NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change

Name

Capella university

NURS-FPX 6218 Leading the Future of Health Care

Prof. Name

Date

Addressing the Health Insurance Gap: A Path to Community Wellness

The absence of adequate health insurance is a critical issue affecting communities nationwide. At institutions like Jordan’s St. Francis Healthcare System, healthcare providers are observing an alarming increase in patients presenting with untreated or advanced medical conditions. This trend underscores the necessity for policy reforms aimed at expanding access to affordable health insurance, thereby ensuring timely and preventive care for all community members.

The Impact of Insufficient Health Insurance on Community Health

Lack of health insurance significantly hampers individuals’ ability to access routine medical care. Consequently, conditions such as diabetes, hypertension, and cancer often remain undiagnosed until they reach critical stages. This delay in diagnosis not only worsens health outcomes but also leads to higher healthcare costs due to the need for more intensive treatments. Research indicates that uninsured adults receive fewer preventive services and have poorer health outcomes compared to those with insurance citeturn0search0.

Benefits of Expanding Access to Affordable Health Insurance

Implementing policies to broaden access to affordable health insurance can yield several benefits:

• Improved Health Outcomes: Insured individuals are more likely to receive preventive care, leading to early detection and better management of chronic diseases.
• Reduced Healthcare Costs: Preventive care and early treatment can decrease the need for expensive emergency interventions, thereby lowering overall healthcare expenditures.
• Enhanced Health Equity: Ensuring that all community members have access to necessary healthcare services promotes social justice and strengthens community bonds.

Studies have shown that access to health insurance is associated with lower death rates, better health outcomes, and improved productivity citeturn0search6.

Addressing Potential Barriers to Change

Resistance to change often stems from fear and uncertainty. Healthcare providers may worry about increased workloads or altered patient interactions, while patients might be concerned about the affordability and accessibility of care under new systems. Factors contributing to resistance include:

• Lack of Clear Communication: Without transparent information about the benefits and implementation of changes, misinformation can spread, leading to fear.
• Mistrust of the Healthcare System: Past negative experiences or cultural factors may cause skepticism towards new initiatives.

To overcome these barriers, it is crucial to engage stakeholders early through transparent communication, providing clear, evidence-based information about proposed changes and their expected benefits citeturn0search5.

Strategies for Transforming Barriers into Opportunities

To effectively implement changes and resolve conflicts, consider the following strategies:

• Stakeholder Engagement: Involve healthcare providers, patients, community leaders, and policymakers in the planning process to build trust and ensure their concerns are addressed.
• Education and Training: Provide stakeholders with evidence from successful case studies and offer training to healthcare providers to adapt to new systems.
• Conflict Resolution: Identify key concerns of different stakeholder groups and facilitate discussions to find common ground, employing mediation and negotiation techniques as necessary.

By turning barriers into opportunities—such as using the challenge of resistance to foster deeper stakeholder engagement—we can create a more resilient and effective healthcare system that benefits the entire community.

Effective Stakeholder Communication

To help stakeholders at Jordan’s St. Francis Healthcare System understand and evaluate the proposed changes, it is essential to consider:

• Influence and Roles of Key Stakeholders: Executive leaders assess financial viability and strategic alignment, healthcare providers are directly impacted by changes in care delivery, and patients are concerned about accessibility and quality of care.
• Potential Effects on the Organization: Operationally, there may be an increase in patient volume, necessitating adjustments in staffing and resources. Financially, while there may be initial costs, the organization stands to benefit from a more stable and potentially increased revenue stream due to a more extensive insured patient base.
• Data Needed for Informed Decision-Making: Provide a detailed cost-benefit analysis, including projections of patient volume increases, associated revenue, and the costs of scaling up operations. Present patient outcome data from similar initiatives to demonstrate how increased insurance coverage has led to improved health outcomes and patient satisfaction in comparable settings.

Implementing a targeted pilot program could allow the organization to implement changes on a smaller scale, monitor outcomes, and gather feedback from both healthcare providers and patients. The data collected would provide valuable insights into the feasibility and impact of broader implementation, allowing for necessary adjustments before a full-scale rollout. This approach not only mitigates risks but also builds confidence among stakeholders, ensuring that the proposed changes are both practical and beneficial for the organization and the community it serves.

Conclusion

Addressing the lack of health insurance is imperative for improving community health outcomes. By expanding access to affordable health insurance, we can ensure that all community members receive timely and preventive care, leading to better health outcomes, reduced healthcare costs, and greater health equity. Engaging stakeholders through transparent communication, education, and conflict resolution strategies is essential for the successful implementation of these changes. A targeted pilot program can serve as a strategic approach to test and refine the proposed changes before full-scale implementation, ultimately benefiting both the organization and the community it serves.

