Ethical and Policy Factors in Care Coordination

S​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​elect a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care. Then, develop and record a 10-12-slide, 20-minute presentation, with audio, intended for that audience. Create a detailed narrative script or speakers notes for your presentation, 4-5 pages in length. Introduction As coordinators of care, nurses must be aware of the code of ethics for nurses and health policy issues that affect the coordination of care within the context of the community. To help patients navigate the continuum of care, nurses must be proficient at interpreting and applying the code of ethics for nurses and health policy, specifically, the Affordable Care Act (ACA). Being knowledgeable about ethical and policy issues helps ensure that care coordinators are upholding ethical standards and navigating policy issues that affect patient care. This assessment provides an opportunity for you to develop a presentation for a local community organization of your choice, which provides an overview of ethical standards and relevant policy issues that affect the coordination of care. Completing this assessment will strengthen your understanding of ethical issues and policies related to the coordination and continuum of care, and will empower you to be a stronger advocate and nursing professional. It would be an excellent choice to complete the Vila Health: Ethical Decision Making activity prior to developing the presentation. The activity provides a helpful update on the ethical principles that will help with success in this assessment. Preparation Your nurse manager at the community care center is well connected and frequently speaks to a variety of community organizations and groups. She has noticed the good work you are doing in your new care coordination role and respects your speaking and presentation skills. Consequently, she thought that an opportunity to speak publicly about contemporary issues in care coordination would be beneficial for your career and has suggested reaching out to a community organization or support group to gauge their interest in hearing from you, as a care center representative, on a topic of interest to both you and your prospective audience. You have agreed that this is a good idea and have decided to research a community organization or support group that might be interested in learning about ethical and policy issues related to the coordination of care. Your manager has suggested the following community organizations and support groups, but acknowledges that the choice is yours. Homeless shelters. Local religious groups. Nursing homes. Local community organizations (Rotary Club or Kiwanis Club). To prepare for this assessment, you may wish to: Research your selected community organization or support group. Review the Code of Ethics for Nurses With Interpretive Statements and associated health policy issues, specifically, the ACA. Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete. Allocate sufficient time to rehearse your presentation before recording the final version for submission. Instructions For this assessment: Choose the community organization or support group that you plan to address. Develop a PowerPoint with typed speaker notes (the script for your voice recording) and audio voice-over recording, intended for that audience. Video is not required. Note: PowerPoint has a feature to type the speaker notes directly into the presentation. You are encouraged to use that feature or you may choose to submit a separate document. See Microsoft Office Software for technical support about the use of PowerPoint, including voice recording and speaker notes. For this assessment, develop your presentation slides and speaker notes, then record your presentation. You are not required to deliver your presentation to an actual audience. Presentation Format and Length You may use PowerPoint (recommended) or other suitable presentation software to create your slides and add your voice over. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues. Be sure that your slide deck includes the following slides: Title slide. Presentation title. Your name. D​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​ate. Course number and title. References (at the end of your presentation). Your slide deck should consist of 10-12 slides, not including a title and references slide with typed speaker notes and audio voice over. Your presentation should not exceed 20 minutes. Create a detailed narrative script for your presentation, approximately 4-5 pages in length. Supporting Evidence Cite 3-5 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script. Grading Requirements The requirements outlined below correspond to the grading criteria in the Ethical and Policy Factors in Care Coordination Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. Explain how governmental policies related to the health and/or safety of the community affect the coordination of care. Provide examples of a specific policy affecting the organization or group. Refer to the assessment resources for help in locating relevant policies. Be sure influential policies include the Health Insurance Portability and Accountability Act (HIPPA). Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination. What are the implications and consequences of specific policy provisions? What evidence do you have to support your conclusions? Assess the impact of the code of ethics for nurses on the coordination and continuum of care. Consider the factors that contribute to health, health disparities, and access to services. Consider the social determinants of health identified in Healthy People 2020 as a framework for your assessment. Provide evidence to support your conclusions. Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included for a proficient score; both speaker notes and the audio voice over are included for a distinguished score. Present a concise overview. Support your main points and conclusions with relevant and credible evidence. Additional Requirements Before submitting your assessment, proofread your presentation slides and speaker notes to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your presentation. Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course. Competencies Measured By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 4: Defend decisions based on the code of ethics for nursing. Assess the impact of the code of ethics for nurses on the coordination and continuum of care. Competency 5: Explain how health care policies affect patient-centered care. Explain how governmental policies related to the health and/or safety of a community affect the coordination of care. Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination. Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care. Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included. Ethical and Policy Factors in Care Coordination Scoring Guide: Explains how governmental policies related to the health and/or safety of a community affect the coordination of care. Identifies national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination. Assesses the impact of the code of ethics for nurses on the coordination and continuum of care. Communicates key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​.

