NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination Ethical and Policy Factors in Care Coordination
Greetings to all of you! My name is Manjit. In today’s presentation, I will detail ethical and legal issues that influence care coordination in community settings. I will assess the implications of government policies for care coordination and the moral problems for leaders.
Diabetes Mellitus (DM) is a severe disorder affecting metabolism that develops from hereditary and ecological features. Its main symptoms are high blood sugar, frequent urination, and excessive hunger (Alam et al., 2021). Care coordination is an organized approach that offers personalized medical assistance to individuals. It emphasizes that healthcare workers and organizations collaborate to provide suitable and timely care for diabetes.
Care coordination is influenced by ethical principles and healthcare principles to expand health outcomes (Alam et al., 2021). I will explore moral and approach factors that affect care coordination in a community setting of the American Diabetes Association (ADA). This community is essential in helping people with diabetes and their families by educating, promoting, and supporting them (ADA, 2022). ADA promotes patient-centered care and ensures patients are informed about their rights. 2021 diabetes affected 38.5 million Americans, or 11.6% of the total population (ADA, 2022).
Government Policies for Care Coordination
Several types of state, federal, and local policies can significantly improve the health of people with diabetes. The ADA can better fulfill its responsibilities to the diabetic community, and adhering to these regulations facilitates more rapid access to medical care. The organization provides current information, campaigns, and support to people with diabetes and their families. The government has set several programs to enhance patient and healthcare system care coordination (Zhu et al., 2020).
Affordable Care Act (ACA) & Medicare and Medicaid Act
The Affordable Care Act (ACA) improves the approach to healthcare and safety for the diabetes community. The goal of the ACA is to give a more significant number of Americans access to affordable health insurance. ACA supports care coordination by expanding Medicaid, allowing people with incomes less than 138% of the poverty line to receive complete treatment.
Care coordination enhances collaboration among medical teams and improves communication and treatment adherence (Fulton et al., 2021). This makes the healthcare system more effective and enhances diabetic patient outcomes. ACA significantly improved access to diabetic patients because of its increased coverage and prevention services. Medicaid expansion offered the potential to increase healthcare applications, reduce problems, and improve the safety of diabetic patients (Fulton et al., 2021).
ACA facilitates early diabetes screening with the support of preventive services. It addresses inequalities in diabetes care based on socioeconomic and demographic features. Coordination is boosted through the promotion of quality care and the expansion of Medicaid coverage, with a particular focus on individuals with lower incomes. Medicare act, a federal program, offers health insurance to those 65 years of age and older, as well as some younger people with disabilities. It covers diabetic medicine, insulin coverage, and hospital and medical insurance (Mahoney et al., 2020).
Health Insurance Portability and Accountability Act (HIPAA)
Health Insurance Portability and Accountability Act (HIPAA) is essential for protecting individual data on diabetes. HIPAA facilitates a secure exchange of information between healthcare experts and hospital management. The ADA must follow HIPAA protocols to protect patient privacy and maintain the reliability of health data. HIPAA improves care coordination, ensuring safe data sharing between healthcare teams.
It streamlines decision-making for diabetes management, facilitating efficient communication and information sharing between medical organizations. HIPAA promotes a cooperative care approach among healthcare staff, upholds confidentiality and data integrity, and improves patient outcomes (Lee et al., 2021).
Furthermore, HIPAA encourages electronic health services to address legal and privacy concerns associated with wearable sensors for glucose monitoring. It guarantees the safety of diabetic patient data transmitted and stored. Strict prohibitions against unauthorized disclosure protect the sensitive nature of diabetic patient data. By protecting patients’ electronic health records from unauthorized access, data integrity is maintained. Regular monitoring and examination of diabetic patients’ data are part of auditing (Lee et al., 2021).
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