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NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination

Student Name

Capella University

NURS-FPX 4050 Coord Patient-Centered Care

Prof. Name:


Ethical and Policy Factors in Care Coordination

Greetings to all of you! My name is Manjit. In today’s presentation, I will detail ethical and legal issues that influence care coordination in community settings. I will assess the implications of government policies for care coordination and the moral problems for leaders. 

Diabetes Mellitus (DM) is a severe disorder affecting metabolism that develops from hereditary and ecological features. Its main symptoms are high blood sugar, frequent urination, and excessive hunger (Alam et al., 2021). Care coordination is an organized approach that offers personalized medical assistance to individuals. It emphasizes that healthcare workers and organizations collaborate to provide suitable and timely care for diabetes.

Care coordination is influenced by ethical principles and healthcare principles to expand health outcomes (Alam et al., 2021). I will explore moral and approach factors that affect care coordination in a community setting of the American Diabetes Association (ADA). This community is essential in helping people with diabetes and their families by educating, promoting, and supporting them (ADA, 2022). ADA promotes patient-centered care and ensures patients are informed about their rights. 2021 diabetes affected 38.5 million Americans, or 11.6% of the total population (ADA, 2022). 

Government Policies for Care Coordination

Several types of state, federal, and local policies can significantly improve the health of people with diabetes. The ADA can better fulfill its responsibilities to the diabetic community, and adhering to these regulations facilitates more rapid access to medical care. The organization provides current information, campaigns, and support to people with diabetes and their families. The government has set several programs to enhance patient and healthcare system care coordination (Zhu et al., 2020).

Affordable Care Act (ACA) & Medicare and Medicaid Act

The Affordable Care Act (ACA) improves the approach to healthcare and safety for the diabetes community. The goal of the ACA is to give a more significant number of Americans access to affordable health insurance. ACA supports care coordination by expanding Medicaid, allowing people with incomes less than 138% of the poverty line to receive complete treatment.

Care coordination enhances collaboration among medical teams and improves communication and treatment adherence (Fulton et al., 2021). This makes the healthcare system more effective and enhances diabetic patient outcomes. ACA significantly improved access to diabetic patients because of its increased coverage and prevention services. Medicaid expansion offered the potential to increase healthcare applications, reduce problems, and improve the safety of diabetic patients (Fulton et al., 2021). 

ACA facilitates early diabetes screening with the support of preventive services. It addresses inequalities in diabetes care based on socioeconomic and demographic features. Coordination is boosted through the promotion of quality care and the expansion of Medicaid coverage, with a particular focus on individuals with lower incomes. Medicare act, a federal program, offers health insurance to those 65 years of age and older, as well as some younger people with disabilities. It covers diabetic medicine, insulin coverage, and hospital and medical insurance (Mahoney et al., 2020).

Health Insurance Portability and Accountability Act (HIPAA)

Health Insurance Portability and Accountability Act (HIPAA) is essential for protecting individual data on diabetes. HIPAA facilitates a secure exchange of information between healthcare experts and hospital management. The ADA must follow HIPAA protocols to protect patient privacy and maintain the reliability of health data. HIPAA improves care coordination, ensuring safe data sharing between healthcare teams.

It streamlines decision-making for diabetes management, facilitating efficient communication and information sharing between medical organizations. HIPAA promotes a cooperative care approach among healthcare staff, upholds confidentiality and data integrity, and improves patient outcomes (Lee et al., 2021).

Furthermore, HIPAA encourages electronic health services to address legal and privacy concerns associated with wearable sensors for glucose monitoring. It guarantees the safety of diabetic patient data transmitted and stored. Strict prohibitions against unauthorized disclosure protect the sensitive nature of diabetic patient data. By protecting patients’ electronic health records from unauthorized access, data integrity is maintained. Regular monitoring and examination of diabetic patients’ data are part of auditing (Lee et al., 2021).

Healthy People 2030

Healthy People 2030 prioritizes diabetes prevention, highlighting the effectiveness of organized lifestyle change programs in reducing the risk of diabetes. It promotes improved care management by implementing health promotion programs nationwide, aiming to elevate the health of persons with diabetes. The policy addresses health inequalities issues such as socioeconomic status and healthcare access (Ochiai et al., 2021).

