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

Student Name

Capella University

NURS4050 Coord Patient-Centered Care

Prof. Name


Ethical and Policy Factors in Care Coordination

Greetings, everyone. I am  ______, a care coordinator at Lodi community care center. Today’s presentation concerns the ethical and policy factors influencing care coordination within community settings. As representatives of various homeless shelters, this presentation is essential for you all as it will highlight the concept of care coordination, governmental policies affecting care coordination, ethical considerations, and health policies tailored for the homeless population to maintain their continuum of care. Lastly, the impact of the nursing code of ethics will be discussed. 

What is Care Coordination? 

Moving ahead in our presentation, let us dig into the concept of care coordination. Care coordination is strategic patient/population care planning and appropriate dissemination of protected health information. It is an approach used to provide patient/population-centered care to assess and accomplish the health needs of concerned individuals (Karam et al., 2021). There are various ethical considerations and health policies which influence care coordination. Let us discuss some of them ahead. 

Governmental Policies Affecting the Care Coordination

Several governmental policies significantly promote the health and safety of vulnerable populations, especially homeless people. These policies under federal/state level government assist homeless shelters to follow the standards of practices defined by the policies regarding healthcare accessibility and safety of the concerned population. 

  1. The Affordable Care Act (ACA): The primary focus of ACA is to expand healthcare insurance to make health services accessible for every individual along with improve care coordination by effective allocation of resources, innovating new care models, such as Accountable Care Organizations, and enhancing collaboration among the team, patients/population, and the governmental bodies (Isola & Reddivari, 2022). Medicaid expansion under the ACA provides healthcare coverage to homeless individuals who receive primary care and preventive services, medical care, mental health support services, and treatment for various diseases. 
  2. Housing First Policy: The Housing First approach, supported by government policies, provides early access to permanent and independent housing with minimal subsidies. This vital act prioritizes providing stable housing to homeless individuals (Tsai, 2020). This policy aims to provide a safer and more stable environment for the concerned population so that their primary health concerns can be addressed effectively. This policy minimizes the environmental barriers to care coordination arising from unstable street living and confirms safety for every individual. 

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

Care coordinators are vital in effectively implementing these policies within and outside homeless shelters to ensure that the homeless population receives equitable healthcare opportunities and their safety is protected. Next, in our presentation, we will discuss the policies that raise ethical dilemmas in coordinated care. 

Ethical Dilemmas for Care Coordination 

Despite the positive impacts of the policies on care coordination, some ethical issues may arise during the implementation of these policies. The four major principles of ethics are – autonomy, beneficence, non-maleficence, and justice. These principles generally apply in all circumstances, especially in the healthcare domain. 

One significant ethical issue in the healthcare sector is data protection – privacy, security, and confidentiality. Care coordination, especially in homeless shelters, involves collecting and sharing persons’ protected health and sensitive information. Several ethical questions arise related to the privacy and confidentiality of this information. According to the Health Insurance Portability and Accountability Act (HIPAA), it is imperative to maintain the privacy and confidentiality of sensitive information and only share it with authorized personnel upon receiving consent from the individuals (Moore & Frye, 2019).

Balancing the importance of effective care coordination with protecting individual privacy rights is crucial and may raise ethical dilemmas for healthcare providers. Another ethical dilemma is the criminalization of homelessness. Several cities and states in the U.S. have employed policies that criminalize behaviors like sleeping on the streets and trespassing. Such policies raise ethical questions about an individual’s dignity (Rankin, 2019). These policies may impose legal implications and arrests for homeless people, raising ethical dilemmas and preventing individuals from receiving adequate healthcare services. 

Impact of Nursing Code of Ethics 

The nursing code of ethics is significant in forming care coordination and maintaining the continuum of care for susceptible populations, including homeless people. These ethical principles enable nurses to enhance their coordination while addressing healthcare disparities and ethical concerns keeping in mind the social determinants of health (SDOH). Healthy People 2030 defines SDOH as economic stability, education and literacy, healthcare access and quality, social and community factors, and environmental factors (U.S. Department of Health and Human Services, n.d.).

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

When dealing with the homeless population, nursing professionals can consider these factors; following the policies for healthcare accessibility and using ethical principles can reduce inequalities and disparities among the homeless population. Moreover, the nursing code of ethics emphasizes that professionals advocate for the well-being of the communities. This advocacy can modify policies currently preventing homeless people from acquiring healthcare services.

Additionally, the code of ethics focuses on the provision of culturally-competent healthcare. Stigma and discrimination encountered by the homeless population can be disregarded by observing the ethical codes of justice and equitable healthcare (Sadeghi et al., 2022). Therefore, it is crucial for nurses to be aware and educated about the code of ethics so that community individuals can receive effective and adequate care preventing health disparities. 


To summarise the presentation, I would like to emphasize the need for care coordination in the context of the homeless population. Several policies, like Affordable Care Act and the Housing First policy, positively impact care coordination; however, some ethical issues may arise during the implementation of coordinated care. Thus, it is imperative for healthcare providers, especially nurses, to get educated about the code of nursing ethics, as abiding by these ethical principles will ensure the effective and adequate provision of coordinated care. Thank you for your presence today; the floor is open for concerns and feedback. 


Isola, S., & Reddivari, A. K. R. (2022). Affordable care act. In StatPearls. StatPearls Publishing. 

Karam, M., Chouinard, M.-C., Poitras, M.-E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing care coordination for patients with complex needs in primary healthcare: A scoping review. International Journal of Integrated Care21(1), 16. 

Moore, W., & Frye, S. (2019). Review of HIPAA, part 1: History, protected health information, and privacy and security rules. Journal of Nuclear Medicine Technology47(4), 269–272. 

Rankin, S. K. (2019). Punishing homelessness. New Criminal Law Review22(1), 99–135. 

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

Sadeghi, N., Azizi, A., Tapak, L., & Oshvandi, K. (2022). Relationship between nurses’ cultural competence and observance of ethical codes. Nursing Ethics29(4), 962–972. 

Tsai, J. (2020). Is the housing first model effective? Different evidence for different outcomes. American Journal of Public Health110(9), 1376–1377. 

U.S. Department of Health and Human Services. (n.d.). Social determinants of health—Healthy people 2030 |. 

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