Prof Name Course Name Student Name Capella University Assessment 2 Ethical and Policy Factors in Care Coordination Script NURSFPX com JUNE 03 2024 Do you need Help to complete your Capella Uni BSN FlexPath Class in 1 Billing Call Us Now 516 218 0006 Email us at Contact nursfpx com Website NURSFPX com For Free BSN Sample NURSFPX com free Sample Presentation Introduction NURSFPX com Greetings and thank you for joining us today This presentation will explore the legal and regulatory landscape related to the welfare of homeless individuals emphasizing the ethical considerations and policy implications involved in care coordination particularly within homeless shelters Our primary aim is to underscore the importance of ethical considerations and health policies in ensuring seamless care for patients in community settings Before we dive into the specifics of care coordination for the homeless and the associated policies let s define care coordination It refers to the systematic organization of patient care tasks and the sharing of information among all involved parties to deliver safer and more effective treatment This presentation will concentrate on homeless shelters and the policies that shape care coordination for homeless individuals The Vulnerability of the Homeless Population Defining Care Coordination Homeless individuals are among the most vulnerable groups often presenting with complex medical and psychological needs that require structured care According to the Housing and Urban Development HUD a person is considered homeless if they lack stable permanent Do you need Help to complete your Capella Uni BSN FlexPath Class in 1 Billing Call Us Now 516 218 0006 Email us at Contact nursfpx com Website NURSFPX com For Free BSN Sample NURSFPX com free Sample and adequate overnight shelter With over 500 000 homeless individuals in the US 35 of whom lack shelter or live in inadequate locations Kurata et al 2020 providing coordinated care is challenging due to resource constraints limited healthcare access and associated stigma Government Policies Impacting Care Coordination Policies Presenting Ethical Dilemmas for Care Coordination The Health Insurance Portability and Accountability Act HIPAA of 1996 emphasizes protecting the privacy and confidentiality of individual health information Homeless individuals often face unique health issues classified as sensitive under HIPAA necessitating additional measures to safeguard privacy and prevent stigmatization T nnessen et al Government policies have a significant impact on care coordination for homeless individuals The Affordable Care Act ACA of 2010 aimed to improve healthcare access for all Americans Although its primary focus was on health insurance reform and Medicaid expansion the ACA indirectly influenced laws concerning homeless shelters It introduced Health Home programs which are particularly beneficial for homeless individuals with serious health issues Dickins et al 2020 Additionally the ACA established the Homeless Health Care HCH program promoting case management and care coordination ensuring collaboration among healthcare professionals and social service organizations Lanese et al 2021 NURSFPX com The Nursing Code of Ethics serves as a fundamental ethical framework for care coordination emphasizing the protection of patients rights health and safety which is especially crucial when dealing with vulnerable populations Nurses play a vital role in addressing healthcare disparities based on social determinants and ensuring justice and fair treatment for homeless individuals Chang 2019 Adhering to ethical principles enables nurses to provide patient centered care respecting autonomy wellness and safety Hanks et al 2019 Certain policies can lead to ethical dilemmas in homeless healthcare For instance the Documentation Requirement Policy under HIPAA which mandates residency and citizenship documents for complete healthcare access poses a moral conflict as homeless individuals may struggle to provide such documentation T nnessen et al The ACA creates a moral dilemma by withholding Medicaid expansion in many states resulting in a coverage gap for low income groups including homeless individuals This denies access to insurance and Medicaid services especially for those without permanent home addresses Adashi et al The Role of the Nursing Code of Ethics Do you need Help to complete your Capella Uni BSN FlexPath Class in 1 Billing Call Us Now 516 218 0006 Email us at Contact nursfpx com Website NURSFPX com For Free BSN Sample NURSFPX com free Sample Conclusion In summary this presentation has highlighted the importance of care coordination for homeless individuals examined relevant policies such as the ACA and HIPAA explored ethical dilemmas arising from these policies and emphasized the role of the Nursing Code of Ethics in guiding healthcare professionals toward equitable and patient centered care NURSFPX com Do you need Help to complete your Capella Uni BSN FlexPath Class in 1 Billing Call Us Now 516 218 0006 Email us at Contact nursfpx com Website NURSFPX com For Free BSN Sample NURSFPX com free Sample 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 Care 49 1 23 30 https doi org 10 1016 j cppeds 2018 11 009 Dickins K A Buchholz S W Ingram D Braun L T Hamilton R J Earle M Karnik N S 2020 Supporting primary care access and use among homeless persons Social Work in Public Health 35 6 335 357 https doi org 10 1080 19371918 2020 1809589 Hanks R G Eloi H Stafford L 2019 Understanding how advanced practice registered nurses function as patient advocates In Nursing Forum 54 2 213 219 https doi org 10 1111 nuf 12319 Kurata N Minton L Del Priore D Merino D Miller C Lee M J 2020 An 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 Lanese B G Birmingham L Alrubaie N Hoornbeek J 2021 Healthcare for the Homeless HCH projects and Medicaid expansion Journal of Community Health 46 6 1139 1147 https doi org 10 1007 s10900 021 01000 4 Monroe H A 2019 Nurses professional values Influences of