Assessment 2 Ethical and Policy Factors in Care Coordination Script Student Name Capella University Course Name Prof Name May 20 2024 Do you need Help to complete your Capella Uni BSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free BSN Sample BSNWritingservices com free Sample Ethical and Policy Considerations in Care Coordination Introduction Good day and thank you for your presence today This presentation will explore regulations and guidelines concerning the well being of homeless individuals examining the ethical implications and policy considerations associated with care coordination particularly within the context of homeless shelters The primary objective is to Do you need Help to complete your Capella Uni BSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free BSN Sample BSNWritingservices com free Sample underscore the importance of ethical concerns and health policies in ensuring effective care continuity for patients in community settings Defining Care Coordination Before delving into the specifics of care coordination for the homeless and the relevant policies it is essential to define care coordination as the deliberate organization of patient care activities and information sharing among involved parties to deliver safer and more effective treatment This presentation will specifically focus on homeless shelters and the policies influencing care coordination for homeless individuals Challenges Faced by Homeless Individuals Individuals experiencing homelessness constitute one of the most vulnerable populations often presenting complex medical and mental health needs that require coordinated care According to the Housing and Urban Development HUD an individual is considered homeless if they lack stable long term and adequate overnight accommodation With over 500 000 people currently homeless in the US of which 35 live without shelter or in inadequate conditions providing coordinated care becomes challenging due to resource limitations limited access to healthcare services and associated stigma Governmental Policies Affecting Care Coordination Governmental policies significantly impact care coordination for homeless individuals The Affordable Care Act ACA enacted in 2010 aimed to improve access to healthcare for all Americans While focusing on health insurance reform Medicaid expansion and other health programs the ACA indirectly influenced regulations related to homeless shelters The ACA introduced Health Home programs particularly beneficial for homeless individuals grappling with severe health issues Additionally the ACA outlined the Homeless Health Care HCH program promoting case management and care coordination and ensuring collaboration among healthcare professionals and social service organizations The Health Insurance Portability and Accountability Act HIPAA mandated in 1996 emphasizes safeguarding the privacy and confidentiality of personal health information Homeless individuals often face unique health challenges categorized as sensitive health information under HIPAA requiring additional measures to protect and avoid disclosure Ethical Dilemmas Arising from Policies Certain policies can result in ethical dilemmas in the treatment of the homeless For example the Documentation Requirement Policy under HIPAA mandating residency and citizenship documents for comprehensive healthcare access poses an ethical Do you need Help to complete your Capella Uni BSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free BSN Sample BSNWritingservices com free Sample conflict as homeless individuals may struggle to provide such documentation Another policy the ACA creates an ethical dilemma by denying 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 particularly for those without permanent residences The Role of Nursing Code of Ethics The Nursing Code of Ethics serves as a foundational ethical framework for care coordination emphasizing the importance of protecting patients rights health and safety especially crucial when working 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 Adhering to ethical principles allows nurses to provide patient centered care respecting autonomy wellness and safety Conclusion In conclusion this presentation highlighted the necessity of care coordination for 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 Code of Ethics in guiding healthcare professionals toward equitable and patient centered care for the homeless population Do you need Help to complete your Capella Uni BSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free BSN Sample BSNWritingservices 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