Briefly support why it is a problem with evidence from the literature. This is not the major focus of the assignment, so do not elaborate. Create a clinical nursing (not medical) theory in the form Concept A | Proposition | Concept B.

Ethical and Policy Factors in Care Coordination

Introduction

Hello and welcome to this presentation on ethical and policy factors in care coordination. This presentation will mainly focus on nursing homes. Ethics in healthcare involves utilizing bioethical principles to view complex healthcare issues and recommend the best course of action for these issues (Rasoal et al., 2017). Ethics is important in healthcare since it guides nurses and healthcare professionals in their day-to-day activities. On the other hand, healthcare policies are principles and regulations that dictate the accessibility and delivery of healthcare services (Chinitz, 2019). Healthcare policies can exist at the national or state levels. In addition to this, they can be refined to the specific needs of a healthcare organization, such as a hospital or nursing home. These policies are enacted by the state or federal governments.

Importance of Ethics and Policy Factors in Care Coordination

Ethics and healthcare policies are important factors in care coordination, and these two elements interact with each other during care coordination. They help enhance interprofessional collaboration and communication, which are required for the success of healthcare services (Rasoal et al., 2017). Care coordination involves organizing healthcare activities and sharing healthcare information in a multidisciplinary healthcare team to deliver quality healthcare services (Hannigan et al., 2018). Health policies and ethical factors must thus be considered during care coordination. Care coordination enhances the implementation of patient-centred care, which is important in improving healthcare outcomes. Healthcare services are shifting to involving patients in the decision-making process. This presentation will analyze nursing homes as healthcare organizations that require care coordination to enhance the care continuum.

Nursing Homes and Care Coordination

A nursing home is a facility for individuals who are not required to be in the hospital but cannot receive care at their homes (Davidson & Szanton, 2020). Nursing homes have skilled nurses and nurse aides who work 24 hours to help the nursing home residents. Nursing homes care for the physically disabled, the elderly, the mentally ill, and other individuals who require close monitoring due to their special healthcare needs (Davidson & Szanton, 2020). Care coordination is important in nursing homes since many older patients are being transferred into nursing homes. The nurses working in the nursing homes must thus coordinate care with the primary facilities and primary physicians who initially cared for the patients. Care coordination in nursing will improve healthcare outcomes and patient satisfaction for individuals in nursing homes. This is because these patients may suffer from complex healthcare that needs the collaboration of different healthcare professionals. Nurses have a central role in care coordination (Davidson & Szanton, 2020). Nurses emphasize patient education, patient engagement, and technology use to enhance information sharing.

Government Policies Relevant to Care Coordination and Care Continuum

Many government policies affect care coordination. One such policy is the Affordable Care Act (ACA). ACA was enacted to reduce healthcare costs and increase access to healthcare services. This act requires US citizens to have health insurance, increasing access to healthcare services (Courtemanche et al., 2017). This act also promotes care coordination and implementation of preventive services such as breast cancer screening and patient education (Courtemanche et al., 2017). Another policy is Medicare is another policy that affects care coordination. Medicare is a federal health insurance policy for individuals aged above 65 years, young people with disabilities, and individuals with End-Stage Renal Disease. This policy has allowed many geriatric individuals to apply for insurance to help them meet their healthcare needs. Many nursing homes care for elderly individuals, and hence, Medicare is a policy that affects the coordination of care in nursing homes. Medicare Insurance Part  A, in particular, affects nursing homes (Huffman & Upchurch, 2018)

Medicaid is a policy enacted in 1965 to offer insurance coverage to individuals who have low-income individuals. Medicaid covers pregnant mothers, children, elderly adults, and individuals with disabilities (Sharif et al., 2019). This program is funded by the state and federal governments. This policy has been critical in healthcare coverage and care coordination (Sharif et al., 2019). It is particularly important in nursing homes since most individuals who get services from nursing homes are elderly adults covered by this policy. The Health Insurance P