NHS-FPX6008 Assessment 4: Lobbying For Change Paper

NHS-FPX6008 Assessment 4: Lobbying For Change Paper

NHS-FPX6008 Assessment 4: Lobbying For Change Paper

Name

Address

Date

………

State Representative

Illinois House of Representatives- 59^th District     

3050 N. Main St. Buffalo Grove, IL 60089

Dear Rep……

Healthcare insurance is a healthcare economic issue that significantly affects individuals, care providers, organizations, and communities in the state. About 90% of individuals have health insurance, but the remaining uninsured individuals-10% are mainly from minority health populations and undocumented individuals such as immigrants. These uninsured individuals cite the high cost of living and insurance services for lack of health insurance. However, some are unaware of the insurance covers available for them. Lack of health insurance compromises the accessibility and provision of healthcare services in the state since uninsured individuals are shying away from seeking care services due to the high out-of-pocket costs.

Healthcare service providers are also suffering a reduction in revenue since insurance reimbursements are one of the major sources of funding for healthcare institutions. Therefore, the healthcare economic issue is, in turn, contributing to increased disease complications, debts to cater for healthcare costs and overall poor population health outcomes of constituents in the state. Population education to increase awareness of health insurance and policy changes to reduce the cost of insurance premiums will be used to address the healthcare economic issue.

The major positive outcomes of addressing the healthcare economic issue include improved overall population health outcomes and better-quality healthcare services provision. Increased knowledge and awareness of health insurance will encourage more people to get health insurance coverage, thus enabling them to access healthcare services more efficiently, especially specialized services such as cancer, mental illnesses and diabetes care services. Accessibility of healthcare services will therefore reduce complications and improve care outcomes.

Additionally, the reimbursements from health insurance will increase revenue for healthcare institutions and thus enable them to provide a better quality of healthcare services. However, failure to address the healthcare economic issue may continue leading to negative outcomes among the state’s constituents, including poor population health outcomes, increased health disparities and poor healthcare services quality.

Research supports the significance of addressing the healthcare economic issue. According to Tao et al. (2020), insurance coverage is significant to individuals and helps the healthcare systems achieve universal health coverage due to increased accessibility of healthcare services. Additionally, Teisberg et al. (2020) note that addressing health insurance coverage enables healthcare organizations to implement value-based care, thus leading to better care quality, equity, and reduced cost of care.

Research also shows that insurance coverage helps minimize disease burden on the local, state and national levels (Yabroff et al., 2019). The proposed solution interventions, population education, and policy change has been tested effective in increasing knowledge and awareness of insurance coverage and its significance, thus encouraging people to get insured (Farrell & Gottlieb, 2019; Weedige et al., 2019). Ethical, cultural and diversity principles of fairness, inclusivity and non-discrimination informed the development of the recommended change interventions.

Professional team and organizational experience informed the resource planning and risk analysis for working towards addressing the economic issue. We recently had a health promotion initiative focusing on diabetes prevention and management among an African American group. However, we noticed that approximately 70% of the diagnosed patients in the group were uninsured. Despite diabetes care services requiring a lot of expenses, these patients would hardly access care services, leading to poor outcomes and increased complication cases. The team experience led to an analysis, risk assessment and planning to seek ways to address the economic issue.

Therefore, your attention and support in addressing the healthcare economic issue using the recommended interventions will be highly appreciated. Population education and policy changes to increase awareness and knowledge on insurance and its significance and reduce health insurance services will help achieve the above positive outcomes. The intervention should focus on the most affected health populations, including immigrants and other minority health populations.         

References

Farrell, C. M., & Gottlieb, A. (2020). The effect of health insurance on health care utilization in the justice-involved population: United States, 2014–2016. American Journal of Public Health, 110(S1), S78-S84. https://doi.org/10.2105/AJPH.2019.305399

Tao, W., Zeng, Z., Dang, H., Lu, B., Chuong, L., Yue, D., Wen, J., Zhao, R., Li, W., & Kominski, G. F. (2020). Towards universal health coverage: lessons from 10 years of healthcare reform in China. BMJ Global Health, 5(3), e002086. https://doi.org/10.1136/bmjgh-2019-002086 

