Relevance of policies and ethical standards in coordination in health care

Nurses are supposed to be aware of the code of ethics for nurses and health policy issues because they play a key role in affecting the coordination of health care within the context of a community. Being proficient at interpreting the code of ethics, especially the Affordable Care Act, aids nurses in helping the patients to navigate through the processes of receiving health care. More so, being adept at ethical and policy issues serves to ensure that ethical standards and policy issues affecting the patient are observed. This paper aims to discuss the relevance of policies and ethical standards in regard to coordination in health care.

Borras et al., 2014, defines health care policies as a set of implemented laws, rules, and regulations for managing the health care system of a nation. The management of the health care system involves services offered by medical professionals like treating, diagnoses, and prevention of mental and physical illnesses and injury. Health care policies affect the costs that the patients pay to receive health care policies,patient’saccess to health services, and the quality of health care received.

The community organization to consider for this assignment is Carmel Richmond Healthcare and rehabilitation center in New York. There are various programs and policies that have been enacted by the government of the U.S. for the purpose of enabling communities to receive appropriate health services according to the community health care needs. The first policy to consider is payment and compensation policies. Rowe et al., 2016, states that payment and compensational policies in health care have an effect on health care providers’ ability to provide quality and improved health care services within a health organization and outside in different geographical areas. One of the evident policies by the government of the U.S in Carmel Richmond Healthcare and the rehabilitation center in New York is the policy of the introduction of abundant incentives and payments. Instead of using the traditional fee for service policy, the new policyhas enhanced the healthcare to better coordinate health services with the organization and outside. The policy has enhanced the introduction of a variety of improved care delivery models that are efficient in ensuring that the patients receive quality and better services. More so, the policy has enhanced an increase in the healthcare team. There is a good number of healthcare providers in the organization. This has ensured that the patients are adequately served and that their needs and concerns are profoundly addressed. The policy has also led to an increase in training programs. The training programs have helped to acquaint nurses and other health care practitioners with the best of skills and know-how. This has made Carmel Richmond healthcare and rehabilitation center to be one of the best in New York.

Franklin et al., 2015, points out that New York’s insurance law stipulates that healthcare organizations should have policies that cover different services offered by health organizations. With this at place, Carmel Richmond health care and rehabilitation center in regard to the Affordable Care Act has provided compensation policies for its employees. These policies are aimed at improving the coordination of healthcare activities. Compensational policies serve in improving the general health of the organization workers. They aim at preventing chronic ailments among the workers and reducing healthcare-related costs. Health providers at the organization get to receive incentives that aid in improving their wellness.

White et al., 2019, point out that there have been policies to improve the quality of health services by health organizations. For the last six years, the state introduced a quality measure program. The program stipulates that health organizations should record a report that entails 42 quality measures. The data entries for the measure include patient satisfaction, patient safety, and hospital working conditions. This is a national standardized survey, and every health organization is required to participate. Hospitals that get to fill all the data in the survey get to receive an increased payment in the market-based market environment. The hospitals that fail to report the data get to receive a 2 percent reduction in their annual Medicare payment. The survey has served in improving the coordination of services at Richmond Healthcare and the rehabilitation center. The incentives promote a vibrant and engaging environment in the health organization.

The American Recovery and Reinvestment Act stipulated that every health care should adopt health care information technology. Jones et al., 2014, define health information technology as the management, storage, and transfer of health information through electronic systems. Richmond healthcare and rehabilitation center has already adopted as stipulated by the policy. The system has helped to decrease operational costs. Importantly, it has helped to improve the quality of services offered at the hospital.Patients are now able to receive better-monitored care. The workflow in the place has efficient and fluid. However, there are always concerns about data safety. The health center has to always step ahead in security so as to ensure that hackers do not infiltrate its system.

Epstein and Turner, 2015, states that the code of ethics in nursing is key in ensuring a continuum of care and coordination of health care activities. They act to remind the health care providers of their commitment to society.The code of ethics is a non-negotiable set of ethics that serve as a guide for health care providers (Epstein & Turner, 2015). The provisions provided are founded on fundamental values of health care providers, the confines of obligation and loyalty, and the obligations beyond health care provider’s encounters. Ethical conflicts issues in nursing when a nurse or group of nurses are unclear about what to do when confronted with situations with contending moral choices.

The use of electronic health records has led to better management of chronic diseases. Moreover, with an ever-increasing population, it has become possible for health care provides to manage the patients and health services. Medical care has improved with the introduction of technology. However, there is mounting evidence that the technology is resulting inunintended results associated with patient safety that raise questions on the health care provider ethic of conduct. There is some case that demands the nurses to use critical thinking skills. This happens when the electronic health records protocols do not provide the expected or desired outcomes to the patients. Nurses, at times, are forced to skip some protocols and then proceed to apply critical thinking skills. This forces the nurses to enter false information during the documentation of the process. Such scenarios pose an ethical question of the system.

Ethical issues are experienced when medical practitioners and patients develop sexual relationships. During service delivery, nurses tend to develop a good service rapport with the patient. Sometimes the rapport may get deeper and then develop into relationships.Some patients are cunning, and they may end up engaging nurses in relationships. Relationships are strictly forbidden in the code of ethics.

In conclusion, Barr, 2014, points out that there are two major reasons for considering health disparities. The first one is to improve the quality of life and expectancy. The second reason is for reducing health disparities. A survey must be done in order to collect data for the purpose of analyzing disparity factors like health care delivery, mortality rates, health care outcomes, and health care risk factors.Factors that contribute to health disparities are level of education, income levels, environment, and social factors.

Reference

Borras, J. M., Albreht, T., Audisio, R., Briers, E., Casali, P., Esperou, H., … & Knox, S. (2014). Policy statement on multidisciplinary cancer care. European Journal of Cancer, 50(3), 475-480.

Rowe, J. W., Fulmer, T., & Fried, L. (2016). Preparing for better health and health care for an aging population. Jama, 316(16), 1643-1644.

Franklin, G. M., Wickizer, T. M., Coe, N. B., & Fulton‐Kehoe, D. (2015). Workers’ compensation: poor quality health care and the growing disability problem in the United States. American journal of industrial medicine, 58(3), 245-251.

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare. Springer Publishing Company.

Jones, S. S., Rudin, R. S., Perry, T., & Shekelle, P. G. (2014). Health information technology: an updated systematic review with a focus on meaningful use. Annals of internal medicine, 160(1), 48-54.

Epstein, B., & Turner, M. (2015). The nursing code of ethics: Its value, its history. OJIN: The Online Journal of Issues in Nursing, 20(2), 1-10.

Barr, D. A. (2014). Health disparities in the United States: Social class, race, ethnicity, and health. JHU Press.

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Relevance of policies and ethical standards in coordination in health care