Sample Solution

Ethically questionable behavior in/by organizations is seldom solely attributable to “bad apples.”

Ethically questionable behavior in/by organizations is seldom solely attributable to “bad apples.” Thus, in order to anticipate and eliminate unethical behavior, it is imperative to understand the structure and pressures within industries and specific companies that may lead “good people” down bad roads.

Sample Solution

Predetermined Overhead Rates: Ethical Issues

Marine Components produces parts for airplanes and ships. The parts are produced to specification by their customers, who pay either a fixed price (the price does not depend directly on the cost of the job) or price equal to recorded cost plus a fixed fee (cost plus). For the upcoming year (year 2), Marine expects only two clients (client 1 and client 2). The work done for client 1 will all be done under fixed-price contracts while the work done for client 2 will all be done under cost-plus contracts.

Manufacturing overhead for year 2 is estimated to be $10 million. Other budgeted data for year 2 include the following.

Client 1 Client 2

Machine-hours (thousands) 2,000 2,000

Direct labor cost ($000) $2,500 $7,500

Required:

a. Compute the predetermined rate assuming that Marine Components uses machine-hours to apply overhead.

b. Compute the predetermined rate assuming that Marine Components uses direct labor cost to apply overhead.

c. Which allocation base will provide higher income for Marine Components?

d. Is it ethical to choose an allocation method based on which one leads to higher income for the firm?

Sample Solution

How ethical considerations may impact your treatment plan

Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients.

Sample Solution

Ethical Dilemma

Case A: Joey & EAP
You are seeing Joey, a 25-year-old man, who was referred through his employer’s Employee Assistant Program. The man claims symptoms of depression and anxiety. He states that if his boss finds out he has depression they will move him to a less favorable position and he is afraid it will make him further depressed. You have ruled out current suicidal ideation but Joey has a history of suicidal thoughts. You are limited to 6 sessions to help him. The next day after his session, his boss-Frank calls and leaves you a message stating that Joey mentioned he was seeing you for therapy and gave Frank permission to contact you.

What is the Ethical Dilemma, and how would you respond as a therapist?

Sample Solution

Ethical Issues and Operations

Ethical behavior is a corporate issue that affects the company’s bottom line. How do ethical issues impact organizations and operations? Include an example seen in the workplace, in the news, etc. that relates to real-life situations. Your initial post should be at least 200-250 words.

Business Processes

Why are the following business processes important? Which process do you feel is most important? Explain your reasoning.

Strategy development
Product development
Systems to produce goods and services
Order fulfillment

Sample Solution

Business unethical conduct that have been in the news lately

What are some examples of business unethical conduct that have been in the news lately? How would you categorize

these as issues of practices as issues of conflict of interest, fairness and honesty, communications, or business relationships?

In your opinion, should businesses be self-regulated or should the federal government establish and enforce ethical behavioral standards? In what way is ethical conduct relative to managing organizational behavior? Who would be the stakeholders?

Sample Solution

Business Ethics Case Study

You will read a case and answer a series of questions concerning an analysis of ethical considerations governing marketing practices, as leaders are responsible for such endeavors. Begin by reading the following case, which can be located within the Business Source Ultimate database of the Online Library. (I attached PDF Version)

Datamonitor. (2010, July). Ambush marketing case study: Successfully leveraging high-profile events to raise brand profile. Retrieved from https://libraryresources.columbiasouthern.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bsu&AN=59543529&site=ehost-live&scope=site

Then, draft a two-page paper by addressing each of the following items:

In your own words, how would you describe “ambush marketing”? Include two examples with your description.
What are the advantages and disadvantages (risks and consequences) of ambush marketing?
What was Bavaria Beer hoping to achieve through its ambush marketing tactics?
Would you consider Bavaria Beer’s ambush marketing an unethical practice or simply a competitive strategy? Explain.
Can ambush marketing be both intentional and unintentional? Explain.
As a leader of an organization, would you allow the practice of ambush marketing? Explain.

Sample Solution