Teisberg, E., Wallace, S., & O’Hara, S. (2020). Defining and Implementing Value-Based Health Care: A Strategic Framework. Academic Medicine: Journal of the Association of American Medical Colleges, 95(5), 682–685. https://doi.org/10.1097/ACM.0000000000003122

Weedige, S. S., Ouyang, H., Gao, Y., & Liu, Y. (2019). Decision making in personal insurance: Impact of insurance literacy. Sustainability, 11(23), 6795. https://doi.org/10.3390/su11236795

Yabroff, K. R., Gansler, T., Wender, R. C., Cullen, K. J., & Brawley, O. W. (2019). Minimizing the burden of cancer in the United States: Goals for a high-performing health care system. CA: A Cancer Journal for Clinicians, 69(3), 166–183. https://doi.org/10.3322/caac.21556

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Assessment 4 Instructions: Lobbying for Change
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Write a letter to an official in your state or local government. (Choose the individual in the level of government that will best address your issue). The purpose of this letter is to advocate for action with regards to your chosen health care environment issue.
Introduction
Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.
As health care leaders, it is important to understand strategies for advocating and lobbying elected officials. This can lead to the development of policies or laws that can help drive improved equity and outcomes for all participants in the health care environment as well as a more sustainable financial future.
Background and Context
As a master’s-level health care practitioner, you may be expected to implement plans to ensure that initiatives designed to take advantage of economic opportunities for the organization are rolled out successfully and can be sustained over multiple years. Additionally, it is important to be able to envision how an initiative could be implemented in different contexts and for different purposes to ensure the investment remains a viable and positive asset to your organization or care setting.
As a master’s-level practitioner, you will often be challenged to influence the health care environment in a variety of ways. This influence can occur on a micro-level (implementing change on your unit, institution, community, or local organizations) or at a macro level (implementing change via state or federal regulations and policy). One way you can influence the health care environment is by lobbying an elected official at the local, state, or national level to adopt policies or legislation that would support positive economic and health outcomes for patients, practitioners, and organizations within the health care environment.
Instructions
For this assessment, you will develop a letter to an official in your state or local government (choose the individual in the level of government that will best address your issue). The purpose of this letter is to advocate for action with regards to your chosen health care environment issue. Remember, when writing the letter, you must use your personal address and telephone number unless you are exclusively representing a group or your organization.
Be sure to address each main point. Review the assessment instructions and scoring guide, including performance-level descriptions for each criterion, to ensure you understand the work you will be asked to complete and how it will be assessed. In addition, note the requirements for document format and length and for supporting evidence.
Overall, your assessment submission will be assessed on the following criteria:
• Summarize the health care economic issue that you are addressing.
o Keep this brief but try to include details about how the issue is currently impacting the elected officials’ constituents.

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• Explain the positive outcomes that will occur if the issue is addressed and the negative outcomes that will occur if the issue is not addressed.
o Tailor this messaging to focus on the impacts in the communities and organizations that are relevant to the elected official you are writing to.
• Summarize key information from scholarly sources to support the importance of addressing the issue; the issue’s overall impact on health care at the institutional, local, state, and national levels; and proposed changes or actions to address the issue.
o Cite at least five current, scholarly sources that support your argument and help provide the elected official (who may not have a detailed knowledge of the health care environment) with an understanding of the issues, changes, or actions that you are proposing to drive improved outcomes.
o Identify the impact your issue has on health care institutions and health care providers at the local community, state, and national levels.
o Make sure to include information from both a health care and an economic perspective. An elected official may be more responsive to one perspective than another.
o Incorporate ethical, cultural, and diversity principles when picking resources and making recommendations for change in your assessment.
• Explain how personal, professional, and organizational experiences have informed the resource planning and risk analysis for working toward addressing the economic issue.
o Think about how your experiences (the experiences can be personal, professional, or from your team’s perspective or experience) affect how you have planned for the resources needed to implement your desired changes or actions. How did this impact your approach to conducting a risk analysis on the project?
• Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.
o Remember to conclude your letter with a summary of your position on the issue and a compelling reason that the elected official should act in your favor and support your issue or initiative.
Additional Requirements
• Audience: Make sure you are addressing your letter to an actual local or state official.
o For most states, you can use the following resource:
o Open States. (n.d.). Find your legislators. https://openstates.org/find_your_legislator/
o For local officials, search your city’s government website for officials and their positions.
• Length of Submission: 1–2 double spaced pages. Your letter needs to be succinct and persuasive.
• Number of References: Cite at least five sources of evidence to support your identification of the gap. This could be public health data, a peer-reviewed journal article, or another scholarly source.
• APA formatting: Resources and citations are formatted according to current APA style.
Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
• Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.
o Summarize the health care economic issue that you are addressing.
• Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.
o Explain the positive outcomes that will occur if the issue is addressed and negative outcomes that will occur if the issue is not addressed.
• Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.
o Summarize key information from scholarly sources to support the importance of addressing the issue; the issue’s overall impact on health care at the institutional, local, state, and national levels; and proposed changes or actions to address the issue.
• Competency 4: Develop ethical and culturally equitable economic strategies to address dynamic environmental forces and ensure the future security of an organization’s resources and its ability to provide quality care.
o Explain how personal, professional, and organizational experiences have informed the resource planning and risk analysis for working toward addressing the economic issue.
• Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.
o Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.

