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Assessment 3: Business Case for Change

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Student Name

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Capella University

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NHS-FPX 6008 Economics and Decision Making in Health Care, and Case Analysis for
Master’s Learners
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Prof. Name
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MAR 24, 2024

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Business Case for Change
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Welcome everyone, my name is X. Today, in this presentation, we will delve into the
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business rationale for instigating change in healthcare economic matters, focusing on
the issue of restricted access to care. We will further explore how this challenge has
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affected both my organization and the community it serves. Subsequently, we will

evaluate the feasibility and cost-effectiveness of implementing a proposed solution to
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address the healthcare economic issue of limited access to care. Additionally, we will
assess various strategies to mitigate associated risks. Next, we will discuss proposed
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alterations aimed at enhancing community care access. Finally, we will elucidate how
the proposed solution aligns with cultural sensitivity, ethical principles, and equity for
both the community and healthcare entities. So, let us embark on this expansive yet
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crucial topic!
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Healthcare Economic Issue and Its Impact

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The healthcare economic issue under scrutiny in this presentation is the inadequacy of
access to care. Insufficient or inadequate access to care represents a global challenge,
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as highlighted by the World Health Organization, which indicates that half of the world's
population faces constraints in accessing primary healthcare services (World Health
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Organization, n.d.). Limited access to care disproportionately affects specific
demographics such as individuals with low incomes, residents of remote areas, persons
with disabilities, and others. This issue exerts a detrimental impact on the community,
manifesting in various adverse outcomes including diminished productivity, shortened
lifespans, increased healthcare expenditures, and heightened mortality rates.
Addressing limited access to care is imperative for enhancing community health and
bolstering economic stability.

Impact on Stakeholders

The most affected demographics encompass impoverished individuals with low

socioeconomic status, individuals with disabilities, and residents of geographically

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isolated or rural areas. The ramifications of limited access to care were palpable within
my healthcare institution, Tampa General Hospital, where instances of restricted access
resulted in fatalities from chronic illnesses and delayed provision of essential

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treatments. These circumstances profoundly affected my professional endeavors as
witnessing individuals succumb to their ailments weighed heavily on my psyche and

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impeded my work, leading to near-miss incidents. Moreover, my colleagues
experienced similar sentiments, disrupting their focus on nursing duties. The
organization endured various repercussions of this healthcare economic issue, including
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escalated costs attributable to heightened hospital readmission rates and a tarnished
institutional reputation.
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Now, let us elucidate the profound impact of this issue on the community, as they
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constitute the primary victims of limited access to healthcare. Owing to severe financial
constraints, segments of the population with meager socioeconomic backgrounds were
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unable to afford medical expenses, and healthcare facilities refrained from providing
them with essential health and medical services (McMaughan et al., 2020).
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Consequently, they suffered from untreated ailments, leading to numerous fatalities.

Furthermore, individuals with disabilities encountered barriers to accessing medical
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facilities due to physical impediments, resulting in adverse health outcomes.

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Lastly, residents of remote areas faced geographical hurdles in accessing healthcare

services, necessitating strategic interventions to facilitate access to healthcare within
their vicinity or at home. Given the detrimental impact on all stakeholders, there exists
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an urgent imperative to delve deeper into this issue and effectuate systemic changes
that ensure enhanced access to care for all vulnerable segments of the populace.
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Feasibility and Cost-Benefit Considerations

The restricted access to care engenders health-related ramifications and exacerbates

financial insecurity. Consequently, healthcare organizations must scrutinize the
feasibility and cost-benefit considerations associated with this economic issue. These
deliberations will enable healthcare organizations to evaluate the viability and
practicality of initiatives aimed at improving access to care. Some feasibility
considerations explored in the context of limited access to care are delineated below:

Enhanced Costs Due to Preventable Complications

Preventable diseases and manageable health conditions may deteriorate due to limited
access to care. Unmet needs stemming from delayed or inadequate treatments

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escalate these health problems to more severe stages, necessitating costly
interventions. The expenses incurred from these treatments surpass the costs

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associated with early diagnosis and preventive care. For instance, the management of
diabetes is less financially burdensome when promptly diagnosed and treated,
compared to instances of delayed treatment or non-adherence to therapeutic regimens

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due to limited access to care (Singer et al., 2022). By ensuring adequate patient access,
one can alleviate the economic burden borne by both patients and healthcare
organizations.
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Public Health Impact

The limited access to care for vulnerable populations afflicted with contagious diseases
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may precipitate disease outbreaks, thereby engendering extensive public health

