NURS FPX 4050 Assessment 2 Attempt 2 Ethical and Policy Factors in Care Coordination
Hi, today I am here to deliver my presentation on ethical and policy factors involved in care coordination. The community I am focusing on for ethical care coordination is homeless shelter houses. Ethical factors in care coordination refer to doing what is right at the right time so for care coordination Veteran Health Administration facilities are provided. For the homeless shelter when their treatments are to be done not all the health care facilities and types of equipment are also not available that at times creates quality concern in patient safety. The cases are most complex because of the lifestyle they are surviving in so that requires a lot of patience and time in understanding the health care history of some individuals. The nursing staff and other healthcare professionals need to make sure they visit such places with their teams and required equipment and for serious cases, the patients can be brought to the hospitals for better treatment and care. Those treating the homeless shelter individuals without Veteran Health Administration have shown they have had very poor care coordination between the healthcare systems. Unsafe medications are given, which becomes dangerous for the patients and sometimes also increases hospital readmissions. The homeless shelters, do not have enough resources to keep getting themselves treated and keep revisiting hospitals for their healthcare concerns. The waiting time should also be managed well and irrespective of the patients’ financial position they should be treated in the best possible manner as every human life is valuable (Jones et al., 2021).
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Governmental policies related to the health and safety of a community affect the care coordination
As the population is increasing in the U.S. it is also increasing the number of people in homeless shelter houses, there is a high part of the population that is below the poverty line. Homeless individuals suffer more from mental illness and similar disorders that impact the chances of their survival, due to their lifestyle their bodies lack basic nutrition levels and that creates problems in the body. The role of government being the policymakers of a country is also very important in this matter as the individuals surviving in the homeless shelters are food deprived as well so even the food is sometimes provided by the shelters. This is often noticed that the people often admitted to the emergency department of the hospital when they come from shelter houses are discharged before their treatment is complete. The readmissions in the hospital have impacted the reputation of the U.S. healthcare system so to maintain the quality of care the government introduced some policies and plans to introduce discharge from the hospital based on mandatory national hospital penalty programs. The government aimed to provide equality and quality to manage care coordination for the shelter house individuals so they also introduced Hospital Readmission Reduction Program. The government made some strict policies for the healthcare professionals too so that they make sure to treat the patients under the right rules and regulations. Until and unless the patient is fit he should not be discharged from the hospital irrespective of whoever they are. Patient safety should not be compromised. The hospitals also face difficulty in managing finances by treating the shelter house patients as they do not have enough resources to pay the hospital bills. The government intervenes in such cases and makes sure to provide funds for such patients to effectively manage the care coordination in the community (Miyawaki et al., 2020).