Healthy People 2030 emphasizes ethical behavior and care coordination, utilizing awareness campaigns to educate communities to manage DM with lifestyle modifications. Healthy People 2030 establishes national health goals and offers the ADA a framework to improve care coordination for diabetic patients. Preventive care and efficient communication emphasize the need for healthcare teams to collaborate for effective diabetes management (Ochiai et al., 2021).

Ethical Dilemmas for Care Coordination

Care coordination presents ethical dilemmas due to issues with patient rights, inequality, and professional ethics. Significant challenges in ethical dilemmas include informed consent, delays in the stages of chronic illness, and treatment expenses. Principles of autonomy, beneficence, and non-maleficence fundamental to medical ethics help us navigate these difficulties. The ADA plays a crucial role in coordinating care, promoting diabetes health, and raising disease awareness through community workshops and seminars. Assessing the ethical implications is essential for aligning legal and moral standards in search of justice and personalized care (Jia et al., 2021).

ACA, with Medicaid expansion, aims to increase access; there is a chance that inequalities and resource allocation will occur. ACA offers resources and support to healthcare administrations and diabetic patients. Healthcare organizations can improve care coordination for patients with diabetes by mobilizing resources with financial support from the ACA. Ethical issues arise due to the uneven resource distribution of ACA, which impacts fair treatment and hinders effective diabetes management (Patrick & Yang, 2021).

NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination

Furthermore, addressing demographic and socioeconomic disparities in diabetes care raises ethical queries by identifying an equitable and just distribution of resources. Balancing the needs of diverse populations becomes more difficult as a result of the emphasis on Medicaid coverage expansion and high-quality healthcare. Medicare also raises moral concerns regarding generational healthcare disparities even though it offers insurance for the elderly and people with disabilities (Patrick & Yang, 2021).

During the provision of care coordination, moral dilemmas arise from the junction of HIPAA laws and the need to protect patient information in diabetes treatment environments. ADA needs to follow HIPAA to improve privacy; using electronic health services, especially those with wearable sensors, raises legal and privacy concerns. Ethical challenges arise when balancing patient confidentiality with the requirement for secure data transmission (Lee et al., 2023).

HIPAA is essential to care coordination because it protects patient privacy, promotes trust, and ensures safe data sharing between healthcare teams. However, balancing privacy with efficient data sharing presents ethical challenges due to the confidentiality measures. In order to improve care coordination, these issues must be directed toward maintaining privacy, moral considerations, and healthcare collaboration within the HIPAA framework (Lee et al., 2023).

NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination

The ADA aims to support care coordination for health teams managing diabetes following the objectives of Healthy People 2030. Healthy People 2030 establishes national health objectives and serves as a foundation for cooperation and preventive care. ADA uses these guidelines to improve care coordination by emphasizing data sharing and communication between medical experts (Yelton et al., 2022). The ADA’s mission and Healthy People initiatives complement each other, allowing for a more comprehensive approach that ensures health teams collaborate effectively to improve outcomes for patients with diabetes.

There are concerns regarding the possible burden of lifestyle modifications promoting health management by adhering to ethical standards. In diabetes care coordination, navigating these challenges involves controlling the promotion of health, addressing disparities, maintaining ethical standards, and respecting individual autonomy and privacy (Yelton et al., 2022).

The Impact of the Code of Ethics for Nurses on the Coordination

Healthcare staff must follow the nursing code of ethics to ensure the constant integration of treatment for diabetic patients. The American Nurses Association (ANA) developed these codes to underscore the values guiding nurses in providing empathetic and responsible care regardless of financial or ethnic background. Recognizing comprehensive social and economic health variables, the code enables nurses to address determinants like employment status and geography, bridging health disparities. Ethical code emphasizes effective communication and ethical standards that significantly impact the coordination and quality of diabetes management, enhancing the overall patient experience (Devik et al., 2020). 

The protocol helps nurses recognize and address health disparities among diverse communities by taking into account factors such as employment status and geographic location, which are broader socioeconomic health determinants. Nursing bridges gaps, improves patient experiences, and contributes to coordinated care through effective communication, teamwork, and adherence to the code. This reduces health disparities and improves outcomes for diabetic patients in line with the ADA’s commitment to equitable health facilities and resource allocation. Nurses, guided by ethical codes, understand diverse cultural backgrounds and promote cooperation, improving care coordination for diabetic patients (Haaland et al., 2020).