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ramifications. The ensuing consequences include unmanaged diseases, exorbitant

treatment costs, and elevated prevalence rates. Consequently, rectifying this situation
presents a nuanced feasibility consideration aimed at effectuating changes within
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healthcare organizations to enhance public health outcomes by providing timely access

to healthcare services.
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Cost-Benefit Considerations
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By ameliorating access to care for vulnerable populations, cost-effectiveness can be

attained. Improved access to care translates to enhanced health outcomes among the
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populace, consequently fostering greater productivity. This, in turn, bolsters the

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economy of both the community and the nation at large. Substantiating the cost-benefit
considerations, a study advocating for the expansion of access to care for all individuals
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through telehealth facilities demonstrated significant annual cost savings amounting to

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€19,500 for a patient load of 300 per year (Buvik et al., 2019). Furthermore, the
utilization of less expensive alternatives such as Skype further mitigated telemedicine
costs to €3149. By embracing such strategies to augment access to care, healthcare
organizations stand to enhance cost-effectiveness, thereby accruing long-term benefits.

Evidence-Based Strategies to Mitigate Risks to Financial Security

Implementing telehealth services represents a viable approach to improving access,

particularly for underserved communities and remote areas beset by geographical
barriers. Telehealth services obviate the need for extensive physical infrastructure and
facilitate the early diagnosis and management of healthcare issues (O’Kane, 2020).
Moreover, telehealth initiatives have been shown to reduce hospital readmission rates,

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length of hospital stays, and emergency department stays, thereby bolstering the
financial security of healthcare organizations (Tsou et al., 2021).

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Investing in community health outreach programs constitutes another evidence-based
strategy aimed at enhancing preventive care and facilitating early interventions. These
programs address unmet social needs and yield positive returns on investment

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(Kangovi et al., 2020). By mitigating the burden of diseased patients afflicted with
debilitating health issues, these initiatives enhance the financial security of healthcare

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organizations. Notably, investing $1 in public health departments promises a remarkable
return on investment ranging from $67 to $88 due to reduced long-term costs
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(McCullough, 2019).
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Advocating for policies that expand health insurance coverage and promote
value-based care, as opposed to fee-for-service models, represents a pivotal strategy
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for fostering equitable access to care while alleviating financial strain on healthcare
organizations.
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Changes or Solutions to Address Limited Access to Care

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Implementing solutions tailored to rural settings, such as telehealth, community health

services, and mobile health applications, holds promise in delivering care and health
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education to rural populations in proximity to their residences, thereby enhancing

access to care and mitigating health disparities arising from geographical constraints
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(Wilson et al., 2020).

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Augmenting the utilization of telehealth services for individuals with disabilities through
videoconference sessions represents another viable solution aimed at addressing
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healthcare needs and making healthcare services accessible (Jeste et al., 2020).
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Expanding healthcare coverage and Medicaid access for low-income individuals holds
potential for enhancing their access to care services, consequently fostering health
equity and yielding better health outcomes (McMaughan et al.,

2020).

Benefits of Implementing Proposed Plans

These proposed changes stand to benefit both the community and healthcare
organizations. By optimizing resource allocation and planning, organizations can extend
consultations to a broader demographic encompassing individuals with limited access to
care, thereby enhancing cost-effectiveness. Moreover, these changes promise an
augmented return on investment, thereby bolstering the reputation of healthcare

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organizations through expanded access to patient care.

Furthermore, the effective implementation of these proposed plans holds the potential to

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promote the long-term stability of organizations by positively contributing to community
well-being. By ensuring adequate access to care, healthcare professionals are

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incentivized to serve the community, thereby enhancing their productivity and job
satisfaction. Additionally, colleagues involved in the planning and execution of these

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changes stand to benefit from improved communication, professional development, and
coordinated care.
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Solutions Addressing Cultural and Ethical Considerations
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Cultural Sensitivity
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The proposed solutions for addressing limited access to care are underpinned by
cultural competence. Introducing health insurance coverage for individuals with low
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socioeconomic status ensures equitable treatment in hospitals irrespective of economic

backgrounds, thereby promoting social justice and mitigating health disparities (Wright
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& Merritt, 2020). Telehealth consultations cater to the needs of remote areas and
individuals with disabilities, providing culturally sensitive patient care by acknowledging
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and respecting cultural beliefs. This patient-centered approach is tailored to individual

health needs and preferences, thereby ensuring that each patient feels understood and
valued (Sivaraman & Fahmie, 2020).
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Ethical Considerations

Ethical considerations constitute a paramount facet of our proposed changes.