References

Capella University. (n.d.). Vila Health: Planning for change. https://www.google.com/url?q=https://media.capella.edu/CourseMedia/nurs-fpx6218element236957/wrapper.asp&sa=D&source=apps-viewer-frontend&ust=1711700540866615&usg=AOvVaw1f9xRFvtxS70bqp0FAC7KY&hl=en

Dang, A., Dang, D., & Vallish, B. N. (2021). Importance of evidence-based health insurance reimbursement and health technology assessment for achieving universal health coverage and improved access to health in India. Value in Health Regional Issues, 24, 24–30. https://doi.org/10.1016/j.vhri.2020.04.007

Dieleman, J. L., Cao, J., Chapin, A., Chen, C., Li, Z., Liu, A., Horst, C., Kaldjian, A., Matyasz, T., Scott, K. W., Bui, A. L., Campbell, M., Duber, H. C., Dunn, A. C., Flaxman, A. D., Fitzmaurice, C., Naghavi, M., Sadat, N., Shieh, P., & Squires, E. (2020). US health care spending by payer and health condition, 1996-2016. JAMA, 323(9), 863–884. https://doi.org/10.1001/jama.2020.0734

NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change

NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change Gao, L., Shi, L., Meng, Q., Kong, X., Guo, M., & Lu, F. (2021). Effect of healthcare system reforms on public hospitals’ revenue structures: Evidence from Beijing, China. Social Science & Medicine, 283, 114210. https://doi.org/10.1016/j.socscimed.2021.114210

Goldberg, S. B., Sander, F. E., Rogers, N. H., & Cole, S. R. (2020). Dispute resolution: Negotiation, mediation, arbitration, and other processes. Aspen Publishing. https://books.google.com.pk/books?hl=en&lr=&id=tAGBEAAAQBAJ&oi=fnd&pg=PR21&dq=Mediation+and+negotiation+techniques++for+conflict+resolution&ots=7TCkdyTi56&sig=mJkU-cz-fswdgsbjyjDta917sYM&redir_esc=y#v=onepage&q=Mediation%20and%20negotiation%20techniques%20%20for%20conflict%20resolution&f=false

Glied, S. A., Collins, S. R., & Lin, S. (2020). Did the ACA lower Americans’ financial barriers to health care? Health Affairs, 39(3), 379–386. https://doi.org/10.1377/hlthaff.2019.01448

Lehtinen, J., & Aaltonen, K. (2020). Organizing external stakeholder engagement in inter-organizational projects: Opening the black box. International Journal of Project Management, 38(2), 85–98. https://doi.org/10.1016/j.ijproman.2019.12.001

NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change Leite, H., Williams, S., Radnor, Z., & Bateman, N. (2022). Emergent barriers to the lean healthcare journey: baronies, tribalism and scepticism. Production Planning & Control, 1–18. https://doi.org/10.1080/09537287.2022.2054386

NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change

Moghtaderi, A., Black, B., Zocchi, M., Klauer, K., Pilgrim, R., & Pines, J. M. (2020). The three-year effect of Medicaid expansion on emergency department visits and admissions. Annals of Emergency Medicine. https://doi.org/10.1016/j.annemergmed.2020.07.021

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Shah, A. H., Becene, I. A., Nguyen, K. T. N. H., Stuart, J. J., West, M. G., Berrill, J. E. S., Hankins, J., Borba, C. P. C., & Rich-Edwards, J. W. (2022). A qualitative analysis of psychosocial stressors and health impacts of the COVID-19 pandemic on frontline healthcare personnel in the United States. Qualitative Research in Health, 2, 100130. https://doi.org/10.1016/j.ssmqr.2022.100130

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Teixeira da Silva, D., Bouris, A., Ramachandran, A., Blocker, O., Davis, B., Harris, J., Pyra, M., Rusie, L. K., Brewer, R., Pagkas-Bather, J., Hotton, A., Ridgway, J. P., McNulty, M., Bhatia, R., & Schneider, J. A. (2021). Embedding a linkage to preexposure prophylaxis care intervention in social network strategy and partner notification services: Results from a pilot randomized controlled trial. JAIDS Journal of Acquired Immune Deficiency Syndromes, 86(2), 191–199. https://doi.org/10.1097/qai.0000000000002548

Appendix

Introduction

Access to affordable health insurance is a pressing concern within Jordan’s St. Francis Healthcare System, profoundly influencing community health outcomes. This issue is particularly severe in regions where many individuals lack sufficient insurance coverage, leading to postponed or neglected medical care. Consequently, healthcare providers at St. Francis are encountering a troubling increase in patients with advanced and preventable medical conditions, including late-stage cancers, unmanaged diabetes, and severe hypertension—conditions that could have been mitigated with timely intervention and consistent medical oversight (Capella University, n.d.).

Identifying the Affected Demographics

The populations most impacted encompass a wide demographic range, notably:

• Low-Income Families: Financial constraints hinder their ability to afford health insurance premiums, limiting access to essential preventive care and ongoing medical treatment (Capella University, n.d.).
• Elderly Individuals: Often on fixed incomes, they face challenges in securing comprehensive health coverage, increasing their vulnerability to untreated health issues.
• Individuals with Chronic Illnesses: Without adequate insurance, managing chronic conditions becomes financially burdensome, leading to exacerbation of health problems.

Barriers to Implementing Change

Several obstacles impede the implementation of expanded insurance access:

• Financial Concerns: Stakeholders may resist due to apprehensions about the economic impact of broadening insurance coverage.
• Logistical Challenges: Increasing patient capacity necessitates coordinated efforts across multiple departments to manage the anticipated influx of insured patients effectively.
• Sustainability Doubts: Questions regarding the long-term funding and resource allocation could lead to skepticism about the initiative’s viability.

