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NURS FPX 6616 Assessment 2 Summary Report on Rural Health Care And Affordable Solutions

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    NURS FPX 6616 Assessment 2 Summary Report on Rural Health Care And Affordable Solutions

    Student Name

    Capella University

    NURS-FPX 6616 Ethical and Legal Considerations in Care Coordination

    Prof. Name


    Summary – Rural Community Identification and Description

    Appalachian Kentucky has been chosen as the community, for this report. It consists of 54 counties situated in the Appalachian Region of the United States. This region is known for its isolation, economic difficulties, and distinct cultural characteristics that directly impact healthcare accessibility and outcomes for its residents. In Appalachian Kentucky, poverty and unemployment rates are significantly high with 25.4% of the population living below the poverty line compared to the average of 10.5% (ARC, 2020). The primary health challenges faced by this community revolve around diseases like heart disease and diabetes. The prevalence of diabetes in 2019 was notably higher at 14.1% compared to the average of 9.4% (CDC, 2020).

    The focus of this care plan is on the population who often deal with comorbidities simultaneously. These individuals encounter obstacles such as access to specialized healthcare services, inadequate transportation options, low-income levels, and a lack of health insurance. All factors complicate effective management of their health conditions (Hash et al., 2023).In this culturally diverse community, the care coordinator must be aware of the specific norms and values, such as a strong inclination towards self-reliance and close-knit community relationships. These cultural aspects can significantly impact health-seeking behavior and adherence to care plans. In addition to this, socioeconomic factors influencing health behaviors must be taken into account. High rates of illiteracy, unemployment, and poverty often lead to unhealthy lifestyle choices and barriers to accessing and utilizing healthcare resources. 

    Interprofessional Team and Telehealth Assistance

    The interprofessional team in the Appalachian Kentucky community primarily consists of primary care physicians, nurse practitioners, community health workers, and pharmacists. These health professionals play critical roles in providing care to the rural populace; however, their services are often stretched thin due to the high patient-to-provider ratio, with only 68 primary care physicians per 100,000 populations in Kentucky’s rural areas compared to the national average of 80 (Folken, 2022). Moreover, the scarcity of specialist healthcare providers in the area creates a significant gap in healthcare provision, especially for the elderly population suffering from multiple chronic diseases.

    When it comes to resources the community also has local clinics dedicated to healthcare, food banks that provide nourishment organizations focused on housing and religious institutions. These establishments play a role, in areas offering essential health services, nutrition assistance, housing support, and social connections. Moreover, they hold a level of trust and cultural ties within the community making them valuable assets, for any healthcare endeavor.

    NURS FPX 6616 Assessment 2 Summary Report on Rural Health Care And Affordable Solutions

    The introduction of telehealth has the potential to significantly mitigate these challenges by linking local health providers with a broader network of healthcare professionals, including cardiologists, endocrinologists, mental health professionals, dietitians, and geriatricians. These telehealth partners can provide specialist consultations, assist in patient monitoring, and provide guidance on complex case management, thus enhancing the quality of care provided to the rural community. Additionally, telehealth can facilitate the capacity-building of local providers through online training, mentorship, and case discussions (Cushing, 2022).

    One way to make the most of community resources is, by teaming up with clinics, for virtual healthcare consultations. Additionally, we can utilize community spaces to hold sessions and work together with food banks to tackle needs. Religious institutions have a role to play in promoting health initiatives and bridging gaps when it comes to accessing healthcare. Other crucial stakeholders that can support this healthcare initiative include local community organizations, nonprofits focused on rural health, and local and state government bodies. These stakeholders can assist in mobilizing resources, advocating for health policy changes, and providing necessary infrastructure support for implementing telehealth services. For instance, government bodies can ensure the provision of high-speed internet facilities, which are vital for the effective operation of telehealth services.

    Cultural Competence and Care Coordination

    Understanding the cultural fabric of the Appalachian Kentucky community is critical to providing effective and culturally competent healthcare. Appalachian culture, deeply rooted in self-reliance, familial bonds, and community support, directly influence the health behavior patterns of its residents. The healthcare providers must therefore acknowledge these cultural nuances and adapt their healthcare delivery approaches accordingly. For instance, since the residents of this area value familial ties and community involvement, healthcare providers must consider involving family members and community health workers in patient care plans (Collett et al., 2022).

    Applying cultural competence within the interprofessional team is not only about understanding the culture of the community but also about learning how to work together in a way that respects and utilizes each member’s unique skills and perspectives. This cultural competence within the team promotes better communication, improved problem-solving, and more efficient care coordination. Furthermore, culturally competent care coordination can also have a positive impact on health outcomes by promoting patient engagement, improving patient satisfaction, and enhancing adherence to care plans. For example, in a region like Appalachian where community relationships are strong, coordinating care that involves local community health workers and family members can enhance the trust and acceptance of care plans among patients (Hash et al., 2023). 