Telehealth, by design, embodies the ethical principles of beneficence, confidentiality,
and non-maleficence. It offers remote assistance in emergencies with the aim of
enhancing public health while safeguarding data privacy. The initiative to extend
healthcare insurance coverage to low-income individuals reflects our commitment to
justice for all (Tsou et al., 2021). Additionally, patient autonomy is upheld through
patient-centered care and shared decision-making, ensuring that patients are actively
involved and informed in their care process.

Equitable Solutions

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Our overarching objective is to offer solutions that are not only efficacious but also
equitable. Expanding access to care through Medicaid insurance services aims to

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empower low-income individuals with timely and adequate care, thereby fostering social
equity. Telehealth services offer a lifeline to rural communities, enabling them to access
care without the financial and physical impediments associated with traveling to

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hospitals. These strategic changes are grounded in principles of health equity, social
justice, and non-maleficence, ensuring that no demographic group feels marginalized or
overlooked.
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Conclusion

In conclusion, we have elucidated the issue of limited access to care as a pertinent

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healthcare economic challenge faced by Tampa General Hospital. This issue has
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ramifications extending beyond the community at large to impact the work of individuals,
colleagues, and the organization itself. We have discussed the feasibility and
cost-benefit considerations pertinent to this issue. Furthermore, we have analyzed
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strategies to mitigate risks to the financial security of our organization. Subsequently, we

have delineated changes that can be implemented to address limited access to care.
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Finally, we have analyzed how these changes embody cultural sensitivity, ethical
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integrity, and equity for both the community and healthcare organizations.

References
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Assefa, Y., Gelaw, Y. A., Hill, P. S., Taye, B. W., & Van Damme, W. (2019). Community
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health extension program of Ethiopia, 2003–2018: Successes and challenges toward

universal coverage for primary healthcare services. Globalization and Health, 15(1).
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https://doi.org/10.1186/s12992-019-0470-1
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Buvik, A., Bergmo, T. S., Bugge, E., Smaabrekke, A., Wilsgaard, T., & Olsen, J. A.
(2019). Cost-effectiveness of telemedicine in remote orthopedic consultations:
Randomized controlled trial. Journal of Medical Internet Research, 21(2), e11330.
https://doi.org/10.2196/11330

Kangovi, S., Mitra, N., Grande, D., Long, J. A., & Asch, D. A. (2020). Evidence-Based
community health worker program addresses unmet social needs and generates
positive return on investment. Health Affairs, 39(2), 207–213.
https://doi.org/10.1377/hlthaff.2019.00981

McCullough, J. M. (2019). Declines in spending despite positive returns on investment:

Understanding public health’s wrong pocket problem. Frontiers in Public Health, 7.

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https://doi.org/10.3389/fpubh.2019.00159

NHS FPX 6008 Assessment 3 Business Case for Change O’Kane, G. (2020).

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Telehealth—Improving access for rural, regional and remote communities. Australian
Journal of Rural Health, 28(4), 419–420. https://doi.org/10.1111/ajr.12663

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Singer, M. E., Dorrance, K. A., Oxenreiter, M. M., Yan, K. R., & Close, K. L. (2022). The
type 2 diabetes “modern preventable pandemic” and replicable lessons from the

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COVID-19 crisis. Preventive Medicine Reports, 25, 101636.
https://doi.org/10.1016/j.pmedr.2021.101636
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Sivaraman, M., & Fahmie, T. A. (2020). A systematic review of cultural adaptations in
the global application of ABA-based telehealth services. Journal of Applied Behavior
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Analysis. 53(4), 1838–1855. https://doi.org/10.1002/jaba.763

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Tsou, C., Robinson, S., Boyd, J., Jamieson, A., Blakeman, R., Yeung, J., McDonnell, J.,
Waters, S., Bosich, K., & Hendrie, D. (2021). Effectiveness of telehealth in rural and
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remote emergency departments: Systematic review. Journal of Medical Internet

Research, 23(11), e30632. https://doi.org/10.2196/30632
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World Health Organization. (n.d.). World bank and WHO: Half the world lacks access to
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essential health services, 100 million still pushed into extreme poverty because of
health expenses.
https://www.who.int/news/item/13-12-2017-world-bank-and-who-half-the-world-lacks-ac
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cess-to-essential-health-services-100-million-still-pushed-into-extreme-poverty-because
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-of-health-expenses
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Wilson, C. R., Rourke, J., Oandasan, I. F., & Bosco, C. (2020). Progress made on
access to rural health care in canada. Canadian Family Physician, 66(1), 31–36.
https://www.cfp.ca/content/66/1/31.short

Wright, J. E., & Merritt, C. C. (2020). Social equity and COVID‐19: The case of African
Americans. Public Administration Review, 80(5), 820–826.
https://doi.org/10.1111/puar.13251

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