Ethical and Policy Factors in Care Coordination
NURS FPX 4065 Assessment 3: Discover ethical codes and authority guidelines like ACA and Medi-Cal direct care coordination for community fitness.
Care coordination in network-based locations for willing populations is highly facilitated by government support. Valley clinic care through health functions is guided by guidelines provided through federal and state legislation regarding structure, investment, and provision, such as the Affordable Care Act, Medi-Cal, patient-centred medical homes (PCMHs), and accountable Care organisations (Ercia, 2021). In the process, these principles further define some fundamental matters of ethics and fitness, particularly in aspects of fairness, access, and utilisation of resources. As noted, nurses confront some of the ethically important conditions mentioned below in the Code of Ethics because nurses are tasked with balancing these challenges to provide complete, person-centred care.
Effect of Governmental Policies on Coordination of Care
Fitness tips play a central role in the management of care delivery, typically on behalf of individuals at the grassroots level within the network of willing clients. Policies governing my practicum placement dictate how planning, funding, and even the assessment of care coordination are conducted at Valley Hospital, while federal and state policies shape the general approach within the direction of care. The majority of such guidelines are directed at the organisational care provider’s transport and have bearings on elements such as staffing patterns and outreach. Coordination is called upon in various ways, including fitness equity and the overall fitness of the population (Itchhaporia, 2021). The professionalism of such guidelines is a priority in order to offer patients the quintessential, accurate, and complete remedy.
Affordable Care Act
Concerning care coordination, the most significant impact may be attributed to the Affordable Care Act (ACA). The ACA promotes models, including PCMHs and ACOs, that aim to enhance the coordination and effectiveness of patient care delivery (US Health Coverage Gateway, 2023). The one pattern works towards reducing fragmentation and resources in the transport of included care in a few settings, which encompass a clinic. As a consequence, nursing has employed specific practitioners, including nurses, social workers, and case managers, at Valley Health Facility. Among them, they are concerned about collaboration that enables the coordination of care, identifies inconsistencies in prescriptions, and transfers patients to the proper professionals or departments.
State Immunisation Requirements
The same criminal authorities also influence the coordination of care within fitness clubs in two ways. Because the nation had established immunisation prerequisites and COVID-19 emergency regulations in a single country, healthcare businesses had been compelled to respond promptly and effectively to them.
During the COVID-19 pandemic, vaccinated and managed staff schedules and data, completed quarantine plans, and accurately fulfilled patient needs under hospitalisation guidelines (Blake et al., 2022). Such tasks were spearheaded through the assistance of the federal and municipal legal teams focused on strengthening and maintaining public order. In summary, through the application of law, government suggestions shape the company culture and ethical forces that are most likely to be effective for care coordination in community health centres.
Ethical and Policy Considerations in Care Coordination
The nation-space, nation, or proximate guidelines raise ethical issues regarding the coordination of care, as they either eliminate or hinder gaps in care. For example, on the national level, the ACA improves the coverage of insurance, but undocumented patients are not eligible for full insurance benefits. This is an ethical issue of justice/equal access. Catterson et al. (2022) conducted a review that highlights the exclusion of criminal persons from accessing healthcare, which can lead to moral dilemmas for the care team when treating these patients.
At the diploma level, California Medi-Cal has expanded coverage, although patients often lack proper access to specialists due to a lack of resources, thereby creating an ethical catch-22 challenge of justice and, over time, achieving proper access to specialists. On the domestic front, guidelines that mandate COVID-19 vaccination present ethical challenges among the eligible, as well as individual rights, particularly for those who refuse vaccination due to cultural or religious reasons (Olick et al., 2021). The scenarios involving care coordinators in the event of ethical dilemmas, such as beneficence, autonomy, and justice, are relevant to the case of Valley Health Facility, which engaged in extensive patient education regarding the COVID-19 vaccines.
Impact and Consequences of the Policies
In the Valley health facility, country- and kingdom-level legislations are applied in most areas of care groups and the services rendered. Due to the ACA’s education regarding ACOs, there is now a model of care in which social workers and nurses collaborate on transitions of care, which is excellent but highly dependent on resources. However, as Kyle and Frakt (2021) referred to them, those are also the same traits that cause records of treatment and distress among healthcare workers, which have been reported to delay the transport of services at Valley Fitness Centre. Due to the growth of Medi-Cal, an increasing number of patients have been visiting, presenting a challenge for primary care clinics, as they struggle to manage the influx of patients who require referrals, screenings, and benefits in terms of alignment. Catterson et al. (2022) found that a prolonged waiting period for Medi-Cal recipients to receive their appointments certainly indicates that the system is broken. These implications create the Reality that while insurance language is required to expand the appropriateness of care, it contributes to the overload and cumulation of concerns for an ethical care company, as designed with the help of our team.
Impacts at the National, State, and Local Levels
At the national level, ACA reconfigured the mechanisms of care coordination rates and obligations to promote care and delivery systems that depend solely on the effects and consequences, taking into account the inequality of documentation and follow-up time by care teams. According to Gesner et al. (2022), they are likely to contribute to burnout among care coordinators and result in less time spent with patients. California’s Medi-Cal has increased nationally, thus increasing the healthcare coverage costs. However, the company’s promises have not been fulfilled; thus, some individuals face problems accessing care, especially in farming and disadvantaged communities. According to the California Health Care Foundation (2024), nearly 38% of farm patients who receive Medi-Cal face difficulties in securing an on-time appointment with a specialist.
