NURS FPX 4065 Assessment 3 Ethical and Policy Factors
NURS FPX 4065 Assessment 3 Ethical and Policy Factors in Care Coordination
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- Capella University
- NURS-FPX 4065
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Ethical and Policy Factors in Care Coordination
Today I will be writing about the ethical and policy considerations that are important in effective care coordination, especially in the management of hypertension in the older adult at Mercy Hospital. The knowledge of the ethical aspects is critical to the enhancement of coordinated care and the increase of patient trust (Varkey, 2021).
Effect of Governmental Policies on Coordination of Care
Government policies play a key role in the process of directing the manner in which healthcare organizations organize care, enhance safety, and improve the outcomes of patients with chronic illnesses like hypertension. These policies determine the structures on which health professionals interact, resource sharing, and equitable care provision within the community and hospital environments. They also make sure that their patients are provided with the same, evidence-based, and affordable treatment.
Federal and state policies in the treatment of hypertension in older adults focus on preventive care, chronic disease management, education of patients, and collaborative models that facilitate long-term adherence and self-management (Gago et al., 2024). Having such policies, Mercy Hospital builds up a system of ethical principles, clinical responsibility, and coordination of care.
Affordable Care Act
Hospitals such as the Mercy Hospital are invited to join Accountable Care Organizations (ACOs) and embrace Patient-Centered Medical Homes (PCMHs), where multidisciplinary teams are formed to enhance communication and follow-ups through ACA initiatives. The ACA is also inclusive of wellness visits, blood pressure screening, and nutrition counseling of older adults with hypertension without cost-sharing. This is favorable to early detection and compliance with lifestyle change, and fewer emergency hospitalizations due to untreated high blood pressure.
Centers for Medicare & Medicaid Services (CMS) Chronic Care Management Program
It enables the healthcare providers to be paid for non-face-to-face coordination functions, including medication administration, phone appointments, and care plans (Jang et al., 2024). Nurses and case managers at Mercy Hospital deploy the program to ensure that older hypertensive patients remain in touch with the medical facility, to arrange follow-ups, and to monitor blood pressure trends remotely.
The interdisciplinary effort among physicians, dietitians, and pharmacists is reinforced by the CCM model, which will lead to the minimization of the gap in treatment and thus enhance the control of blood pressure. The policy is particularly essential towards enhancing access to regular care in the elderly whose mobility is limited or who have difficulties with transportation.
Million Hearts® Initiative
This is a policy-based program that facilitates standardized hypertension management, community-based outreach, and evidence-based interventions (Wall et al., 2020). Mercy Hospital engages in all strategies of the Million Hearts since it runs blood pressure surveillance initiatives, trains patients on sodium intake reduction, and partners with community health wellness facilities to improve cardiovascular health.
NURS FPX 4065 Assessment 3
The program promotes collaboration between clinical practitioners and community health institutions to recognize those patients who are at risk and provide them with specific preventive services. With the help of this policy, healthcare providers not only increase blood pressure control but also the overall cardiovascular health of the population.
Ethical and Policy Considerations in Care Coordination
The national, state, and local health policies are complex networks that guide the coordination of care for older adults with hypertension. These policies are expected to enhance the safety, access, and health equity, and some of them might provoke moral issues regarding fairness, autonomy, privacy, and resource allocation (Eastman et al., 2022).
Care coordinators in Mercy Hospital should be able to interpret such policies in terms of an ethical perspective so that compliance would not be at the expense of compassion and a patient-centered approach. Ethical dilemmas usually emerge in cases where policies, which are required to affect the population level, do not tally with the needs of individuals or cultural inclinations. The awareness of these intersections will assist nurses in providing ethically and policy-equivalent care that facilitates well-being and justice.
National Policy: Healthy People 2030 Initiative
As much as these objectives may direct clinical priorities at Mercy Hospital, they may pose challenges of ethical dilemmas linked to equity and autonomy. On a case in point, standardized goals of blood pressure decrease might not take into account personal socioeconomic and cultural limitations that influence the way of living adherence to lifestyle.
The ethical dilemma that nurses face is that they need to balance a principle of justice that recommends equal treatment to all patients with respect to patient-specific needs because of low income or unhealthy food options (Khodadabi et al., 2022). These national standards have to be changed to fit the circumstances of every patient ethically to prevent the unwanted blame or discrimination of specific vulnerable groups.
Conclusion
The discussion provided an insight into the importance of ethical and policy issues in informing successful care coordination in the management of hypertension in Mercy Hospital. The policies on national and state levels, such as the ACA, the CMS Chronic Care Management Program, and the Million Hearts Initiative, proved to affect the care delivery by reinforcing preventative health, uninterrupted monitoring, and involvement of the community.
The issue of ethics, based on the ANA Code of Ethics, is that patient autonomy, justice, and fair access will be the main focus of all the coordinated activities. The combination of these frameworks has provided a basis of broad, holistic, and evidence-based nursing practice that positively influences the continuum of care, lowers disparities, and builds and reinforces the association between healthcare providers and patients in pursuit of improved long-term outcomes.
NURS FPX 4065 Assessment 3
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