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

for NURS-FPX 4050 Assessment 2: Ethical and Policy Factors in Care Coordination Hello everyone and welcome to my presentation about ethical and policy issues that impact care coordination. My presentation will focus on the critical role that ethical and policy factors play in care coordination; especially enhancing patient outcomes and nursing professional conduct, as well as the ethical dilemmas they raise that challenge care coordination. The presentation will demonstrate these aspects by using the American Diabetes Association and its role in care coordination Health organizations like the American Diabetes Association coordinate care and should be aware of ethical and policy issues that affect such activities. Care coordination is the intentional synchronization of different activities and the use of information to develop effective treatment and care interventions for better outcomes for patients in different health situations (Hill-Briggs et al., 2021). Community organizations should adhere to the ethical and policy requirements set by professional entities and government through regulations in healthcare. The increasing prevalence of chronic conditions like diabetes means that more people require coordinated care which must be founded on ethical and policy bases for better outcomes (Fang et al., 2022). Policies like the Affordable Care Act 2010 and Health Insurance Portability and Accountability Act (HIPAA) are essential because they affect access to quality care while nurses and other healthcare providers must demonstrate ethical conduct by following the set ethical codes when delivering care for patients with diabetes. Overview of the American Diabetes Association American Diabetes Association is a non-profit organization that offers education, support, and advocacy for individuals with diabetes, their families, and caregivers (ADA, 2023). The organization helps in advocating better treatment and accessibility based on government policies like the Affordable Care Act of 2010. Through its data, the organization asserts that over 1.2 million Americans are diagnosed with diabetes each and require care because the condition is chronic. The association works with healthcare providers, patients and their families, and government agencies at state and federal levels in its efforts to end diabetes in the country. Government Policies Affecting Coordination of Care Government at both state and federal levels enact legislations and policies that impact coordination of care. These policies offer a framework for how healthcare organizations like the American Diabetes Association work to attain their goals and offer comprehensive care to different patients with diabetes. These policies include the Affordable Care Act; especially on the expansion of Medicaid, and the Health Insurance Portability and Accountability Act (HIPAA). As such, let’s focus on how these policies affect care coordination for individuals benefitting from the American Diabetes Association. i). Affordable Care Act 2010 The Affordable Care Act enacted over ten years ago expanded different aspects of health insurance to improve access to medications and other aspects of care for diabetic patients. The act expanded Medicaid to improve overall access for people with chronic conditions as it ensures that even those with preexisting conditions have health insurance coverage. The ACA stresses reforms in the healthcare sector based on better provisions for access through the value-based model and the Quadruple Aim goals. The Centers for Disease Control and Prevention (CDC) (2022) opines that after the Medicaid expansion, newly insured individuals like Hispanic diabetic patients had better control of their diabetes compared to non-Hispanic whites. According to the CDC, the Affordable Care Act reduced ethnic disparities in diabetes detection and treatment. The ACA also expanded Medicare benefits and continues to push for reforms aimed at increased quality as opposed to quantity. The value-based purchase model is an indication of the ACA’s focus on quality for all patients, especially those who require insulin supplementation to improve their quality of life. The Centers for Medicare and Medicaid Services (CMS) has increased funding for diabetes care through innovative models to expand accessibility and reduce the overall cost of care (Timpel et al., 2019). As such, these efforts through the policy mean that care coordination should take a holistic approach involving all the stakeholders, from patients and their families to care providers, and government entities through following or adhering to the set regulatory frameworks. ii). Health Insurance Portability and Accountability Act (HIPAA) HIPAA was enacted in 1996 and requires the Health and Human Services Department (HHS) to develop regulations to protect the privacy and security of health information. A core part of these provisions is the Privacy Rule which establishes national standar