To sum up, managing the moral and legal ground in diabetes care coordination entails dealing with issues brought on by-laws, ethical dilemmas, and nursing standards. The aim of preventative measures, health equity, and privacy must all be balanced, which emphasizes how complex ethical decision-making is when it comes to diabetes management.


ADA. (2022). The path to understanding diabetes starts here. Diabetes.org. https://diabetes.org/

Alam, S., Hasan, M. K., Neaz, S., Hussain, N., Hossain, M. F., & Rahman, T. (2021). Diabetes mellitus: Insights from epidemiology, biochemistry, risk factors, diagnosis, complications and comprehensive management. Diabetology2(2), 36–50. https://doi.org/10.3390/diabetology2020004

Devik, S. A., Munkeby, H., Finnanger, M., & Moe, A. (2020). Nurse managers’ perspectives on working with everyday ethics in long-term care. Nursing Ethics27(8), 1669–1680. https://doi.org/10.1177/0969733020935958

Fulton, L. V., Adepoju, O. E., Dolezel, D., Ekin, T., Gibbs, D., Hewitt, B., McLeod, A., Liaw, W., Lieneck, C., Ramamonjiarivelo, Z., Shanmugam, R., & Woodward, L. D. (2021). Determinants of diabetes disease management, 2011–2019. Healthcare9(8), 944. https://doi.org/10.3390/healthcare9080944

NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination

Haaland, G., Olsen, E., & Mikkelsen, A. (2020). The association between supervisor support and ethical dilemmas on nurses’ intention to leave: The mediating role of the meaning of work. Journal of Nursing Management29(2). https://doi.org/10.1111/jonm.13153

Jia, Y., Chen, O., Xiao, Z., Xiao, J., Bian, J., & Jia, H. (2021). Nurses’ ethical challenges caring for people with COVID-19: A qualitative study. Nursing Ethics28(1), 33–45. https://doi.org/10.1177/0969733020944453

Lee, Koo, D., Il Kon Kim, Lee, E., Hyun Ho Kim, Yoo, S., Kim, J.-H., Eun Kyung Choi, & Lee, H.-Y. (2023). Identifying facilitators of and barriers to the adoption of dynamic consent in digital health ecosystems: A scoping review. BMC Medical Ethics24(1). https://doi.org/10.1186/s12910-023-00988-9

Lee, T. F., Chang, I-Pin., & Kung, T.-S. (2021). Blockchain-based healthcare information preservation using extended chaotic maps for HIPAA privacy/security regulations. Applied Sciences11(22), 10576. https://doi.org/10.3390/app112210576

Mahoney, S., Bradley, A., Pitts, L., Waletzko, S., Robinson-Lane, S. G., Fairchild, T., Terbizan, D. J., & McGrath, R. (2020). Health insurance is associated with decreased odds for undiagnosed prediabetes and type 2 diabetes in American adults. International Journal of Environmental Research and Public Health17(13), 4706. https://doi.org/10.3390/ijerph17134706

NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination

Ochiai, E., Kigenyi, T., Sondik, E., Pronk, N., Kleinman, D. V., Blakey, C., Fromknecht, C. Q., Heffernan, M., & Brewer, K. H. (2021). Healthy People 2030 leading health indicators and overall health and well-being measures: Opportunities to assess and improve the health and well-being of the nation. Journal of Public Health Management and Practice27(6), S235–S241. https://doi.org/10.1097/phh.0000000000001424

Patrick, J., & Yang, P. Q. (2021). Health insurance coverage before and after the Affordable Care Act in the USA. Sci3(2), 25. https://doi.org/10.3390/sci3020025

Yelton, B., Friedman, D. B., Noblet, S., Lohman, M. C., Arent, M. A., Macauda, M. M., Sakhuja, M., & Leith, K. H. (2022). Social determinants of health and depression among African American adults: A scoping review of current research. International Journal of Environmental Research and Public Health19(3), 1498. https://doi.org/10.3390/ijerph19031498

Zhu, L., Spence, C., Yang, W. J., & Ma, G. X. (2020). The IDF definition is better suited for screening metabolic syndrome and estimating risks of diabetes in Asian American adults: Evidence from NHANES 2011–2016. Journal of Clinical Medicine9(12), 3871. https://doi.org/10.3390/jcm9123871


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