Defining the Need Through Data

The necessity for change is underscored by:

• Patient Outcome Data: Evidence from St. Francis indicates a direct correlation between insurance coverage and improved health outcomes.
• Community Health Surveys: These surveys highlight the critical gaps in insurance coverage within the community.
• National Studies: Research emphasizes the positive relationship between insurance coverage and health outcomes, reinforcing the need for expanded access (Glied et al., 2020).

Existing Efforts

Current initiatives include:

• Local Outreach Programs: Efforts aimed at enrolling individuals in government-subsidized insurance plans.
• Policy Reform Advocacy: National studies advocating for reforms to enhance the affordability and accessibility of health insurance (Glied et al., 2020).

Program Description

Objective

The proposed initiative at Jordan’s St. Francis Healthcare System seeks to broaden access to affordable health insurance, targeting the growing issue of uninsured individuals unable to access regular medical care, resulting in preventable and advanced health conditions.

Target Populations

The initiative primarily focuses on:

• Low-Income Families: Addressing financial barriers to insurance coverage.
• Elderly Individuals: Ensuring access to necessary medical services.
• Individuals with Chronic Illnesses: Facilitating better management of chronic conditions through consistent care.

Key Stakeholders

The successful implementation involves collaboration among:

• St. Francis Healthcare’s Executive Leadership: Guiding strategic direction and decision-making.
• Healthcare Providers: Delivering medical services and patient education.
• Community Outreach Coordinators: Engaging with the community to promote the initiative.
• Local Government Officials: Supporting policy alignment and resource allocation.
• Insurance Companies and Policymakers: Developing affordable insurance options and facilitating regulatory support.

Implementation Timeline

The initiative will unfold in phases:

1. Stakeholder Engagement and Planning (First 6 Months):
   • Establish partnerships.
   • Secure funding.
   • Develop strategic plans.
2. Pilot Program (1 Year):
   • Test expanded insurance coverage.
   • Adjust based on feedback and data.
3. Full Implementation and Evaluation (2 Years):
   • Scale the initiative across the service area.
   • Continuously monitor and refine the program.

Implementation Scope

The changes will be applied across the entire St. Francis Healthcare System in Jordan, ensuring comprehensive coverage and impact.

Significance of the Initiative

Expanding access to affordable health insurance is crucial for:

• Chronic Disease Management: Providing consistent and timely medical care to manage conditions such as diabetes, hypertension, and heart disease, thereby preventing complications and enhancing quality of life.
• Overall Health Outcomes: Improving the community’s health status and reducing long-term healthcare costs.

Implementation Strategy

A multifaceted approach includes:

• Establishing a Dedicated Task Force: Coordinating the initiative’s various components.
• Collaborating with Insurance Providers: Developing affordable plans tailored to the community’s needs.
• Community Engagement: Working with leaders to identify effective outreach strategies.
• Educational Initiatives: Developing materials and conducting workshops to guide individuals through the enrollment process.
• Continuous Monitoring: Regularly assessing progress and making necessary adjustments to ensure success.

Goals and Objectives

The primary goal is to enhance chronic disease management and overall health outcomes by expanding access to affordable health insurance at St. Francis Healthcare System. Specific objectives include:

• Increasing Insurance Coverage: Targeting underserved populations to ensure broader access.
• Ensuring Timely Medical Care: Facilitating prompt treatment for individuals with chronic conditions.
• Reducing Complications: Minimizing health issues associated with unmanaged illnesses.

Program Evaluation

An oversight committee comprising executive leaders from Vila Health and St. Francis Healthcare System, along with medical professionals and community representatives, will conduct quarterly evaluations focusing on:

• Insurance Enrollment Rates: Monitoring increases in coverage.
• Chronic Disease Management Improvements: Assessing health outcomes among the insured population.

Reports will be presented to the executive leadership teams, and community feedback will be actively sought to guide ongoing implementation and adjustments.

Summary

Addressing the issue of inadequate chronic disease management due to limited access to affordable health insurance is vital for the Jordanian community. By improving insurance coverage, this initiative aims to enhance overall health outcomes, leading to better management of chronic conditions and a healthier population. The goals align with Vila Health’s commitment to expanding healthcare access and improving community health. Financial support from Vila Health is essential to implement the necessary resources and infrastructure to achieve these objectives. We extend our sincere gratitude to Vila Health for considering and supporting this initiative, recognizing that their involvement is crucial to making a lasting impact on the health of the Jordanian community.

Appendix B: Project Budget

Categories	Startup	1st Year	Other Sources of Revenue	Justification
Salary and Wages
– Project Manager	$80,000	$80,000	–	Overseeing the entire initiative, including planning, implementation, and evaluation.
– Support Staff	$50,000	$50,000	–	Assisting with the rollout and support of expanded health insurance coverage.
– Other	$20,000	$20,000	–	Community outreach and education roles to facilitate the transition.
Fringe Benefits	$30,000	$30,000