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Lobbying for Change Scoring Guide

CRITERIA	NON-PERFORMANCE	BASIC	PROFICIENT	DISTINGUISHED
Summarize the health care economic issue that you are addressing.	Does not provide any type of summary of the health care economic issue that you are addressing.	Provides an unclear or incomplete summary of the health care economic issue that you are addressing.	Summarizes the health care economic issue that you are addressing.	Summarizes the health care economic issue that you are addressing. Notes how the issue is currently impacting the constituents of the elected official that the letter is addressed to.
Explain the positive outcomes that will occur if the issue is addressed and negative outcomes that will occur if the issue is not addressed.	Does not describe positive and negative outcomes in general terms.	Describes positive and negative outcomes in general terms. The relevance to the issue and taking action to address the issue of these outcomes is unclear and lacking in detail.	Explains the positive outcomes that will occur if the issue is addressed and negative outcomes that will occur if the issue is not addressed.	Explains the positive outcomes that will occur if the issue is addressed and negative outcomes that will occur if the issue is not addressed. Targets tone and content of the explanation to the elected official the letter is addressed to.
Summarize key information from scholarly sources to support the importance of addressing the issue; the issue’s overall impact on health care at the institutional, local, state, and national levels; and proposed changes or actions to address the issue.	Does not provide any kind of summary of key information from scholarly sources to support the importance of addressing the issue; the issue’s overall impact on health care at the institutional, local, state, and national levels; and proposed changes or actions to address the issue.	Provides an incomplete or unclear summary of key information from scholarly sources to support the importance of addressing the issue; the issue’s overall impact on health care at the institutional, local, state, and national levels; and proposed changes or actions to address the issue.	Summarizes key information from scholarly sources to support the importance of addressing the issue; the issue’s overall impact on health care at the institutional, local, state, and national levels; and proposed changes or actions to address the issue.	Summarizes key information from at least five scholarly sources to support the importance of addressing the issue; the issue’s overall impact on health care at the institutional, local, state, and national levels; and proposed changes or actions to address the issue. Notes ethical, cultural, and diversity principles that were used when making the recommendations for the proposed changes.
Explain how personal, professional, and organizational experiences have informed the resource planning and risk analysis for working toward addressing the economic issue.	Does not list personal, professional, and organizational experiences that informed the resource planning and risk analysis for working toward addressing the economic issue.	Lists personal, professional, and organizational experiences that informed the resource planning and risk analysis for working toward addressing the economic issue, but there is a general lack of detail provided.	Explains how personal, professional, and organizational experiences have informed the resource planning and risk analysis for working toward addressing the economic issue.	Explains how personal, professional, and organizational experiences have informed the resource planning and risk analysis for working toward addressing the economic issue. Relates a succinct story from experiences in personal health care practice to illustrate the planning and analysis approach taken.
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.	Does not convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and writing scholarly standards.	Conveys purpose, in an appropriate tone or style. Clear, effective communication is inhibited by insufficient supporting evidence or minimal adherence to applicable writing standards.	Conveys purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards. Attempts to apply APA style and formatting.	Conveys clear purpose, in a tone and style well-suited to the intended audience. Supports assertions, arguments, and conclusions with relevant, credible, and convincing evidence. Exhibits strict and nearly flawless adherence to organizational, professional, and scholarly writing standards, including APA style and formatting.