At the public level, circumstances underpinned domestic bylaws that sought to compel experimentation or obligatory application of facemasks. Strategy nurses trained and handled the patients, in particular, where the interventions were palpable and potentially infringed upon the victims’ liberty at any point during the pandemic. There was much too much misinformation about the virus, and it consequently caused many individuals to have a horrible attitude towards the vaccines (Zimmerman et al., 2022).
These are regulations on good-quality phases, and they are intertwined; that is, upon their completion, they indicate that care coordination needs to gather this simultaneously, while continuing to obey what the sufferers desire. They had to start transferring their methods to foreign places and take advantage of their resources in a way that might turn them into masterpieces for the latter, but remain conformist.
The Role of the Code of Ethics in Care Coordination
The Nurses’ Code of Ethics embodies a quintessential aspect in guiding the enterprise of care and continuity, and in ensuring that patients’ autonomous decisions are made with sufficient consideration, which is entirely rooted in the most fundamental principles: respect, beneficence, non-maleficence, and justice. These principles offer a suitable and effective remedy for all individuals from diverse social and cultural backgrounds (Varkey, 2020). At Valley Health Centre, for low-income or uninsured patients, the Code requires nurses to advocate for their authoritative healthcare despite client-derived barriers, including loss of medical coverage, culturally congruent care, or institutionalised bias (American Nurses Association, 2025). This advocacy also ensures that, in addition to properly receiving care, patients are given a truthful and rightful opportunity for treatment, thereby making the process holistic and humane. Nurses should work on patients simultaneously, yet their rights should not be infringed upon at any point during the provision of care. Proper care must also align with the ethical concepts and the goals of the affected individual.
Here, they prioritise advocacy and partnership on behalf of individual clients within and outside healthcare centres, particularly regarding the management of the numerous poor healthcare clients who emerge due to impoverished environments. Valley sanatorium nurses have shared practices with case managers, social workers, and other healthcare providers, in having the potential to fulfil the clinical aspirations of the patient. That is done in a way that renders the care holistic, in that the health consciousness of an individual is never undermined in the end. There is extensive literature that demonstrates how team care, particularly among patients from disadvantaged backgrounds, enhances the well-being of individuals with impairments by addressing their overall needs (Kongkar et al., 2025). The Code of Ethics suggests that nurses have an ethical responsibility to act harmoniously with various individuals to provide clients with optimal care and related human enhancement in typical health.
Factors Contributing to Health Disparities and Access to Services
In Valley Health Facility, the following are among those that cause health disparities and access to services for some of the predisposed patients of colour. The patients have challenging scenarios like uninsured status, insufficient culturally suitable care, and low trust in the hospital, which are among those that cause the already existing disparities. Social inequality issues, poverty, way of life, high-risk housing, and unstable literacy levels enhance the harsh conditions, leading to poor health (Centres for Disease Control and Prevention, 2024)—the Valley Hospital. As a professional objective that upholds the rights of patients, the nursing staff of workers perform according to the expectations of expert practice for Registered Nurses and the discharge of the Code of Ethics for nurses. They physically work with other professionals, namely case managers and social workers, where, apart from treating the clinical illness, they also address the social and psychological effects relevant to the contamination. This practice aligns with the concept of justice, as it fills gaps in care and supports health by integrating various aspects of healthcare, which are often complex and inaccessible to individuals experiencing health vulnerability.
Conclusion
In NURS FPX 4065 Assessment 3 Ethical and Policy Factors in Care Coordination, such as the Declining Value Care Act and Medi-Cal, contribute to ensuring continuity of care in meeting the fitness demands of the population, especially in underserved areas. Although such policies aim to enrich possibilities for healthcare access, they raise a wide range of ethical issues related to equity, potentiality, and distribution. The Nursing Code of Ethics directs nurses on how to handle challenging situations by clarifying the necessity to advocate for the character, the effects of social determinants on health, interdisciplinary alliances, and collaboration. They are so detailed that they allow you to provide necessary care to the predisposed region while simultaneously attempting to bridge the gap within the gadget. Managing care thus means that nurses perform healthcare duties with a sense of moral responsibility, working to improve social justice in society.
References
American Nurses firm. (2025). Code of ethics for nurses. American Nurses firm. https://codeofethics.ana.org/domestic
COVID-19 vaccine education (COVE) for health and care professionals to facilitate worldwide promotion of the COVID-19 vaccines. Worldwide magazine of Environmental research and Public fitness, 19(2). https://doi.org/10.3390/ijerph19020653
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California fitness Care foundation. https://www.chcf.org/ebook/2022-chcf-california-health-coverage-survey/
Centers for Disease Control and Prevention. (2024). Social determinants of fitness. https://www.cdc.gov/public-health-gateway/Hypertext Preprocessor/about/social-determinants-of-health.html
Ercia, A. (2021). They have an impact on the more affordable Affordable Care Act, affecting character coverage and access to care: perceptions from FQHC directors in Arizona, California, and Texas. BioMed Central health services studies, 21(1), 1–9. https://doi.org/10.1186/s12913-021-06961-9
Concepts of medical ethics and their application to exercise. clinical principles and exercising, 30(1), 17–28. https://doi.org/10.1159/000509119
Zimmerman, T., Shiroma, et al. R., Xie, B., Jia, C., Verma, N., & Lee, M. ok. (2022). Misinformation and COVID-19 vaccine hesitancy. Vaccine, forty-one (1). https://doi.org/10.1016/j.vaccine.2022.11.014