    Technology-Based Outreach Strategies

    The use of technology in healthcare delivery can significantly improve healthcare accessibility and outcomes for the Appalachian Kentucky community, particularly the elderly population suffering from chronic diseases. One practical approach that can yield results is the utilization of Remote Patient Monitoring (RPM). This innovative technology enables the monitoring of patient’s vital signs aiding in the detection and management of potential health complications particularly for individuals, with conditions like diabetes and heart disease. A recent study conducted by Shaik et al. (2023) revealed that RPM has the potential to reduce hospitalizations by 25% and emergency department visits by 19% among patients with diseases.

    Another beneficial strategy worth considering is the implementation of virtual group consultations and educational sessions. These virtual gatherings offer patients peer support, shared learning experiences, and convenient access to healthcare professionals without requiring them to travel. Such an approach can be especially advantageous for patients who may face challenges. Additionally, virtual sessions can effectively disseminate health education. Raise awareness about measures ultimately leading to improved self-management of chronic illnesses (Sharma et al., 2022).

     Legal Issues in Telehealth

    Telehealth is revolutionizing the way healthcare is delivered in areas like Appalachian Kentucky making healthcare services more accessible. However, it also gives rise to concerns that need attention. One major concern is practicing across state borders. Since telehealth enables healthcare professionals to provide services, it raises questions about whether their professional licenses are valid in different states (Cushing, 2022). Another critical legal issue revolves around maintaining privacy and data security. With the increased exchange of health information, there is a risk of data breaches. This highlights the importance of adhering to the Health Insurance Portability and Accountability Act (HIPAA) which guarantees the confidentiality and security of health records (Rhoads, 2023). It is crucial to comprehend and address these matters, for the implementation and long-term sustainability of telehealth services.

     Ethical Care in the Updated System

    As healthcare systems evolve with technological advancements like telehealth, ethical care should remain at the forefront. Informed consent is one such crucial ethical aspect. Patients must be adequately informed about the nature and implications of telehealth services, including their benefits, potential risks, and alternatives (Cushing, 2022). Another key ethical concern is ensuring equity in access to telehealth services. While telehealth has the potential to bridge the healthcare access gap in rural communities, it might inadvertently exacerbate health disparities if certain populations lack access to necessary technologies or digital literacy.

    Confidentiality is another aspect of care that takes on added significance in the realm of telehealth. Telehealth involves sharing health information, which raises concerns about data breaches. To safeguard patient privacy effectively healthcare providers and telehealth platforms must adhere to data protection standards. Therefore, healthcare providers and policymakers need to develop strategies to ensure equitable access to telehealth services (Rhoads, 2023).


    In conclusion, creating a care coordination plan, for communities like Appalachian Kentucky requires a multi-faceted approach. This involves understanding the healthcare needs of the community working collaboratively with local and regional partners and making strategic use of technology to improve healthcare access and outcomes. By implementing these strategies, we can overcome barriers. Improve healthcare services in rural areas. Moving forward it’s important to evaluate and enhance these strategies based on feedback from all stakeholders to ensure fair healthcare delivery, in these communities.


    Appalachian Regional Commission. (2020). Data snapshot: Income and poverty in Appalachian. 

    Centers for Disease Control and Prevention. (2020). National diabetes statistics report, 2020. 

    Cushing, M. (2022). What Is Telemedicine, telehealth, and teletriage. Veterinary Clinics: Small Animal Practice52(5), 1069-1080. 

    NURS FPX 6616 Assessment 2 Summary Report on Rural Health Care And Affordable Solutions

    Collett, L. K., Hudson, L., Prichard, C., & Vanderford, N. L. (2022). Using culturally focused storytelling to empower Appalachian Kentucky youth to understand and address cancer disparities in their communities. Journal of Cancer Education. 

    Folken, C. (2022). A comprehensive literature review of recruitment and retention strategies for primary care providers in rural communities. Capstone Experience. 

    Hash, K. M., Schreurs, B. G., Tolley, S. M., & Fiske, A. (2023). Health disparities in Appalachian and other rural communities. The International Journal of Aging and Human Development, 009141502311718-009141502311718. 

    Rhoads, J. (2023). Identifying ethical and legal issues in the use of patient health information for research and quality improvement. International Journal of Intelligent Automation and Computing, 6(1), 17–30. 

    NURS FPX 6616 Assessment 2 Summary Report on Rural Health Care And Affordable Solutions

    Shaik, T., Tao, X., Higgins, N., Li, L., Gururajan, R., Zhou, X., & Acharya, U. R. (2023). Remote patient monitoring using artificial intelligence: Current state, applications, and challenges. WIREs Data Mining and Knowledge Discovery, 13(2). 

    Sharma, V., Feldman, M., & Sharma, R. (2022). Telehealth technologies in diabetes self-management and education. Journal of Diabetes Science and Technology, 193229682210930.