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Assessment 2: Ethical and Policy Factors in Care Coordination (Script)

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Capella University

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Course Name

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Prof Name
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FEB 25, 2024
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Ethical and Policy Considerations in Care Coordination

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Good day, and thank you for your presence today. This show will address regulations
and guidelines concerning the prosperity of destitute people, investigating the moral
ramifications and strategy contemplations connected with care coordination, especially
inside the setting of destitute safe houses. The essential goal is to underscore the

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meaning of moral worries and wellbeing arrangements in guaranteeing compelling
consideration progression for patients in local area settings.

Defining Care Coordination

Prior to diving into the points of interest of care coordination for the destitute and the
applicable approaches, it is essential to characterize care coordination as the
coordinated preparation of patient consideration undertakings and data dividing
between undeniably elaborate gatherings to convey more secure and more compelling

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treatment. This show will explicitly zero in on destitute sanctuaries and the approaches
affecting consideration coordination for destitute people.

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Challenges Faced by Homeless Individuals

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People encountering vagrancy comprise quite possibly of the most weak populace,

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frequently introducing complex clinical and mental requirements that require

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coordinated care. As per the Lodging and Metropolitan Turn of events (HUD), an
individual is viewed as destitute on the off chance that they miss the mark on steady,
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extremely durable, and sufficient short-term cover. With more than 500,000 people at
present destitute in the US, of which 35% live without cover or in unacceptable areas,
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giving composed care becomes testing because of asset limits, restricted admittance to
medical services administrations, and the related shame.
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Governmental Policies Affecting Care Coordination

Legislative strategies fundamentally influence care coordination for destitute people.

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The Reasonable Consideration Act (ACA), established in 2010, planned to improve

admittance to medical services for all Americans. While zeroing in on health care
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coverage change, Medicaid development, and other wellbeing programs, the ACA in a
roundabout way affected regulations connected with destitute sanctuaries. The ACA
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presented Wellbeing Home projects, especially advantageous for destitute people

wrestling with serious medical problems. Besides, the ACA laid out the "Destitute
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Medical services (HCH)" program, advancing case the board and care coordination, and
guaranteeing joint effort among medical care experts and social assistance
associations.

The Health care coverage Compactness and Responsibility Act (HIPAA), ordered in
1996, accentuates safeguarding the security and classification of individual wellbeing
data. Destitute people frequently face special medical problems, named delicate
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wellbeing data under HIPAA, requiring extra measures to defend and keep away from
criticism.

Ethical Dilemmas Arising from Policies

Certain arrangements can bring about moral situations in the treatment of the destitute.
For example, the Documentation Prerequisite Strategy under HIPAA, ordering residency
and citizenship reports for complete medical services access, presents an ethical clash
as destitute people might battle to give such documentation. Another strategy, the ACA,

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makes an ethical problem by denying Medicaid extension in many states, bringing about
an inclusion hole for low-pay gatherings, including destitute people. This denies

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admittance to protection and Medicaid administrations, especially for those without
long-lasting places of residence.

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The Role of Nursing Code of Ethics

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The Nursing Code of Ethics serves as a foundational ethical model for care
coordination, emphasizing the importance of protecting patients' rights, health, and
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safety, especially crucial when working with vulnerable populations. Nurses play a vital
role in addressing healthcare disparities based on social determinants and ensuring
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justice and fair treatment for homeless individuals. Adhering to ethical principles allows
nurses to provide patient-centered care, respecting autonomy, wellness, and safety.
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Conclusion

In conclusion, this presentation highlighted the necessity of care coordination for

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homeless individuals, examined relevant policies such as the ACA and HIPAA, explored
ethical dilemmas arising from these policies, and underscored the role of the Nursing
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Code of Ethics in guiding healthcare professionals toward equitable and

patient-centered care for the homeless population.
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References

Adashi, E. Y., O’Mahony, D. P., & Cohen, I. G. (2022). Stamping out the Medicaid
coverage gap: An ACA imperative. The American Journal of Medicine, 135(8).
https://doi.org/10.1016/j.amjmed.2022.03.033

Chang, C. D. (2019). Social Determinants of health and health disparities among

immigrants and their Children. Current Problems in Pediatric and Adolescent Health
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Dickins, K. A., Buchholz, S. W., Ingram, D., Braun, L. T., Hamilton, R. J., Earle, M., &

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Karnik, N. S. (2020). Supporting primary care access and use among homeless
persons. Social Work in Public Health, 35(6), 335–357.

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Hanks, R. G., Eloi, H., & Stafford, L. (2019). Understanding how advanced practice

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registered nurses function as patient advocates. In Nursing Forum, 54-2(213-219).
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Kurata, N., Minton, L., Del Priore, D., Merino, D., Miller, C., & Lee, M.-J. (2020). An
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interim report on the provision of prenatal care for pregnant mothers experiencing
homelessness in Hawai'i. Hawai’i Journal of Health & Social Welfare, 79(5 Suppl 1),
118–121. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260861/
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Lanese, B. G., Birmingham, L., Alrubaie, N., & Hoornbeek, J. (2021). Healthcare for the
Homeless (HCH) projects and Medicaid expansion. Journal of Community Health,
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46(6), 1139–1147. https://doi.org/10.1007/s10900-021-01000-4

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Monroe, H. A. (2019). Nurses’ professional values: Influences of experience and ethics

education. Journal of Clinical Nursing, 28(9-10), 2009–2019.
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Tiderington, E. (2019). Practice dilemmas, successes, and challenges in the delivery of

homeless services: Voices from the frontline. Homelessness Prevention and
Intervention in Social Work, 379–394. https://doi.org/10.1007/978-3-030-03727-7_18

Tønnessen, S., Christiansen, K., Hjaltadóttir, I., Leino‐Kilpi, H., Scott, P. A., Suhonen,
R., Öhlén, J., & Halvorsen, K. (2020). Visibility of nursing in policy documents related to

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health care priorities. Journal of Nursing Management, 28(8), 2081–2090.
https://doi.org/10.1111/jonm.12977

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