (CoC)” Program, which seeks to advance community-wide initiatives to eradicate homelessness by allocating financial resources to charitable organizations, states, and local governments. The CoC Program enhances care coordination for homeless persons by facilitating access to mainstream services and maximizing their self-reliance. These policies exemplify the interdependence of health and safety in communities since they immediately impact the accessibility and organization of healthcare for homeless persons. To effectively address the difficulties of delivering comprehensive care to vulnerable people, care coordinators may enhance their ability by comprehending the consequences of these policies. Slide 6: Ethical Questions and Dilemmas in Care Coordination Policies When navigating the many different policies that exist at the national, state, and local levels, we could come into ethical concerns or difficulties that directly influence the coordination of care. According to Benavides and Nukpezah’s research from 2020, the Affordable Care Act (ACA) creates ethical difficulties because it allows for variations in Medicaid expansion at the national level. As some states have opted to expand Medicaid while others have not, there is a coverage gap for those with low incomes who do not qualify for Medicaid and who cannot buy private insurance (Paat et al., 2021). People who are homeless are particularly affected by this imbalance, which raises issues about the equality of access to healthcare services and resources.

Slide 7: Ethical Questions and Dilemmas in Care Coordination Policies Different ways of financing and providing mental health services at the state level might lead to moral conundrums for care coordination. According to Treglia et al. (20


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